Unexpected Weight Gain or Loss: Changes in insulin or thyroid function may affect metabolism. Chronic Fatigue: Low vitality, frequently caused by thyroid problems or adrenal fatigue. Mood swings and anxiety: Depression, anger, and anxiety can all be caused by hormonal changes. Sleep disturbances include excessive drowsiness or insomnia brought on by cortisol and melatonin abnormali... https://www.drjyotsna.com/blog/pcos-vs-hormonal-imbalance-how-to-tell-the-difference