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Patients with a history of autoimmune disorders, abnormalities in the uterine cavity, such as fibroids and polyps, pelvic inflammatory disease, cancer, diabetes, chronic infectious diseases, or any other immune-affecting exposure were also excluded

Once produced or ingested, vitamin D undergoes hydroxylation in the liver to form 25-hydroxyvitamin D [25(OH)D], the main circulating form used to assess vitamin D status, and then in the kidneys to produce the active hormone 1,25-dihydroxyvitamin D

25 human selenoproteins, containing the amino acid selenocysteine, have been identified

Metabolic Syndrome: Metabolic syndrome is a cluster of conditions, including obesity, high blood pressure, elevated blood sugar levels, and abnormal cholesterol levels, that increase the risk of heart disease, stroke, and type 2 diabetes