Midlife Metabolism: Why Your 30s and 40s Feel Different (and What You Can Actually Do)
Wellbeing
Midlife Metabolism: Why Your 30s and 40s Feel Different (and What You Can Actually Do)
Midlife Metabolism: Why Your 30s and 40s Feel Different (and What You Can Actually Do)
Mia Petre 09.06.2026

Have you been eating the same way you always have, staying active and making a conscious effort to look after your health, yet your body feels noticeably different than it did a decade ago? 

Clothes are fitting differently, recovery after exercise takes longer and sleep may feel lighter or less restorative. Periods of stress that once seemed manageable now appear to affect energy levels, appetite and body composition more visibly. Many women also report increased cravings, persistent bloating or a growing sense that their metabolism is no longer responding in the way it once did. 

For many, these changes begin to emerge during their 30s and become more pronounced throughout their 40s. A common explanation is that “metabolism slows down after 30.” While appealingly simple, the reality is more nuanced. 

In most cases, basal metabolic rate does not suddenly decline the moment we enter our thirties. However, our physiology does begin to change. Hormonal fluctuations, shifts in sleep quality, accumulated stress, changing recovery demands and gradual losses in muscle mass - particularly if strength training is absent - can all influence how the body regulates energy, appetite and body composition. 

These factors can make metabolism feel less efficient, even when the underlying picture is more complex than a simple metabolic slowdown. 

The Metabolism Myth  

One of the most persistent myths in women’s health is the idea that metabolism sharply declines the moment you enter your thirties. 

The reality is, the science tells a more reassuring story. A large study analysed energy expenditure across thousands of people across the lifespan, found that adult metabolic rate remains relatively stable between approximately ages 20 and 60 when differences in body size and composition are taken into account. (1) 

So why do so many women notice genuine changes in their 30s and 40s? 

The answer lies in understanding that metabolism is about far more than resting calorie burn. Metabolic health is influenced by a wide range of factors including sleep quality, hormonal fluctuations, muscle mass, stress physiology, appetite regulation, insulin sensitivity and everyday movement patterns. Many of these begin to shift during midlife, often gradually and simultaneously. 

For example, we women enter the perimenopausal years, it's more difficult to build and maintain muscle. Along side this, life-load often means that women have less time to train. So, while basal metabolic rate doesn't necessarily reduce with age, total metabolic rate will with less energy expenditure and less muscle mass. As a result, the changing physiological landscape that may require a different approach to nutrition, exercise, recovery and overall health support. 

Why Midlife Metabolism Feels Different 

The metabolic changes many women notice during their 30s and 40s are rarely explained by a single hormone imbalance or one isolated cause. More often, they reflect the cumulative effect of multiple physiological and lifestyle shifts occurring at the same time. 

By midlife, many women are managing demanding careers, parenting, caring responsibilities, relationship pressures, financial commitments and a level of mental load that leaves little opportunity for genuine recovery. Alongside this, sleep often becomes lighter or less consistent, work may involve long periods of sitting and exercise routines that once felt manageable can become harder to maintain. Strength training, adequate rest and regular meals are frequently the first habits to disappear when schedules become crowded. 

These changes therefore have consequences for our metabolic health, and then of course how we look, feel and operate day to day. 

Let’s deep dive into what impacts our metabolism 

Sleep disruption can affect appetite-regulating hormones, increase cravings and impair insulin sensitivity. Chronic stress influences cortisol patterns, hunger signals, blood sugar regulation and fat distribution. Whilst at the same time, progressively lower levels of daily movement and gradual losses in muscle mass can contribute to reduced energy expenditure over the years. (2,3) 

Taken together, these factors can create the feeling that the body is less resilient or less responsive than it once was. The strategies that worked effortlessly at 25 may no longer deliver the same results, this is not because your metabolism has suddenly decided to stop working, but because the wider physiological context has changed. 

Oestrogen 

At a certain point, your body starts renegotiating the oestrogen contract, and your metabolism is the first to get the memo. This can happen as early as your late thirties. 

