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4 Signs of Perimenopause (and How to Manage It)

Back April 18, 2025 Are night sweats and mood swings catching you off guard? If menopause feels like a distant worry, think again — perimenopause could be the reason, and it can begin earlier than you think. To help you navigate this new chapter, we turned to Amy M. Johnson, MD, an obstetrician and gynecologist […]

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4 Signs of Perimenopause (and How to Manage It)


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April 18, 2025

Are night sweats and mood swings catching you off guard? If menopause feels like a distant worry, think again — perimenopause could be the reason, and it can begin earlier than you think.

To help you navigate this new chapter, we turned to Amy M. Johnson, MD, an obstetrician and gynecologist with Hartford HealthCare Medical Group. She shared a few tips to help you feel your best during perimenopause.

Perimenopause happens before menopause.

Menopause typically occurs around age 51, but it can happen anytime between 40 and 57. But – perimenopause symptoms can start as early as your late 30s.

During perimenopause, fertility declines and cycles become irregular as hormone levels fluctuate. You might ovulate some months but not others. Over time, estrogen drops, periods space out and eventually stop. Menopause occurs when you go 12 months without a period, and symptoms typically last an average of 7.5 years afterward.

“Perimenopause symptoms tend to show up gradually, so it’s not always easy to connect the dots right away,” says Dr. Johnson. “Many patients initially come in thinking their concerns might be from something else.”

4 signs of perimenopause to know.

So, what should you watch for? Here are four common symptoms of perimenopause:

  1. Irregular menstrual cycles.
  2. Hot flashes, night sweats and feeling uncomfortably warm.
  3. Trouble sleeping, often waking up in the middle of the night with night sweats or anxiety.
  4. Mood swings, depression and anxiety.

“There are also additional symptoms that aren’t as commonly described but frequently reported,” adds Dr. Johnson. “These include brain fog, fatigue, joint pain, weight gain, decreased libido and increased headaches.”

> Related: What Is the Best Temperature to Sleep In? 

Do you think you’re experiencing perimenopause?

Your first step is to talk to your doctor. They’ll start by reviewing your symptoms and taking a detailed history.

“Blood hormone levels aren’t usually needed to diagnose perimenopause, but your doctor will decide if testing is necessary,” explains Dr. Johnson.

The good news? Simple lifestyle changes are often the first step to feeling better.

9 tips for managing perimenopause.

While your doctor can provide tailored advice, there are steps you can start today to feel your best during perimenopause.

Dr. Johnson suggests these easy, everyday strategies:

  1. Eat well: Focus on a Mediterranean-style diet high in protein and veggies and low in carbs.
  2. Stay active: Stick to a consistent cardio and strength training exercise routine.
  3. Cool down: Dress in breathable layers, turn down the thermostat and avoid hot foods and drinks.
  4. Cut back: Minimize alcohol and avoid tobacco.
  5. Sleep smarter: Stick to a regular sleep schedule, use cotton sheets, keep a fan by the bed and lower the temperature at night to ease night sweats.
  6. Stay consistent: Keep a regular daily routine to help balance your body and mind.
  7. Lower stress: Find ways to relax, whether meditation, yoga or simply taking time for yourself.
  8. Build connections: Set boundaries, foster supportive relationships and lean on your social circle.
  9. Get expert care: Consult a specialist trained in perimenopause and menopause care.

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Is perimenopause starting to disrupt your daily life?

If the symptoms feel too much, it’s time to talk to your doctor.

“There are plenty of hormonal and non-hormonal therapies we can use to help you feel better during perimenopause,” says Dr. Johnson.

One tip? Skip the online search for answers.

“There’s a lot of misinformation out there on the internet and social media, and all treatments come with potential risks and side effects,” Dr. Johnson explains. “Treatment is highly individualized, so it’s important to partner with your healthcare provider to find the best options for you.”

