Hyperthyroidism occurs when the thyroid gland over–produces thyroid hormones. Your cat's thyroid gland is located in its neck. It is divided into two parts called lobes which lie on either side of the windpipe (trachea).
When a cat has hyperthyroidism either one or both of the thyroid lobes become enlarged (both lobes are affected in 70% of cases). This leads to excessive production of the thyroid hormones T4 (also known as thyroxine) and T3 (also known as triiodothyronine).
These hormones:
As a result, an excess of thyroid hormones affects the function of virtually every organ system.
In cats with hyperthyroidism the excess of T4 and T3 in the blood causes a large increase in the metabolic rate. As the metabolism of each cell increases they require more energy to function. This means that a cat with hyperthyroidism has to eat a lot of food to provide this energy.
As the condition progresses it becomes increasingly difficult for a cat to eat enough to provide the huge amount of energy required so they start to lose weight. This is why the most common clinical sign in cats with hyperthyroidism is weight loss despite a ravenous appetite.
The increased metabolic rate also causes other signs including restlessness and a rapid heart rate.