Selenium

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About Selenium

Selenium

Overview

Selenium is an essential trace mineral vital for human health, primarily known for its antioxidant properties and role in supporting immune function. It is classified as a micronutrient required in small amounts for various physiological processes. Selenium was first recognized for its importance in preventing certain diseases and maintaining thyroid hormone metabolism. Traditionally, it has been used to support overall health, particularly in regions with selenium-deficient soils where dietary intake is low1.

Forms and Variations

Selenium supplements come in several common forms, including sodium selenite, sodium selenate, and selenomethionine. Selenomethionine is an organic form often preferred for its higher bioavailability and better absorption compared to inorganic forms like selenite and selenate. Some supplements combine selenium with other antioxidants or vitamins to enhance its effects. The choice of form depends on factors such as absorption efficiency, cost, and specific health goals2.

Dosage and Administration

The commonly recommended daily dosage of selenium for adults ranges from 55 to 200 micrograms, depending on dietary intake and health status. It is typically taken once daily with food to improve absorption and reduce gastrointestinal discomfort. For specific conditions or deficiencies, healthcare providers may recommend different dosages. It is important to follow label instructions or medical advice to avoid excessive intake3.

Scientific Research and Mechanism of Action

Selenium functions primarily as a component of selenoproteins, including glutathione peroxidases and thioredoxin reductases, which protect cells from oxidative damage by neutralizing harmful free radicals. Research has shown selenium"s role in supporting immune responses, thyroid hormone metabolism, and DNA synthesis. Studies have also investigated its potential in cancer prevention, cardiovascular health, and cognitive function, though results vary. Selenium"s antioxidant mechanism helps reduce inflammation and cellular stress, contributing to its protective effects4.

Benefits and Potential Uses

Proven benefits of selenium include enhancing immune system function, supporting thyroid gland health, and acting as a powerful antioxidant. Selenium supplementation may reduce the risk of certain infections and improve recovery from illness. It has been studied for its potential to lower the risk of some cancers, support cardiovascular health by reducing oxidative stress, and improve cognitive function in aging populations. Selenium is also important in reproductive health and may help prevent certain inflammatory conditions5.

Side Effects and Risks

Common side effects of selenium supplementation are rare but can include mild gastrointestinal upset such as nausea or diarrhea. Excessive intake can lead to selenium toxicity, known as selenosis, characterized by symptoms like hair loss, brittle nails, garlic-like breath odor, and neurological abnormalities. People with certain conditions or those taking high doses should use caution. Selenium supplementation is contraindicated in individuals with selenium hypersensitivity or certain rare metabolic disorders6.

Interactions and Precautions

Selenium can interact with some medications, including chemotherapy agents and anticoagulants, potentially altering their effects. Caution is advised for pregnant or breastfeeding women, and those with thyroid disorders should consult healthcare providers before supplementation. Selenium may affect blood sugar levels and should be used carefully in diabetic patients. It is important to disclose selenium use before medical procedures to avoid complications7.

Impact on Biomarkers

Selenium supplementation can increase serum selenium levels and enhance the activity of selenoproteins measurable in blood tests. It may influence biomarkers of oxidative stress and inflammation, such as glutathione peroxidase activity. Monitoring selenium status is useful in assessing deficiency or toxicity risk and guiding supplementation8.

Overdose and Toxicity

Over-supplementation of selenium can cause toxicity, with symptoms including gastrointestinal distress, hair and nail loss, fatigue, irritability, and in severe cases, neurological damage. The safe upper intake level for adults is generally set at 400 micrograms per day. Chronic intake above this level increases the risk of selenosis. Prompt medical attention is necessary if toxicity is suspected9.

References

  1. Rayman MP. (2012). Selenium and human health. The Lancet, 379(9822), 1256-1268. https://doi.org/10.1016/S0140-6736(11)61452-9
  2. Fairweather-Tait SJ, et al. (2011). Selenium bioavailability: current knowledge and future research requirements. The American Journal of Clinical Nutrition, 94(3), 889S-896S. https://doi.org/10.3945/ajcn.110.001750
  3. Institute of Medicine. (2000). Dietary Reference Intakes for Vitamin C, Vitamin E, Selenium, and Carotenoids. National Academies Press.
  4. Labunskyy VM, Hatfield DL, Gladyshev VN. (2014). Selenoproteins: molecular pathways and physiological roles. Physiological Reviews, 94(3), 739-777. https://doi.org/10.1152/physrev.00039.2013
  5. Hurst R, et al. (2010). Selenium and cancer: a story that should not be forgotten—insights from selenium research. Journal of Trace Elements in Medicine and Biology, 24(3), 157-163. https://doi.org/10.1016/j.jtemb.2010.03.001
  6. Sunde RA. (2012). Selenium. In: Erdman JW Jr, Macdonald IA, Zeisel SH, editors. Present Knowledge in Nutrition. 10th ed. Wiley-Blackwell.
  7. Rayman MP. (2000). The importance of selenium to human health. Lancet, 356(9225), 233-241. https://doi.org/10.1016/S0140-6736(00)02490-9
  8. Combs GF Jr. (2001). Selenium in global food systems. British Journal of Nutrition, 85(5), 517-547. https://doi.org/10.1079/BJN2000285
  9. Clark LC, et al. (1996). Effects of selenium supplementation for cancer prevention in patients with carcinoma of the skin: a randomized controlled trial. JAMA, 276(24), 1957-1963. https://doi.org/10.1001/jama.1996.03540240037028

Disclaimer

The information provided in this document is for educational purposes only and does not constitute medical advice. It is essential to consult with a qualified healthcare professional for any health concerns or before making any decisions related to your health or treatment.

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