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Serum/plasma total Se concentrations can be influenced by sex, age, smoking, water and diet Se content, dietary sources of Se (organic or inorganic), and various conditions that increase its demands or decrease its intake/utilization, leading to decreased Se concentrations (e.g., inflammation, anorexia, intestinal malabsorption syndromes, and total enteral or parenteral nutrition without adequate Se dosing) (45, 57, 75)

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These issues necessitate the development of dedicated ethical and regulatory frameworks

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