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The immune system consists of an interactive network of lymphoid organs, cells, humoral factors, and cytokines and has three primary functions: immune surveillance, defense, and stabilization (Chaplin, 2010)

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4.2 Hyperthyroid-induced hepatic disease Hyperthyroid-induced hepatic disease involves liver injury caused by excessive thyroid hormones, resulting in hepatocellular degeneration, necrosis, and hepatomegaly (106), and often presents with jaundice, elevated transaminases, or cirrhosis (107)