What happens to thyroid hormone production in the presence of iodine supplementation?
Iodine supplementation should be prescribed only when iodine testing indicates iodine deficiency. Iodine testing kits can be ordered from my office (828 684 3233) by individuals or by medical practitioners. Traditional medical literature indicates that patients who have thyroid nodules or thyroid goiter may have the potential to develop hyperthyroidism when supplementing with iodine. Hence, before commencing iodine supplementation, it would be advantageous for a person to have their primary care doctor order a thyroid ultrasound to rule out the possibility of preexisting goiter or thyroid nodules. The primary care doctor should also order thyroid lab work (to be used as a baseline) before prescribing iodine therapy and this lab work should be repeated and followed at regular intervals during the patient’s iodine therapy. For iodine therapy patients not also on thyroid hormone replacement therapy, adjustments to the iodine therapy should be made if signs of hyperthyroidism should occur.