Inflammation in the body makes our symptoms worse.  The term ‘inflammaging’ refers to chronic, low-grade inflammation that characterises ageing. And as I keep reminding women, even though we feel young perhaps compared to our mother’s generation at the same age, we must also remember that inside our body, our cells are ageing. Furthermore, when we aren’t sleeping, we aren’t healing from all the stress that we are under. And I don’t just mean emotional stress. I often talk about women who are undertaking lots of high-intensity exercise most days of the week (as I used to as well). This can increase physical or oxidative stress inside our cells and tissues when we aren’t sleeping well. Like over-trained athletes, we fail to heal properly when we don’t sleep. Inflammation builds up, and this begins to affect some tissues and organs, including the gut microbiota and fat cells.  If we think about a woman’s experiences over her lifetime that may have caused inflammation, coupled with the fact that peri-menopause and ageing are known to be inflammatory themselves, menopause is the perfect storm for symptom chaos and health changes.