There is a lot of confusion about iodine, especially when it comes to thyroid disease. Many people have heard it’s dangerous, or that it can cause thyroid disease symptoms to worsen. But what’s the real story? Let’s take a closer look at the facts.
The Benefits of Iodine
Iodine is present in every organ and tissue in the body. It’s not only necessary for proper thyroid hormone production, but it’s also needed for fetal development, the health of the salivary glands, proper immune system function, hormone balance, healthy breast tissue, and the prostate, ovaries and skin.
Iodine contains antibacterial, anti-parasitic, antiviral, and anticancer properties. It can be helpful to treat breast diseases, fatigue, goiter, fibrocystic breasts, thyroid disorders, and hypertension, just to name a few.
It’s also an essential component of the thyroid hormones, T3 and T4, and is necessary for normal thyroid function.
A meta-analysis of studies on iodine in China concluded that the level of iodine nutrition plays a crucial role in the intellectual development of children.
A study published in the Lancet concluded that iodine deficiency during pregnancy adversely affects children’s mental development.
This study showed that iodine can be useful to treat fibrocystic breast tissue.
Iodine deficiency is recognized as the most common cause of preventable brain damage in the world.
This is really just the tip of the iceberg when it comes to why the body needs iodine. But, as you can see, it’s incredibly important!
Now, let’s take a look at how iodine is necessary and helpful for the thyroid.
Iodine and Hypothyroidism
If you don’t have enough iodine in the body, you cannot make enough thyroid hormones, in particular T4, which can lead to hypothyroidism.
Additionally, iodine plays a significant role in the liver’s ability to convert FT4 to the active thyroid hormone FT3. When the body under-converts FT4 to FT3, this can also lead to hypothroidism.
Iodine and Hashimoto’s Disease
With Hashimoto’s, the immune system knows there’s something abnormal going on in the thyroid tissues and attacks the tissue. There are many different root causes for this such as a viral infection, a bacterial infection, an overabundance of stress, heavy metals in the body, etc.
In our practice, we’ve found that when a client has Hashimoto’s and is in a hypothyroid state, slowly adding a small amount of an iodine supplement to the diet, such as Iodomere from Standard Process or sea vegetables, often helps the client feel better.
However, there are some who say they don’t feel well when taking iodine or eating iodine-rich foods. When we look at their labs, we often see either high levels of FT4, which indicates they are in a hyperthyroid state, or they have indications of a congested liver.
In this situation, when you add iodine to the mix, the metabolic rate speeds up and the thyroid gland tries to push out various toxins. This can create die-off reactions and make them feel very sick, because their body is being pushed harder than it can handle.
If hyperthyroidism has been ruled out for you, then here are some things to try alongside a nutrient-dense diet:
- Use a castor oil pack over the liver for 3-4 weeks. Then, try adding a bit of kelp powder or sea vegetable powder to your diet and see how you feel. I also recommend keeping a close eye on your labs to see if things are headed in the right direction.
- Along with the castor oil packs, we like to use specific Gemmotherapy remedies such as Rosmarinus or Juniperus that gently drain the liver. Prunus amagdylus will often be used to specifically support the thyroid gland.
When the castor oil packs and drainage remedies are used together, our clients feel better and are usually able to then add iodine-rich foods back into the diet and take an iodine supplement if needed.
It’s good to keep in mind that we are all biochemically individual, so iodine won’t work for every single person, but in general, adverse effects from iodine are rare when it’s used appropriately.
Iodine and Hyperthyroidism
If you have elevated fT4 or fT3, then you should talk to your nutritionist about the right amount of iodine that your body needs. As I mentioned above, we need iodine for more than just thyroid hormone production, but if you are make too much thyroid hormone, then eating too much iodine can possibly create further hyperthyroid issues.
In general, it’s usually ok to eat foods that contain iodine such as pastured eggs, raw cheese, butter, and some wild seafood, but you’d want to avoid eating large amounts of seaweed or other foods that contain a very high amount of iodine in them. I have a reference chart below so you can see the various amounts of iodine in different foods.
In our practice, we’ve found that if we steps to help the client move out of the hyper state and balance fT4 and fT3, then if they had been having issues with iodine-rich foods in the past, we are able to add them back and then add supplementation if necessary.
