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Is Soy Safe with Levothyroxine?

ℹ️ MODERATE SEVERITY
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Free · No account · based on published sources including NIH ODS, FDA drug labels, and peer-reviewed literature

WHAT YOU NEED TO KNOW

Avoid consuming soy-based supplements or large amounts of soy products within 3-4 hours of taking levothyroxine. Maintain consistent soy intake and inform your provider so dosage can be adjusted accordingly.

Why this interaction occurs

Soy isoflavones may inhibit the intestinal absorption of levothyroxine and may also interfere with thyroid hormone synthesis and peripheral conversion. Infants on soy formula have shown increased levothyroxine requirements.

Evidence

Evidence level: moderate.

Reported safety data

The FDA’s adverse event reporting system (FAERS) has received 302,514 reports mentioning Levothyroxine. This reflects reported cases involving the medication in general — not confirmed causation, and not specific to the Levothyroxine + supplement combination on this page.

FAERS reports are voluntary and cannot prove that a drug caused an event. Do not use report counts to assess the safety of this specific drug-supplement pair.

Frequently asked questions

Can I take Soy with Levothyroxine?
Avoid consuming soy-based supplements or large amounts of soy products within 3-4 hours of taking levothyroxine. Maintain consistent soy intake and inform your provider so dosage can be adjusted accordingly.
How long should I wait between Levothyroxine and Soy?
Avoid consuming soy-based supplements or large amounts of soy products within 3-4 hours of taking levothyroxine. Maintain consistent soy intake and inform your provider so dosage can be adjusted accordingly.
Does Soy affect how well Levothyroxine works?
Soy isoflavones may inhibit the intestinal absorption of levothyroxine and may also interfere with thyroid hormone synthesis and peripheral conversion. Infants on soy formula have shown increased levothyroxine requirements.

Related interactions

All Soy interactions →  ·  All Levothyroxine interactions →

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