The People's Perspective on Medicine

Is the Salt in Prepared Foods Iodized?

Although processed foods in the US are high in salt, the salt they contain is not iodized. Check to make sure the salt you use at the table is.
Salt Shaker.

Iodine is essential for thyroid function, which is why many countries add iodine to their salt. Much, but not all, of the salt sold in the supermarket for home use is iodized. But what about the salt used by the big food manufacturers? Do they also use iodized salt?

Do Processed Foods Contain Iodized Salt?

Q. Is there iodine in the salt used in processed foods like cereal, bread, and frozen products such as pizza and some vegetables? I am concerned about the impact on thyroid health.

A. According to the National Institutes of Health Office of Dietary Supplements, processed foods almost never contain iodized salt. Dairy products such as milk, cheese or yogurt are good sources of iodine, however (Nutrients, May 26, 2018). If you are not using iodized salt at your table, you might want to check that your multivitamin contains iodine.

Is Iodized Salt Safe?

In China, some consumers were concerned that iodized salt would increase their risk of thyroid disorders. An epidemiological investigation found, however, that adults who ate less salt and those who ate noniodized salt were at higher risk of thyroid nodules (American Journal of Clinical Nutrition, Sept., 2013). This risk was increased even further among people who did not drink milk. The researchers conclude that the Universal Salt Iodization program should benefit a large proportion of the Chinese population.

Iodized Salt Use in the US:

In the US, doctors generally assume that the use of iodized salt and multivitamins means that iodine deficiency is rare. That assumption may not be safe, since the median urinary iodine concentration among pregnant women in the National Health and Nutrition Examination Survey (NHANES) from 1999 to 2006 was 148 micrograms/liter (Journal of Nutrition, June, 2013). That means, while half of pregnant women in this country have adequate iodine, above the 150 micrograms/liter established by the WHO, the other half are falling below.

An analysis of more recent data from NHANES, from 2011 to 2014 found that mean iodine intake among women of reproductive age in the US was 110 micrograms/liter, under the level considered adequate. The investigators conclude that some groups are at risk of mild iodine deficiency (Nutrients, July 6, 2018). 

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About the Author
Terry Graedon, PhD, is a medical anthropologist and co-host of The People’s Pharmacy radio show, co-author of The People’s Pharmacy syndicated newspaper columns and numerous books, and co-founder of The People’s Pharmacy website. Terry taught in the Duke University School of Nursing and was an adjunct assistant professor in the Department of Anthropology. She is a Fellow of the Society of Applied Anthropology. Terry is one of the country's leading authorities on the science behind folk remedies. .
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Thyroid Hormones
  • Chen Z et al, "Associations of noniodized salt and thyroid nodule among the Chinese population: a large cross-sectional study." American Journal of Clinical Nutrition, Sept., 2013.
  • Gahche JJ et al, "The prevalence of using iodine-containing supplements is low among reproductive-age women, NHANES 1999-2006." Journal of Nutrition, JUne 2013. DOI: 10.3945/jn.112.169326
  • Herrick KA et al, "Iodine status and consumption of key iodine sources in the U.S. population with special attention to reproductive age women." Nutrients, July 6, 2018. DOI: 10.3390/nu10070874
  • Lee KW et al, "Food group intakes as determinants of iodine status among US adult population." Nutrients, May 26, 2016. PMID: 27240399 PMCID: PMC4924166
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It is almost impossible to find Iodized salt any more. The salt companies seem to have concluded we get enough iodine from other sources that they no longer need to iodize salt. Too bad.

I have been wondering lately if the increased use of sea salt grinders – which don’t contain iodine – is causing an increase in thyroid problems. In the last 5 years or so this is what I have used, and I now have nodules on my thyroid.

Sorry, but I am going to present a different view. Sadly, I am allergic to iodine. My father, a physician, made that discovery when I was a pre-teen, and I had a bad case of acne. When he took iodized salt out of my diet, my skin cleared up, and when it was reintroduced the acne returned within hours. So I have avoided iodine all my life. It affects me the same way now in my senior years.

Back in the mid-seventies I was given IVP Solution for a kidney scan. I broke out in serious hives all over. Not too long after that my hair started falling out. My doctor told me my thyroid was dysfuntional and put me on Synthroid, which I have had to take ever since.

I had no idea how my throid had become damaged until I read an article on your website connecting it to the IVP Solution.

Has anyone bought the thyroid hormone guide and found it helpful?

My thoughts are that I am sick and tired of things being added to foods, especially iodine or sea salt. I am allergic and break out in hives from sea salt yet cannot find a can of black olives without sea salt. Sure, I can live without black olives, but this addition is totally unnecessary. Sea Salt or iodized salt can be added to anything by the consumer. I prepare most of the food I consume but processing black olives is going a little bit too far for me. I am definitely not the only person who is allergic to iodine.

As a long time reader of your articles, I have to say I reject the assumption that a photo of a toilet will increase my interest in and understanding of the piece on colonoscopies. The photos you insist on attaching to each segment assumes that a reader might not fully understand the content you have provided. The photos, both unnecessary and demeaning in many cases, adds nothing to the content.

Please consider.

Sea salt is not iodized?
If not why is it so recommended?

I’d like to know if sea salt has significant levels of iodine?

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