Caution

Can you take Iron (ferrous bisglycinate) and Levothyroxine together?

Yes, with care — this combination needs a precaution.

Iron (ferrous bisglycinate) and Levothyroxine can be taken together, but the combination needs a precaution.

Why these two interactSources for why these two interact: Jumps to this entry in the sources and references list at the end of the page.

Iron reduces absorption of thyroid medication when taken together.

Confidence: Theoretical

What to do about itSources for what to do about it: Jumps to this entry in the sources and references list at the end of the page.

Separate by about 4 hours.

TimingSources for timing: Jumps to this entry in the sources and references list at the end of the page.

Separate Iron (ferrous bisglycinate) and Levothyroxine by at least 4 hours. Taking them in the same window is what causes the issue, not taking them on the same day.

The two items in this pair

Iron (ferrous bisglycinate)

Category:
mineral
Typical timing:
morning
With food:
either
Full Iron (ferrous bisglycinate) page

Levothyroxine

Category:
medication
Typical timing:
morning
With food:
empty_stomach
Half-life:
168 h
Full Levothyroxine page

Check your whole routine, not just this pair

One pair rarely tells the whole story. DoseRoutine checks every combination in your stack at once — supplements, TRT, peptides, GLP-1s and prescriptions — and schedules the doses so timing conflicts like this one are handled automatically.

Frequently asked

Iron (ferrous bisglycinate) and Levothyroxine can be taken together, but the combination needs a precaution. Iron reduces absorption of thyroid medication when taken together.

Separate Iron (ferrous bisglycinate) and Levothyroxine by at least 4 hours. Taking them in the same window is what causes the issue, not taking them on the same day.

Iron reduces absorption of thyroid medication when taken together. Separate by about 4 hours.

DoseRoutine rates this pair "Caution". It is manageable with the right timing or dose, not a reason to drop either item.

Sources cited on this page

Specific documents referenced by the numbered markers above.

  1. Levothyroxine interactions with food and dietary supplements — a systematic review(opens in a new tab)PubMed — National Library of Medicine · pubmed.ncbi.nlm.nih.gov/33801406/
  2. Factors affecting gastrointestinal absorption of levothyroxine: a review(opens in a new tab)PubMed — National Library of Medicine · pubmed.ncbi.nlm.nih.gov/28153426/
  3. Synthroid (levothyroxine sodium) — FDA prescribing information(opens in a new tab)DailyMed — U.S. National Library of Medicine · dailymed.nlm.nih.gov/dailymed/drugInfo.cfm

Verify at

This assessment is mechanism-based. These publisher search links let you check it against the current evidence — they are not citations, so they are not numbered.

Related combinations

Educational information only, not medical advice. DoseRoutine does not diagnose or treat. Talk to your prescriber before starting, stopping or combining anything — especially if you take prescription medication or are pregnant or breastfeeding.

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