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A reduced mitochondrial biogenesis through PGC-1/NRF1/TFAM (peroxisome proliferator-activated receptor- (PPAR- ) coactivator 1/nuclear respiratory factor-1/mitochondrial transcription factor A) was also observed [29]

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Na2SeO3) was found to protect people from developing Keshan disease but could not reverse heart muscle damage once it had occurred (52)

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