Iodine

Iodine

Best for

Protect thyroid function in pregnancy

Large effect, needs confirmation · 150–250 mcg/day for 4–26 weeks · 2 meta-analyses , n=6.3k

21 papers · 4 claims · 32 outcomes scored · 3 positive

Outcomes

What iodine actually does, by outcome

Each row is one outcome with effect size, evidence base, the dose that worked in trials, and time to first effect. Magnitude tiers come from native-unit MCID where available, Cohen's d otherwise.

Outcome Effect Evidence Dose Weeks Rank
Protect thyroid function in pregnancy Large effect, needs confirmation
large
9 meta-analyses n=6.3k Meta-analyzed 150–250 mcg 4–26 wk
Raise low iodine levels Likely modest benefit
small
5 meta-analyses n=59k Meta-analyzed 35–220 g 16–74 wk #1/2
Reduce thyroid enlargement Not enough research
small
5 meta-analyses n=480 Meta-analyzed 35–350 mcg 26–52 wk
Ease low thyroid symptoms May have slight negative effect
small
1 meta-analysis n=4.2k Meta-analyzed

Risk profile

Adverse events and known drug interactions

Safety events

thyrotoxicosis severe
pulmonary oedema severe
angioedema severe
subclinical hypothyroidism mild
burning sensation of mouth, throat and stomach mild
subclinical hyperthyroidism
overt hypothyroidism
hypothyroidism

Drug interactions

Amiodarone major increases toxicity
Aliskiren major increases toxicity
Ace Inhibitors And Arbs major increases toxicity
Amiloride major increases toxicity
Triamterene major increases toxicity
Spironolactone major increases toxicity
Eplerenone major increases toxicity
other major increases toxicity
Thyroid Therapy major increases toxicity
other moderate unknown

Sources

  1. 1. The effect of iodine supplementation in pregnancy on early childhood neurodevelopment and clinical outcomes: results of an aborted randomised placebo-controlled trial. (2015)
  2. 2. The Effects of Iodine Supplementation in Pregnancy on Iodine Status, Thyroglobulin Levels and Thyroid Function Parameters: Results from a Randomized Controlled Clinical Trial in a Mild-to-Moderate Iodine Deficiency Area. (2019)
  3. 3. Pre-pregnancy iodized salt improved children's cognitive development in randomized trial in Ethiopia. (2020)
  4. 4. Iodine Supplementation in Mildly Iodine-Deficient Pregnant Women Does Not Improve Maternal Thyroid Function or Child Development: A Secondary Analysis of a Randomized Controlled Trial. (2020)
  5. 5. A randomized, double-blind study of iodine supplementation during pregnancy in Sweden: pilot evaluation of maternal iodine status and thyroid function. (2021)
  6. 6. Improved first trimester maternal iodine status with preconception supplementation: The Women First Trial. (2021)
  7. 7. Iodine supplementation of lactating women and assessment of infant visual information processing and maternal and infant thyroid function: A randomized trial. (2019)
  8. 8. Association of Mild-to-Moderate Iodine Deficiency With Thyroid Function-A Systematic Review and Meta-analysis. (2025)
  9. 9. Iodine fortification of foods and condiments, other than salt, for preventing iodine deficiency disorders. (2019)
  10. 10. Biomarkers and Fatty Fish Intake: A Randomized Controlled Trial in Norwegian Preschool Children. (2021)

Generated August 14, 2026

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