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demonstrated that selenium deficiency results in a considerable decrease in glutathione peroxidase activity, which results in an increase in oxidative stress levels, and that sodium selenite treatment is efficient in ameliorating this condition (63)

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However, section 1886(d)(3)(E)(ii) of the Act sets the labor-related share at 62 percent for hospitals with a wage index less than or equal to 1.0000, and section 1886(d)(3)(E)(i) of the Act provides that the Secretary shall calculate the budget neutrality adjustment for the adjustments or updates made under that provision as if section 1886(d)(3)(E)(ii) of the Act had not been enacted

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