Graves' disease is an autoimmune disorder that causes hyperthyroidism or overactivity of the thyroid gland. It is most common in women over age 20. Symptoms include anxiety, rapid heartbeat, eye problems, fatigue, and weight loss. Graves' disease occurs when the immune system produces antibodies that mimic the effects of thyroid stimulating hormone, causing the thyroid gland to overproduce thyroid hormones. Treatments include antithyroid medications, radioactive iodine, or surgery to destroy the thyroid gland, followed by lifelong thyroid hormone replacement. While treatments are usually effective, there is a risk of developing hypothyroidism if the replacement hormone dose is incorrect.