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1 Introduction Hashimotos thyroiditis(HT) is a common autoimmune disease with a prevalence of 14.19% in China and is 2-3 times more common in women than in men ( The highest concentration of selenium across tissues is found in the thyroid ( Vitamin D plays a significant role in maintaining calcium and phosphorus balance and bone health ( In addition to selenium and Vitamin D supplementation in HT patients, Krysiak et al

3 It also plays a preventive role, helping reduce the risk of alcohol-related anemia and supporting the bodys natural repair processes

Oxygen therapy considerations include: Monitoring oxygen saturation levels regularly Adjusting oxygen flow rates as prescribed by a healthcare provider Educating patients on the proper use and safety precautions of oxygen therapy Positioning and Energy Conservation Techniques Right positioning can really help with energy and breathing

neither lethality nor delayed toxicity was observed