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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

Methods Twenty four jumping horses involved in competition were used

doi:10.1038/s41523-017-0040-8 Chlebowski RT, Blackburn GL, Thomson CA, et al

Inappropriate usesuch as unapproved products or administration by unqualified individualscan increase the risk of complications

When dose adjustments occur without monitoring, uncertainty increases and potential risks may go unnoticed