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Traditionally, GSHPx activity has been used as an indirect indicator of selenium intake, reflecting dietary selenium consumed approximately three weeks prior

The Journal of Antimicrobial Chemotherapy

Hunt EG, Hurst KE, Riesenberg BP, et al

Pullulan is a polysaccharide polymer , which basically means that its a big molecule made up of smaller sugar molecule units

Platelets and white blood cells can help tumor cells pass through the vasculature by forming complexes with tumor cells through L- or P-selectin (87, 88)

So DSIP is not a guarantee. Its best framed as an experimental option that may fit a narrow set of cases