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Although selenium supplementation demonstrates potential benefits in reducing autoantibody levels, the existing body of researchprimarily limited to short-term observations of 36 monthsfails to establish a definitive causal relationship between decreased antibody titers and sustained functional improvements in the neurological system (264)

[13] Initial diagnostic work-up includes ordering routine labs and imaging including: liver function tests, complete blood count, basic metabolic panel, and a right upper quadrant ultrasound