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When used for less than two weeks, more rapid tapering of steroids is generally possible. Long-term steroids can suppress the protective role of your immune system and increase your risk of infection, moobs nhs. Since steroids can decrease your immunity to infection, you should have a yearly flu shot as long as you are on steroids. If you are on steroids for a prolonged period of time, you should also discuss with your doctor the possibility of getting “Pneumovax,” a vaccination against a certain type of pneumonia as well as “Prevnar 13,” another pneumonia vaccine. Shingles vaccination (Shingrix') may also be considered. Her symptoms were similar to severe bipolar disorder, moobs nhs.