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Vaccines Before commencing immunomodulators and biologic therapy, all patients should: be screened for latent infections, including hepatitis B, hepatitis C, HIV infection and tuberculosis have their immunity to vaccine-preventable infections confirmed, particularly infections that require live vaccines, as these may be contraindicated in patients receiving immunosuppressant therapy

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But in order to get these specialty treatments, you had to go to a fancy doctors office and pay premium prices