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CDC also notes that timing of COVID-19 vaccination should take into consideration current or planned immunosuppressive therapies, optimization of both the patients medical condition and response to vaccination, and individual benefits and risks

A 67 year old female is on the following medications: Aspirin 81 mg daily Lisinopril 5 mg daily Carafate 1 gm four times daily Omeprazole 40 mg daily Metformin 1000 mg twice daily Actos 15 mg daily Paroxetine 20 mg daily Valproic acid 250 mg twice daily Percocet 5/325 mg four times daily as needed Senna 2 tablets at bedtime B12 injection q month Amlodipine 5 mg daily Tylenol 1,000 mg three times daily The first thing that caught my eye was that this patient apparently has or had B12 deficiency with the monthly supplementation

To prevent the movement of intestinal contents, zip ties were used to mark and isolate sample locations before collection