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The reduction in airway resistance has been attributed to the modulation of cellular and chemical mediators at the molecular level

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Journal of Bacteriology, 176 (12), 34663473

(1987) L-homocysteic acid: an endogenous excitotoxic ligand of the NMDA receptor

The schedule would look like this: Get rituximab infusion Wait 4 weeks before next dose (about 5 months later) and get COVID-19 vaccine 3-4 weeks later: Get second COVID-19 vaccine (depending on Moderna or Pfizer) 2-4 weeks later: Get next rituximab infusion This kind of schedule is recommended for patients whose disease activity will allow them to be off medication for an extended period, so it may not be advised for all patients