Oestrogen influences insulin sensitivity, body fat distribution, appetite signalling, cardiovascular health and muscle maintenance. During the reproductive years, healthy oestrogen levels help support how the body uses glucose and stores energy.  

As women approach perimenopause, fluctuating and eventually declining oestrogen can contribute to changes in: 

  • body composition 
  • energy regulation 
  • sleep quality 
  • temperature control 
  • recovery capacity 
  • where fat is stored 

This is one reason some women notice weight shifting toward the abdominal area during their 40s despite relatively unchanged habits.  As this happens, fibre intake become more important due to its role in naturally managing appetite and supporting healthy blood sugar levels, and yet 96% of us aren't getting enough. 

That absolutely doesn’t mean weight gain is inevitable. But it does mean your body may respond differently than it once did. (4) This is why many women find a blood sugar support, like Metabolic Fix, useful as the demands of life start changing how well their body managing changes in glucose. 

Progesterone 

Progesterone rarely gets the same attention as oestrogen, but it has important effects on mood, sleep and nervous system regulation – so yes, it does deserve to be spoken about in the same way that oestrogen does when it comes to menopause. 

In simple terms, progesterone tends to have a calming influence. It acts on GABA receptors in the brain, the same pathway targeted by anti-anxiety medication. Your body, it turns out, had the idea first. 

Fluctuations in progesterone, particularly during perimenopause, may contribute to: 

  • disrupted sleep 

  • increased anxiety 

  • feeling “wired but tired” 

  • breast tenderness 

  • changes in appetite or fluid retention 

Many women interpret these symptoms as a metabolism problem when the picture is broader hormonal dysregulation interacting with stress and recovery. 

If your sleep quality changes, your metabolism usually notices and will act accordingly. (5) 

Thyroid 

The thyroid, the ever so important gland that knows that it is the metabolic regulator, helping control how quickly the body uses energy. 

Thyroid hormones influence: 

  • energy levels 

  • body temperature 

  • digestion 

  • menstrual function 

  • heart rate 

  • skin and hair health 

When thyroid function becomes underactive (hypothyroidism), symptoms can include fatigue, constipation, unexplained weight changes, feeling cold, dry skin and brain fog. We know that because many of these symptoms also overlap with stress, burnout or perimenopause, thyroid issues can often be missed or dismissed. 

If you are experiencing significant fatigue, menstrual changes, constipation, unexplained weight shifts or ongoing low mood, speaking with your GP about thyroid screening may be worthwhile. 

The thyroid is one of the clearest examples of when metabolism concerns warrant medical input rather than another supplement protocol. (6) 

Insulin 

The role of Insulin is to help move glucose from the bloodstream into cells to be used for energy. 

When insulin sensitivity is working well, energy regulation tends to feel smoother. When insulin sensitivity declines, the body will struggle more with blood sugar control, cravings, energy crashesand weight regulation. 

Factors that influence insulin sensitivity include: 

  • sleep quality 

  • stress response 

  • muscle mass 

  • physical activity 

  • dietary patterns 

  • genetics 

  • hormonal patterns 

This is one reason strength training, regular movement and consistent meals matter so much during midlife. 

Supporting insulin health is often less about cutting out carbohydrate and more about improving overall metabolic resilience. (7). Having the ingredients can make a meaningful difference to how efficiently your body manages that process. Compounds such as berberine, which activates AMPK to improve cellular glucose uptake; myo-inositol, a key mediator of insulin signalling; and alpha-lipoic acid, which enhances insulin sensitivity through its action as a mitochondrial antioxidant, work at the biochemical level to support how your cells respond to insulin.

Cortisol 

If there’s one hormone silently shaping how modern women experience metabolism, it’s cortisol. Cortisol helps regulate energy availability, blood sugar, inflammation and the body’s stress response. But the problem is not cortisol itself; in fact, it's a key regulatory hormone that we require to be active for overall health. The problem arises when we live in a near-constant state of activation. 

