Benefits
Supports antioxidant defenses
Selenium from L-selenomethionine is used to build glutathione peroxidases, enzymes that break down peroxides. In 120 adults with very low selenium intake, selenomethionine restored full plasma glutathione peroxidase activity at 37 µg/day, versus 66 µg/day for selenite. In selenium-replete men, extra selenomethionine raised blood selenium but had little effect on this enzyme.
Thyroid hormone metabolism
Selenium is needed for the deiodinase enzymes that activate thyroid hormone. In a small study without a placebo group, 28 healthy adults took 200 µg/day of selenomethionine for 28 months: T4 and TSH did not change, and T3 rose about 5 percent a year in men only, which the researchers judged clinically insignificant. The benefit lies in avoiding a shortfall, not in taking extra.
Helps maintain selenium status
L-selenomethionine is well absorbed and partly built into body proteins, so blood selenium rises with daily use: in the 28-month study, plasma selenium was about 60 percent higher in men and roughly double in women by 9 months. Most people in the United States already get enough selenium from food.
Supplies selenium for selenoproteins
Selenium is part of 25 selenoproteins, including glutathione peroxidases, thioredoxin reductases and selenoprotein P, which take part in thyroid hormone metabolism, DNA synthesis, reproduction and protection from oxidative damage. Selenomethionine supplies selenium for these proteins once the body breaks it down.
Mechanism of action
Incorporation into body proteins
L-selenomethionine is absorbed through the same transporters as methionine and can be non-specifically incorporated into body proteins in place of methionine, creating a tissue reservoir of selenium that is gradually released for selenoprotein synthesis.
Selenoprotein synthesis
Selenium released from selenomethionine is metabolized to selenide and incorporated as selenocysteine into selenoenzymes such as glutathione peroxidases and thioredoxin reductases, which drive antioxidant and redox-regulating activity.
Thyroid selenoenzyme support
Selenium supplies iodothyronine deiodinases that convert thyroxine (T4) to the active hormone T3, and glutathione peroxidases that protect thyroid tissue from peroxide generated during hormone synthesis, supporting normal thyroid metabolism.
Antioxidant redox cycling
Selenium-dependent glutathione peroxidases reduce hydrogen and lipid peroxides using glutathione, while thioredoxin reductases regenerate antioxidant systems, together helping protect cells and membranes from oxidative damage.
Clinical trials
Before-and-after study with no placebo group: 200 µg/day of selenomethionine for 28 months, with thyroid hormones measured for 4 months before and quarterly during supplementation (Combs et al. 2009, Am J Clin Nutr)
28 healthy adults.
By 9 months plasma selenium rose from 1.78 to 2.85 µmol/L in men and from 1.64 to 3.32 µmol/L in women. T4 and TSH did not change. T3 rose about 5 percent a year in men only, which the authors judged not clinically significant because TSH did not fall.
Randomized, double-blind, placebo-controlled trial of selenium (200 µg/day from L-selenomethionine), vitamin E, both, or placebo; supplements were stopped at a planned interim analysis for lack of benefit after a median 5.5 years (Lippman et al. 2009, JAMA)
35,533 relatively healthy men aged 50 or older (African American men) or 55 or older (all others) in the United States, Canada and Puerto Rico.
Selenium did not reduce prostate cancer (hazard ratio 1.04, 99% CI 0.87 to 1.24) or any other prespecified cancer. Type 2 diabetes was slightly more common with selenium but not significantly (relative risk 1.07, 99% CI 0.94 to 1.22), and alopecia and mild dermatitis were more frequent. Sabinsa was among the suppliers of study agents, and Sabinsa states the selenium was Selenium SeLECT.
Randomized supplementation trial: placebo or up to 66 µg/day of selenium as selenomethionine or selenite for 20 weeks (Xia et al. 2005, Am J Clin Nutr)
120 adults in a low-selenium area of China with average intake of about 10 µg/day.
Full expression of plasma glutathione peroxidase was reached at 37 µg/day as selenomethionine and at 66 µg/day as selenite, so selenomethionine had nearly twice the bioavailability. Neither form fully expressed selenoprotein P at the doses tested.