Many women expect menopause to mean hot flushes and the end of periods. What they often do not expect is the quiet, confusing shift that can begin years earlier. One day you realise your sleep is no longer restorative. You wake at 3am with your mind racing. Your weight has started to move towards your waist, even though your diet has not changed much. You walk into a room and forget why you came in. You feel less patient, less focused, and less like yourself. Then you are tol