Do I need  T4 at all?
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In a nutshell NO. T4 is a storage hormone also known as a "pro-hormone"   who's sole function is the building block that T3, the bio-active hormone, is made from. There are people who have been on T3 only for 20 years without ill effects.

It is VERY important once you are on T3 to stay on it or change very gradually onto something else. If you suddenly stopped taking T3 (for over a week with no replacement other wise) you could go into myxedema coma   THEORETICALLY,  though we have never heard of this happening. It's well worth carrying  a medical warning note that you are on T3 and the dosage in case you  are rendered unconscious in a car accident. Most people that still have  a thyroid would quickly get some T4 and thus T3 from their own thyroid but a thyroidless or otherwise totally dependent person should never  stop T3 treatment even for a day.

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