Our read is that you should consider taking selenium, especially if dietary intake is insufficient, but exercise caution to avoid overconsumption.
Our read is that selenium is a crucial mineral supporting various bodily functions, including thyroid health, antioxidant defense, and reproductive function.
However, it is important to monitor intake to avoid potential toxicity, as both deficiency and excess can lead to negative health outcomes.
To achieve sufficient selenium levels, Andrew Huberman suggests a recommended daily intake of 55 micrograms, while Paul Saladino notes that S-methyl L-cysteine is a more absorbable form of selenium supplementation than L-selenomethionine. Bryan Johnson updated his protocol to include 1/4 Brazil nut daily due to a high selenium blood result of 416 ug/L. Andrew Huberman and Rhonda Patrick advise avoiding overconsumption when supplementing by also eating large amounts of selenium-rich foods.
Andrew Huberman warns that excessive selenium intake can lead to negative health consequences. Paul Saladino adds that excess copper and excess selenium can cause symptoms including nausea, vomiting, malaise, fatigue, dizziness, and neurological symptoms. Andrew Huberman also notes that consuming foods from areas with low selenium soil content may increase prostate cancer risk. Andrew Huberman states that Brazil nuts are a direct way to achieve sufficient selenium levels but carry a risk of overconsumption. Andrew Huberman and Rhonda Patrick advise that when supplementing with selenium, one should avoid overconsumption by also eating large amounts of selenium-rich foods. Andrew Huberman mentions that daily selenium requirements for children 14 years or younger are 30-40 micrograms. Andrew Huberman also states that the average recommended daily intake of selenium is approximately 155 micrograms. Rhonda Patrick notes that men in the SELECT trial receiving high-dose selenium and vitamin E (400 IU/day) were not taking fish oil.
The verdict would change if new information emerged regarding optimal selenium intake levels, more precise markers for selenium status, or clearer guidelines on safe supplementation practices that mitigate the risk of toxicity while ensuring efficacy.
The effect size is large enough to matter clinically, not just statistically.
Six to eight Brazil nuts contain approximately 550 micrograms of selenium.
The intervention improves the primary outcome at standard doses in healthy adults.
The intervention improves the primary outcome at standard doses in healthy adults.
Mechanistic and trial evidence converge on a real, replicable effect.
Most of the support comes from short or small studies.
Most of the support comes from short or small studies.
The headline effect shrinks once you account for trial quality.
The headline effect shrinks once you account for trial quality.
The headline effect shrinks once you account for trial quality.