Key Benefits

• Check whether your selenium level sits within a healthy, protective range.
• Spot deficiency that weakens antioxidant defenses and slows thyroid hormone activation.
• Flag excess from supplements or exposure that harms hair, nails, gut, and nerves.
• Clarify fatigue, hair loss, brittle nails, or frequent infections linked to low selenium.
• Guide safe supplementation, tailoring dose and duration to your measured status.
• Protect male fertility by correcting low levels that impair sperm structure and motility.
• Support healthy pregnancy by ensuring adequate levels for thyroid and placental function.
• Track levels over time during parenteral nutrition, malabsorption, dialysis, or post-bariatric recovery.

What is a Selenium blood test?

Selenium blood testing measures the amount of selenium in your bloodstream—a trace mineral your body needs but cannot make. Selenium comes from the diet, especially plants grown in selenium‑rich soil and animal foods. After absorption in the gut, it circulates attached to proteins in the blood (notably selenoprotein P) and is built into specialized enzymes as the amino acid selenocysteine. A blood test captures this circulating pool that supplies tissues and reflects recent intake and distribution.

Selenium matters because it enables a family of enzymes (selenoproteins) that control oxidative stress, thyroid hormone activation, and immune responses. Key examples include glutathione peroxidases that detoxify peroxides, deiodinases that convert thyroid hormones to their active or inactive forms, and proteins that fine‑tune redox signaling and inflammation. When selenium is available, these systems run efficiently; when it is limited, their activity can be constrained. A blood measurement therefore serves as a window into the body’s access to selenium for antioxidant protection, thyroid hormone balance, and immune function.

Why is a Selenium blood test important?

Selenium is the trace mineral that equips your body’s antioxidant and thyroid enzymes to work. A blood test reflects how well your cells can neutralize oxidative stress, activate thyroid hormone, support immune defenses, and protect tissues like heart muscle, nerves, skin, and reproductive organs.

Most labs report a midrange reference window (often around 70–150). Enzyme systems such as glutathione peroxidase and selenoprotein P saturate once you reach the middle of that range, so “more” does not mean “better.” Health risk follows a U‑shape: problems rise when values sit well below or persistently above the midrange.

When values run low, it usually means selenoproteins cannot be fully built. Antioxidant capacity falls, thyroid hormone conversion (T4 to T3) slows, and immune responses become less resilient. People may notice fatigue, exercise intolerance, brain fog, muscle weakness, frequent infections, hair loss, and brittle nails; cardiomyopathy can appear in severe deficiency. Men can see reduced sperm quality and motility. Children may have growth and infection vulnerability. During pregnancy, low status stresses thyroid function and raises risk of complications.

When values are high, it signals selenosis risk: excess interferes with mitochondrial and thyroid enzyme activity and irritates nerves and skin. Typical features include nausea, diarrhea, a garlic odor on the breath, hair and nail brittleness or shedding, rashes, irritability, and peripheral neuropathy; liver enzymes can rise. Very high levels have been linked in studies to dysglycemia and altered lipid profiles.

Big picture: selenium sits at the crossroads of redox balance, thyroid–metabolic control, and immunity, interacting closely with iodine and protein nutrition. Keeping it in the middle range supports long‑term cardiovascular, neurocognitive, reproductive, and thyroid health, while both deficiency and excess carry meaningful risks.

What insights will I get?

A selenium blood test measures selenium in serum or plasma, largely carried by selenoprotein P and albumin. It reflects the body’s supply for selenoenzymes that drive antioxidant defense (glutathione peroxidases), redox control (thioredoxin reductases), and thyroid hormone activation (deiodinases), with effects on energy metabolism, vascular function, cognition, immunity, and fertility.

Low values usually reflect insufficient intake or absorption, higher demand (for example, pregnancy), or redistribution with inflammation or liver disease. This limits selenoprotein synthesis, reducing peroxide detoxification and T4-to-T3 conversion and weakening antiviral, cytoprotective immunity. Profound deficiency is linked to cardiomyopathy and osteoarthropathy; men may see poorer sperm quality; pregnancy risks include thyroid dysfunction and hypertensive disorders.

Being in range suggests adequate substrate to saturate key selenoenzymes, supporting steady thyroid signaling, balanced oxidative stress, normal endothelial function, and healthy reproductive capacity. Many experts consider the mid-to-upper portion of the reference interval where selenoprotein activity plateaus as functionally within reference ranges.

High values usually reflect excessive supplements or environmental exposure, or reduced excretion in kidney failure. Excess can shift redox balance toward pro-oxidant effects, disrupt thyroid hormone metabolism, and has been linked in some studies to altered glucose and lipid handling. Very high levels cause selenosis (brittle hair and nails, skin changes, neuropathy, gastrointestinal symptoms).

Notes: Serum/plasma selenium tracks recent weeks; erythrocyte or toenail measures reflect longer status. Values fall during acute illness (negative acute-phase) and with low albumin, and run lower in late pregnancy from hemodilution. Assay methods and reference intervals vary, and the chemical form of exposure can influence results.