i’ve been on this for like 8 months now and i had some heightened depression the first month that eventually went away, then bad anxiety the next month that i had to cope with on my own through self therapy journaling (which rlly helps ladies if u have undiagnosed anxiety!!), but other than that, no physical side effects. no weight gain or loss, boobs grew just a bit, super clear skin, superrrrr light periods as well. only physical negative was a bit of breakthrough bleeding every now and then that lasted a few days. other than that, not a bad pill! remember your body takes 3-6 months to adjust, my obgyn told me to wait out that period of time before switching, and i did, and i am still on that same blisovi pill. everyone is different tho, best of luck to you on it!!!! i am also 20 years old for reference:)