Monday, June 9, 2008

Selenium

One of the most effective naturally occurring weapons against cancer is, like most healthy things, something many of us are not getting enough of. The mineral selenium has been shown in multiple studies to be an effective tool in warding off various types of cancer, including breast, esophageal, stomach, prostate, liver and bladder cancers. Not many people get the recommended dose of 200 micrograms a day. Most Americans only get between 60 and 100 micrograms of selenium daily from dietary sources, according to the Life Extension Foundation's Disease Prevention and Treatment. That means daily supplements might be worth considering.
Selenium was first used in conventional medicine as a treatment for dandruff, but our understanding of the mineral has come a long way since then. Today, research shows selenium, especially when used in conjunction with vitamin C, vitamin E and beta-carotene, works to block chemical reactions that create free radicals in the body (which can damage DNA and cause degenerative change in cells, leading to cancer).

Selenium also helps stop damaged DNA molecules from reproducing. In other words, selenium acts to prevent tumors from developing. "It contributes towards the death of cancerous and pre-cancer cells. Their death appears to occur before they replicate, thus helping stop cancer before it gets started," says Dr. James Howenstine in A Physician's Guide to Natural Health Products That Work.


Selenium makes chemotherapy safer, more effective
In addition to preventing the onset of the disease, selenium has also been shown to aid in slowing cancer's progression in patients that already have it. According to the Life Extension Foundation, the use of selenium during chemotherapy in combination with vitamin A and vitamin E can reduce the toxicity of chemotherapy drugs. The mineral also helps "enhance the effectiveness of chemo, radiation, and hyperthermia while minimizing damage to the patient's normal cells; thus making therapy more of a 'selective toxin,'" says Patrick Quillin in Beating Cancer with Nutrition.
A 1996 study by Dr. Larry Clark of the University of Arizona showed just how effective selenium can be in protecting against cancer. In the study of 1,300 older people, the occurrence of cancer among those who took 200 micrograms of selenium daily for about seven years was reduced by 42 percent compared to those given a placebo. Cancer deaths for those taking the selenium were cut almost in half, according to the study that was published in the Journal of the American Medical Association.

While the study concluded the mineral helped protect against all types of cancer, it had particularly powerful impacts on prostate, colorectal and lung cancers. Jean Carper, in Miracle Cures, called Dr. Clark's findings an "unprecedented cancer intervention study" that "bumped up the respectability of using supplements against cancer several notches."


Food sources of selenium
Although too much selenium can actually be toxic to the system, research indicates the majority of the population is not getting enough of the essential mineral. So, how can we up our intake of selenium and help our bodies fight cancer? The good news is there are some good dietary sources of selenium: Mushrooms, egg yolks, seafood, poultry and kidney, liver and muscle meats contain the mineral. Vegetables -- garlic, onions, broccoli, asparagus, tomatoes and others -- as well as whole grains and seeds can also be good sources of selenium.
However, because the amount of selenium in vegetables and grains depends on the selenium content in the soil in which they are grown, it can be hard for average consumers to know how much of the mineral they are actually getting in their diets. "The selenium content of food is largely dependent on the content of volcanic ash in the soil on which the food was grown, with higher volcanic ash content yielding higher selenium levels. Soil that is irrigated by seawater, such as much of California's cropland, also contains higher levels of selenium," says Sue Gebo in What's Left to Eat. Gebo adds that, in general, soil in the western United States is richer in selenium than soil in the eastern part of the country.

Accordingly, geography can have a significant impact on diet. In Antioxidants Against Cancer, author Ralph Moss PhD, says one theory for why cancer rates are so high in Linxian, China, dubbed "the 'world capital' of cancer," is that the soil is deficient in the essential minerals selenium and zinc. In Earl Mindell's Supplement Bible, Earl Mindell RPh PhD, suggests part of the reason American men are five times more likely than Japanese men to die from prostate cancer could be because, in general, "the Asian diet contains four times the amount of selenium as the average American diet."

Another reason it seems to be difficult for Americans to get enough selenium is the processing many of our foods go through before they make it onto grocery store shelves. Mindell points out, for example, that processing wheat into white flour strips it of a great deal of its selenium. One way to get more selenium in your diet might be to eat more organically grown foods, which some studies have shown to contain more selenium as well as higher levels of beta carotene and vitamin E. These two work together with selenium in cancer prevention, according to Alternative Medicine author Burton Goldberg.

