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While a study in chronic insomnia patients has reported that short-term DSIP administration is unlikely to be of major therapeutic benefit, a 16-month study in mice found that long-term DSIP administration increased maximum life span and decreased the rate of tumor growth [22, 23]

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Nackapan, If I understand correctly, you're saying that because a return of symptoms is experienced in a fairly short span of time without injections, this proves that someone with PA cannot utilize their stores of B12

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Mild, early side effects of excessive selenium intake may include: Nausea, digestive problems, and diarrhoea Metallic or garlic-like bad breath Fatigue and irritability Headache More severe or chronic overdose (selenosis) can cause: Hair loss and brittle nails Skin rashes or nail discolouration Neurological symptoms such as dizziness or tremors In extreme cases, kidney problems, heart problems, and serious nervous system issues Memory loss and confusion have also been described in some toxicity scenarios, although these are not typical early symptoms

Seiwerth et al., Frontiers in Pharmacology (2021) and Xing et al., Int J Mol Sci (2021)