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10 Difficulty falling or staying asleep Sleep fragmentation related to night sweats or anxiety Worsening of conditions such as sleep apnea or restless legs in some women Physical & Metabolic Changes Persistent fatigue and low energy Weight gain or changes in body composition Loss of muscle mass and strength Accelerated bone density loss, increasing fracture risk 11 Sexual Health Changes Decreased libido Changes in arousal or orgasm Dryness and difficulty with lubrication Reduced comfort during intimacy 12 While these symptoms are common, they are not trivial, and they are not something women simply need to push through. Why Hormone Care Matters Beyond Symptom Relief At Biohackr Health, menopause care is not framed solely around alleviating hot flashes or sleep disruption