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Angiotensin-receptor blockers are highly protein bound and are not expected to enter breast milk, but information is lacking regarding their use during lactation

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Scenario 2: Subcutaneous Biologic Administration for Chronic Disease Management ICD-10: M06.9 (Rheumatoid arthritis, unspecified) A patient with rheumatoid arthritis returns for a scheduled SC injection of a biologic agent (adalimumab)

Check vitamin B12 levels in people treated with metformin who have symptoms suggestive of vitamin B12 deficiency This will also include patients found to have megaloblastic anaemia (raised mean corpuscular volume [MVC]), who may be asymptomatic (MHRA, 2022)