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Two additional randomized clinical trials performed in GH patients treated with MMI alone did not show beneficial effects on thyroid function and peripheral manifestations of hyperthyroidism in patients given selenium compared with placebo ( Use of Selenium in GO Over the last few years, in addition to the most common treatment for the management of moderate-to-severe and active GO, namely high dose oral and intravenous glucocorticoids (GC), orbital irradiation and surgical procedures (58), other medications have been proven effective to various extents, including rituximab (59), the recently FDA-approved teprotumumab (60, 61), mycophenolate (62), and tocilizumab (63)
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Notably, VGLUT1 overexpression under hypoxia could trigger glutamate excitotoxicity (Daniels et al., 2011)
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