Before he took the mound for the biggest game of his life, Brandon Pfaadt went back to his roots.

The rookie was tabbed as the Arizona Diamondbacks' starting pitcher for Game 7 of the National League Championship Series on Tuesday night, so no one can blame him for being nervous.

So, in order to slow his heart beat down, he did some reading in the dugout right before he toed the rubber at Citizens Bank Park.

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Pfaadt appeared to be reading the Bible just before the bottom of the first inning.

The 25-year-old attended Trinity High School, a Catholic all-boys school located in the Roman Catholic Archdiocese of Louisville. He then played college baseball at the private Catholic school, Bellarmine University, also in Louisville.

The D-Backs took him in the fifth round of the 2020 MLB Draft, and he made his debut on May 3 of this year.

He pitched to a measly 5.72 ERA in the regular season but has done what nobody expected this postseason. He allowed three earned runs in just 2.2 innings of Wild Card Series work against the Milwaukee Brewers, but in two starts since then (against the Los Angeles Dodgers and Philadelphia Phillies), he hasn't allowed a run in 10.0 innings. In total, entering Game 7, he's pitched to a 2.13 ERA in his three starts.

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The Phillies won the first two games of the series at their home ballpark, but the D-Backs then took two straight at Chase Field. Philadelphia won Game 5, but Arizona staved off elimination in Game 6 to force Tuesday night's win-or-go-home contest.

The winner of Game 7 will face the Texas Rangers in the World Series.

If Arizona wins, it will be their first appearance in the Fall Classic since winning it in 2001; they would stop the Phillies from earning back-to-back pennants.

At the time of publishing, the Diamondbacks led 3-2 in the bottom of the fifth.

Every single day in the U.S., an estimated 6,000 women reach menopause — and more than two million enter that stage each year, according to the Mayo Clinic.

Yet for many women, the symptoms of menopause — which marks the stage of life when reproductive hormones naturally decline and menstrual periods stop — go unrecognized.

There are a total of 62 different symptoms, say experts, with only 1% of women currently aware of some of the key signs, according to Jamie Winn, a South Carolina pharmacist who is also medical director of Universal Drugstore, an online pharmacy.

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Winn shared six of the lesser-known symptoms of menopause, why they happen — and how women can find relief.

Read on for the insights. 

During menopause, women can experience fatigue due to a combination of factors, according to Winn.

"The primary cause is hormonal changes, particularly decreased estrogen and progesterone levels, which can affect energy regulation," said Winn, who has more than 20 years of experience in the pharmacy industry. 

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"Sleep disturbances, mood swings, physical symptoms and changes in metabolism also contribute to feelings of tiredness," he noted.

Addressing fatigue during menopause often involves a holistic approach, Winn said, including maintaining a healthy lifestyle, managing stress, and consulting with a health care provider for potential treatments or interventions.

Breast tenderness during menopause can occur due to hormonal fluctuations, especially changes in estrogen and progesterone levels, said Winn. 

"These hormones influence breast tissue, and their imbalance can lead to increased sensitivity and discomfort," he said. 

While breast tenderness is more common during perimenopause — which is the phase leading up to menopause — it can still be experienced during menopause due to these hormonal shifts.

To rule out other potential, more serious causes of breast tenderness, Winn suggested consulting a health care provider.

Many menopausal women may notice their hair thinning, another result of the associated hormonal changes. 

As estrogen levels decrease, it can shift the hair growth cycle, resulting in hair becoming finer and thinner, Winn said. 

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"Additionally, declining hormone levels can affect hair follicles and reduce their ability to produce new hair," he added.

Genetics, stress and nutritional factors can also contribute to hair thinning during menopause. 

Some women see improvement from treatment options — including hormone replacement therapy (HRT), Propecia or Minoxidil — but Winn noted that their effects can vary from person to person and should be prescribed by a health care professional. 

Dizziness or vertigo during menopause can also be attributed to hormonal fluctuations. 

"These hormonal shifts can affect the inner ear's fluid balance and its role in maintaining balance and equilibrium, leading to dizziness and vertigo," Winn said.

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Other factors, such as blood pressure fluctuations, energy drink consumption, stress and age-related changes, can also contribute. 

If you are experiencing dizziness or vertigo, it’s important to speak to your health care provider to rule out other potential causes and receive appropriate guidance for managing these symptoms, the expert advised.

Due to hormone changes during menopause, notably a decline in estrogen, women can experience heightened anxiety, Winn said.

"These hormonal fluctuations can affect neurotransmitters in the brain, leading to mood swings, irritability and anxiety," he said.

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"Other contributing factors include the physical symptoms of menopause, sleep disturbances and life changes."

To manage anxiety during menopause, Winn recommended a combination of lifestyle changes, relaxation techniques and, in some cases, medication or counseling.

This often-overlooked symptom is also linked to hormonal changes, particularly a decline in estrogen. 

"These hormonal shifts can affect the structure and quality of nails, leading to increased fragility," Winn said. 

"Nutritional changes and age-related factors may also contribute to brittle nails."

To address this issue, he recommended maintaining a balanced diet, using proper nail care and taking supplements as needed. 

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It’s best to consult with a health care provider before starting any supplement plan.

"Every woman's experience with menopause is unique, so what works for one person may not work for another," Winn said.

"It's essential to work closely with your health care provider to determine the most appropriate and effective management strategies for your specific situation."

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