Selenium is something you don't need to buy a supplement. On average just 1 - single Brazil nut has enough for daily recommended level. So you can just eat a couple a day for a good strong dose of 100 mcg :)

http://www.whfoods.com/genpage.php?dbid=95&tname=nutrient


"Brazil nuts are the most highly concentrated source of selenium. In fact, scientists have shown that a daily Brazil nut is a better source of the mineral than taking a supplement. New Zealand researchers compared Brazil nuts' efficacy to that of selenomethionine supplements in increasing selenium status in 59 New Zealand residents with low selenium (plasma selenium concentrations < 1.27 micro mol/L).

Participants were randomly assigned to one of three groups. One group ate two Brazil nuts each day (estimated to provide approx. 100 micrograms Se). A second group took a supplement providing 100 micrograms of selenium as selenomethionine per day, and the third group, who served as controls, were given a placebo pill. Blood levels of selenium and glutathione peroxidase (GPx - a selenium containing enzyme that is one of the body's most important antioxidants) activities were measured at the beginning of the study and at 2, 4, 8, and 12 weeks.

By week 12, blood levels of selenium had increased by 64.2%, 61.0% and 7.6%, respectively, in the Brazil nut, selenomethionine, and placebo groups. Plasma levels of GPx increased by 8.3%, 3.4% and -1.2%, and whole blood GPx by 13.2%, 5.3% and 1.9% in the Brazil nut, selenomethionine and placebo groups, respectively.

Not only was consumption of two Brazil nuts each day as effective for increasing selenium status and enhancing GPx activity as 100 micrograms of selenomethionine per day, but just one Brazil nut per day would have been sufficient to raise dietary selenium intake to within recommended intake levels for the mineral.

The researchers pointed out that food sources are always preferable to supplementation for improving the nutritional status of a population because they are sustainable, less expensive and have a lower risk of toxicity.

The authors did, however, warn that Brazil nuts are not uniform in their selenium content and may contain much more or much less than the estimated 50 micrograms per nut. No more than one or two Brail nuts should be consumed daily to avoid excessive accumulation of selenium in tissues. (Thomson CD, Chisholm A, et al.,Am J Clin Nutr) Practical Tip: Why take expensive supplements? Enjoy just one Brazil nut each day and ensure your selenium levels remain OK."

Dang phone clicked the alert button, sorry.

I am wondering moreso about your hep write up. May I obtain a copy as well?

Does your workplace require annual hep testing? They inject you with something that is supposed to test for an immune response under the skin. If positive, you may have hep or been vaccinated with a reactive hep vaccine, usually outside of the US. If reactive, but without symptoms, then you simply get a chest xray every 5 years or report symptoms on an annual survey.

I'm under the assumption that you are employed by some medical establishment.