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  • Some people take both a synthetic T4 and a synthetic T3 medication to acquire both thyroid hormones. So should your TSH level is abnormal, indicating low thyroid, you will be given the medication. Holtorf explains, "The significant physiologic stress related to bypass will lower TSH production, which lowers T4, but more importantly, it reduces the T4 to T3 conversion in the cell and increases reverse T3, which block the thyroid effect. Taking Synthroid daily inside them for hours the doctor screen my TSH levels regularly have helped to manipulate and slow the growth of my disease.

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