Health

New Teevens Center honors the past by building the future

Two years after the passing of legendary Dartmouth football coach Eugene “Buddy” Teevens, the Kirsten and Eugene F. “Buddy” Teevens ’79 Center for Peak Performance is set to open for athletes in the fall. The Center will focus on elevating the Big Green’s varsity athletic performance by providing student-athletes with support in key areas such […]

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New Teevens Center honors the past by building the future

Two years after the passing of legendary Dartmouth football coach Eugene “Buddy” Teevens, the Kirsten and Eugene F. “Buddy” Teevens ’79 Center for Peak Performance is set to open for athletes in the fall. The Center will focus on elevating the Big Green’s varsity athletic performance by providing student-athletes with support in key areas such as academics and mental health and innovating research in sports science, according to the Center’s inaugural director, Duncan Simpson. 

The Center was funded by alumni, friends and former teams, who have pooled together over $40 million since the project began last fall to celebrate the legacy of Buddy Teevens, according to a release from Dartmouth Alumni. In his time at Dartmouth, Teevens was the Ivy League Player of the Year as the Big Green quarterback in 1978 before leading the Big Green to five Ivy League championships in his 22 seasons as head coach. For current Dartmouth football players, the center symbolizes Teevens’s long-lasting impact on the program. 

“We’re super excited to honor Coach Teevens and to carry out his legacy through this center,” football player Grayson Saunier ’27 said. Coach Teevens was “a phenomenal leader of our team and a lot of our values and morals today have been set in a foundation from him.”

Robert L. Blackman head football coach Sammy McCorkle echoed Saunier’s appreciation for Teevens, adding that the center’s purpose will reflect Teevens’s growth-oriented values.

“Buddy was a humble, modest guy,” McCorkle said. “He did not do things because he wanted to be ‘the guy’; it was because he wanted to help individuals and I think that’s exactly what the center is all about. It signifies who he was as a person and what he was able to develop in our football program.” 

Simpson is leading the creation of the center. He spent his last eight years as the head of mental conditioning and the director of personal development at International Management Group Academy — a sports training preparatory school — in Bradenton, Florida. Simpson said he hopes to apply his extensive experience in sports psychology to elevate Dartmouth athletes’ performances by improving their mental strength and balancing the demanding scope of being a student-athlete.

“At IMG, I learned that performance is complex and every student is on their own personal journey,” Simpson said. “You have to take the time to understand their goals and then align support to help get them there.”

The center will build on the foundation set by Peak Performance, an initiative founded in 2011 to support Big Green athletes by providing them with individualized academic help, leadership development, training programs and more. For lightweight rower Grayson Lee ’27, the biggest benefit from the program has been the academic and nutritional support.

“As a lightweight rower, dieting is a really important aspect of the sport and I’ve really appreciated DP2’s dieticians,” Lee said. “Also, the academic support has been helpful because rowing’s a very time intensive sport and the biggest source of stress is balancing the academics with everything, and they’re always very available.”

Beyond academic support, the center will feature a sports psychology team and emphasize a community of care and accountability.

“Being an Ivy League student and competing at the highest level of college athletics is no joke,” Saunier said. “It’s full throttle all four years. But, having resources like the Teevens Center coming up will help us take that next step as student-athletes and we’re super pumped about it.”. 

McCorkle said he and the football coaching staff are already looking at ways to develop their players through the services the Teevens Center will provide, such as leadership initiatives and psychology. 

“We’re very fortunate to be able to utilize opportunities like these,” McCorkle said. “It’s all about having that edge, and … developing leadership, developing team unity…. the fact that our athletic department is providing these different ways to learn leadership, like the DRIVE program, is huge for the success of our athletic programs.”

Above all, the Teevens Center will be a physical location for student-athletes to stop by for support according to their own needs. Simpson said he envisions the center to be a “hub” for sharing ideas and developing healthy, high-performing athletes.

