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Low dose oral contraceptive pills (OCPs) are widely used by millions of women of various socioeconomic conditions. These are now indispensible components of family planning program and these have substantially reduced thromboembolic and cardiovascular risk factors reported to be present in earlier generation of pills. Although the safety aspects of these pills have been fairly well studied in well nourished population having normal to higher ranges of body mass index, the same aspects need to be reinvestigated in malnourished women who constitute a substantial percentage of OCP users in developing countries. In the present study the effects of the pills on blood glucose and some cardiovascular factors have been studied.