As women navigate hot flushes, sleep issues and changing waistlines, there’s another quieter change that can often occur during perimenopause and post-menopause that deserves just as much attention: heart health. While women often worry more about the visible signs of midlife and menopause, they are less aware of the hidden shifts in blood fats, blood vessels and metabolism that can silently raise the future risk for cardiovascular disease, the leading cause of death in women worldwide. Women in