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Specific bacteria, such as Bacteroides and Lactobacillus species, enhance the host intestinal epithelial utilization of selenium by secreting selenoproteins or selenoreductases that convert inorganic selenium into bioavailable organic forms, like selenomethionine (170)
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For those whose symptoms interfere with daily life, staying on a lower dose for a longer period or even maintaining a reduced dose can improve both adherence and overall tolerability
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