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There was a staggering increase in requests for abortion pills through telemedicine in the months after the Supreme Court overturned Roe v. Wade, according to a new analysis.

The study, published Tuesday in JAMA, was conducted by researchers at the University of Texas at Austin and Aid Access, a nonprofit online telemedicine service that provides medication that people can use to safely end a pregnancy at home. They examined the organization’s data from September 2021 through August 2022 and saw two distinct spikes: the first, after the Supreme Court’s draft decision leaked to the public, and an even starker increase after the decision came down.

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The largest increases in medication abortion requests came from states with the most severe restrictions, including Louisiana and Arkansas. But even in states unlikely to ban abortion, there was a noticeable increase.

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