Deadlines. Notifications. Sleep deprivation. Overtraining. Under-eating. Emotional labour. Caring for everyone else while functioning on caffeine and determination. 

The body experiences all of these as physiological stressors. Over time, chronic stress can influence: 

  • appetite regulation 

  • cravings 

  • digestion 

  • sleep 

  • blood sugar control 

  • abdominal fat storage 

Research links chronic psychological stress with metabolic dysfunction and altered appetite signalling. (8) Supporting your body's cortisol response is multifaceted: prioritising sleep, mental rest (whether this is meditation, tech free evenings or just 5 minutes of legs up the wall), a diet that is rich in micronutrients and low in 'stressors like alcohol and added sugar, and vitamins and minerals that are central to the stress response, like B Complex Vitamins and Magnesium, which together reduce fatigue, support cognitive function, contribute to emotional wellbeing, and supply the body with the raw materials it needs to support the stress response. Ashwagandha, a traditional adaptogenic herb, has been shown to improve stress resilience. (9) Find them in: Enhanced Nootropics.   

What You Can Actually Do to Support Midlife Metabolism 

Supporting metabolism in your 30s and 40s is often less about doing more and more about focusing on the fundamentals. 

  • PRIORITISE PROTEIN: Adequate protein supports muscle maintenance, recovery, satiety and overall metabolic health. 
  • INCLUDE REGULAR STRENGTH TRAINING: Resistance training becomes increasingly valuable for preserving lean tissue, supporting insulin sensitivity and maintaining metabolic resilience.  Essential Creatine is the perfect pair with strength training to support better energy, performance, and recovery in workouts. Studies suggest that creatine may also have a cognitive benefit, especially during stressful periods and lack of sleep. 
  • MOVE MORE THROUGHOUT THE DAY: Daily movement matters, particularly for sedentary lifestyles. Walking, standing and regular movement breaks all contribute to metabolic health (think exercise snacks and post meal walks). 
  • MAKE SLEEP A PRIORITY: Consistent sleep, adequate recovery and reducing late-night stimulation can positively influence appetite, energy and hormonal regulation. 
  • TAKE STRESS SERIOUSLY: Stress management is metabolic support. Chronic stress can affect cravings, blood sugar balance, recovery and overall wellbeing. We love breath work, non-sleep deep rest (yoga Nidra), meditation, and setting boundaries around emails/tech at night. 
  • ADAPT YOUR STRATEGY TO MIDLIFE: Supporting metabolism does not require punishing workouts or severe restriction. Tweaks to protein and fibre intake, stress management, and a focus on muscle are great places to start. 

Red Flags - When to Speak to a Doctor 

Not every metabolism concern is “just stress” or “just getting older.” It’s worth speaking to a healthcare professional if you’re experiencing: 

  • unexplained or rapid weight changes 

  • persistent fatigue 

  • significant hair thinning 

  • severe and sudden digestive changes 

  • irregular or very heavy periods 

  • new menstrual disruption 

  • feeling persistently cold 

  • heart palpitations 

  • major sleep disruption 

  • ongoing low mood or anxiety that feels out of character 

These symptoms can sometimes signal thyroid dysfunction, iron deficiency, insulin issues, perimenopause-related changes or other medical conditions that deserve proper assessment.

Midlife metabolism is a story of changing physiology. Your 30s and 40s often ask for a different approach than your twenties; more recovery, more muscle support, better sleep, more strategic movement, and greater respect for hormonal shifts. 

Not sure where to start? Take our quiz to find the right formula for your physiology.

GET YOUR PERSONALISED PROTOCOL

EXPLORE ENERGY AND METABOLISM SUPPLEMENTS 

Disclaimer: The information presented in this article is for educational purposes only and is not intended to diagnose, prevent, or treat any medical or psychological conditions. The information is not intended as medical advice, nor should it replace the advice from a doctor or qualified healthcare professional. Please do not stop, adjust, or modify your dose of any prescribed medications without the direct supervision of your healthcare practitioner.

