Anyone has an idea of what constitutes excessive
Iodine intake?
I found this at
http://jcem.endojournals.org/cgi/content/abstract/78/2/393
Maybe this has already been discussed on this forum and I missed it?
Association between dietary
Iodine intake and prevalence of subclinical hypothyroidism in the coastal regions of Japan
N Konno, H Makita, K Yuri, N Iizuka and K Kawasaki
Department of Internal Medicine, Hokkaido Central Hospital for Social Health Insurance, Sapporo, Japan.
The prevalence of thyroid dysfunction in relation to
Iodine intake was studied in adults (n = 1061) in five coastal areas of Japan that produce iodine-rich seaweed (kelp). The prevalence of hyperthyroidism (TSH < 0.15 mU/L) was similar in these areas, whereas that of hypothyroidism (TSH > 5.0 mU/L) varied from 0-9.7%. The relative frequency of above normal
Iodide concentration in the morning urine (> or = 75 mumol/L) [high urinary
Iodide (UI)] varied from 3.7%-30.3%. Together with previously reported results of a noncoastal city, the frequency of high UI correlated significantly with that of hypothyroidism with negative thyroid autoantibody (r = 0.829, n = 6, P < 0.05) but not with positive thyroid autoantibody (r = 0.278, NS) or with that of hyperthyroidism (r = 0.038, NS). Hypothyroidism was more prevalent in thyroid autoantibody-negative subjects with high UI (group II, 12.1%) than with normal UI (group I, 2.3%) (P < 0.001). The TSH [21.9(6.5-73.7)mU/L] (mean +/- SD) and thyroglobulin [288 (182-456) micrograms/L] levels in group II were significantly higher than the respective levels in group I [9.6(3.7-25.3)mU/L and 123 (38-399) micrograms/L] (P < 0.05). Free T4 of group II (9.9 +/- 3.9 pmol/L) was significantly lower than in group I (14.2 +/- 3.9 pmol/L) (P < 0.05). These results indicate that
1) the prevalence of hypothyroidism in iodine sufficient areas may be associated with the amount of iodine ingested;
2) hypothyroidism is more prevalent and marked in subjects consuming further excessive amounts of iodine; and
3) excessive intake of iodine should be considered an etiology of hypothyroidism in addition to chronic thyroiditis in these areas.