Perhaps a more surefire way to boost your selenium intake is to add supplements to your diet. Mindell advocates the use of supplements, saying, "To me, taking selenium supplements, in addition to eating selenium-rich foods, is good insurance against disease." However, for those who oppose taking pills, Dr. Andrew Weil in Ask Dr. Weil says eating just one shelled Brazil nut -- grown in the selenium-rich soil of central Brazil -- provides 120 micrograms of the mineral, getting you that much closer to the daily target of 200 micrograms.

Although extremely high doses of selenium can have toxic effects, most people are not at risk for such an overdose, and could, in fact, use more of the mineral. Simply adding more selenium-rich foods, such as organically grown vegetables and fruits to your diet, along with supplements, can help reduce your risk of cancer. And another positive side effect of selenium, according to Eat and Heal, by the Editors of FC&A Medical Publishing, is that it can actually improve your mood. Those editors write, "People who don't eat enough selenium-rich foods tend to be grumpier than people with a high dietary intake, according to recent research." So, go ahead and crack a Brazil nut open and smile.

The experts speak on selenium and cancer


Selenium Mechanisms
There are several possible mechanisms for the protective effect of selenium. Selenium activates an enzyme in the body called gluthathione peroxidase that protects against the formation of free radicals—those loose molecular cannons that can damage DNA. In this situation, selenium may work interchangeably (and in synergy) with vitamin E. In test tube studies, selenium inhibited tumor growth and regulated the natural life span of cells, ensuring that they died when they were supposed to instead of turning "immortal" and hence malignant. Because of this particular action, the University of Arizona researchers say that selenium could be effective within a fairly short time frame.
Ask Dr Weil by Andrew Weil MD, page 207
Numerous studies suggest that an inverse association exists between selenium levels and cancer incidence (Hocman, 1988; Willett and Stampfer, 1986; Milner, 1985). Associations appear to be particularly strong with cancers that are also associated with high-fat, low-fiber diets (i.e., breast, colon, prostrate, etc.). The mechanism for selenium's reported protective effects is likely due to its function in antioxidant synthesis. Glutathione peroxidase, the primary enzyme that converts hydrogen peroxide to water (and thus prevents lipid peroxidation) is selenium-dependent. Inhibition of lipid or bile acid oxidation may account for its protective role (reviewed by Linder 1991:496-7). Selenium may also act as an immune stimulant. Selenium deficiency inhibits macrophage-mediated tumor destruction, and inhibits tumor necrosis factor-alpha production in animals (Kiremidjian-Schumacher et al., 1992). Dietary supplementation with selenium produced the opposite effects.
Cancer And Natural Medicine by John Boik, page 146

The safest antioxidants are vitamin C, vitamin E, selenium, and beta-carotene. Together, they block the chemical reactions that create free radicals, which can damage DNA and promote a variety of degenerative changes in cells. Chemotherapy and radiation generate free radicals; that is how they kill dividing cells.
Ask Dr Weil by Andrew Weil MD, page 47

At the Yunnan Tin Corporation in China there is a very high rate of lung cancer among the miners. Forty healthy miners were given selenium supplements for a year. The selenium, which increased in their blood, boosted a key detoxifying enzyme system while simultaneously decreasing dangerous lipid peroxide levels by nearly 75 percent. It also protected against cancer-causing substances and ultraviolet radiation. Doctors at the Chinese Academy of Medical Sciences concluded that selenium supplements were a safe and effective food supplement for people.
Cancer Therapy by Ralph W Moss PhD, page 112

Numerous mechanisms have been explored to explain the modulation of carcinogenesis by selenium (Medina 1986, El-Bayoumy 1991). The best characterized function of selenium in mammalian cells is as a component of the seleno- enzyme, glutathione peroxi-dase. This enzyme is localized in the cytosol and mitochondrial matrix, and it eliminates organic peroxides from the cell (Medina 1986). However, available evidence suggests that the prevention of carcinogenesis by selenium is not related to its function in glutathione peroxidase (Medina 1986). Other seleno- proteins have been identified, but their impact on carcinogenesis is not defined (Medina 1986). There is some evidence that selenium may alter the metabolism of carcinogens or the interaction of chemical carcinogens with DNA, but there is considerable controversy in the literature (Medina 1986). Additional mechanistic studies suggest that selenium may alter cell proliferation and/or immunologic responses (Medina 1986, El-Bayoumy 1991). Further research is needed to understand the mechanisms whereby selenium prevents cancer.
Carcinogens Human Diet by National Research Council, page 100

