Do you prescribe lower dose ICS for asthma to mitigate the risk of pneumonia in patients with a history of respiratory infections or compromised immune systems?  

Yes, I do, if possible. This is based on data that demonstrates that high-dose ICS negatively impacts the microbiome diversity. While not linked directly to clinical outcomes, these findings warrant caution enough to make this simple alteration. That said, more research into the clinical impact is n...

Yes i do if possible. This is based on data that demonstrates that high dose ics negatively impacts tge microbiome diversity. While not linked directky to clinical outcomes, these findings warrant caution enough to make this simple alteration. That said more research into clinical impact is needed...