Selenium
Specifically for Hyperthyroidism
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Why it works for Hyperthyroidism:
Antioxidant & immune effects: Selenium is built into “selenoproteins” (e.g., glutathione peroxidases, thioredoxin reductases, selenoprotein P) that limit oxidative stress and modulate immunity. Oxidative stress is implicated in both Graves’ hyperthyroidism and Graves’ orbitopathy (thyroid eye disease), so supplementing selenium may dampen inflammatory/oxidative pathways in susceptible patients. Office of Dietary Supplements
Thyroid-hormone metabolism: Selenium-dependent deiodinases help convert T4↔T3. That’s a general physiologic role; it does not mean selenium alone treats hyperthyroidism, but it explains interest as an adjunct. Nature
How to use for Hyperthyroidism:
Form & dose used in guideline-supported care:
- Sodium selenite 200 µg daily (≈91 µg elemental Se) for 6 months, or
- Selenomethionine 100 µg daily for 6 months (where this form is what’s available).
- These regimens are drawn directly from the EUGOGO guideline and the pivotal RCT. BOPSS
Who is most likely to benefit: Patients in selenium-deficient areas with mild, active eye disease; benefit in selenium-replete regions is uncertain. BOPSS
How it fits with other treatment: It’s adjunctive to standard Graves’ management (euthyroidism with antithyroid drugs, smoking cessation, local eye measures, etc.). It is not a replacement for antithyroid therapy. BOPSS
Scientific Evidence for Hyperthyroidism:
NEJM 2011 RCT (n=159) – Selenium 100 µg twice daily vs. placebo for 6 months in mild Graves’ orbitopathy: improved quality of life and eye involvement; slowed progression; benefits persisted after stopping. Europe PMC
EUGOGO/European guideline 2021 – Recommends 6-month selenium for mild, active, recent-onset GO; provides specific dosing and notes benefit mainly in selenium-deficient regions. BOPSS
J Clin Endocrinol Metab 2017 RCT (n=70, Germany) – 300 µg/day selenite + methimazole vs. placebo + methimazole for 24 weeks in Graves’ hyperthyroidism: no improvement in response or recurrence; supports not using selenium to control thyrotoxicosis in selenium-replete settings. Oxford Academic
Randomized clinical trial 2016 (Italy, n=30) – Methimazole ± selenium for 90 days: no added benefit on hormone control in a selenium-sufficient cohort. SpringerLink
Background/mechanism reviews: Nature Reviews Endocrinology 2020 (pathogenesis of GO), ODS selenium fact sheet (roles/requirements), and reviews on oxidative stress in Graves’ disease. Nature
Specific Warnings for Hyperthyroidism:
Do not exceed safe upper limits.
- The NIH ODS tolerable upper intake level (UL) is 400 µg/day for adults; chronic excess causes selenosis (hair loss, nail brittleness/loss, GI upset, fatigue, “garlic breath,” neurologic issues). The EFSA (Europe) has more conservative UL guidance at 255 µg/day for adults. Office of Dietary Supplements
Pregnancy & breastfeeding: RDAs are 60–70 µg/day; stay below ULs. Routine selenium supplementation in pregnancy for thyroid reasons is not recommended by ATA (weak recommendation against in TPOAb+ pregnancy) unless specifically indicated by your clinician. Office of Dietary Supplements
Region matters: If you live in a selenium-replete area, benefit for hyperthyroidism control hasn’t been shown, and unnecessary supplementation only adds risk. SpringerLink
Drug/condition interactions: Selenium can interact with certain medications (e.g., chemotherapy agents like cisplatin can alter selenium levels); always disclose supplements to your clinician. Office of Dietary Supplements
Food sources can be very high. Brazil nuts vary widely in selenium (roughly 68–91 µg per nut), so “eating a handful daily” can push you over safe limits. Office of Dietary Supplements
General Information (All Ailments)
What It Is
Selenium is an essential trace mineral required by the human body in small amounts for various physiological functions. It is naturally found in foods such as Brazil nuts, seafood, eggs, whole grains, and organ meats. Selenium is also available as a dietary supplement, either alone or in combination with vitamins and other minerals.
