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Its also worth noting that undiagnosed Hashimotos thyroiditis is extremely common and frequently missed with standard labs

For patients who receive B-cell-depleting therapies on a continuing basis, COVID-19 vaccines should be administered approximately 4 weeks before the next scheduled therapy

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(In 2021, the FDA approved another monoclonal antibody for Alzheimers called Aduhelm, but in tests it seems that it was not as effective as Leqembi