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===Dietary recommendations and intake=== The daily levels of intake recommended by the [[United States]] [[National Academy of Medicine]] are between 110 and 130 [[microgram|μg]] for infants up to 12 months, 90 μg for children up to eight years, 130 μg for children up to 13 years, 150 μg for adults, 220 μg for pregnant women and 290 μg for lactating women.<ref name="lpi" /><ref>{{cite web|url=http://iom.edu/en/Global/News%20Announcements/~/media/Files/Activity%20Files/Nutrition/DRIs/DRISummaryListing2.ashx |archive-url=https://web.archive.org/web/20091030004039/http://iom.edu/en/Global/News%20Announcements/~/media/Files/Activity%20Files/Nutrition/DRIs/DRISummaryListing2.ashx |url-status=dead |archive-date=30 October 2009 |title=Dietary Reference Intakes (DRIs): Recommended Intakes for Individuals, Vitamins |publisher=[[Institute of Medicine]] |date=2004 |access-date=9 June 2010 }}</ref> The Tolerable Upper Intake Level (TUIL) for adults is 1,100 μg/day.<ref name="InstituteofMedicine">{{cite book| author = United States National Research Council| date = 2000| title = Dietary Reference Intakes for Vitamin A, Vitamin K, Arsenic, Boron, Chromium, Copper, Iodine, Iron, Manganese, Molybdenum, Nickel, Silicon, Vanadium, and Zinc| pages = 258–259| publisher = National Academies Press| url = http://books.nap.edu/openbook.php?record_id=10026&page=258| doi = 10.17226/10026| pmid = 25057538| isbn = 978-0-309-07279-3| access-date = 9 March 2008| archive-date = 25 July 2015| archive-url = https://web.archive.org/web/20150725203752/http://books.nap.edu/openbook.php?record_id=10026&page=258| url-status = live}}</ref> This upper limit was assessed by analysing the effect of supplementation on [[thyroid-stimulating hormone]].<ref name="Patrick2008" /> The [[European Food Safety Authority]] (EFSA) refers to the collective set of information as Dietary Reference Values, with Population Reference Intake (PRI) instead of RDA, and Average Requirement instead of EAR; AI and UL are defined the same as in the United States. For women and men ages 18 and older, the PRI for iodine is set at 150 μg/day; the PRI during pregnancy and lactation is 200 μg/day. For children aged 1–17 years, the PRI increases with age from 90 to 130 μg/day. These PRIs are comparable to the U.S. RDAs with the exception of that for lactation.<ref>{{cite web| title = Overview on Dietary Reference Values for the EU population as derived by the EFSA Panel on Dietetic Products, Nutrition and Allergies| year = 2017| url = https://www.efsa.europa.eu/sites/default/files/assets/DRV_Summary_tables_jan_17.pdf| access-date = 3 December 2023| archive-date = 28 August 2017| archive-url = https://web.archive.org/web/20170828082247/https://www.efsa.europa.eu/sites/default/files/assets/DRV_Summary_tables_jan_17.pdf| url-status = live}}</ref> The thyroid gland needs 70 μg/day of iodine to synthesise the requisite daily amounts of T4 and T3.<ref name="lpi" /> The higher recommended daily allowance levels of iodine seem necessary for optimal function of a number of body systems, including [[Mammary gland|mammary glands]], [[gastric mucosa]], [[salivary gland]]s, [[Brain cell|brain cells]], [[choroid plexus]], [[thymus]], [[artery|arteries]].<ref name="lpi" /><ref>{{cite journal | vauthors = Venturi S, Venturi M | title = Iodine, thymus, and immunity | journal = Nutrition | volume = 25 | issue = 9 | pages = 977–979 | date = September 2009 | pmid = 19647627 | doi = 10.1016/j.nut.2009.06.002 }}</ref><ref>{{cite journal | vauthors = Ullberg S, Ewaldsson B | title = Distribution of radio-iodine studied by whole-body autoradiography | journal = Acta Radiologica | volume = 2 | pages = 24–32 | date = February 1964 | pmid = 14153759 | doi = 10.3109/02841866409134127 }}</ref><ref name="Venturi, Sebastiano 2014 185–205">{{cite journal| vauthors = Venturi S |title=Iodine, PUFAs and Iodolipids in Health and Disease: An Evolutionary Perspective|journal=Human Evolution|volume= 29 |issue= 1–3|pages=185–205|year=2014|issn=0393-9375}}</ref> Natural food sources of iodine include [[seafood]] which contains [[fish]], [[Seaweed|seaweeds]], [[kelp]], [[shellfish]] and other [[Food|foods]] which contain [[Dairy product|dairy products]], [[Eggs as food|eggs]], [[Meat|meats]], [[Vegetable|vegetables]], so long as the animals ate iodine richly, and the plants are grown on iodine-rich soil.<ref>{{cite web| publisher =Iodine Global Network|url =http://ign.org/p142002146.html|archive-url=https://web.archive.org/web/20150813130042/http://ign.org/p142002146.html|archive-date=13 August 2015|title=Where do we get iodine from?|url-status=live}}</ref><ref name = medlineplus002421/> [[Iodised salt]] is fortified with [[potassium iodate]], a salt of iodine, potassium, oxygen.