Zinc & selenium and their effect on thyroid health
The thyroid can’t do its job without the right raw materials. Two trace minerals — selenium and zinc — sit quietly behind hormone production and conversion, and a shortfall in either can hold your thyroid back no matter how well the gland itself is working.
If you’ve been following us, you know our passion for restoring the health of those who are suffering. In our experience, many of our patients — particularly women — do not have optimal function of the thyroid. You may remember that the thyroid is a butterfly-shaped gland in the lower front of the neck, and its responsibilities reach across the whole body:
- Regulating metabolism and body temperature
- Supporting heart function and digestion
- Muscle control and brain development
- Mood regulation and bone maintenance
A number of nutrients contribute to thyroid health. In this article, we’ll focus on two of the most important: selenium and zinc.
Iodine and selenium build T4; a selenium-dependent enzyme (deiodinase) converts stored T4 into active T3 — and zinc is required to make T3, T4, and TSH at all.
Selenium and thyroid health
Selenium is an essential trace element found in the soil, which means the amount in any given food depends on where it was grown.5 It is also key to thyroid health — a necessary micronutrient for thyroid hormone synthesis and function. In fact, the concentration of selenium in the thyroid is higher than in any other organ in the body.1,2
Selenium works together with iodine to activate three different selenium-dependent iodothyronine deiodinases, the enzymes that activate or deactivate thyroid hormones. This process — and selenium itself — is essential for normal growth, development, and metabolism.2
Because of that central role, selenium deficiency is associated with a range of thyroid problems: hypothyroidism, Hashimoto’s, an enlarged thyroid (goiter), thyroid cancer, and Graves’ disease.1 One study of roughly 1,900 participants found an inverse relationship between serum selenium concentrations and thyroid volume — and a protective effect of selenium against goiter and thyroid-tissue damage.3
Food sources of selenium:
- Brazil nuts (by far the richest source)
- Seafood — tuna, halibut, sardines, shrimp
- Organ meats and eggs
- Brown rice, whole grains, and dairy
| Adults (19+) | 55 mcg |
| Pregnancy | 60 mcg |
| Breastfeeding | 70 mcg |
| Tolerable upper limit | 400 mcg |
Selenium’s reach extends to autoimmune thyroid eye disease, too. In one study of Graves’ orbitopathy — thyroid eye disease driven by an overactive thyroid — researchers compared selenium to pentoxifylline, an anti-inflammatory. The selenium group reported an improved quality of life, reduced ocular involvement, and slowed progression of Graves’ orbitopathy compared with the pentoxifylline group.4
Zinc and thyroid health
Zinc is another trace element that is essential for growth, development, and a healthy immune system, with a major impact on the nervous and reproductive systems as well.6
Where the thyroid is concerned, zinc is needed for the synthesis of thyroid hormones — specifically the production of T3, T4, and thyroid stimulating hormone (TSH). A deficiency in zinc can lead to hypothyroidism. And the relationship runs both ways: hypothyroidism can itself lead to a zinc deficiency, because thyroid hormones are required for the absorption of zinc.7
Food sources of zinc:
- Meat (beef, lamb, pork) and shellfish (oysters are richest)
- Legumes, and hemp, pumpkin, squash & sesame seeds
- Pine nuts, peanuts, cashews, almonds, and eggs
- Whole grains, potatoes, green beans, kale, dark chocolate, dairy
| Adult women | 8 mg |
| Adult men | 11 mg |
| Pregnancy | 11 mg |
| Breastfeeding | 12 mg |
| Tolerable upper limit | 40 mg |
The research bears this out. In a case study of two college-aged women who were zinc deficient, researchers asked them to supplement with zinc for four months. By the end, both women showed improvement across all thyroid levels — especially T3 — as well as in resting metabolic rate.8 A separate randomized study found that taking zinc alone, or in combination with selenium, can improve thyroid function in women with hypothyroidism.9
Test first, then supplement
Here’s where our approach matters. Both selenium and zinc are essential — but both can also become harmful in excess, so more is not better. For optimal thyroid health, we recommend testing your levels of these important trace elements before supplementing.
Nutrient status is only one piece of the thyroid picture. If you haven’t had a full workup, start with the 9 thyroid tests you need to know, and see how the gut affects nutrient absorption and hormone conversion in could your thyroid be the cause of your digestive woes?
Keep reading: Get the full thyroid workup in 9 thyroid tests you need to know, see how gut health shapes nutrient absorption in could your thyroid be the cause of your digestive woes?, and learn the diet connection in why ditching gluten and dairy may help autoimmune thyroid disease. Or explore how we help with thyroid & Hashimoto’s.
Common questions
References (10) ▾
- Ventura M, Melo M, Carrilho F. Selenium and thyroid disease: from pathophysiology to treatment. Int J Endocrinol. 2017;2017:1297658. https://pubmed.ncbi.nlm.nih.gov/28255299/
- Köhrle J. Selenium and the thyroid. Curr Opin Endocrinol Diabetes Obes. 2015;22(5):392-401. https://pubmed.ncbi.nlm.nih.gov/26313901/
- Derumeaux H, Valeix P, Castetbon K, et al. Association of selenium with thyroid volume and echostructure in 35- to 60-year-old French adults. Eur J Endocrinol. 2003;148(3):309-315. https://pubmed.ncbi.nlm.nih.gov/12611611/
- Marcocci C, Kahaly GJ, Krassas GE, et al. Selenium and the course of mild Graves’ orbitopathy. N Engl J Med. 2011;364(20):1920-1931. https://pubmed.ncbi.nlm.nih.gov/21591944/
- National Institutes of Health, Office of Dietary Supplements. Selenium: fact sheet for health professionals. https://ods.od.nih.gov/factsheets/Selenium-HealthProfessional/
- Roohani N, Hurrell R, Kelishadi R, Schulin R. Zinc and its importance for human health: an integrative review. J Res Med Sci. 2013;18(2):144-157. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3746228/
- Severo JS, Morais JBS, de Freitas TEC, et al. The role of zinc in thyroid hormones metabolism. Int J Vitam Nutr Res. 2019;89(1-2):80-88. https://pubmed.ncbi.nlm.nih.gov/30982439/
- Maxwell C, Volpe SL. Effect of zinc supplementation on thyroid hormone function: a case study of two college females. Ann Nutr Metab. 2007;51(2):188-194. https://pubmed.ncbi.nlm.nih.gov/17541266/
- Mahmoodianfard S, Vafa M, Golgiri F, et al. Effects of zinc and selenium supplementation on thyroid function in overweight and obese hypothyroid female patients: a randomized double-blind controlled trial. J Am Coll Nutr. 2015;34(5):391-399. https://pubmed.ncbi.nlm.nih.gov/25758370/
- National Institutes of Health, Office of Dietary Supplements. Zinc: fact sheet for health professionals. https://ods.od.nih.gov/factsheets/Zinc-HealthProfessional/
Nutrient status is one of the pieces routine labs miss. We test the full thyroid picture — including the trace minerals behind it — and build a plan around what we find.