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Speichinger, hormonal imbalances can be caused by a number of different health conditions: thyroid disease like hyperthyroidism or hypothyroidism, polycystic ovary syndrome (PCOS), primary ovarian insufficiency, and hyperprolactinemia, or having too much of a hormone called prolactin in your blood

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A peripheral blood smear would show hypersegmented neutrophils, with a portion of the neutrophils having greater than or equal to five lobes

Your provider may not take insurance, so youd need to file with your insurance company after youve paid for the shots up front