McCall McPherson explains that selenium can lower Hashimoto's antibodies and help thyroid hormone conversion, but it doesn't work for everyone. She stops giving it to patients who don't see measurable benefits in their labs, and warns against supplement fatigue from unnecessary long-term use.
Chapters
Does every hypothyroid girl need to be on selenium? Let's talk about it. So most of you have probably heard you have to be on selenium. And look, like, I put some of my patients on selenium, but here's the truth, right? The goal with selenium often is to reduce Hashimoto's antibodies, TPO and thyroglobulin. It can also help some with just overall thyroid function conversion. But the reality is sometimes it's not enough to move the needle for some people. And I try to protect my patients from supplement fatigue. I don't want them taking 40 supplements a day, every day for the rest of their life. If they're not contributing to reduction in antibodies, if they're not contributing to, oh my gosh, I feel better every day. So while I do, you know, tell my patients about it and I often recommend it, I monitor their labs and how they feel. And if it's not doing much, I discontinue it, but you can stay tuned because we are creating a combination of selenium and so many other things to support thyroid function, to reverse Hashimoto's antibodies, or reduce them rather. And this hasn't existed before, so we're really, really excited about it. Stay tuned.