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207 However, in a more recent study in 146 subjects, serum selenium levels were significantly elevated in individuals with obstructive sleep apnea compared with healthy controls, and selenium levels were positively correlated with AHI

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Patients should be aware of this distinction when considering its use

Manufacturers may petition FDA for inclusion on the Green List, but this requires providing robust evidence of compliance with cGMP standards, including Certificates of Analysis, process validation, and detailed manufacturing records