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What are the earliest changes that can occur years before the menopausal transition? Is it normal to have changes in the menstrual cycle after the age of 38 - 40? Does weight gain change? Does sleep change? Does mood change? Amanda Loretti CRM 162770 Website: https://amandaloretti.com.br Instagram: /draamandaloretti TikTok: /draamandaloretti Contact email: [email protected]