Waking at 3am and staring at the ceiling? You’re not alone. If you’re in your 40s or 50s and finding yourself wide awake in the middle of the night — heart racing, mind spinning, staring into the darkness — this isn’t random. And it isn’t just “stress” or “getting older.” For many women, this is one of the most common (and most frustrating) symptoms of perimenopause to post menopause. The good news? It’s fixable — often with small, powerful adjustments to nutrition, sleep hab