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Selenium test: when to take it and why this trace element is so important

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What is selenium and why should you check it?

Selenium is a vital trace element involved in thyroid function, cellular protection from oxidative stress, immune function, and reproductive health. Its deficiency or excess can seriously affect metabolism, energy balance, antioxidant defense, and even mood.

A selenium analysis allows you to determine the concentration of this element in the body and identify disorders that often occur without obvious symptoms.

When should you get tested for selenium?

  • At chronic fatigue, decreased immunity, frequent colds

  • In case decreased thyroid function (hypothyroidism, autoimmune thyroiditis)

  • If there is problems with skin, hair, nails

  • In patients with infertility or decreased libido

  • After long-term intake of antioxidants, vitamins, dietary supplements

  • At suspected intoxication or selenium overdose

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How to prepare for the analysis

  • Blood donation in the morning on an empty stomach

  • 8–12 hours before blood sampling — do not eat, drink coffee or tea

  • Preferably within 3–5 days do not take vitamin complexes containing selenium

  • In consultation with the doctor - stop taking dietary supplements

The analysis is performed on venous blood, less often on urine or hair (to assess chronic levels).

Table of foods containing selenium

What level of selenium is considered normal?

In most laboratories, normal values for blood are:

  • 70–130 μg/l — overall normal range

  • < 70 μg/l — selenium deficiency

  • 130 mcg/l — level up (possible intoxication)

Optimal values may depend on age, gender, and physiological condition (pregnancy, thyroid disease).

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Table: What the analysis result means

Selenium levelWhat does this meanPossible causes
< 70 μg/lDeficitUnbalanced diet, digestive diseases
70–130 μg/lNormPhysiologically optimal level
> 130 μg/lExcessExcessive use of dietary supplements, intoxication, selenosis

How to replenish selenium deficiency

  • Foods rich in selenium: Brazil nuts, fish, eggs, seafood, liver

  • In case of significant deficiency, a doctor may prescribe selenium preparations (selemethionine, sodium selenite)

  • Importantly: do not self-medicate, because selenium is toxic in high doses

References to sources

  1. Mayo Clinic – Selenium: Why you need it

  2. WHO – Trace elements in human nutrition and health

  3. FDA - Selenium information for consumers

A selenium test is a simple test that helps assess this important component of health. It is recommended not only for diseases, but also for the prevention of deficiencies, which often go unnoticed.

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