Here’s a list of the amount of iodine in various foods for reference (according to the NIH):
Seaweed, nori, dried, 10g or 2 tablespoons 232 mcg
Cod, 3 ounces 158 mcg
Plain yogurt, 1 cup 116 mcg
Oysters, 3 ounces 93 mcg
Milk ~85 mcg (this various according to the season)
Egg 26 mcg
Cheese, 1 ounce 14 mcg
Liver 14 mcg
Shrimp, 3 ounces 13 mcg
Tuna, 3 ounces 7 mcg
As as you can see in this study, the amount of iodine in milk, fish, and eggs varies upon the geographical location. So, the numbers above are approximate.
I always recommend talking to your practitioner before taking any kind of supplementation.
Iodine and Goiter
Thyroid enlargement, or goiter, is one of the earliest and most visible signs of iodine deficiency.
When iodine intake is insufficient, the thyroid tries to “trap” more iodine and so will enlarge to do this. A common solution to goiter is iodine supplementation. It’s always best to consult with a practitioner who’s extensively trained in nutrition to figure out the proper dosage.
On a side note, castor oil packs over the thyroid combined with iodine supplementation can be very helpful for those with goiter.
Iodine and Thyroid Cysts or Thyroid Nodules
Iodine deficiency can cause thyroid nodules, so increasing your intake of iodine-rich foods or taking an iodine supplement can be helpful to reduce them.
While thyroid cysts aren’t often caused by iodine deficiency, we’ve seen in our practice that clients with thyroid cysts often see positive results when they include an iodine supplement along with the protocol their doctor has prescribed.
Last year, one of my clients had a thyroid cyst, so she took an iodine supplement and diligently used castor oil packs over her thyroid for several months. She was elated when her doctor did an ultrasound and told her the cysts had shrunk significantly.
How Much Iodine Do I Need Each Day?
While the RDA is 200mcg, most thyroid experts believe this is too low. Many medical doctors who specialize in thyroid health such as Guy Abraham, M.D., and David Brownstein, M.D. recommend amounts anywhere between 12.5 – 37.5 mg daily.
In our practice, we’ve found that doses closer to 600mcg – 6mg daily are well tolerated, but it’s important to remember that we are all biochemically individual, so what works for one person doesn’t necessarily work for another.
If you feel you need supplementation, I always recommend consulting with a practitioner who is well-versed in nutrition to help you figure out the best dosage for your body.
How Does Someone Become Deficient in Iodine?
If there isn’t enough iodine in the diet, then deficiency can follow. Swimming, bathing or drinking chlorinated and/or fluoridated water or a high consumption of bakery products (breads, pastas, etc. ) that contain bromide can cause iodine deficiency. And, vegan and vegetarian diets can sometimes result in iodine deficiency.
Best Food Sources of Iodine
The body does not make iodine, so it’s essential to include it as part of your diet. Here’s a list of iodine-rich foods:
- Sea vegetables, such as kelp, dulse, nori and wakame
- Wild seafood
- Unprocessed, organic dairy, such as raw milk, raw cream, cultured yogurt, etc.
- Pastured/organic eggs
Is Iodized Salt a Good Source of Iodine?
“Not only is iodized salt a poor source of iodine, but we have been conditioned to avoid salt by the media and by mainstream medicine. Presently, less than half of U.S. households use salt. As a result, iodine levels have fallen by more than 50% over the last 40 years as reported by the National Health and Nutrition Examination Survey from the Centers for Disease Control. This is a recipe for making a whole population of U.S. citizens iodine-deficient. That is exactly what has happened in the United States and many other western countries.” Dr. Brownstein
Iodized salt is a processed food that has been bleached, stripped of its many natural minerals, and had anti-caking agents added (commonly dextrose) that come from GMO corn.
I recommend using Celtic Sea salt daily as it contains over 80 different minerals including naturally-occurring iodine.
Iodine Sufficiency Testing
If you’d like to get tested to see if you’re deficient in iodine, there are two options:
- A simple iodine patch test is a simple and easy way to test.
- Many labs offer a 24-hour collection test. We offer this at our office, so if you’re interested in ordering this test, give us a call and we can help.