Interdependance of iron load and thyroid function - Thyroid UK

Thyroid UK

141,234 members166,483 posts

Interdependance of iron load and thyroid function

diogenes profile image
diogenesRemembering
4 Replies

The interrelationship between iron load and thyroid function is pretty well accepted, but I post here a paper showing the effect in children (can extrapolate safely to adults I think). It underlines the need for good iron loading to help rule out or confirm hypothyroidism.

Journal of Clinical and Diagnostic Research. 2018 Jan, Vol-12(1): BC01-BC05

DOI: 10.7860/JCDR/2018/32762.11023

Thyroid Function among Children with Iron Deficiency Anaemia: Pre and Post Iron Replacement Therapy

ABSTRACT

Introduction:

Metabolism of thyroid hormones and iron is quite interdependent. Data indicates that Iron Deficiency (ID) could impair thyroid metabolism.

Aim:

To investigate the possible occurrence of thyroid dysfunction among children with isolated Iron Deficiency Anaemia (IDA) of various severities, and test if the oral iron replacement therapy alone can reverse the associated thyroid function disturbances, if present or additional therapies are required.

Materials and Methods:

This prospective study was carried out on 60 children selected from the attendants to the outpatient paediatric clinics of Al-Azhar University, Assiut and Qena university hospitals, Egypt, in addition to 60 controls. Complete blood count, thyroid profile, ferritin, iron, Total Iron Binding Capacity (TIBC), Transferrin Saturation% (TFS%), unsaturated iron binding capacity and Urinary Iodine Excretion (UIE) were assessed in the studied groups at baseline, then haemoglobin level and thyroid profile repeated among the studied patients after three months of oral iron supplementation therapy. Thyroid profile and ferritin were measured using commercially available Enzyme Linked Immunosorbent Assay (ELISA) kits; while, iron, TIBC and UIE were measured using colorimetric methods.

Results:

Significant higher serum Thyroid Stimulating Hormone (TSH) levels with significant lower serum levels of Free Triiodothyronine (FT3) and Free Thyroxine (FT4) among patients versus controls (p<0.001 for all). Significant positive correlation between serum iron and FT3 (r=0.284, p<0.05) with significant negative correlations between TSH versus both serum iron (r=-0.635, p<0.001) and ferritin (r=-0.342, p<0.01). Significant decrease in the serum levels of TSH, with significant increase in the serum levels of FT3 and FT4 (p<0.001 for all) to euthyroid status following oral iron replacement therapy.

Conclusion:

Subclinical or primary hypothyroidism can occur among children suffering from moderate to severe IDA, which is reversible following oral iron replacement therapy only, without need to add thyroid replacement therapy.

Written by
diogenes profile image
diogenes
Remembering
To view profiles and participate in discussions please or .
Read more about...
4 Replies
helvella profile image
helvellaAdministrator

Full paper freely available as a PDF:

jcdr.net/articles/PDF/11023...

Journal site:

jcdr.net/article_fulltext.a...

thyr01d profile image
thyr01d

Thanks for posting. Please, are you able to tell me, how relevant to me (hypothyroid, TSH without meds over 95 which is highest lab goes to) is this? My ferritin scrapes along the bottom of the range and even after 2 years of prescribed ferrous fumarate had barely risen. Cause not explored because I'm vegan (have been for around 20 years) so presumed dietary. I am prescribed 60 mcg T3 daily. Should I take the ferritin level more seriously?

diogenes profile image
diogenesRemembering in reply tothyr01d

Yes I would do as it's rare to be healthy with low ferritin

jgelliss profile image
jgelliss

Thank you Diogenes. Great post as usuall. Many of us are not told by Dr's that Iron is a very big component of our thyroid meds to work well for us. Dr's are very negligent and in some cases ignorant . It's not just take the thyroid meds and you'll be well. There is more to it then meets the eye.

Not what you're looking for?

You may also like...

Interesting article: mild TSH suppression gives closest to normal thyroid function in levothyroxine monotherapy for this group

Ito et al (2017) Biochemical Markers Reflecting Thyroid Function in Athyreotic Patients on...
Coachv profile image

Systemic Thyroid Hormone Status During Levothyroxine Therapy In Hypothyroidism: A Systematic Review and Meta-Analysis

Evidence of the need for T3, in at least some hypothyroid patients, seems to be pouring in these...
helvella profile image
Administrator

New paper confirms what patients have said for years

Systemic Thyroid Hormone Status During Levothyroxine Therapy In Hypothyroidism: A Systematic Review...

Systemic Thyroid Hormone Status During Levothyroxine Therapy In Hypothyroidism: A Systematic Review and Meta-Analysis

The paper says: Whether this approach universally restores thyroid hormone signaling is...
helvella profile image
Administrator

Thyroid T4-T3 conversion is strongly linked to insulin resistance

This paper shows that FT3/FT4 ratio - conversion indicator for T4-T3 conversion - links...
diogenes profile image
Remembering