Selenium

Also known as: selenium methionine, selenomethionine, selenium yeast

Grade B — Moderate Evidencemineraltraceantioxidant
100200 mcgWith food. Do not exceed 400mcg/day.

Selenium is an essential trace mineral that serves as a cofactor for glutathione peroxidase and other selenoproteins critical for antioxidant defense and thyroid hormone metabolism. It is required for the conversion of T4 to T3, and supplementation has been shown to reduce thyroid peroxidase antibodies in Hashimoto's thyroiditis. The therapeutic window is narrow — 200mcg/day is the evidence-backed dose, while exceeding 400mcg risks selenosis.

TL;DR: Essential trace mineral for thyroid function (T4→T3 conversion) and antioxidant defense. Reduces Hashimoto's antibodies.

Last reviewed: 2026-03-12

Quick Facts

Evidence

Grade B

Studies

3

Interactions

2

Forms

1

Evidence Rating: Grade B — Moderate Evidence

Some RCTs with positive results, or strong observational evidence. More research may refine our understanding.

Interaction Warnings

Blood thinnersLow

High doses may increase bleeding risk

Vitamin C (selenite form)Low

May reduce selenite absorption; less relevant with selenomethionine

Important Notes

  • Do not exceed 400mcg/day — selenosis risk
  • Brazil nuts: 1-2/day often sufficient (70-90mcg/nut)
  • Narrow therapeutic window

Clinical Evidence (3 studies)

Selenium and human health

Rayman MP (2012) — Lancet

Comprehensive review: thyroid, cancer, cardiovascular, immune benefits

View on PubMed

Selenium reduced TPO antibodies in Hashimoto's

Gärtner R et al. (2002) — J Clin Endocrinol Metab

200mcg/day significantly reduced TPO antibodies

View on PubMed

Meta-analysis of selenium in Hashimoto's thyroiditis

Toulis KA et al. (2010) — Thyroid

4 RCTs: consistent TPO-Ab reduction

View on PubMed

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⚕️ Important Disclaimer

This information is for educational purposes only. It is not medical advice. Always consult a healthcare provider before starting any supplement regimen, especially if you take medications or have health conditions.

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