Selenium
Specifically for Hypothyroidism
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Why it works for Hypothyroidism:
The thyroid is rich in selenoproteins (e.g., deiodinases that activate/inactivate thyroid hormone; glutathione peroxidases that limit oxidative stress). Adequate selenium status supports these processes and may dampen autoimmune activity. Office of Dietary Supplements
In selenium deficiency or low-status settings, autoimmune thyroiditis appears more common, and antibody titers may be higher—providing a mechanistic rationale for repletion. Oxford Academic
How to use for Hypothyroidism:
Typical regimens used in trials:
- Dose & form: Most Hashimoto’s trials used 200 µg/day of organic forms (selenium-enriched yeast or L-selenomethionine) for 3–12 months; pregnancy studies used 83 µg/day. Do not exceed the adult tolerable upper intake level (UL) of 400 µg/day from all sources. Bioscientifica
- Monitoring: If you and your clinician choose a trial of selenium, typical practice is to recheck TSH, free T4, and sometimes TPO/Tg antibodies after ~3–6 months, and to stop if there’s no clinical/biochemical benefit. (This reflects how trials were designed and guideline cautions not to use selenium routinely.) Cochrane
- Dietary sources instead of pills (when appropriate): Many people can meet needs (RDA ~55 µg/day) via food; be careful with Brazil nuts, which can contain very high and variable selenium per nut. Office of Dietary Supplements
Scientific Evidence for Hypothyroidism:
Overall evidence (systematic reviews/guidelines)
- Cochrane review (Hashimoto’s): antibody reductions were seen in some trials, but evidence was insufficient to support selenium for clinical outcomes (symptoms, thyroid function, or medication use). Cochrane
- Recent meta-analyses (through 2022–2024): commonly report reductions in TPO/Tg antibody titers, but heterogeneity is high and clinical endpoints are inconsistent or not demonstrated. MDPI
- Guidelines (ATA/AACE, others): Current hypothyroidism guidance prioritizes levothyroxine and does not recommend routine selenium for hypothyroidism/Hashimoto’s because clinical benefit is unproven. American Thyroid Association
Key randomized trials
- Large multicenter RCT (ETJ 2024): 412 adults with autoimmune thyroiditis received 200 µg/day selenium yeast vs placebo for 12 months (add-on to levothyroxine)—no improvement in quality of life (primary endpoint) and no compelling clinical benefit. Bioscientifica
- Pregnancy/postpartum (J Clin Endocrinol Metab 2007): In TPO-positive pregnant women, 83 µg/day L-selenomethionine reduced postpartum thyroid dysfunction and TPOAb in one RCT; other trials have been conflicting. (Findings may not generalize outside pregnancy.) Oxford Academic
- Older/smaller trials (early 2000s): reported TPOAb reductions with selenium, supporting biologic effect but not establishing patient-important outcomes. Oxford Academic
Specific Warnings for Hypothyroidism:
Do not exceed the UL (400 µg/day in adults) from all sources (diet + supplements). Chronic excess can cause selenosis: hair loss, brittle nails, rash, fatigue, neuropathy, and “garlic” breath. Office of Dietary Supplements
Brazil nuts can easily push intake above the UL due to very high, variable selenium content—use cautiously if you’re also supplementing. Office of Dietary Supplements
Possible diabetes risk signal: Some randomized and observational data link higher selenium exposure with worsened insulin measures or higher diabetes risk; results are mixed, but this is a reason to avoid unnecessary high-dose, long-term supplementation. BMJ DRC
Population matters: Benefits, if any, are more plausible in selenium-deficient or low-status individuals; routine use in selenium-replete areas is not supported. Oxford Academic
Pregnancy: Evidence is mixed; if considered (e.g., TPO-positive pregnancy), it must be clinician-directed given dose, timing, and safety considerations. Oxford Academic
Not a replacement for levothyroxine: Selenium does not substitute for thyroid hormone in overt hypothyroidism. Follow guideline-based care and medication timing; discuss any supplement with your clinician. American Thyroid Association
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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