The Global Epidemic You’ve Never Heard Of: Are You Iodine Deficient?
- Stefan Hartmann, PA-C
- Jul 3
- 3 min read

Recently, I had the honor of speaking at the AMH conference in London, where I shared findings from our clinic that point to a silent but pervasive global health crisis: iodine deficiency. While many associate nutritional deficiencies with developing nations, our research reveals this problem is rampant in the Western world, and its consequences are far more serious than most realize.
The World Health Organization (WHO) estimates that a staggering two billion people are iodine deficient, and our own two-year study at Iron Direct Primary Care supports this alarming statistic. We found that over half of our patients, living in a coastal area where seafood is readily available, were iodine deficient by WHO standards.
This isn’t just a minor nutritional gap; it's a foundational issue linked to some of the most common diseases of our time.
More Than Just the Thyroid: The Wide-Reaching Impact of Iodine
When people think of iodine, they typically think of the thyroid. While iodine is essential for thyroid function, its role extends to every cell in our body. When we don't have enough, the consequences can be devastating.
Here are some of the critical health issues linked to iodine deficiency:
Hormone-Related Cancers: There is a well-documented link between low iodine levels and an increased risk of breast, prostate, endometrial, and ovarian cancers. Conversely, populations like the Japanese, who consume a high-iodine diet rich in seaweed, have significantly lower rates of these cancers.
Fibrocystic Breast Disease: For years, women have been told that painful, lumpy breast tissue is a "normal variant." Our clinical experience, supported by research, shows that this condition is often a direct result of iodine deficiency and can be dramatically improved, or even resolved, with proper iodine supplementation.
Postpartum Hypothyroidism: It's incredibly common for new mothers to develop thyroid problems after pregnancy. This is often because the body, in its wisdom, prioritizes giving its precious iodine stores to the developing baby and then to the breast milk, leaving the mother depleted.
Ovarian Cysts and Painful Periods: We have seen countless patients whose debilitating ovarian cysts and menstrual cramps have significantly improved or disappeared after addressing their iodine deficiency.
The Modern-Day Saboteurs: Fluoride and Bromide
Our modern environment has made it even harder to maintain adequate iodine levels. Toxic halides like fluoride (found in our water supply) and bromide (historically used in bread products and still present in some medications) directly compete with iodine in the body. They bind to the same receptors, effectively blocking iodine from doing its job and contributing to a state of deficiency and disease.
Testing and Reclaiming Your Health
The good news is that iodine deficiency is identifiable and treatable. At our clinic, we use a few key tests, including a simple random urine spot test (approved by the WHO) and a more comprehensive 24-hour iodine loading test to determine a patient’s status.
Our approach to treatment is careful and methodical. We often prepare the body for iodine by first supplementing with co-factors like selenium and B vitamins, especially if thyroid antibodies are present. We have seen remarkable turnarounds in our patients:
A woman with concerning "hot spots" on a breast thermogram saw a nearly complete resolution after six months of iodine therapy.
A patient with high Hashimoto's antibodies watched them "evaporate" with a protocol that included selenium, low-dose naltrexone, and a gradual introduction of iodine.
And much more.
Iodine is one of the oldest and most powerful remedies in medicine, yet it has been largely forgotten by the modern world. It acts as a potent antimicrobial, a powerful antioxidant, and is essential for the healthy function of nearly every organ. Bringing awareness to this silent epidemic isn’t just an academic exercise; it’s a crucial step toward reclaiming our collective health. If you are struggling with any of the conditions mentioned, I urge you to consider the simple but profound question: could it be iodine?
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