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Attia, this post is a great reminder for all of us

Gulati, M., Dursun, E., Vincent, K

Tong XY, Norenberg MD, Paidas MJ, Shamaladevi N, Salgueiro L, Jaszberenyi M, et al

If supplementation is indeed required, it must be preceded by a careful consideration of the patients Se baseline status, gender, weight and so on ( 3.3 Dual role of Se deficiency in cretinism Cretinism often occurs in areas where endemic goiter is prevalent, with mucinous edema cretinism being the main manifestation of hypothyroidism without goiter