“In 10 years, I’d love for the Teevens Center to be a national leader in performance, leadership and well-being — a place where all students thrive,” Simpson said. 

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Ozzy and Hulk's health issues, plus an athlete's cancer diagnosis

NEWYou can now listen to Fox News articles! Fox News’ Health newsletter brings you stories on the latest developments in healthcare, wellness, diseases, mental health and more. TOP 3: – Hulk Hogan faced numerous health issues before passing – Ozzy Osbourne battled rare form of Parkinson’s – Doctors share warnings after Deion Sanders’ cancer diagnosis […]

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Ozzy and Hulk's health issues, plus an athlete's cancer diagnosis

NEWYou can now listen to Fox News articles!

Fox News’ Health newsletter brings you stories on the latest developments in healthcare, wellness, diseases, mental health and more.

TOP 3:

Hulk Hogan faced numerous health issues before passing

– Ozzy Osbourne battled rare form of Parkinson’s

– Doctors share warnings after Deion Sanders’ cancer diagnosis

Hulk Hogan and Ozzy Osbourne

This week’s top health news included Hulk Hogan’s and Ozzy Osbourne’s passing, as well as an NFL legend’s cancer announcement. (Getty Images)

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BEATING THE ODDS – The world’s most premature baby has reached his first birthday. Continue reading…

TIRED TRUTH – A hidden sleep danger could increase the risk of 172 diseases, a major study reveals. Continue reading…

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AP Sports SummaryBrief at 6

Officials work to unravel how and why gunman carried out deadly attack on NYC office building NEW YORK (AP) — Investigators are piecing together more details about how a former high school football player who blamed the game for his mental health problems carried out a deadly attack on an office building that is home […]

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AP Sports SummaryBrief at 6

Officials work to unravel how and why gunman carried out deadly attack on NYC office building

NEW YORK (AP) — Investigators are piecing together more details about how a former high school football player who blamed the game for his mental health problems carried out a deadly attack on an office building that is home to the NFL. Authorities say Shane Tamura killed four people on Monday before killing himself. Officials say he had a handwritten note claiming he had chronic traumatic encephalopathy, known at CTE, and accused the league of hiding the dangers of brain injuries linked to contact sports. Investigators plan to question a man who supplied gun parts for the AR-15-style rifle used in the attack, including the weapon’s lower receiver.

Here’s what to know about CTE, the brain disease the NYC shooter blamed for his mental health issues

BOSTON (AP) — The man who killed four people in the New York City skyscraper that is home to NFL headquarters carried a note blaming the league for his mental health problems. Shane Tamura played football in high school. He said in the three-page note found in his wallet that he had chronic traumatic encephalopathy, a degenerative brain disease that can’t be diagnosed until death, and implored those who found him to study his brain. CTE has been linked to concussions in contact sports. The disease has been diagnosed in more than 100 former NFL players and arisen as an existential threat to the United States’ most powerful pro sports league.

NFL reacts to the shooting at the league office building that killed 4 people

NEW YORK (AP) — Players and coaches around the NFL reacted with shock and sadness Tuesday after a gunman killed four people at the New York office building housing the league’s headquarters. Brian Daboll of the New York Giants, Aaron Glenn of the Jets, Ben Johnson of the Chicago Bears and Raheem Morris of the Atlanta Falcons offered their thoughts and prayers to the victims of Monday’s shooting. Mayor Eric Adams said the gunman was trying to target NFL headquarters but took the wrong elevator. Tennessee Titans NFLPA representative Jeffery Simmons cited the importance of mental health in conversations with fellow players.

Questions emerge about NYC gunman’s mental health and his security-sensitive job in Las Vegas

LAS VEGAS (AP) — The gunman in the deadly shooting at a New York City office tower had a background in casino surveillance and once held a private security guard license. Authorities say 27-year-old Shane Tamura drove from Las Vegas to New York to carry out the attack on Monday. They say he was targeting the NFL headquarters but took the wrong elevator. Tamura killed four people then took his own life. He left a note blaming the NFL for brain injuries linked to contact sports. He claimed to have chronic traumatic encephalopathy. Police are investigating his mental health history and how he acquired firearms used in the attack.

