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There are two questionable selenium deficiency diseases, Kashin-Beck disease and Keshan disease

doi: 10.3969/j.issn.1006-446X.2011.10.002 70

[6] After deep intramuscular injection the lipophilic ester diffuses slowly from the oil depot, undergoes enzymatic cleavage to free testosterone and enters the systemic circulation, where roughly 98 % is reversibly bound to sex-hormone-binding globulin and albumin while the unbound fraction translocates across cell membranes to activate androgen receptors

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