Selenium Thyroid Autoimmunity Meta-Analysis Evidence Table

Structured evidence table for Selenium Thyroid Autoimmunity Meta-Analysis, generated from 2 reusable source documents in the Migaku knowledge base.

topicclaimevidence levelcitationsource
Selenium Thyroid Autoimmunity Meta-AnalysisCombination therapy significantly reduced TSH levels compared with Sel monotherapy (SMD -1.26; 95% CI -1.51 to -1.00; p 2 = 0%), and TSA suggested that this finding may be robust, although the evidence is limited by the small number of studies.1Stanchev P (2026)Myo-Inositol Plus Selenium vs. Selenium Alone in Hashimoto's Thyroiditis with Subclinical Hypothyroidism: A Systematic Review and Updated Meta-Analysis with Trial Sequential Analysis.
Selenium Thyroid Autoimmunity Meta-AnalysisTgAb levels were also significantly reduced (SMD -0.51; 95% CI -0.78 to -0.24; p 2 = 0%); however, TSA indicated a potential risk of type I error.1Stanchev P (2026)Myo-Inositol Plus Selenium vs. Selenium Alone in Hashimoto's Thyroiditis with Subclinical Hypothyroidism: A Systematic Review and Updated Meta-Analysis with Trial Sequential Analysis.
Selenium Thyroid Autoimmunity Meta-AnalysisConclusions : MI combined with Sel was associated with a significant reduction in TSH levels compared with Sel alone in patients with HT and subclinical hypothyroidism, suggesting a potential therapeutic benefit.1Stanchev P (2026)Myo-Inositol Plus Selenium vs. Selenium Alone in Hashimoto's Thyroiditis with Subclinical Hypothyroidism: A Systematic Review and Updated Meta-Analysis with Trial Sequential Analysis.
Selenium Thyroid Autoimmunity Meta-AnalysisIntroduction : Hashimoto's thyroiditis (HT) is the leading cause of hypothyroidism in iodine-sufficient regions and often presents with subclinical hypothyroidism.1Stanchev P (2026)Myo-Inositol Plus Selenium vs. Selenium Alone in Hashimoto's Thyroiditis with Subclinical Hypothyroidism: A Systematic Review and Updated Meta-Analysis with Trial Sequential Analysis.
Selenium Thyroid Autoimmunity Meta-AnalysisIt is associated with elevated anti-thyroid peroxidase antibodies (TPOAb) and often anti-thyroglobulin antibodies (TgAb) ().4Personius Lydia (2026)Beyond levothyroxine: a narrative review of adjunctive management strategies for Hashimoto’s thyroiditis
Selenium Thyroid Autoimmunity Meta-AnalysisThe incidence of HT has increased over recent decades and is higher with advancing age, in women, and in iodine-sufficient populations (,).4Personius Lydia (2026)Beyond levothyroxine: a narrative review of adjunctive management strategies for Hashimoto’s thyroiditis
Selenium Thyroid Autoimmunity Meta-AnalysisWet cupping was associated with a statistically significant reduction in anti-thyroid autoantibody levels and a decrease in TSH despite stable thyroid hormone dosing ().4Personius Lydia (2026)Beyond levothyroxine: a narrative review of adjunctive management strategies for Hashimoto’s thyroiditis
Selenium Thyroid Autoimmunity Meta-Analysis1 2 3 4 Hashimoto’s thyroiditis (HT) is an autoimmune disorder that has been well documented as the leading cause of hypothyroidism and the most common form of thyroiditis ().4Personius Lydia (2026)Beyond levothyroxine: a narrative review of adjunctive management strategies for Hashimoto’s thyroiditis
topicSelenium Thyroid Autoimmunity Meta-Analysis
claimCombination therapy significantly reduced TSH levels compared with Sel monotherapy (SMD -1.26; 95% CI -1.51 to -1.00; p 2 = 0%), and TSA suggested that this finding may be robust, although the evidence is limited by the small number of studies.
evidence level1
citationStanchev P (2026)
sourceMyo-Inositol Plus Selenium vs. Selenium Alone in Hashimoto's Thyroiditis with Subclinical Hypothyroidism: A Systematic Review and Updated Meta-Analysis with Trial Sequential Analysis.
topicSelenium Thyroid Autoimmunity Meta-Analysis
claimTgAb levels were also significantly reduced (SMD -0.51; 95% CI -0.78 to -0.24; p 2 = 0%); however, TSA indicated a potential risk of type I error.
evidence level1
citationStanchev P (2026)
sourceMyo-Inositol Plus Selenium vs. Selenium Alone in Hashimoto's Thyroiditis with Subclinical Hypothyroidism: A Systematic Review and Updated Meta-Analysis with Trial Sequential Analysis.
topicSelenium Thyroid Autoimmunity Meta-Analysis
claimConclusions : MI combined with Sel was associated with a significant reduction in TSH levels compared with Sel alone in patients with HT and subclinical hypothyroidism, suggesting a potential therapeutic benefit.
evidence level1
citationStanchev P (2026)
sourceMyo-Inositol Plus Selenium vs. Selenium Alone in Hashimoto's Thyroiditis with Subclinical Hypothyroidism: A Systematic Review and Updated Meta-Analysis with Trial Sequential Analysis.
topicSelenium Thyroid Autoimmunity Meta-Analysis
claimIntroduction : Hashimoto's thyroiditis (HT) is the leading cause of hypothyroidism in iodine-sufficient regions and often presents with subclinical hypothyroidism.
evidence level1
citationStanchev P (2026)
sourceMyo-Inositol Plus Selenium vs. Selenium Alone in Hashimoto's Thyroiditis with Subclinical Hypothyroidism: A Systematic Review and Updated Meta-Analysis with Trial Sequential Analysis.
topicSelenium Thyroid Autoimmunity Meta-Analysis
claimIt is associated with elevated anti-thyroid peroxidase antibodies (TPOAb) and often anti-thyroglobulin antibodies (TgAb) ().
evidence level4
citationPersonius Lydia (2026)
sourceBeyond levothyroxine: a narrative review of adjunctive management strategies for Hashimoto’s thyroiditis
topicSelenium Thyroid Autoimmunity Meta-Analysis
claimThe incidence of HT has increased over recent decades and is higher with advancing age, in women, and in iodine-sufficient populations (,).
evidence level4
citationPersonius Lydia (2026)
sourceBeyond levothyroxine: a narrative review of adjunctive management strategies for Hashimoto’s thyroiditis
topicSelenium Thyroid Autoimmunity Meta-Analysis
claimWet cupping was associated with a statistically significant reduction in anti-thyroid autoantibody levels and a decrease in TSH despite stable thyroid hormone dosing ().
evidence level4
citationPersonius Lydia (2026)
sourceBeyond levothyroxine: a narrative review of adjunctive management strategies for Hashimoto’s thyroiditis
topicSelenium Thyroid Autoimmunity Meta-Analysis
claim1 2 3 4 Hashimoto’s thyroiditis (HT) is an autoimmune disorder that has been well documented as the leading cause of hypothyroidism and the most common form of thyroiditis ().
evidence level4
citationPersonius Lydia (2026)
sourceBeyond levothyroxine: a narrative review of adjunctive management strategies for Hashimoto’s thyroiditis

Source documents

  1. Myo-Inositol Plus Selenium vs. Selenium Alone in Hashimoto's Thyroiditis with Subclinical Hypothyroidism: A Systematic Review and Updated Meta-Analysis with Trial Sequential Analysis.
  2. Beyond levothyroxine: a narrative review of adjunctive management strategies for Hashimoto’s thyroiditis