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Therefore, selenium deficiency is associated with thyroid dysfunction and increased risk of thyroid autoimmunity and nodules [65], a condition further aggravated by the fact that concurrent iodine and selenium deficiency is rather common [66, 67]

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The impact on TMAO levels and whether this causally increases CVD risk is still uncertain

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Sakai Y, Nishikawa H, Enomoto H, et al

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