Christine Salem, DNP | Hormone NP on Instagram: "Menopause doesn’t happen overnight. For most women, the body gives a 6–12 month warning first. Clinically, I see the same 3 early signals show up again and again — before periods stop and long before menopause is diagnosed. These are the signs most women are never taught to connect: 1️⃣ Sleep disruption at the same time every night Especially waking between 2–4am. This isn’t “stress” or bad sleep hygiene — it reflects: • Declining progesterone (lo