EFFECTS OF LOW DOSE ORAL IODIDE SUPPLEMENTATION ON THYROID FUNCTION IN NORMAL MEN

Publisher Website
Google Scholar
Abstract
Previous studies have demonstrated that short‐term oral iodide administration, in doses ranging from 1500 μg to 250 mg/day, has an inhibitory effect on thyroid hormone secretion in normal men. As iodide intake in the USA may be as high as 800 μ/d, we investigated the effects of very low dose iodide supplementation on thyroid function. Thirty normal men aged 22‐40 years were randomly assigned to receive 500, 1500, and 4500 μg iodide/day for 2 weeks. Blood was obtained on days 1 and 15 for measurement of serum T4, T3, T3‐charcoal uptake, TSH, protein‐bound iodide (PBI) and total iodide, and 24 h urine samples were collected on these days for measurement of urinary iodide excretion. TRH tests were performed before and at the end of the period of iodide administration. Serum inorganic iodide was calculated by subtracting the PBI from the serum total iodide. We found significant dose‐related increases in serum total and inorganic iodide concentrations, as well as urinary iodide excretion. The mean serum T4 concentration and free T4 index values decreased significantly at the 1500 μg/day and 4500 μg/day doses. No changes in T3‐charcoal uptake or serum T3 concentration occurred at any dose. Administration of 500 μg iodide/day resulted in a significant increase (P<0.005) in the serum TSH response to TRH, and the two larger iodide doses resulted in increases in both basal and TRH‐stimulated serum TSH concentrations. Thus, iodide supplementation within the range of normal daily intake in the USA has a significant inhibitory effect on thyroid hormone secretion in normal men.