Period changes in your 40s are often the first sign of perimenopause. Here is what is typical, what deserves a GP appointment, and how to track it.

It’s 3:14 AM. You’re staring at the ceiling. Again. The house is quiet, but your mind is running a marathon. You’re thinking about that email you didn't finish, the grocery list, and why on earth you’re wide awake when you were so exhausted three hours ago. You try the breathing exercises. You flip the pillow to the cool side. But your body has other plans. You feel "wired but tired", that frustrating state where your bones feel heavy with fatigue, but your brain is humming a

You’ve always been capable. You know how to follow through. So when your body starts changing, it makes sense that you reach for the advice you’ve heard for years: eat less, exercise more, try harder. You might be skipping meals and still not losing. Doing every class and gaining weight around the middle. Your clothes are getting tighter despite the effort, and people are praising your discipline while you feel exhausted. If you’re thinking, I’m doing everything right… so why