CLOCK gene variants (e.g., rs1801260) regulate the circadian rhythm and influence sleep-wake cycles, hormone secretion, and metabolism. During menopause, declining estrogen disrupts the hormonal axis, often causing sleep disturbances, hot flashes, and weight gain. A CLOCK variant may amplify these symptoms by altering circadian sensitivity. However, the evidence is mostly mechanistic; no robust clinical guidelines exist for single-genotype interventions. It is more effective to focus on lifestyle factors: consistent sleep schedules, physical activity, and stress management. Consumer DNA tests can offer insights but lack diagnostic power. Be cautious of overblown claims: the evidence is weak to moderate, and gene–environment interactions are complex.
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