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Selenium Blood Test

$89.00 AUD

Managing a thyroid condition or concerned about your antioxidant and immune health? Selenium plays a direct role in both, and levels vary significantly across Australia.

The Selenium Blood Test measures serum selenium, a trace mineral involved in thyroid hormone conversion, antioxidant defence, and immune function. Selenium intake in Australia varies by region due to differences in soil selenium content, making deficiency more common than in countries with uniformly selenium-rich soils.

Collection Location
Specimen Type

You will be emailed a referral to take to your local collection centre. If you ever have any questions, we're here to help.

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How It Works

Getting your health measured shouldn't be hard! We're here to help you every step of the way.

1
Order a test

Order a test

Order the private test that suits you and your goals. After ordering, you will receive your referral by email.

2
Collect the sample

Collect the sample

Attend one of our 4000+ partner collection centres throughout Australia. Search locations.

3
Receive your results

Receive your results

View all your lab results in your secure health dashboard. Easy!

Overview

Selenium is a trace mineral required in small amounts for several important biological processes. It forms part of selenoproteins, a group of enzymes that include glutathione peroxidase (a key antioxidant enzyme), thioredoxin reductase, and the deiodinase enzymes that convert thyroid hormone from its inactive T4 form into the active T3 form. Without adequate selenium, all of these pathways are impaired.

The thyroid gland contains one of the highest concentrations of selenium of any organ in the body, and selenium status is particularly relevant for people with thyroid conditions. Research has examined the relationship between selenium and autoimmune thyroid disease, particularly Hashimoto's thyroiditis, where selenium supplementation has been studied for its potential to reduce thyroid antibody levels. Your practitioner can advise whether this is relevant to your situation.

Selenium intake depends heavily on soil content, which varies significantly by geographic region. Australian soils are variably selenium-depleted in some areas, meaning dietary intake can differ depending on where food is grown and sourced. Brazil nuts are the most concentrated food source of selenium, though their selenium content also varies depending on origin. Other sources include seafood, meat, eggs, and grains.

Both deficiency and excess are clinically significant, and selenium has a narrower range between beneficial and toxic than many other nutrients. Selenosis (selenium toxicity) typically results from high-dose supplementation rather than diet and can cause hair loss, brittle nails, fatigue, and gastrointestinal symptoms. Testing your selenium level before starting supplementation, and again during it, helps ensure you stay within a safe and useful range.

Symptoms

Suited to people with thyroid conditions (particularly autoimmune thyroid disease such as Hashimoto's thyroiditis), unexplained fatigue, immune health concerns, those following restricted diets, or people who want to assess their selenium status as part of a broader nutritional investigation.

Questions

  • The thyroid gland has one of the highest selenium concentrations of any organ in the body. Selenium-dependent enzymes called deiodinases convert inactive T4 thyroid hormone into the active T3 form. Selenium also protects the thyroid from oxidative damage. Low selenium has been associated with worsening of autoimmune thyroid conditions including Hashimoto's thyroiditis.
  • No fasting is required. You can eat and drink normally. If you take selenium supplements, check with your practitioner about whether to pause them before the test to avoid artificially elevated results.
  • Yes. Selenium has a narrow range between beneficial and toxic. Selenosis (selenium toxicity) can occur from high-dose supplementation and presents with hair loss, brittle nails, fatigue, and gastrointestinal symptoms. Testing your level before and during supplementation helps keep you within a safe range.
  • Selenium content in food depends heavily on soil selenium levels, which vary considerably across Australia and globally. Grains and vegetables grown in low-selenium soils will contain less selenium even if eaten regularly. Brazil nuts are a commonly cited high-selenium food, but their selenium content is also highly variable depending on origin.
  • Many practitioners investigate selenium status in people with autoimmune thyroid disease, as research has examined the role of selenium in thyroid autoimmunity. This test gives your practitioner a baseline before making any recommendation about supplementation. Discuss with your practitioner whether it is relevant for your case.
  • Serum selenium reflects your circulating selenium level. It is the standard first-line measurement and generally correlates well with dietary intake and overall selenium status. For most clinical purposes, serum selenium provides sufficient information.

Dr. Vu Tran
Bloody Good’s Chief Medical Officer

Biomarker Tested

How to prepare

No fasting is required for this test. Drink water as normal beforehand.

If you take selenium supplements, let your practitioner know. You may be advised to pause supplementation before the test to get an accurate baseline. High-dose selenium supplements can push levels into a toxic range, so this test is worth doing before and during supplementation. A healthcare professional will take a blood sample from a vein in your arm.

After the test

Share your results with your GP, endocrinologist, or a practitioner familiar with thyroid or nutritional health. If selenium is low and you have a thyroid condition, your practitioner may discuss whether selenium supplementation is appropriate for your situation and at what dose.

If you are currently supplementing selenium, use this test to confirm your levels are within a safe and optimal range. Selenium has a narrow therapeutic window, so regular monitoring during supplementation is sensible.

Your test results will be available in your private dashboard. If there are any urgent issues, we'll let you know so you can follow up with your health professional.

Understanding results

Results are reported in micromoles per litre (umol/L). Reference ranges vary between laboratories; your result report will include the applicable range.

Low serum selenium can be associated with poor thyroid hormone conversion, reduced antioxidant activity, impaired immune function, and muscle weakness. Australian soils are variably selenium-depleted in some regions, which can result in lower dietary selenium intake depending on where food is grown and sourced.

High serum selenium, usually from excess supplementation, can cause selenosis — a condition characterised by hair loss, nail changes, fatigue, and in severe cases, neurological effects. This test helps ensure supplementation remains within a safe and useful range.

Your practitioner will interpret your result alongside thyroid markers, dietary history, and any other relevant investigations.

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Frequently Asked Questions

Most collection centres accept walk-ins. Some may require a booking - check details when you click on your chosen location.

If your test needs fasting, we’ll include that in your instructions after you order. Fasting usually means no food for 8–12 hours, but water is fine.

Just your pathology referral form (we email it to you)

Of course. Just maybe don’t bring the friend who faints at the sight of blood.

They’re the highly trained professionals who take your blood sample - with a steady hand and a sharp needle. They love blood, but don’t worry… they’re not vampires. Just legends who make blood tests quick, clean, and (almost) painless.

Some of our tests include Urine, Stool, Saliva and more. Each test will have a clear description on what sample you will need to give and instructions on how.