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doi: 10.3390/jcm13185559 16 LatifTKold JensenTMehlsenJHolmboeSABrinthLPorsKet al

& Hofmeijer, J

The procedure is performed using a very fine needle, and a topical anesthetic cream can be applied beforehand to minimize any discomfort

[] Although most patients receiving intensive critical care can experience improvement (reversibility), a few may enter a prolonged catabolic phase

The KBD area roughly coincides with low-selenium areas including a geological belt extending from northeast to southwest China, North Korea, and eastern Siberia 22

Therefore, -cell failure is considered to play a major role in the pathogenesis of the disease