References 

  1. Herman Pontzer et al. Daily energy expenditure through the human life course.Science373,808-812(2021).DOI:10.1126/science.abe5017 

  1. Kim TW, Jeong JH, Hong SC. The impact of sleep and circadian disturbance on hormones and metabolism. Int J Endocrinol. 2015;2015:591729. doi: 10.1155/2015/591729. Epub 2015 Mar 11. PMID: 25861266; PMCID: PMC4377487. 

  1. Xiao Z, Liu H. The estrogen receptor and metabolism. Womens Health (Lond). 2024 Jan-Dec;20:17455057241227362. doi: 10.1177/17455057241227362. PMID: 38420694; PMCID: PMC10903191. 

  1. Haufe A, Leeners B. Sleep Disturbances Across a Woman's Lifespan: What Is the Role of Reproductive Hormones? J Endocr Soc. 2023 Mar 15;7(5):bvad036. doi: 10.1210/jendso/bvad036. PMID: 37091307; PMCID: PMC10117379. 

  1. Mullur R, Liu YY, Brent GA. Thyroid hormone regulation of metabolism. Physiol Rev. 2014 Apr;94(2):355-82. doi: 10.1152/physrev.00030.2013. PMID: 24692351; PMCID: PMC4044302. 

  1. Luke Norton, Chris Shannon, Amalia Gastaldelli, Ralph A. DeFronzo, Insulin: The master regulator of glucose metabolism, Metabolism, Volume 129,2022, 155142, https://doi.org/10.1016/j.metabol.2022.155142. 

  1. Tamashiro, K. L., Sakai, R. R., Shively, C. A., Karatsoreos, I. N., & Reagan, L. P. (2011). Chronic stress, metabolism, and metabolic syndrome. Stress, 14(5), 468-474. https://doi.org/10.3109/10253890.2011.606341 

  2. Bachour G, Samir A, Haddad S, Houssaini MA, El Radad M. Effects of Ashwagandha Supplements on Cortisol, Stress, and Anxiety Levels in Adults: A Systematic Review and Meta-Analysis. BJPsych Open. 2025 Jun 20;11(Suppl 1):S39. doi: 10.1192/bjo.2025.10136. PMCID: PMC12242034.

Have you been eating the same way you always have, staying active and making a conscious effort to look after your health, yet your body feels noticeably different than it did a decade ago? 

Clothes are fitting differently, recovery after exercise takes longer and sleep may feel lighter or less restorative. Periods of stress that once seemed manageable now appear to affect energy levels, appetite and body composition more visibly. Many women also report increased cravings, persistent bloating or a growing sense that their metabolism is no longer responding in the way it once did. 

For many, these changes begin to emerge during their 30s and become more pronounced throughout their 40s. A common explanation is that “metabolism slows down after 30.” While appealingly simple, the reality is more nuanced. 

In most cases, basal metabolic rate does not suddenly decline the moment we enter our thirties. However, our physiology does begin to change. Hormonal fluctuations, shifts in sleep quality, accumulated stress, changing recovery demands and gradual losses in muscle mass - particularly if strength training is absent - can all influence how the body regulates energy, appetite and body composition. 

These factors can make metabolism feel less efficient, even when the underlying picture is more complex than a simple metabolic slowdown. 

The Metabolism Myth  

One of the most persistent myths in women’s health is the idea that metabolism sharply declines the moment you enter your thirties. 

The reality is, the science tells a more reassuring story. A large study analysed energy expenditure across thousands of people across the lifespan, found that adult metabolic rate remains relatively stable between approximately ages 20 and 60 when differences in body size and composition are taken into account. (1) 

So why do so many women notice genuine changes in their 30s and 40s? 

The answer lies in understanding that metabolism is about far more than resting calorie burn. Metabolic health is influenced by a wide range of factors including sleep quality, hormonal fluctuations, muscle mass, stress physiology, appetite regulation, insulin sensitivity and everyday movement patterns. Many of these begin to shift during midlife, often gradually and simultaneously. 