A rare first for Ohtani: Dodgers superstar strikes out in his first 4 plate appearances

CINCINNATI (AP) — Los Angeles Dodgers two-way star Shohei Ohtani had another first in his MLB career. Ohtani struck out in his first four plate appearances Tuesday night against the Cincinnati Reds, the first time he has done that in his eight seasons in the majors. It is the sixth time the Japanese superstar and reigning NL MVP has struck out four times in a game. It is the second time this season, with the other coming against San Diego on June 17. Despite Ohtani’s tough night at the plate, the Dodgers rallied for a 5-4 victory on an RBI double by Will Smith in the ninth inning.

Trump gave the USOPC cover on its transgender athlete policy change. It could end up in court anyway

The Trump administration has pushed to remove transgender athletes from Olympic sports. They provided a legal brief to the U.S. Olympic and Paralympic Committee (USOPC) explaining how this move aligns with the Ted Stevens Act. This guidance led the USOPC to change its policy, requiring national governing bodies to update their participation rules. Olympic legal expert Jill Pilgrim believes the policy could face legal challenges if a transgender athlete is excluded. The USOPC’s new policy replaces one based on data and science. The committee aims for compliance by the end of the year, amid criticism and legal uncertainties.

Braves All-Star OF Ronald Acuña Jr. leaves with Achilles tendon tightness and will go to IL

KANSAS CITY, Mo. (AP) — Atlanta Braves outfielder Ronald Acuña Jr. is heading for the 10-day injured list. Acuña was removed from Tuesday night’s loss at Kansas City with tightness in his right Achilles tendon. Acuña experienced the discomfort after chasing down a ball in right field. He’ll be evaluated further on Wednesday. Acuña said he initially felt pain while running the bases on Monday night. The discomfort returned after he ran for a foul ball in the sixth inning Tuesday night. Later in the inning, a ball was hit over his head and he gave chase. He left the game after the sixth.

All-Pro Trey Hendrickson ends holdout and will report to Bengals, AP source says

CINCINNATI (AP) — Trey Hendrickson is ending his holdout and will report to the Cincinnati Bengals on Wednesday. That’s according to a person familiar with the matter who spoke to The Associated Press on condition of anonymity because the move had not been announced. Hendrickson is an All-Pro defensive end who led the NFL in sacks last season with 17 1/2. He is seeking a long-term extension with guaranteed money that matches what the league’s top pass rushers are earning. Even after he reports to camp, he is unlikely to participate in practice until a deal is in place.

Coco Gauff overcomes 23 double-faults for first win since French Open title

MONTREAL (AP) — Coco Gauff made a winning return to competition, even though some old serving woes came back with her. Gauff had to overcome 23 double-faults to win for the first time since the French Open final, outlasting fellow American Danielle Collins 7-5, 4-6, 7-6 (2) in the second round of the National Bank Open in Montreal on Tuesday night. Gauff hadn’t played since losing in the first round at Wimbledon and appeared to have made a change to her serving grip during her time away. She struggled with it during the match, hitting some serves that were well long and others that were soft and easily pounced on by the powerful Collins.

Katie Ledecky remains unbeatable in the 1,500 freestyle taking the title again at the worlds

SINGAPORE (AP) — Katie Ledecky has ceded a tiny bit of ground in other events, but she’s still unbeatable in the 1,500-meter freestyle. She won it again Tuesday in the swimming world championships in Singapore, finishing in 15 minutes, 26.44 seconds. Simona Quadarella of Italy took silver in 15:31.79 – a European record – with bronze for Lani Pallister of Australia in 15:41.18 in a very quick-paced race. Ledecky was ahead of her world-record pace through 1,250 meters, pushed early by Pallister. It was Ledecky’s second medal in these games after taking bronze in the 400 free behind Canadian Summer McIntosh.

