Is this a sign of pregnancy?

Patient : Lately my nipples have been feeling dry and flaky and just this morning I brushed and picked off the dry skin. My period is suppose to start in a week and I've missed taking my birth control at least 2 times plus i lost a pill. could it be a sign of pregnancy? or is it too early? I have also been feeling really tired lately and exhausted. cld this all be from stress?
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