Before. Depending on what we read/are told. Too much booze, too much high living (I wish
![Roll Eyes ::)](https://www.menopausematters.co.uk/forum/Smileys/extended/rolleyes.gif)
), too many late nights. Even without any 'additions' the body can take more time to heal and the immune system can be knocked if we are tired ........... I was asked if I would alter my diet following diagnosis but I believe/d that by that age, 43, any perceived 'damage' would already have been done.