Pharmacokinetics of Oral Selenium-Enriched Yeast Supplements

The Danish researchers Niels Hadrup and Gitte Ravn-Haren have published a comprehensive study of the absorption, distribution, metabolism, and excretion of selenium obtained from food and from nutritional supplements [Hadrup 2021].

Pills
Selenium supplements come in many forms, both organic and inorganic. The advantage of the selenium-enriched yeast preparations is that they contain 20-30 different species of selenium in addition to selenomethionine. Some of these selenium species may have important biological effects.

Here we summarize their findings with respect to selenium in selenium-enriched yeast supplements. We do this for two reasons:

Absorption of selenium from selenium-enriched yeast preparations

In a 2008 paper, researchers reported having given healthy elderly individuals 100, 200 or 300 mcg selenium in a selenium-enriched preparation daily for a period of 5 years. The supplementation resulted in mean plasma levels of 165, 221, and 260 mcg/L, respectively. In the control group, given a placebo for 5 years, the plasma selenium concentration was 92 mcg/L [Ravn-Haren 2008]. read more

Selenium and Patients with Autoimmune Thyroid Disease

Sufficient selenium status is necessary for good thyroid health.

A woman's neck
Selenium-containing drugs are effective for treating patients with autoimmune thyroid disorders [Zuo 2021].
Zuo et al [2021] have investigated selenium status and the effects of selenium supplementation in patients with autoimmune thyroid disease.

They analyzed the data from 17 journal articles based on studies of 1,911 subjects. Their meta-analysis results showed the following statistically significant associations:

  • Serum free triiodothyronine (FT3) levels in patients were reduced after selenium supplementation compared to placebo treatment.
  • Serum free thyroxine (FT4) levels and anti-thyroid peroxidase antibody (TPOAb) levels were reduced after selenium supplementation compared to placebo treatment.
  • Anti-thyroid peroxidase antibody (TPOAb) levels were decreased after selenium supplementation compared to placebo treatment.

However, the thyroid stimulating hormone (TSH) levels
and the anti-thyroglobulin antibody (TGAb) levels were not significantly different between the selenium treatment group and the control group.

The researchers concluded that selenium-containing drugs were effective in treating patients with autoimmune thyroid disease and greatly reduced
the levels of free triiodothyronine, free thyroxine, and anti-thyroid peroxidase antibody in these patients. read more