Myo-inositol + Selenium (combo)
Specifically for Hashimoto's Thyroiditis
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Why it works for Hashimoto's Thyroiditis:
1) Targets TSH signaling (myo-inositol).
Myo-inositol is a second messenger in one of the thyroid-stimulating hormone (TSH) pathways (the PLC–IP3/diacylglycerol arm). In thyroid cells, this pathway helps drive the hydrogen-peroxide–dependent iodination step of thyroid hormone synthesis. Supplementing myo-inositol may improve “TSH sensitivity,” which can lower elevated TSH in subclinical hypothyroidism and is associated with reductions in thyroid autoantibodies in several trials. ResearchGate
2) Lowers oxidative stress & supports thyroid enzymes (selenium).
Selenium is required for key thyroid selenoproteins (e.g., glutathione peroxidases and deiodinases). In Hashimoto’s, selenium supplementation has been associated with reductions in TPO antibodies and inflammatory chemokines in randomized trials and meta-analyses. Liebert Publishing
3) Potential synergy (MI+Se together).
The combo has repeatedly shown larger improvements in TSH and antibody titers than selenium alone in subclinical hypothyroidism with autoimmune thyroiditis. Mechanistically, MI addresses TSH signaling while selenium tempers oxidative/immune stress. Recent reviews summarize this complementary effect. MDPI
How to use for Hashimoto's Thyroiditis:
Who was studied
Adults (mostly women) with Hashimoto’s and subclinical hypothyroidism (TSH ≈2.5–10 mIU/L) and/or positive TPOAb/TgAb. ResearchGate
Dose & form
Most trials used myo-inositol 600 mg + selenomethionine 83 µg once daily for 6 months (some extended to 12 months). Selenium was given as selenomethionine. ResearchGate
How to take
In the 2013 RCT, capsules were taken with water, ~2 hours before/after meals, once daily. (Consistency matters more than timing.) ResearchGate
Monitoring
Check TSH, free T4 (± free T3), TPOAb, TgAb at baseline and about 8–12 weeks after starting; reassess by 6 months to decide on continuation. This mirrors the schedules used in trials and standard thyroid follow-up practice. ResearchGate
Scientific Evidence for Hashimoto's Thyroiditis:
Randomized & controlled trials (key examples)
- Double-blind RCT (n≈46–48, 6 mo): MI 600 mg + Se 83 µg daily vs Se 83 µg alone in women with Hashimoto’s and subclinical hypothyroidism. The combo reduced TSH toward normal and lowered TPOAb/TgAb more than selenium alone. ResearchGate
- Expanded trial/analysis (n=86, 6 mo): Similar population; restoration of euthyroidism (TSH normalization) was more frequent with MI+Se. (Open-access copies detail the cohort and outcomes.) ResearchGate
- Multicenter study (n=148, 6 mo): Subclinical hypothyroidism (with/without antibody positivity) treated with 600 mg MI + 83 µg Se daily showed TSH reductions and antibody improvements over 6 months. Frontiers
Mechanistic & narrative reviews
- Frontiers in Endocrinology 2021/2022 reviews: Summarize MI’s role as a TSH-pathway second messenger and compile trials showing TSH and antibody decreases with MI+Se. Frontiers
- 2025 narrative review (MDPI): Synthesizes RCTs/observational data on selenium and myo-inositol—alone and in combination—across autoimmune thyroid disorders; highlights potential synergy of MI+Se. MDPI
Specific Warnings for Hashimoto's Thyroiditis:
1) Not a replacement for thyroid hormone when indicated.
If you meet criteria for overt hypothyroidism, standard of care remains levothyroxine; MI+Se isn’t a substitute. (Guideline resources emphasize conventional management pathways.) thyroid.org
2) Selenium: stay within safe limits.
- Typical study dose (83 µg/day) is below adult RDAs (~55–70 µg/day) + diet and well below U.S. UL (400 µg/day) and the new EFSA UL of 255 µg/day. Don’t “stack” multiple selenium sources (e.g., multivitamin + Brazil nuts + MI+Se) and overshoot the UL. Selenosis signs include hair loss, brittle nails, garlic breath, metallic taste, GI upset, and neurologic symptoms. Office of Dietary Supplements
3) Pregnancy & breastfeeding.
The American Thyroid Association issued a weak recommendation against selenium supplementation in TPOAb-positive pregnant women (2017 guidance) pending more evidence. Discuss any use with your obstetric and endocrine team. Office of Dietary Supplements
4) Drug interactions/medical conditions.
Selenium can interact with certain medications (oncology regimens are the clearest example); always review supplements with your clinician/pharmacist. Myo-inositol is generally well-tolerated at the low thyroid doses used in trials; high-dose inositol may cause mild GI effects (nausea, dizziness). Office of Dietary Supplements
5) Quality matters.
