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I would personally try adding a low dose of NDT. No more than 1 grain. If you added in T4, I would use no more than 25mcg. People can get away with just using T3, but it isn’t optimal. Optimal is having a slight free T4 reserve. You want free T4 around mid range. I would just try a very low dose of T4, or NDT, and get labs done in another month to make sure it isn’t adversely effecting your RT3 level.