<ref name="medlineplus002421">{{cite encyclopedia| url = https://www.nlm.nih.gov/medlineplus/ency/article/002421.htm| title = Iodine in diet| encyclopedia = MedlinePlus Medical Encyclopedia| access-date = 7 April 2016| archive-date = 5 July 2016| archive-url = https://web.archive.org/web/20160705122918/https://www.nlm.nih.gov/medlineplus/ency/article/002421.htm| url-status = live}}</ref><ref name="American Thyroid Association">{{cite web|title=American Thyroid Association|url=http://www.thyroid.org/iodine-deficiency/|work=thyroid.org|publisher=American Thyroid Association|access-date=4 April 2014|archive-date=3 August 2023|archive-url=https://web.archive.org/web/20230803045045/https://www.thyroid.org/iodine-deficiency/|url-status=dead}}</ref><ref>{{cite web | url = https://www.waitrose.com/ecom/products/cerebos-iodised-table-salt/559124-79136-79137 | title = Cerebos iodised table salt | year = 2023 | website = [[Waitrose]] | access-date = 30 May 2023 | archive-url = https://web.archive.org/web/20230328192627/https://www.waitrose.com/ecom/products/cerebos-iodised-table-salt/559124-79136-79137 | archive-date = 28 March 2023}}</ref> As of 2000, the median intake of iodine from food in the United States was 240 to 300 μg/day for men and 190 to 210 μg/day for women.<ref name="InstituteofMedicine" /> The general US population has adequate iodine nutrition,<ref>{{cite journal | vauthors = Caldwell KL, Makhmudov A, Ely E, Jones RL, Wang RY | title = Iodine status of the U.S. population, National Health and Nutrition Examination Survey, 2005–2006 and 2007–2008 | journal = Thyroid | volume = 21 | issue = 4 | pages = 419–427 | date = April 2011 | pmid = 21323596 | doi = 10.1089/thy.2010.0077 | url = https://zenodo.org/record/1235283 | access-date = 29 September 2020 | archive-date = 2 December 2022 | archive-url = https://web.archive.org/web/20221202135223/https://zenodo.org/record/1235283 | url-status = live }}</ref><ref name="Lueng">{{cite journal | vauthors = Leung AM, Braverman LE, Pearce EN | title = History of U.S. iodine fortification and supplementation | journal = Nutrients | volume = 4 | issue = 11 | pages = 1740–1746 | date = November 2012 | pmid = 23201844 | pmc = 3509517 | doi = 10.3390/nu4111740 | doi-access = free }}</ref> with lactating women and pregnant women having a mild risk of deficiency.<ref name="Lueng" /> In Japan, consumption was considered much higher, ranging between 5,280 μg/day to 13,800 μg/day from [[wakame]] and [[kombu]] that are eaten,<ref name="Patrick2008">{{cite journal | vauthors = Patrick L | title = Iodine: deficiency and therapeutic considerations | journal = Alternative Medicine Review | volume = 13 | issue = 2 | pages = 116–127 | date = June 2008 | pmid = 18590348 | url = http://www.thorne.com/altmedrev/.fulltext/13/2/116.pdf | url-status = dead | archive-url = https://web.archive.org/web/20130531112100/http://www.thorne.com/altmedrev/.fulltext/13/2/116.pdf | archive-date = 31 May 2013 }}</ref> both in the form of kombu and wakame and kombu and wakame [[umami]] [[Extract|extracts]] for [[Stock (food)|soup stock]] and [[Potato chip|potato chips]]. However, new studies suggest that Japan's consumption is closer to 1,000–3,000 μg/day.<ref>{{cite journal | vauthors = Zava TT, Zava DT | title = Assessment of Japanese iodine intake based on seaweed consumption in Japan: A literature-based analysis | journal = Thyroid Research | volume = 4 | pages = 14 | date = October 2011 | pmid = 21975053 | pmc = 3204293 | doi = 10.1186/1756-6614-4-14 | doi-access = free }}</ref> The adult UL in Japan was last revised to 3,000 μg/day in 2015.<ref>{{cite web |title=Overview of Dietary Reference Intakes for Japanese (2015) |publisher=Minister of Health, Labour and Welfare, Japan |url=http://www.mhlw.go.jp/file/06-Seisakujouhou-10900000-Kenkoukyoku/Overview.pdf |access-date=14 March 2022 |archive-date=23 April 2021 |archive-url=https://web.archive.org/web/20210423083531/https://www.mhlw.go.jp/file/06-Seisakujouhou-10900000-Kenkoukyoku/Overview.pdf |url-status=live }}</ref> After iodine fortification programs such as iodisation of [[Sodium chloride|salt]] have been done, some cases of iodine-induced [[hyperthyroidism]] have been observed (so-called [[Jod-Basedow phenomenon]]). The condition occurs mainly in people above 40 years of age, and the risk is higher when iodine deficiency is high and the first rise in iodine consumption is high.<ref>{{cite journal | vauthors = Wu T, Liu GJ, Li P, Clar C | title = Iodised salt for preventing iodine deficiency disorders | journal = The Cochrane Database of Systematic Reviews | volume = 2010 | issue = 3 | pages = CD003204 | date = 2002 | pmid = 12137681 | pmc = 9006116 | doi = 10.1002/14651858.CD003204 | veditors = Wu T }}</ref>
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