Use products that specify myo-inositol (not other isomers) and selenium as selenomethionine, matching the trial formulations. Stick to brands with third-party testing when possible (USP/NSF/ISO).
General Information (All Ailments)
What It Is
Myo-inositol is a naturally occurring compound—technically a carbohydrate—found in many foods such as fruits, beans, grains, and nuts. It is a structural basis for several secondary messengers in cells and plays a major role in insulin signaling, nerve function, and cell membrane health. It is often referred to as “vitamin B8,” although it is not an essential vitamin because the body can synthesize it.
Selenium is a trace mineral essential for numerous biological processes. It acts mainly through its incorporation into selenoproteins, which function as antioxidants and enzymes supporting thyroid function, immune health, and reproduction. Selenium is found in foods like Brazil nuts, seafood, meat, and eggs.
When combined, Myo-inositol and Selenium are frequently used as a therapeutic supplement for supporting thyroid health and female reproductive function, particularly in conditions such as polycystic ovary syndrome (PCOS) and subclinical hypothyroidism.
How It Works
- Hormonal and Metabolic Regulation (Myo-inositol): Myo-inositol acts as a key component in insulin signal transduction pathways. It helps cells respond properly to insulin, improving glucose uptake and reducing insulin resistance. In women with PCOS, this can normalize ovulatory cycles, lower testosterone levels, and support fertility.
- Thyroid Function and Antioxidant Protection (Selenium): Selenium is crucial for the proper functioning of thyroid peroxidase and deiodinase enzymes, which are involved in thyroid hormone synthesis and conversion (e.g., T4 to T3). It also protects thyroid tissue from oxidative damage through antioxidant selenoproteins like glutathione peroxidase.
- Synergistic Effect on the Thyroid: The combination of Myo-inositol and Selenium has been shown to reduce thyroid-stimulating hormone (TSH) levels and improve thyroid autoantibody profiles in autoimmune thyroiditis (such as Hashimoto’s thyroiditis). Myo-inositol supports signaling pathways in thyroid cells, while selenium mitigates oxidative stress, together contributing to better thyroid regulation.
- Reproductive Health Benefits: In reproductive contexts, the combo supports oocyte quality, menstrual regularity, and fertility. Myo-inositol enhances insulin sensitivity in ovarian tissue, while selenium supports antioxidant balance and hormone metabolism in reproductive organs.
Why It’s Important
- Supports Thyroid Health: Optimal selenium status is vital for preventing thyroid inflammation and maintaining hormone balance. Myo-inositol complements this by optimizing intracellular signaling, aiding in the regulation of TSH secretion.
- Improves Metabolic Health: In individuals with metabolic syndrome or PCOS, Myo-inositol enhances insulin sensitivity and reduces hyperandrogenism, which helps improve symptoms like irregular periods, acne, and weight gain.
- Enhances Fertility and Reproductive Outcomes: The combination is used to promote ovulation and improve oocyte (egg) quality in women undergoing fertility treatment. Selenium’s antioxidant role further protects ovarian cells from oxidative stress.
- Supports Overall Antioxidant Defense: Selenium’s inclusion ensures that oxidative damage—often elevated in hormonal and metabolic disorders—is mitigated, supporting cellular integrity across multiple systems.
Considerations
Dosage:
- Common clinical formulations contain around 600 mg Myo-inositol with 83 µg Selenium daily, though dosage may vary depending on the specific product and therapeutic goal. Always follow medical guidance for individualized dosing.
Potential Side Effects:
- Myo-inositol is generally well tolerated; mild gastrointestinal discomfort may occur at high doses. Selenium, however, can be toxic at high levels—chronic intake above 400 µg/day may lead to selenosis (symptoms include hair loss, nail brittleness, and nervous system issues).
Interactions:
- Selenium supplementation should be used cautiously with other antioxidants or mineral supplements to avoid excessive accumulation.
- Individuals already taking thyroid medication (e.g., levothyroxine) should consult their doctor before starting, as it can influence thyroid function tests.
Population Considerations:
- Pregnancy and fertility: Safe and often beneficial under medical supervision.
- Thyroid disorders: Beneficial in autoimmune thyroiditis, but dosage must be closely monitored.
- Metabolic conditions: Helpful for PCOS, insulin resistance, and prediabetes management.
Quality and Form:
- Choose supplements from reputable manufacturers with clear ingredient transparency. Selenium is best absorbed in organic forms such as selenomethionine.
Helps with these conditions
Myo-inositol + Selenium (combo) is most effective for general wellness support with emerging research . The effectiveness varies by condition based on clinical evidence and user experiences.
Detailed Information by Condition
Hashimoto's Thyroiditis
1) Targets TSH signaling (myo-inositol).Myo-inositol is a second messenger in one of the thyroid-stimulating hormone (TSH) pathways (the PLC–IP3/diacy...
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