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24 In a clinically symptomatic patient with specific features of B 12 deficiency, order a B 12 test, see Figure1: B 12 Test Result Review and Process Algorithm for Patients with Risk Factor for B 12 Deficiency* and/or Non- Specific** or Specific Symptom of B 12 Deficiency for more detail

This is particularly relevant for immediate-release exenatide (Byetta), where the SmPC advises that oral contraceptives and antibiotics requiring rapid absorption should ideally be taken at least 1 hour before or 4 hours after injection

This keeps their B12 levels up