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by gwern 4292 days ago
> but this didn't push anyone from "getting a tolerable amount of iodine with the excess just excreted" to "having a hyperiodine problem." There was nobody exactly one dose away from having too much iodine, because we just don't consume that much iodine.

Actually, there was: 'thyroid shock'. Iodization in the USA was accompanied by a wave of, I think, a few thousand deaths on net when people who grew up iodine-deficient were suddenly exposed to iodized salt. (This was covered by one of the historical papers I cite in http://www.gwern.net/Iodine although I forget which.)

Of course, the benefits of iodization were on net huge and I'm very much a fan of iodization, but it would be wrong to say nobody was hurt by the introduction of iodized salt.

1 comments

Interesting. That sounds less like "being one dose away from having too much iodine" and more like "having no tolerance for iodine, such that even one dose is too much."

I guess another way to think about environmental chemicals is by analogy to poisons: if they were common in the environment, you'd have a tolerance to them, but since they aren't, you don't. You can build up a tolerance by parts, at which point the poison stops being one and just becomes another chemical the body handles.

Maybe. I don't know what the mechanism of thyroid shock is; as I said, iodization is such a good idea overall that it's merely a footnote in the cost-benefit.