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17-year follow-up), low SELENOP levels correlated with higher all-cause and cardiovascular mortality, particularly in the lowest tertile ( 5.4 Practical considerations In selenium-replete populations, large trials (e.g., SELECT) found no reduction in cardiovascular events with 200 g/day of selenomethionine and even observed a potential rise in type 2 diabetes incidence ( 6 Other noteworthy supplements 6.1 Vitamin D Although vitamin D exerts immunomodulatory and reninangiotensin influences relevant to vascular biology, randomized trials in generally replete populations have not demonstrated significant reductions in major cardiovascular outcomes
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