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The MHRA and the electronic Medicines Compendium (eMC) list a broad range of adverse effects that patients and clinicians should monitor carefully
Patients with personal or family history of medullary thyroid carcinoma or Multiple Endocrine Neoplasia syndrome type 2 should not use this medication
Ingested selenomethionine can bind to tissue proteins, especially muscle proteins, forming a reservoir that is slowly released according to the protein turnover rate in the body ( 4.2 Factors affecting the absorption of Se supplements Vitamin E: Adequate vitamin E improves the bodys ability to utilize Se and can multiply the Se accumulation in the liver (110)
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