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This would usually result in a state of clinical hypothyroidism, which would be noticeable by changes in skin texture and hair loss, as well as feeling cold and lacking energy. Other changes internally are also decreasing the efficiency of most organ systems, which can cause slow heart rate, low blood pressure, poor circulation, and constipation. Your thyroid replacement med (as Synthroid) should keep your TSH level within a range of 1-4. If you have stopped taking your meds because of side effects, talk to your physician before stopping/starting your meds. Take your med consistently every day at the same time, preferably an hour before breakfast for best absorption. If you can't afford your med, a hospital discharge planner or pharmacist may be able to contact the drug manufacturer for patient assistance programs.
You die.
The eventual side effects of no thyroid gland or function, and no replacement is eventually death.

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Q: What are the side effects of having no thyroid gland for any length of time and not taking a thyroid replacement?
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