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The immunosuppression of the solid organ\u2013transplant recipient involves the individualized titration of multiple therapeutic agents to prevent allorecognition and, thus, rejection of the transplanted organ. Induction immunosuppression includes the agents used at the time of transplant to prevent early rejection. Maintenance immunosuppression typically consists of oral medications taken for life. Regular therapeutic monitoring of immunosuppression is necessary to balance the risk of rejection with that of infections and malignancy. In the acute\u2010care setting, multidisciplinary collaboration, including pharmacy and nutrition, is needed to optimize the route of administration, titration, and side effects of immunosuppression. Long\u2010term nutrition management after transplant is also vital to prevent exacerbating adverse effects of immunosuppressive therapies, including diabetes mellitus, hypertension, dyslipidemia, obesity, and bone loss. This review summarizes common immunosuppressive agents currently utilized in solid organ\u2013transplant recipients and factors that may influence decisions on nutrition support.<\/jats:p>","DOI":"10.1002\/ncp.11099","type":"journal-article","created":{"date-parts":[[2023,11,29]],"date-time":"2023-11-29T22:14:07Z","timestamp":1701296047000},"page":"109-116","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Immunosuppression in solid organ\u2013transplant recipients and impact on nutrition support"],"prefix":"10.1002","volume":"39","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6470-0389","authenticated-orcid":false,"given":"Nicole K.","family":"Wilson","sequence":"first","affiliation":[{"name":"Department of Pharmacy Baylor University Medical Center Dallas Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ann D.","family":"Kataria","sequence":"additional","affiliation":[{"name":"Department of Pharmacy Baylor University Medical Center Dallas Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,11,29]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMra033540"},{"key":"e_1_2_7_3_1","unstructured":"Organ Procurement and Transplantation Network;Scientific Registry of Transplant Recipients. 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