I am 68 and coming up on 6 years since I had my transplant. I was diagnosed with alpha 1 and the only cure was a transplant. I had one issue lthe first year and had to have an additional out patient surgery. I have not experienced any rejection issues and I am on a very low dose of Tacromilis. I still go for blood work every 2 or so months. I have taken all the Covid vaccines, flu and pneumonia. The meds the first year can be an adjustment to side effects. I wrote a letter of thanks to the donors family and found out my donor was 50 and a nurse and passed of a stroke. I felt so thankful and yet so sad for her family’s loss. My advice listen to what your Drs tell you, call with any questions and be mindful of situations where you might risk getting sick. (At least the first year when your white blood count maybe low).