Adjuvants are substances that help enhance and modulate the immune response to antigens and vaccines. They allow for lower doses of antigens and improve vaccine efficacy in immunocompromised individuals. The main types of adjuvants are alum, which causes slow antigen release and recruitment of immune cells, and Freund's adjuvants, which contain emulsified antigens and mycobacteria. Adjuvants work by prolonging the presence of antigens, activating macrophages, and stimulating inflammation and innate immune receptors to induce adaptive immunity. However, adjuvants can also cause local reactions like injection site pain or swelling and systemic issues like immunosuppression or organ toxicity.