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Perimenopause is a natural stage of life, but the hormonal changes that come with it can affect everything from sleep and energy to metabolism, mood, muscle mass, and body composition. For many women, these changes begin in their 40s, sometimes earlier. Symptoms may develop gradually, making it difficult to recognize that shifting hormones are playing a role. While hormone fluctuations are a normal part of aging, nutrition and lifestyle can significantly influence how the body responds during th …