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A combination of low selenium and genetics may play a role in the susceptibility to Keshan disease as individuals carrying the Leu198 variant of GPX1 , which is associated with lower expression, especially in the context of lower selenium levels, are at greater risk of developing Keshan disease [36]
We do not anchor success on the day-one mirror impression because day-one is dominated by swelling, anaesthesia residue, and patient excitement or anxiety
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