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[quote=Anonymous]I went through this in my late 40s. It started like you said, and then it got to the point where I was exhausted at 4 o’clock in the afternoon. I also struggled with sleep, especially waking up very early, like 3-4 AM, and not being able to fall back to sleep.

Estrogen controls your circadian rhythm, and mine was off, shifted earlier. Could this be part of it? Your body thinks it’s time to go to bed at 6 PM (and then you wake up early and can’t fall back to sleep).

Also, sleep in general just becomes an issue for all of us as we get into menopause. If you don’t sleep well chronically, it’s not surprising that you’re tired at 6 PM.

For what it’s worth, I was doing all the right things, but the exhaustion was still there. The only thing that truly helped me was starting HRT.

Besides this, check your vitamin D and ferritin levels. It’s not enough for them to be normal according to regular standards. If they’re on the low end of normal, that’s a problem. It’s easy to address, though, all you have to do is supplement.

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