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By slowing down digestion, more gastrointestinal side effects can occur, including: Nausea Vomiting Diarrhea Constipation Bloating Indigestion Abdominal discomfort Sulfur burps (foul, rotten-egg-smelling burps) Acid reflux Why Side Effects Peak During Titration Medication can affect everyone differently, and so people may experience various side effects at different times while taking a drug, depending on their dosage and other factors

Gamble J-M, Chibrikov E, Midodzi WK, Twells LK, Majumdar SR

326 In macrophage, high levels of CD38 induced by LXR agonists reduce NAD + levels and interfere with cytoskeletal rearrangements triggered by invasive bacteria, protecting host macrophages from substantial infection

The honest answer is that selenium is tied to sperm production and motility rather than count, and the benefit is clearest in men who are deficient