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Factors that can contribute to oxidative damage include: High polyunsaturated fatty acid diets Environmental temperature Exercise Vitamin E status For this reason, clinical response to selenium supplementation is sometimes the most reliable indicator that low selenium was contributing to the clinical picture

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Levis B, Benedetti A, Thombs BD

Symptoms may include nasal dryness, burning sensation, rhinorrhea (runny nose), epistaxis (nosebleeds), and mucosal erosion with long-term use

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Compounded medications are not equivalent to and should not be considered generics of FDA-approved drug products