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Results vary depending on skin type, treatment frequency, dosage, and lifestyle habits, and scientific evidence is still limited on their long-term effectiveness

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Substantial fat mass loss after intensive weight loss will likely tend to reduce aromatase activity and regulate estradiol/testosterone equilibrium, resulting in decreased estradiol production, and will favor LH increase which contributes to stimulating testosterone production and substrate availability for estradiol production

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The only other RCT that investigated the effect of selenium supplementation on AITD in pregnancy found no difference in the magnitude of TPO-antibody decrease between selenium and placebo groups ( Reference Mao, Pop and Bath 98 )