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Hepatitis A/B
A combination vaccine containing the same antigenic components as Engerix-B and pediatric Havrix (Twinrix - GlaxoSmithKline) is available for patients >18 years old. It is given in 3doses at 0, 1 and 6 months; at least 2 doses should be given before travel. Accelerated schedules of 0, 1 and 3 weeks with a fourth dose 12 months after the first, or 0, 1 and two weeks with a fourth dose at least 6 months after the first, can be given if necessary but are not FDA-approved. The combined vaccine can be used to complete an immunization series started with monovalent hepatitis A and B vaccines. Twinrix Junior is available in Canada and Europe for children 1-15 years old.
Since hypoglycaemia can occur in any diabetic patient at any time, it is important for you to learn the causes of hypoglycaemia. Such knowledge will help you to educate the patient
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