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31 Less commonly, hyperthyroidism is caused by conditions other than Graves disease, including toxic multinodular goiter, in which non-cancerous growths in the thyroid cause the gland to swell and make too much T4

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10.1007/s10753-020-01207-y 136 YangY.LiuZ.WuJ.BaoS.WangY.LiJ.et al (2023)

They do not shut it down completely, which would compromise immune function, but rather dial it back toward normal levels

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