TSHR and Graves disease: She visited local doctors and was diagnosed with hyperthyroidism (Graves’ disease) with elevated total thyroxine (TT4), total triiodothyronine (TT3), free thyroxine (FT4), free triiodothyronine (FT3), decreased thyrotropin (TSH), and elevated anti-TSH-receptor antibody (TRAb) and an ultrasound presentation of abundant blood flow in the thyroid.