NSTK · 01.2026Independent supplement reference
NutriStack
Edition 1.0Updated August 1, 2026

Supplement × Prescription·Evidence index

Iron and Levothyroxine: what the published research says

PubMed indexes 6 records that name Iron and Levothyroxine together, either in the title or in an interaction, co-administration, or pharmacokinetic context. Each one is listed below with its study design and, where the abstract states one, the authors’ own conclusion, quoted and linked. This page reports that literature. It does not tell you whether to combine them.

Read this first

An evidence index, not guidance.

Every statement below is attributed to a named, dated, linked source.

This page lists published research relevant to Iron and Levothyroxine. It deliberately does not state whether the combination is safe, whether it interacts, in which direction, at what dose, or how far apart to take them.

The research

6 studies naming Iron and Levothyroxine.

Strongest relevance first: papers naming both substances in the title, then human trials and systematic reviews.

Unmasking Refractory Hypothyroidism: Persistent Iron-Levothyroxine Interaction Despite Appropriate Dose Separation.

Cureus · 2026 · PMID 42438581

Case Reports

“This case highlights that a clinically significant iron-levothyroxine interaction may persist despite appropriate dose separation. Clinicians should maintain a high index of suspicion for pharmacological interference in patients with refractory hypothyroidism.”

Ei et al. · From the abstract

Names both Iron and Levothyroxine in its title.

Hematologic effects of levothyroxine in iron-deficient subclinical hypothyroid patients: a randomized, double-blind, controlled study.

The Journal of clinical endocrinology and metabolism · 2009 · PMID 18984662

Randomized Controlled Trial

“Subclinical hypothyroidism should be treated in iron-deficiency anemia patients when both conditions coexist. This would provide a desired therapeutic response to oral iron replacement and prevent ineffective iron therapy.”

Cinemre et al. · Authors' conclusion

Names both Iron and Levothyroxine in its title.

Undertreated hypothyroidism due to calcium or iron supplementation corrected by oral liquid levothyroxine.

Endocrine · 2017 · PMID 28155174

Human subjects

“Liquid levothyroxine is resistant to the sequestration by calcium or iron. The high rate of thyroid-stimulating hormone normalization already at the first check (6-8 weeks) should avoid frequent adjustments in levothyroxine doses and assays of thyroid-stimulating hormone, with consequent financial savings.”

Benvenga et al. · Authors' conclusion

Names both Iron and Levothyroxine in its title.

Single Center, Open-Label, Randomized Crossover Trial on Drug-Drug Interactions of Levothyroxine/Magnesium-Citrate and Levothyroxine/Magnesium-Aspartate in Healthy Subjects-The ThyroMag Trial.

Clinical and translational science · 2025 · PMID 41221788

Randomized Controlled Trial

“Hypothyroid patients should nonetheless take levothyroxine separated from magnesium-containing formulations, especially if TSH levels are desired to be within a narrow range. If taken together, magnesium citrate may be a better option than magnesium aspartate.”

Attinger et al. · From the abstract

Names Iron and Levothyroxine together in an interaction, co-administration, or pharmacokinetic context.

Limitations

What this evidence cannot tell you.

Search-based evidence indexes have real limits, and it is worth being explicit about them:

NutriStack

Track what you actually take.

NutriStack is a free iPhone app for organising a supplement routine: what you take, when, and what the published record says about it. Its exploratory interaction checker covers Iron, Levothyroxine, and several hundred other substances.

The checker is a research and organisation tool, not a clinical decision aid, and its per-pair assessments are excluded from search until they pass claim-level review.

NutriStack is an informational and organizational tool, not a medical service, and not a substitute for professional advice. Always consult a qualified healthcare professional before starting, stopping, or changing any supplement or medication.