“…The selenosis symptoms reported by the SSIS subjects generally parallel those reported in previously published studies of the TBF Se toxicity outbreak [61,62,63,64,65]; other reports of Se toxicity caused by misformulated supplements [18,19,20]; Se toxicity caused by over-indulgence in Brazil nuts [50,51,52,53,54]; and cases of environmental, occupational, accidental, suicidal, and homicidal Se poisoning [55,56,57,58,59,60,61]. However, a major difference is that these studies do not report long-term follow-up.…”