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Using a modified Delphi process and a structured evidence-grading framework, experts reviewed data on: - COVID-19 and influenza vaccine efficacy - Adverse events related to CSIs - Effects of CSIs on the hypothalamicpituitary axis - Incidence of COVID-19 and influenza in patients receiving CSIs - Appropriate intervals between CSIs and vaccination Key Recommendations: For non-urgent indications, offer CSIs at least 1 week before or after COVID-19 or influenza vaccination

In refractory MG treated with anti BCMA CAR T (NCT04561557), B cells returned to baseline around 18 months, with ~80% of reconstituted cells immature and a nave repertoire, suggesting long term humoral suppression and relapse prevention (65)

This marker isnt readily available where I am from, but is available through a private lab

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Zhu YJ, Wu JF, Wang K, Xu H, Qu MM, Gao ZC, Guo L, Xie JW