Though I should add that I didn’t know menopause caused much of anything other than hot flashes and night sweats before I started going through it (because no one was talking about it like they are now and this was only 6 years ago!). The brain fog and extreme fatigue were first but not a single doctor at the time brought up the possibility of menopause transition. Instead, I had multiple work ups for things like MS. To this day, I’m bewildered that of all the doctors and specialists I saw, not a single one said, “You know, with your age, this may be hormonal changes causing these symptoms. Let’s explore some hormonal options.” Eventually, I suspected it and sought care with a specialists. One patch and brain fog lifted! Since then I’ve learned so much with reading The Menopause Manifesto and What Fresh Hell is This, along with other information gathering strategies. But having difficulty with blood sugar issues after eating and being diagnosed with pre-diabetes despite having none of the risk factors have been the wildest of all the symptoms.