shingles with JAK inhibitors, and advise patients to get vaccinated with a recombinant shingles vaccine (Shingrix) Consider I will consider JAK inhibitors when my patients need rapid control of inflammation and are at risk of leaking biologics through an inflamed intestine (and low trough and anti-biologic antibodies). Consider I will consider the risk of VTE with JAK inhibitors, and discuss additional risk factors with my patients, including immobility, inflammation, steroids, oral contraceptives and estrogens, cancer, surgery, and bone fractures. Consider