Interaction databaseSupplement × SupplementReviewed May 2026

Ashwagandha and Iodine, a caution.

Ashwagandha may stimulate thyroid hormone production (T4 and T3) via its effects on the HPA axis and direct thyroid stimulation. Combined with iodine supplementation, there is a risk of thyroid overstimulation in susceptible individuals.

One pair, every claim cited. The two substances, the type, the mechanism, the recommendation, and the primary literature.
Same shape as the other 1,729 pairs in the public database.

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At a glance

Substances
Ashwagandha and Iodine
Pair type
Caution
Evidence (highest tier)
Emerging
Source citations
1 source
Stack Score effect
−5 to your Stack Score (per scored caution row).
Scope
Supplement × Supplement
Last verified
May 30, 2026

Caution · Emerging evidence

Caution

What is happening. Ashwagandha may stimulate thyroid hormone production (T4 and T3) via its effects on the HPA axis and direct thyroid stimulation. Combined with iodine supplementation, there is a risk of thyroid overstimulation in susceptible individuals.

Mechanism. Ashwagandha's withanolides may stimulate thyroid peroxidase (TPO) activity and increase T4 to T3 conversion via type II 5'-deiodinase. Iodine provides additional substrate for thyroid hormone synthesis.

Recommendation. If you have thyroid disease or are taking thyroid medication, consult your doctor before combining ashwagandha and iodine. Monitor thyroid function tests.

Sources (1)
  1. Sharma AK et al. Efficacy and safety of Ashwagandha root extract in subclinical hypothyroid patients. J Altern Complement Med. 2018;24(3):243-248. PMID 28829155

Stack Score

How this pair moves the number.

Effect on the composite score

If both Ashwagandha and Iodine are in the same stack, this pair applies −5 to your Stack Score (per scored caution row).

The full algorithm, the clamping rules, and four worked stacks are documented at /methodology/stack-score.

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