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This graph changes everything. Most women’s health research links menopause symptoms to age—but when you center the data on the final menstrual period, the real picture comes into focus. Cognitive issues like brain fog? They start early—often 3 to 4 years before periods stop. Hot flashes and night sweats? They peak around the final period and often last for years. Sleep problems, mood changes, sexual dysfunction? They don’t just “go away.” Many worsen or persist deep into postmenopause. This is