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Further reading Obesity may impair vaccine response owing to defects in germinal centres Vaccines may perform less well in people with obesity because of impaired antibody production owing to defects in germinal centres, which is a part of the immune system where specialised immune cells, called B cells, produce antibodies and build memory against pathogens, according to the findings of a study published in the The Journal of Immunology

Despite decades of public health efforts, obesity increases

Lancet Infect Dis 7: 675685

I felt valued and supported by the entire team

This surfaces compliance issues so the provider does not blame the protocol for the patients pizza-on-vacation choices

Patience is crucial as the body adapts to the medication and lifestyle changes