For example, we women enter the perimenopausal years, it's more difficult to build and maintain muscle. Along side this, life-load often means that women have less time to train. So, while basal metabolic rate doesn't necessarily reduce with age, total metabolic rate will with less energy expenditure and less muscle mass. As a result, the changing physiological landscape that may require a different approach to nutrition, exercise, recovery and overall health support. 

Why Midlife Metabolism Feels Different 

The metabolic changes many women notice during their 30s and 40s are rarely explained by a single hormone imbalance or one isolated cause. More often, they reflect the cumulative effect of multiple physiological and lifestyle shifts occurring at the same time. 

By midlife, many women are managing demanding careers, parenting, caring responsibilities, relationship pressures, financial commitments and a level of mental load that leaves little opportunity for genuine recovery. Alongside this, sleep often becomes lighter or less consistent, work may involve long periods of sitting and exercise routines that once felt manageable can become harder to maintain. Strength training, adequate rest and regular meals are frequently the first habits to disappear when schedules become crowded. 

These changes therefore have consequences for our metabolic health, and then of course how we look, feel and operate day to day. 

Let’s deep dive into what impacts our metabolism 

Sleep disruption can affect appetite-regulating hormones, increase cravings and impair insulin sensitivity. Chronic stress influences cortisol patterns, hunger signals, blood sugar regulation and fat distribution. Whilst at the same time, progressively lower levels of daily movement and gradual losses in muscle mass can contribute to reduced energy expenditure over the years. (2,3) 

Taken together, these factors can create the feeling that the body is less resilient or less responsive than it once was. The strategies that worked effortlessly at 25 may no longer deliver the same results, this is not because your metabolism has suddenly decided to stop working, but because the wider physiological context has changed. 

Oestrogen 

At a certain point, your body starts renegotiating the oestrogen contract, and your metabolism is the first to get the memo. This can happen as early as your late thirties. 

Oestrogen influences insulin sensitivity, body fat distribution, appetite signalling, cardiovascular health and muscle maintenance. During the reproductive years, healthy oestrogen levels help support how the body uses glucose and stores energy.  

As women approach perimenopause, fluctuating and eventually declining oestrogen can contribute to changes in: 

  • body composition 
  • energy regulation 
  • sleep quality 
  • temperature control 
  • recovery capacity 
  • where fat is stored 

This is one reason some women notice weight shifting toward the abdominal area during their 40s despite relatively unchanged habits.  As this happens, fibre intake become more important due to its role in naturally managing appetite and supporting healthy blood sugar levels, and yet 96% of us aren't getting enough. 

That absolutely doesn’t mean weight gain is inevitable. But it does mean your body may respond differently than it once did. (4) This is why many women find a blood sugar support, like Metabolic Fix, useful as the demands of life start changing how well their body managing changes in glucose. 

Progesterone 

Progesterone rarely gets the same attention as oestrogen, but it has important effects on mood, sleep and nervous system regulation – so yes, it does deserve to be spoken about in the same way that oestrogen does when it comes to menopause. 

In simple terms, progesterone tends to have a calming influence. It acts on GABA receptors in the brain, the same pathway targeted by anti-anxiety medication. Your body, it turns out, had the idea first. 

Fluctuations in progesterone, particularly during perimenopause, may contribute to: 

  • disrupted sleep 

  • increased anxiety 

  • feeling “wired but tired” 

  • breast tenderness 

  • changes in appetite or fluid retention 

Many women interpret these symptoms as a metabolism problem when the picture is broader hormonal dysregulation interacting with stress and recovery. 

If your sleep quality changes, your metabolism usually notices and will act accordingly. (5) 

Thyroid 

The thyroid, the ever so important gland that knows that it is the metabolic regulator, helping control how quickly the body uses energy. 

Thyroid hormones influence: 

  • energy levels 

  • body temperature 

  • digestion 

  • menstrual function 

  • heart rate 

  • skin and hair health 

When thyroid function becomes underactive (hypothyroidism), symptoms can include fatigue, constipation, unexplained weight changes, feeling cold, dry skin and brain fog. We know that because many of these symptoms also overlap with stress, burnout or perimenopause, thyroid issues can often be missed or dismissed. 