In the body, selenium is a critical component of several enzymes and proteins known as selenoproteins, which play key roles in metabolism, DNA synthesis, reproduction, and protection against oxidative damage.
How It Works
Selenium exerts its effects primarily through its incorporation into selenoproteins, which have antioxidant and regulatory functions. The most notable of these include glutathione peroxidases, thioredoxin reductases, and iodothyronine deiodinases.
- Antioxidant Defense: Selenium-containing enzymes help neutralize free radicals and reactive oxygen species that can damage cells and tissues. This antioxidant effect helps reduce oxidative stress, which contributes to aging and various chronic diseases.
- Thyroid Function: Selenium is necessary for the conversion of the thyroid hormone thyroxine (T4) into its active form triiodothyronine (T3). It supports thyroid gland function and protects it from oxidative damage.
- Immune Support: Selenium enhances immune response by promoting the proliferation of immune cells and helping regulate inflammation. It also influences how the body responds to infections.
- DNA Synthesis and Repair: Through its role in certain enzymes, selenium contributes to maintaining the integrity of genetic material and assists in repairing damaged DNA.
Why It’s Important
- Protection Against Disease: Adequate selenium intake is linked to a lower risk of certain chronic conditions such as cardiovascular disease, some cancers, and cognitive decline. Its antioxidant role helps prevent cell damage associated with these diseases.
- Immune System Health: Selenium supports the immune system’s ability to fight infections. Deficiency has been associated with increased susceptibility to viral infections and inflammatory disorders.
- Thyroid Health: The thyroid gland contains more selenium per gram of tissue than any other organ in the body. Selenium deficiency can contribute to thyroid dysfunction, such as hypothyroidism or autoimmune thyroid diseases like Hashimoto’s thyroiditis.
- Reproductive Health: Selenium plays a role in sperm motility and overall male fertility. In women, adequate selenium levels contribute to proper ovarian function and pregnancy outcomes.
Considerations
- Deficiency Risks: Selenium deficiency can occur in areas where soil selenium content is low, leading to reduced levels in locally grown foods. Deficiency symptoms may include fatigue, muscle weakness, compromised immunity, and in severe cases, conditions such as Keshan disease (a heart disorder) or Kashin-Beck disease (a bone and joint disorder).
- Toxicity and Overconsumption: While selenium is essential, too much can be harmful. Chronic overconsumption can cause selenosis, characterized by hair and nail brittleness, gastrointestinal disturbances, a garlic-like odor on the breath, and in severe cases, nervous system abnormalities. The upper safe intake limit for adults is around 400 micrograms per day.
- Interactions: Selenium interacts with other nutrients, such as vitamin E, in enhancing antioxidant defenses. However, supplementation should be approached cautiously, especially for those already receiving adequate amounts from their diet.
- Individual Variability: The need for selenium may vary depending on age, health status, and specific conditions (e.g., thyroid disorders, chronic infections, or inflammatory diseases). Consultation with a healthcare provider before supplementation is recommended.
Helps with these conditions
Selenium 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
Hypothyroidism
The thyroid is rich in selenoproteins (e.g., deiodinases that activate/inactivate thyroid hormone; glutathione peroxidases that limit oxidative stress...
Hashimoto's Thyroiditis
Mechanistic rationale: The thyroid packs high amounts of selenium-dependent enzymes (selenoproteins) involved in thyroid hormone activation (deiodinas...
Hyperthyroidism
Antioxidant & immune effects: Selenium is built into “selenoproteins” (e.g., glutathione peroxidases, thioredoxin reductases, selenoprotein P) tha...
Heavy Metal Toxicity
Biologic rationale (what it does):Selenium is required to make selenoproteins (e.g., glutathione peroxidases, thioredoxin reductases, selenoprotein P)...
Chronic Pancreatitis
Oxidative stress is implicated in CP pain and progression. CP tissue shows markers of oxidative damage; antioxidant depletion has been described in pa...
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Helps With These Conditions
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