Selenium is needed to produce glutathione peroxidase, an antioxidant enzyme that protects the body from free radical damage. It is also important in preventing cancer and cardiomegaly an enlargement of the heart that causes premature aging and early death.
Complete Encyclopedia Of Natural Healing by Gary Null PhD, page 11

The best known functions of selenium at nutritionally adequate, but not at excessive, levels are its role as a part of the enzyme glutathione peroxidase and its interaction with heavy metals. Glutathione peroxidase destroys hydroperoxides and lipoperoxides, thereby protecting the constituents of the cells against free radical damage. Ip and Sinha (1981) have shown that selenium, through its function in glutathione peroxidase, could well be involved in protecting against cancer induced by high intakes of fat, especially polyunsaturated fatty acids. Glutathione peroxidase activity in human blood increases with increasing selenium intakes, but reaches a plateau at intakes well below those customary in the United States (Thomson and Robinson, 1980). Thus, if the antitumorigenic effect of selenium is mediated through its function in glutathione peroxidase, attempts to increase the enzyme activity by selenium supplementation, superimposed on an adequate diet in the United States, would not be successful. The second function of selenium is to protect against acute and chronic toxicity of certain heavy metals. Although selenium is known to interact with cadmium and mercury, the mechanism of action is not known. Selenium does not cause an increased elimination of the toxic elements, but, rather, an increased accumulation in some nontoxic form (National Academy of Sciences, 1971). It is conceivable that carcinogenic effects of these, and perhaps other heavy metals, could be counteracted by selenium, in a manner similar to its protection against their general toxicity.
Diet Nutrition Cancer by National Research Council, page 168

Selenium's main function in the body is to convert hydrogen peroxide to water, which is important for cellular health. Herbal Medicine Healing Cancer by Donald R Yance Jr, page 193 All of the body's tissues contain selenium, but it is most plentiful in the liver, kidneys, spleen, pancreas, and testes. Selenium works synergistically with vitamin E to protect tissues and cell membranes, aid in the production of antibodies, and help maintain a healthy heart and liver
Prescription For Dietary Wellness by Phyllis A Balch, page 44


Selenium Dosage/Administration
It has been reported that selenium doses of about 250-300 micrograms a day (diet and supplements) would be helpful in preventing cancer. If an average person consumes 125 to 150 micrograms of selenium a day, an additional supplemental amount of 100 micrograms is unlikely to produce any major side effects.
Choices In Healing by Michael Lerner, page 612
Recommendation: Take selenium aspartate in a dose of 100 to 200 micrograms daily..
Doctors Complete Guide Vitamins Minerals by Mary D Eades MD, page 496

Selenium is a mineral with anticancer activity. But the anticancer effects of selenium are greatly reduced when there is an insufficient intake of vitamin E. Rats who receive a normal amount of vitamin E in their diets showed a 45 percent decrease in tumors when they were given selenium. But they only had a 25 percent decrease if their diet was low in vitamin E. In fact, vitamin E was considered more important than selenium in decreasing "oxidant stress" to the fat of the breast.
Cancer Therapy by Ralph W Moss PhD, page 74

In the treatment of cancer the dosage is generally about 10,000 micrograms, still nearly one hundred times the National Academy of Science's recommended dose. Revici's treatment is more complicated than just organic selenium. He only uses selenium in patients whom he deems to be in a "catabolic," as opposed to an "anabolic," state. He has devised a number of urine tests to find whether a patient is in one condition or the other. Selenium is given when the urine has a low specific gravity, a high surface tension and a pH above 6.0. The alkalinity of the urine is supposed to reflect the state of the body's defenses against tumors.
Cancer Therapy by Ralph W Moss PhD, page 112

Selenium levels show a U-shaped correlation with prostate cancer. In other words, both low and high blood levels of selenium increase risk. This simply means that we need enough selenium to maintain good health, yet too much can be dangerous. A practical compromise is to use a supplement that provides 100 I.U. of vitamin E (up to 400 I.U. would be fine), and about 50 micrograms of selenium.
20 Natural Ways To Reduce The Risk Of Prostate Cancer By James Scala PHD, page 60

