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It would be strongly recommended to see a physician/surgeon who is well-versed in all these options to allow for the best counseling possible

Only mildly

Tuberculosis Prescreening for mycobacterium tuberculosis (mTB) exposure with a tuberculin skin test or an interferon gamma release assay blood test is recommended for all agents in the class, and has been shown to reduce the risk of reactivation of latent mTB