<select name="specialization" multiple>
<option value=""></option>
<option value="United States" selected>United States</option>
<option value="United Kingdom">United Kingdom</option>
<option value="Afghanistan" selected>Afghanistan</option>
<option value="Aland Islands">Aland Islands</option>
<option value="Albania">Albania</option>
<option value="Algeria">Algeria</option>
<option value="American Samoa">American Samoa</option>
<option value="Andorra">Andorra</option>
</select>
how to update multiple select values comma separated in database column.