Unlike selenomethionine, which is incorporated into protein in place of methionine, SMSC is not incorporated into any protein, thereby offering a completely bioavailable compound. In animal studies, SMSC has been shown to be 10 times less toxic than any other known form of selenium. The recommended dose of Se-methylselenocysteine (SMSC) is 200-400 mcg a day for cancer patients.
Disease Prevention And Treatment by Life Extension Foundation, page 316


Selenium Sources
You need just three Brazil nuts to get the 200 micro-grams of selenium that studies have shown to have a potent anti-cancer effect. As a bonus, when you eat Brazil nuts, which grow best in the Amazon rain forest, you support the conservation of one of my favorite places on earth. So you're not only protecting your body, you're saving the environment.
Anti-Aging Prescriptions by James Duke PhD, page 90
The Garlic Connection. It has long been noted that people who ate garlic, onion, broccoli, and whole grains had a reduced risk of cancer. It turns out that all of these foods are rich in selenium, in fact, selenium is one of the reasons that these particular foods are so healthful for us.
Antioxidants Against Cancer by Ralph Moss PhD, page 77

If you're not fond of popping pills, you can get 120 micrograms of selenium in just one Brazil nut. Buy the shelled kind—they're grown in a central region of Brazil where the soil is richest in the mineral. Other good sources are tuna fish, seafood, wheat germ, and bran.
Ask Dr Weil by Andrew Weil MD, page 207

One good food source is Brazil nuts, which happen also to contain at least one other anticancer substance, ellagic acid. One large nut can provide over 50 mcg of selenium. When Cornell scientist Donald J. Lisk and his colleagues ate six Brazil nuts a day for three weeks, their blood levels of selenium rose between 100 and 350 percent.
Cancer Therapy by Ralph W Moss PhD, page 122

Selenium—An essential trace mineral found in fruits and vegetables, selenium helps the body produce functional glutathione peroxidase, an enzyme essential for detoxification. Low dietary levels of selenium have been correlated with a higher incidence of cancer; accordingly, supplementation of this nutrient acts as a deterrent against cancer in general.
Alternative Medicine by Burton Goldberg, page 591

Red clover is also rich in calcium, manganese, and selenium, which is a key cancer-fighting antioxidant. I munch the flower heads, but not everyone likes them. Some people dry the flower heads, turn them into a powder, and add them to soups.
Anti-Aging Prescriptions by James Duke PhD, page 61

The debate continues regarding the active ingredients in garlic, but they may include amino acids (like the branched chain amino acids of leucine and isoleucine), S-allyl cysteine, allicin, and organically-bound selenium…Garlic grown on selenium-rich soil was more effective than selenium supplements at inhibiting carcinogen-induced tumors in animals. A study published in the Journal of the National Medical Association referred to garlic as "..a potent, non-specific biologic response modifier."
Beating Cancer With Nutrition by Patrick Quillin, page 147

A particularly worthy form of selenium is Se-methylselenocysteine, currently available and attracting positive attention. This is the form of selenium found naturally in plants such as broccoli and garlic. A suggested selenium dosage (as a preventive) is 200 mcg a day. The optimal dose for the cancer patient is unknown at this time, but suggestions have ranged from 200-400 mcg a day. Depending upon the selenium content of the soil, foods considered to be good sources of selenium include Brazil nuts, grains, onions, tomatoes, broccoli, chicken, eggs, garlic, liver, seafood, and wheat germ. Americans typically get from 60-100 mcg of selenium a day from dietary sources.
Disease Prevention And Treatment by Life Extension Foundation, page 243

Stephen Cann, associate researcher at the University of British Columbia, gives advice to women who want to fight breast cancer with diet, "Eat different types of seaweed." These include wakame, kombu, and the more common nori — sea vegetables that might fight cancer because of their iodine and selenium. "We think it's very important for the breast," Cann says about iodine. This mineral, he believes, may prevent and even shrink breast tumors by combining with certain fatty acids and stopping cancerous cells from multiplying. And without the selenium, iodine doesn't do its job properly.
Eat and Heal by the Editors of FC&A Medical Publishing, page 317

