It afects people all over the world—of every age, sex, race, and level of wealth and education The most common cause of hyperthyroidism in children and adolescents is a condition named after the physician who first described it, Graves’ disease (GD). More than half of those with hypothyroidism do not know they have it In, the American Thyroid Association (ATA) pub-lished treatment guidelines for patients with thyroid nodules and DTC (13). The Guidelines do not establish a standard of care and sp