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For cretinism in iodine-deficient areas, Se supplementation should not be promoted prior to iodine supplementation or when there is no plan for iodine supplementation, as stated by the American Thyroid Association, The differential intakes of iodine, Se, or both in different regions must be considered before any action for Se supplementation is taken ( 3.4 Se and thyroid tumors The incidence of thyroid cancer has been on the rise in the past decades, increasing faster than any other cancer ( In addition to increasing the risk of disease, Se deficiency is also strongly associated with the progression of thyroid cancer

A goat with eye pain may avoid bright areas, eat less aggressively, and move less confidently

In the case of malignant nodules, thyroidectomy is performed, followed by the administration of radioactive iodine to destroy any residual thyroid tissue, which may induce permanent hypothyroidism

Therefore, it is crucial to consider patient-specific factors in deciding the route, dose, and form of glutamine supplementation

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