Soy Formulas and the Effects of Isoflavones on the Thyroid
In a paper published in the New Zealand Medical Journal
(Volume 113, Feb 11, 2000), environmental scientist and long-time
campaigner against soy-based infant formulas, Dr Mike Fitzpatrick, has
warned about the risk of thyroid disease in infants fed soy formulas,
high soy consumers and users of isoflavone supplements:
"There is potential for certain individuals to consume levels of
isoflavones in the range that could have goitrogenic effects. Most at
risk appear to be infants fed soy formulas, followed by high soy users
and those using isoflavone supplements".
The report noted that infants fed soy formulas are exposed to high
levels of isoflavones, which are potent anti-thyroid agents, and that
the risks to normal growth and development were significant.
Fitzpatrick stated that thyroid problems due to soy might not be
recognised "due to difficulties in establishing a cause and effect
relationship" and noted that even experienced soy researchers may be
ignorant of the connection between isoflavones and goitre. Fitzpatrick
also rejected claims that there was no evidence that isoflavones in soy
formulas harmed infants citing the reported cases of goitre that have
occurred in infants fed iodine sufficient soy formulas.
Fitzpatrick stated his support to the position of the New Zealand
Ministry of Health:
"MOH has found that infants with a history of thyroid dysfunction
should avoid soy formulas and soy milks. Additionally, there is
potential for isoflavone exposure to cause chronic thyroid damage in
all infants fed soy formulas"
Fitzpatrick stated that exposing infants to isoflavones was
unnecessary and that the risk of harm could be avoided if manufacturers
removed isoflavones from soy formulas. "In the interim" he stated "it
is appropriate for medical practitioners to monitor the thyroid status
of infants fed soy formulas"
Fitzpatrick also claimed that high soy consumers and users of
isoflavone supplements were also at risk of thyroid disorders. He
stated that the subtle effects of anti-thyroid agents on thyroid
function would most likely be evidenced as subclinical, or even overt
hypothyroidism.
Fitzpatrick also noted that a sporadic pattern of soy use may also
not be without risk since the resulting thyroid stimulation parallels
the classic method for inducing thyroid tumours in laboratory animals.
He recommended "a more cautionary approach to the use of soy and
isoflavone supplements".
Download the full paper
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