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Hepatic dysfunction associated with hyperthyroidism, though recognized, is usually mild and self-limiting with appropriate management ( The primary purpose of this case report is to illustrate the clinical intricacies, diagnostic challenges, and management complexities in severe hyperthyroidism-associated hepatic injury

It plays a central role in energy production, mitochondrial function, and DNA repair - key processes that decline with age and stress

However, the magnitude of benefit depends on baseline metabolic status, adherence, and individual genetic factors

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