If you are experiencing significant fatigue, menstrual changes, constipation, unexplained weight shifts or ongoing low mood, speaking with your GP about thyroid screening may be worthwhile. 

The thyroid is one of the clearest examples of when metabolism concerns warrant medical input rather than another supplement protocol. (6) 

Insulin 

The role of Insulin is to help move glucose from the bloodstream into cells to be used for energy. 

When insulin sensitivity is working well, energy regulation tends to feel smoother. When insulin sensitivity declines, the body will struggle more with blood sugar control, cravings, energy crashesand weight regulation. 

Factors that influence insulin sensitivity include: 

  • sleep quality 

  • stress response 

  • muscle mass 

  • physical activity 

  • dietary patterns 

  • genetics 

  • hormonal patterns 

This is one reason strength training, regular movement and consistent meals matter so much during midlife. 

Supporting insulin health is often less about cutting out carbohydrate and more about improving overall metabolic resilience. (7). Having the ingredients can make a meaningful difference to how efficiently your body manages that process. Compounds such as berberine, which activates AMPK to improve cellular glucose uptake; myo-inositol, a key mediator of insulin signalling; and alpha-lipoic acid, which enhances insulin sensitivity through its action as a mitochondrial antioxidant, work at the biochemical level to support how your cells respond to insulin.

Cortisol 

If there’s one hormone silently shaping how modern women experience metabolism, it’s cortisol. Cortisol helps regulate energy availability, blood sugar, inflammation and the body’s stress response. But the problem is not cortisol itself; in fact, it's a key regulatory hormone that we require to be active for overall health. The problem arises when we live in a near-constant state of activation. 

Deadlines. Notifications. Sleep deprivation. Overtraining. Under-eating. Emotional labour. Caring for everyone else while functioning on caffeine and determination. 

The body experiences all of these as physiological stressors. Over time, chronic stress can influence: 

  • appetite regulation 

  • cravings 

  • digestion 

  • sleep 

  • blood sugar control 

  • abdominal fat storage 

Research links chronic psychological stress with metabolic dysfunction and altered appetite signalling. (8) Supporting your body's cortisol response is multifaceted: prioritising sleep, mental rest (whether this is meditation, tech free evenings or just 5 minutes of legs up the wall), a diet that is rich in micronutrients and low in 'stressors like alcohol and added sugar, and vitamins and minerals that are central to the stress response, like B Complex Vitamins and Magnesium, which together reduce fatigue, support cognitive function, contribute to emotional wellbeing, and supply the body with the raw materials it needs to support the stress response. Ashwagandha, a traditional adaptogenic herb, has been shown to improve stress resilience. (9) Find them in: Enhanced Nootropics.   

What You Can Actually Do to Support Midlife Metabolism 

Supporting metabolism in your 30s and 40s is often less about doing more and more about focusing on the fundamentals. 

  • PRIORITISE PROTEIN: Adequate protein supports muscle maintenance, recovery, satiety and overall metabolic health. 
  • INCLUDE REGULAR STRENGTH TRAINING: Resistance training becomes increasingly valuable for preserving lean tissue, supporting insulin sensitivity and maintaining metabolic resilience.  Essential Creatine is the perfect pair with strength training to support better energy, performance, and recovery in workouts. Studies suggest that creatine may also have a cognitive benefit, especially during stressful periods and lack of sleep. 
  • MOVE MORE THROUGHOUT THE DAY: Daily movement matters, particularly for sedentary lifestyles. Walking, standing and regular movement breaks all contribute to metabolic health (think exercise snacks and post meal walks). 
  • MAKE SLEEP A PRIORITY: Consistent sleep, adequate recovery and reducing late-night stimulation can positively influence appetite, energy and hormonal regulation. 
  • TAKE STRESS SERIOUSLY: Stress management is metabolic support. Chronic stress can affect cravings, blood sugar balance, recovery and overall wellbeing. We love breath work, non-sleep deep rest (yoga Nidra), meditation, and setting boundaries around emails/tech at night. 
  • ADAPT YOUR STRATEGY TO MIDLIFE: Supporting metabolism does not require punishing workouts or severe restriction. Tweaks to protein and fibre intake, stress management, and a focus on muscle are great places to start. 