In parts of Europe, pumpkin seeds are the standard treatment for benign prostate enlargement. The seeds are rich in zinc, selenium and other minerals that have been shown to reduce prostate cancer risk. Typical daily dosage: Eat one-quarter cup of the seeds.
Bottom Line Yearbook 2002 by Bottom Line Personnel, page 76

The intake of selenium and other nutrients from plant foods may be influenced by the type of farming practices used. In a preliminary investigation, organically grown foods were, in some cases, nutritionally superior to conventionally grown foods (Smith, 1993).
Cancer And Natural Medicine by John Boik, page 147

The Journal of Nutrition reported that selenium-enriched broccoli is protective against chemically induced mammary and colon cancer in rats (Davis et al. 2002). Note: While selenium is contributing to the lower incidence of malignancy, the anticancer affects of broccoli should also be factored into the defense.
Disease Prevention And Treatment by Life Extension Foundation, page 242

You can find selenium in grains, shellfish, poultry, garlic, and egg yolks.
Natural Cures And Gentle Medicines by The Editors of FC&A Medical Publishing, page 266

Commercial preparations of selenium include inorganic selenium (sodium se-lenite) and various organic compounds of selenium. It has been reported that sodium selenite is not absorbed adequately, whereas organic selenium, including yeast-selenium, is absorbed very well. For this reason, yeast-selenium is considered best for human consumption
Choices In Healing by Michael Lerner, page 612

Throughout history and around the world, people from Mexico to Russia have given mushrooms magical powers. In reality, there's nothing miraculous about these fungi at all, but they can make you healthier. Although mushrooms are largely made up of water, they are also high in protein, carbohydrates, and fiber. They are a potent source of vitamin D, riboflavin, and niacin, plus minerals like potassium, selenium, and copper.
Eat and Heal by the Editors of FC&A Medical Publishing, page 252

In addition, some foods, such as lima beans, soy beans, and other soy products, seem to have medicinal capabilities because of the presence of isoflavones and phytoestrogens, or plant estrogens. These substances actually curb the activity of the excess estrogen in the body's tissues. Phytoestrogens can also be found in other vegetables and in fruits, along with useful amounts of nonsoluble fiber, beta-carotene, and selenium.
Complete Encyclopedia Of Natural Healing by Gary Null PhD, page 72

A new approach is now being explored: how to enrich our food with antioxidant and protective agents. The simpler approach is to add antioxidant vitamins to basic foods. Studies address the genetic engineering of food to prevent heart disease and cancer [105], and such measures as growing garlic with selenium fertilization [95]. The authors of these studies state that "in view of the impossible task of persuading the public to eat only those foods that are presumably good for their health . . . the time has come to enrich our foods with known cancer preventive agents so that their benefit can be realized fully over the life span of the individual."
Every Persons Guide To Antioxidants by John R Smythies MD, page 103

Plentiful in poultry, selenium may help to protect against cancer, cataracts, heart disease, and macular degeneration. Dark-meat turkey is particularly high in this mineral (3 ounces of cooked turkey have 35mcg of selenium, or 50% of the Daily Value).
Fight Back With Food by Readers Digest, page 73

To get more selenium in your diet, try tuna; a three-ounce can serves up a full 99 micrograms. Or treat yourself to an ounce of baked tortilla chips for a whopping 284 micrograms.
Healing With Vitamins by Alice Feinstein, page 64

Selenium comes from the soil, and fruits and vegetables that come from selenium-rich soil are more likely to contain the mineral.
Natures Medicines by Gale Maleskey, page 363

If you eat a normal diet with plenty of unprocessed foods, you should be fine. You'll find selenium in many grains, nuts, and vegetables; meat, especially organ meats like liver; and seafood.
Natural Cures And Gentle Medicines by The Editors of FC&A Medical Publishing, page 242

A new form of selenium is Se-methylselenocysteine (SeMC), a naturally occurring selenium compound found to be an effective chemopreventive agent. SeMC is a selenoamino acid that is synthesized by plants such as garlic and broccoli.
Disease Prevention And Treatment by Life Extension Foundation, page 277

Essiac formula was given to nurse Rene Caisse more than 80 years ago by a woman whose breast cancer had been healed by this Ojibway Indian herbal preparation. The formula is composed of four herbs (burdock root, slippery elm, sheep sorrel, and Indian rhubarb). The burdock root contains inulin, which improves the function of white blood cells. This root also contains Vitamin A and selenium, which scavenge free radicals and chromium which regulates blood sugar levels.
A Physicians Guide To Natural Health Products That Work By James Howenstine MD, page 156


