Interaction databaseSupplement × SupplementReviewed May 2026

Iodine and Iron, a synergy.

Iron deficiency impairs thyroid hormone synthesis because thyroid peroxidase (TPO) is a heme-containing enzyme.

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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From the interaction database

What the row says.

Every entry follows the same shape: what is happening, the mechanism, the recommendation, and the primary literature.

At a glance

Substances
Iodine and Iron
Pair type
Synergy
Evidence (highest tier)
Strong
Source citations
1 source
Stack Score effect
+2 to your Stack Score (per scored synergy row).
Scope
Supplement × Supplement
Last verified
May 30, 2026

Synergy · Strong evidence

Synergy

What is happening. Iron deficiency impairs thyroid hormone synthesis because thyroid peroxidase (TPO) is a heme-containing enzyme.

Mechanism. TPO requires heme iron to catalyze iodide oxidation and organification into thyroglobulin. Iron deficiency reduces TPO activity, impairing T3/T4 synthesis even with adequate iodine.

Recommendation. Address iron deficiency when treating thyroid issues. Iron-deficient individuals may not respond well to iodine supplementation alone.

Sources (1)
  1. Zimmermann MB, Köhrle J. The impact of iron and selenium deficiencies on iodine and thyroid metabolism. Thyroid. 2002

Stack Score

How this pair moves the number.

Effect on the composite score

If both Iodine and Iron are in the same stack, this pair applies +2 to your Stack Score (per scored synergy row).

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

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