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Iodine

Potassium iodide / kelp · Foundation

StrongFor the population and outcome described, multiple large human trials broadly agree.

Essential for thyroid hormone, and one of the few nutrients where too much causes the same disease as too little.

What the evidence says

Deficiency is the leading preventable cause of intellectual disability worldwide, and iodised salt is one of public health's great successes. In iodine-replete countries frank deficiency is uncommon, though pregnancy raises requirements. Supplementing beyond need does not improve thyroid function.

What studies used

Requirements sit near 150 mcg/day, higher in pregnancy; the tolerable upper limit is 1,100 mcg. Published studies had not established a preferred timing.

Reported from published studies and product labelling — a record of what was used in research, not a recommendation. What is right for you is a conversation with a clinician.

Watch out for

  • Excess iodine causes both hyperthyroidism and hypothyroidism, and can trigger thyroiditis in susceptible people — the U-shaped curve is real
  • Kelp products are the usual route to accidental megadoses; their content varies enormously and is often unlabelled

Evidence base

S40,179 research papers
established literature

Large human evidence base: several phase 3 or 4 trial reports, plus multiple meta-analyses or systematic reviews.

This letter measures how much human research exists, not whether it works for you — the tier above (Strong) is the read on quality.

Research (12)

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