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She's in the middle of menopause. Properly.
Somewhere between her late 30s and mid 50s, her hormones, estrogen, progesterone, testosterone, start fluctuating, then dropping. This is perimenopause, and then menopause. It can last 4 to 10 years.
It affects her sleep, her temperature, her mood, her memory, her joints, her skin, her libido, her patience, and her sense of who she is. All at once. Often without warning.
She is not 'just being mom.' She is not 'getting old.' Her body is doing one of the biggest biological transitions of her life, and most of the world has decided not to talk about it.
