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Dear Anon, 

Thank you for posting! If you are undergoing a total thyroidectomy, this means that the entire thyroid is to be removed. This doesn't leave any of the thyroid left to produce hormones and therefore you would need to take a replacement hormone. 

For more information, please check out our thyroidectomy page: https://www.empowher.com/media/reference/thyroidectomy

Best of luck,

Rosa