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Your immune system is so suppressed from the rituximab that the vaccine wont be effective. While her rheumatologist could not cite data specific to rituximab and the COVID-19 vaccine, she was basing her advice based on whats known about how people on rituximab respond to other vaccines, such as flu, as well as whats known about how rituximab affects the immune system, especially compared to other kinds of biologics

This minimizes the initial physical stress

The lack of transparency means we still dont have vetted safety data from a controlled trial

For many of us, getting enough B12 to truly thrive can be a challenge, which is where treatments like B12 injections come in