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Selenium toxicity, also known as selenosis, occurs when excessive amounts of selenium accumulate in the body. It is caused by over-supplementation with selenium pills or consuming foods grown in selenium-rich soil. The Selenium blood test is the most important test for diagnosis because it directly measures circulating selenium levels that confirm toxicity.
Selenium toxicity is caused by consuming excessive amounts of selenium through over-supplementation or eating foods grown in selenium-rich soil. Taking high-dose selenium supplements beyond the recommended daily amount of 55 micrograms for adults is the most common cause. Some people also develop selenosis from consuming Brazil nuts in large quantities, as these nuts are extremely high in selenium, or from drinking well water in areas with naturally high selenium content in the soil.
The Selenium blood test is the most important test for selenium toxicity because it directly measures the current level of selenium circulating in your bloodstream. This test can confirm elevated selenium concentrations that indicate selenosis, especially when you have symptoms like hair loss, nausea, irritability, fatigue, and nerve damage. The Selenium 24-Hour Urine test is also essential as a complementary test because it measures how much excess selenium your body is trying to eliminate, providing a comprehensive picture of selenium overload and helping doctors monitor your recovery as treatment progresses.
You should get tested if you are taking selenium supplements and experience unexplained hair loss, brittle nails, or a persistent garlic-like odor on your breath. Testing is also important if you notice neurological symptoms like numbness, tingling in your extremities, fatigue, irritability, nausea, or skin rashes, especially if you have been taking high-dose supplements or eating large amounts of Brazil nuts regularly. Get tested immediately if you have been consuming more than 400 micrograms of selenium daily, as this exceeds the safe upper limit and puts you at significant risk for toxicity.
What this means
Your selenium levels are slightly below the optimal range. While not severely deficient, this may affect your immune system's ability to fight infections and could impact thyroid hormone metabolism. Increasing selenium intake through diet or supplementation can help bring levels back to optimal.
Recommended actions
Add two Brazil nuts daily to your diet for excellent selenium content
Include selenium-rich foods like tuna, sardines, eggs, and sunflower seeds
Ensure adequate protein intake as selenium is better absorbed with protein
Retest in 8-12 weeks after dietary changes to monitor improvement
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