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Rob, Graves is a problem of the immune system, so to me if a different part of the functioning of the immune system goes haywire, that makes sense to me (lymph glands, i.e.) STRESS is a major reason that Graves shows up, & I would say that stress comes in a lot of forms, not just mental as in my case. I understand that the hypothalamus sends too much TSH to the thyroid when under too much stress. I believe that even if you eliminate the thyroid, you must still deal with the too much stress that the hypothalamus is still screaming even if the thyroid isn’t there to recieve the message. What a muddled sentence. Write again if this makes sense to you Karen