Iodine as the raw material for thyroid hormone
The thyroid gland traps dietary iodine and incorporates it into thyroid hormone. Each molecule of T4 (thyroxine) carries four iodine atoms; T3 carries three. T4 is the main hormone the gland releases, but it is comparatively inactive: peripheral tissues convert it to the more active T3 by removing one iodine, a step that depends on selenium-containing deiodinase enzymes.
Because iodine sits at the start of this line, a shortage limits how much hormone can be made regardless of how well the rest of the system works.
What deficiency does downstream
Persistent iodine shortfall can stall hormone production, prompting the gland to enlarge (goiter) as it tries to compensate. In pregnancy, adequate iodine is particularly important because thyroid hormone is critical for fetal brain development, and severe deficiency historically caused serious developmental harm. Salt iodization has greatly reduced this worldwide.
This is general educational information, not medical advice. Both too little and too much iodine can disturb thyroid function, so testing and any supplementation should be directed by a qualified clinician.