Amphibian metamorphosis is initiated by thyroid hormones that travel through the bloodstream and induce changes in organs and tissues. This includes the growth of adult structures like limbs, remodeling of larval structures like the intestine and nervous system, and programmed cell death of larval structures like gills and tail. The levels of thyroid hormones regulate the timing and progression of metamorphosis through different stages from pre-metamorphosis to metamorphic climax. While some tissues proliferate and differentiate in response to thyroid hormones, other tissues are instructed to degenerate, allowing the transition from aquatic larva to terrestrial adult.