Red Flags - When to Speak to a Doctor 

Not every metabolism concern is “just stress” or “just getting older.” It’s worth speaking to a healthcare professional if you’re experiencing: 

  • unexplained or rapid weight changes 

  • persistent fatigue 

  • significant hair thinning 

  • severe and sudden digestive changes 

  • irregular or very heavy periods 

  • new menstrual disruption 

  • feeling persistently cold 

  • heart palpitations 

  • major sleep disruption 

  • ongoing low mood or anxiety that feels out of character 

These symptoms can sometimes signal thyroid dysfunction, iron deficiency, insulin issues, perimenopause-related changes or other medical conditions that deserve proper assessment.

Midlife metabolism is a story of changing physiology. Your 30s and 40s often ask for a different approach than your twenties; more recovery, more muscle support, better sleep, more strategic movement, and greater respect for hormonal shifts. 

Not sure where to start? Take our quiz to find the right formula for your physiology.

GET YOUR PERSONALISED PROTOCOL

EXPLORE ENERGY AND METABOLISM SUPPLEMENTS 

Disclaimer: The information presented in this article is for educational purposes only and is not intended to diagnose, prevent, or treat any medical or psychological conditions. The information is not intended as medical advice, nor should it replace the advice from a doctor or qualified healthcare professional. Please do not stop, adjust, or modify your dose of any prescribed medications without the direct supervision of your healthcare practitioner.

References 

  1. Herman Pontzer et al. Daily energy expenditure through the human life course.Science373,808-812(2021).DOI:10.1126/science.abe5017 

  1. Kim TW, Jeong JH, Hong SC. The impact of sleep and circadian disturbance on hormones and metabolism. Int J Endocrinol. 2015;2015:591729. doi: 10.1155/2015/591729. Epub 2015 Mar 11. PMID: 25861266; PMCID: PMC4377487. 

  1. Xiao Z, Liu H. The estrogen receptor and metabolism. Womens Health (Lond). 2024 Jan-Dec;20:17455057241227362. doi: 10.1177/17455057241227362. PMID: 38420694; PMCID: PMC10903191. 

  1. Haufe A, Leeners B. Sleep Disturbances Across a Woman's Lifespan: What Is the Role of Reproductive Hormones? J Endocr Soc. 2023 Mar 15;7(5):bvad036. doi: 10.1210/jendso/bvad036. PMID: 37091307; PMCID: PMC10117379. 

  1. Mullur R, Liu YY, Brent GA. Thyroid hormone regulation of metabolism. Physiol Rev. 2014 Apr;94(2):355-82. doi: 10.1152/physrev.00030.2013. PMID: 24692351; PMCID: PMC4044302. 

  1. Luke Norton, Chris Shannon, Amalia Gastaldelli, Ralph A. DeFronzo, Insulin: The master regulator of glucose metabolism, Metabolism, Volume 129,2022, 155142, https://doi.org/10.1016/j.metabol.2022.155142. 

  1. Tamashiro, K. L., Sakai, R. R., Shively, C. A., Karatsoreos, I. N., & Reagan, L. P. (2011). Chronic stress, metabolism, and metabolic syndrome. Stress, 14(5), 468-474. https://doi.org/10.3109/10253890.2011.606341 

  2. Bachour G, Samir A, Haddad S, Houssaini MA, El Radad M. Effects of Ashwagandha Supplements on Cortisol, Stress, and Anxiety Levels in Adults: A Systematic Review and Meta-Analysis. BJPsych Open. 2025 Jun 20;11(Suppl 1):S39. doi: 10.1192/bjo.2025.10136. PMCID: PMC12242034.

FEATURED IN THIS ARTICLE