Could Excess Iodine Potentially Influence Autism-Related Outcomes

Excess iodine intake and its potential influence on autism-related outcomes is a complex and emerging area of interest that intersects nutrition, neurodevelopment, and endocrinology. Iodine is an essential trace element critical for the synthesis of thyroid hormones, which play a vital role in brain development, especially during pregnancy and early childhood. Both iodine deficiency and excess can disrupt thyroid function, potentially affecting neurological development and behavior.

Iodine is primarily known for preventing goiter and supporting normal thyroid hormone production. Thyroid hormones regulate many aspects of brain growth and maturation, including neuronal migration, myelination, and synaptogenesis. When iodine intake is insufficient, thyroid hormone production drops, leading to hypothyroidism and developmental delays, including cognitive impairments and increased risk of neurodevelopmental disorders. This connection between iodine deficiency and developmental issues is well established.

However, the effects of *excess* iodine are less straightforward and less studied, especially regarding autism spectrum disorder (ASD). Excess iodine can lead to thyroid dysfunction as well, including hyperthyroidism or hypothyroidism through mechanisms like the Wolff-Chaikoff effect, where high iodine temporarily inhibits thyroid hormone synthesis. Disrupted thyroid hormone levels during critical periods of brain development could theoretically influence neurodevelopmental trajectories, including those related to autism.

Autism spectrum disorder is a complex neurodevelopmental condition characterized by challenges in social communication, repetitive behaviors, and sensory sensitivities. Its causes are multifactorial, involving genetic predispositions and environmental factors. Nutritional influences, including micronutrient imbalances, are increasingly recognized as potential contributors to ASD risk or symptom severity.

Some clinical observations have noted that children with autism often have restricted diets, which can lead to nutritional deficiencies, including iodine deficiency. For example, children with ASD may avoid iodine-rich foods like dairy, seafood, and eggs, increasing their risk of iodine deficiency and related thyroid issues. Supplementing iodine in deficient children has shown improvements in thyroid health and possibly some developmental outcomes, though direct links to autism symptom changes remain unclear.

On the other hand, the potential impact of *excess* iodine intake on autism-related outcomes is less documented. Excess iodine could theoretically disrupt thyroid hormone balance, which is critical for brain development. Thyroid hormone imbalances during pregnancy or early life have been associated with increased risk of neurodevelopmental disorders, including ASD. However, whether excess iodine intake itself directly influences autis