If you’re in your 40s and noticing cycle changes, sleep disruptions, mood shifts, or body composition changes, you’re likely in perimenopause . What many women don’t realize is that perimenopause and heart health are deeply connected. Heart disease is the #1 cause of death for women. And cardiovascular risk begins rising during the perimenopause transition — often before menopause officially begins. This stage is not just about hot flashes. It’s a metabolic turning point. How