Selenium Anti-Cancer Effects
Some forms of cancer are the result of free radical oxidation that destroys or damages the part of the DNA that regulates cell multiplication. When that happens, the cells can begin to multiply abnormally, damaging the healthy tissue until your whole body is invaded by these wildly proliferating cells. Since selenium can protect you from free radical oxidation, one way to minimize your risk of developing this type of cancer is to eat selenium-rich foods like whole grains or their products with each meal. If you already have cancer, selenium may be useful in slowing its progression. A way to get it in even more concentrated doses than in foods is to take brewer's yeast or supplements.
Complete Guide Health Nutrition by Gary Null, page 483
Laboratory studies have shown that selenium can inhibit the growth of breast, cervical, colon, and skin cancer.
Antioxidants Against Cancer by Ralph Moss PhD, page 79

Regular intake of yellow and green vegetables, as well as foods containing calcium, selenium and other micro-nutrients, lowers the risk of colon cancer.
Cancer Therapy by Ralph W Moss PhD, page 197

Selenium is protective against many types of cancers, promotes apoptosis, is a powerful antioxidant, and improves quality of life during aggressive cancer therapies According to P.D. Whanger (professor of agricultural chemistry), nearly 200 animal studies have been conducted to evaluate the effects of supernutritional levels of selenium on experimental carcinogenesis using chemical, viral, and transplantable tumor models. Two thirds of the studies found that high levels of selenium reduced the development of tumors at least moderately (14-35% compared to controls) and, in most cases, significantly (by more than 35%) (Whanger 1998).
Disease Prevention And Treatment by Life Extension Foundation, page 242

Selenium has been used in combination with vitamin A and vitamin E to reduce the toxicity of chemotherapy drugs, particularly Adriamycin (Faure et al. 1996; Vanella et al. 1997). The synergistic effect of vitamin E and selenium together to enhance the immune system is greater than either alone. A new form of selenium is Se-methylselenocysteine (SeMC), a naturally occurring selenium compound found to be an effective chemopreventive agent. SeMC is a selenoamino acid that is synthesized by plants such as garlic and broccoli. SeMC has been shown to induce apoptosis in certain ovarian cancer cells (Yeo et al. 2002) and to be effective against breast cancer cell growth both in vivo and in vitro (Sinha et al. 1999). SeMC has also demonstrated significant anticarcinogenic activity against mammary tumorigenesis (Sinha et al. 1997). Moreover, a study has demonstrated that SeMC is one of the most effective selenium chemopreventive compounds, inducing apoptosis in leukemia HL-60 cell lines (Jung et al. 2001a). Some of the most impressive data suggest that exposure to SeMC blocks clonal expansion of premalignant lesions at an early stage. This is achieved by simultaneously modulating certain molecular pathways that are responsible for inhibiting cell proliferation and enhancing apoptosis (Ip et al. 2001). Unlike selenomethionine, which is incorporated into protein in place of methionine, SeMC is not incorporated into any protein, thereby offering a completely bioavailable compound for preventing cancer. Therefore, 200—400 mcg of SeMC a day is suggested for cancer patients. Please note that selenium also possesses antioxidant properties, so its use before, during, or immediately after chemotherapy could theoretically inhibit the actions of certain chemotherapy drugs.
Disease Prevention And Treatment by Life Extension Foundation, page 277

Scientists have confirmed that vitamins C and E along with the mineral selenium afford some prostate cancer prevention. This is not surprising to anyone who understands diet, biochemistry, and how antioxidants work. Glutathione peroxidase destroys free radicals and superoxides. Its name means that it destroys peroxides (the potent oxidants that form in tissues) and uses glutathione as a helper. Glutathione requires selenium to function; and wherever selenium is at work, vitamin E can't be far away because they function together.
20 Natural Ways To Reduce The Risk Of Prostate Cancer By James Scala PHD, page 54

For prostate cancer management, stay on a low fat diet, eat tomato products often, take a multivitamin, vitamins C, E and selenium.
A Physicians Guide To Natural Health Products That Work By James Howenstine MD, page 151

Men with higher intakes of antioxi-dants such as vitamin C, vitamin E, and the trace mineral selenium have lower levels of prostate cancer.

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