I am on the pill and I missed a few

Patient : I am on the pill and I missed a few this month and had intercourse a few times then last Sunday the 29th of march I had cramping and light spotting just for about an hour then the next two days were brown spotting I was due for my period on the Tuesday after but I didn't get it and still haven't and I'm having slight pregnancy symptoms like nausea discharge fatigue extreme hunger I took a pregnancy test on the Wednesday and this morning and both times it was negative am i pregnant or just hormones messed up? Should I start the pill again?
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