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I agree with your suspecting hormonal imbalance has something to do with MG and symptoms. I have various things going on right now (I’m 74) that I believe could be traced to hormones but I live in a very small town and doctors aren’t willing to invest very much time and energy into discovering the root cause of an ailment. Asked my sleep medicine doctor about referring me to a neurologist: he couldn’t come up with the name of even one!