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There were no statistical differences in eNOS gene expression between groups

There are recommendations for vaccination in patients with both psoriasis and atopic dermatitis who are being treated with biologics (6163), with a general consensus being that attenuated live vaccines should be avoided while using biologic agents, but non-live vaccines can be administered safely without affecting vaccine-induced antibody production (61, 62)

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Similarly, Azzam et al

It can take several weeks for the effects to become noticeable