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A typical strategy is a short trial, evaluate response, then repeat cycles as clinically indicated while addressing lifestyle and underlying drivers
The only way to be sure that Se status was low before disease occurs is to measure erythrocyte Se which, with a half-life of 120 d, will only vary after a longer period of inflammation (Reference Stefanowicz, Talwar and O'Reilly46)
However, in those whose vitamin D level improved by less than 10 ng/mL, 43% experienced an episode of vertigo
Our case series redemonstrates an increase in transsulfuration metabolites with oral glutathione supplementation, but the changes are not statistically significant
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10.1016/s0021-9258(19)36569-x J
