If a woman's hormones are completely imbalanced, can that affect gains or cutting?

100% that can.

Hormones are responsible for signaling different processes within your body, so if one is suppressed, the right physiological signals won't be sent.

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For example, if your testosterone is low, the same anabolic signaling won't be sent from resistance training and so muscle protein synthesis will be decreased - this is why we try optimize testosterone levels to make sure we get the highest level of anabolic signaling to help with growth and recovery.

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Another example, if your thyroid levels are suppressed your body won't be functioning optimally at a metabolic stanfdpoint and your body will use much less energy than usual.

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When your hormones are optimized and in a healty range, all of these processes typically work optimally and the way that they should leading to fat loss and muscle gain at a much better rate.

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You can correct this through nutrition and exercise in most cases though and it doesn't always require exogenous treatment.

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Hit me up, let me help you you sort them up.