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Officials work to unravel how and why gunman carried out deadly attack on NYC office building

NEW YORK (AP) — Investigators are piecing together more details about how a former high school football player who blamed the game for his mental health problems carried out a deadly attack on an office building that is home to the NFL. 6

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Officials work to unravel how and why gunman carried out deadly attack on NYC office building

NEW YORK (AP) — Investigators are piecing together more details about how a former high school football player who blamed the game for his mental health problems carried out a deadly attack on an office building that is home to the NFL.

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Health

Here's what to know about CTE, the brain disease the NYC shooter blamed for his mental

BOSTON (AP) — The degenerative brain disease that has besieged the National Football League for two decades with a billion-dollar lawsuit, congressional hearings, an A-list movie and an unrelenting cortege of ex-players’ obituaries has now intruded on America’s favorite sport in the most violent manner yet. The Las Vegas casino worker who killed four people […]

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Here's what to know about CTE, the brain disease the NYC shooter blamed for his mental ...

BOSTON (AP) — The degenerative brain disease that has besieged the National Football League for two decades with a billion-dollar lawsuit, congressional hearings, an A-list movie and an unrelenting cortege of ex-players’ obituaries has now intruded on America’s favorite sport in the most violent manner yet.

The Las Vegas casino worker who killed four people in a New York City skyscraper that is home to the NFL’s headquarters carried a note blaming the league for mental health problems he attributed to his time as a high school football player.

Shane Tamura, 27, said in a three-page note found in his wallet that he had chronic traumatic encephalopathy — diagnosable only after death — and implored those who found him: “Study my brain.” Among his grievances against the NFL was a claim that the league put its profits ahead of player safety by concealing the harm CTE, and football, can cause.

Echoing an eerie trend in NFL player suicides, he shot himself in the chest, preserving his brain for an autopsy that could confirm whether his layman’s diagnosis was correct.

A degenerative brain disease that has been linked to concussions and other head trauma common in military combat and contact sports, CTE has been diagnosed in more than 100 former NFL players and arisen as an existential threat to the United States’ most powerful pro sports league.

Its dangers have led some states to consider banning youth football, prompted leagues at most levels to limit contact drills in practice, and spawned a series of concussion protocols and other rule changes designed to take the most violent edges off the hard-hitting sport.

Here is what we know and don’t know about the connection between CTE, the NFL and the shooter.

What is CTE?

Chronic traumatic encephalopathy can affect regions of the brain involved with regulating behavior and emotions. This can lead to memory loss, depression, violent mood swings and other cognitive and behavioral issues, though researchers note that these symptoms can also be linked to other illnesses.

Experts say symptoms can arise years or decades after the last brain trauma. Evidence of the disease has been found not just in those with long professional careers but in high school athletes as well.

Why is it associated with the NFL?

Researchers have established a connection between CTE and contact sports, military combat and other activities with repeated blows to the head. After more than a decade of denial, the NFL conceded the link between football and CTE in 2016 testimony before Congress, and has so far paid more than $1.4 billion to retired players to settle concussion-related claims.

The 2015 Will Smith film “Concussion” detailed the pioneering efforts of forensic pathologist Bennet Omalu, whose diagnosis of CTE in Pittsburgh Steelers Hall of Fame center Mike Webster was the first in a former NFL player. Hall of Famers Ken Stabler, Frank Gifford and Junior Seau have also been diagnosed with CTE, as has Aaron Hernandez; in a 2017 paper, evidence of the disease was found 110 of the 111 former NFL players’ brains studied.

Did the NFL headquarters shooter have CTE?

It’s not possible to say.

For now, CTE can only be diagnosed definitively by examining the brain posthumously through an autopsy. According to Boston University’s Chronic Traumatic Encephalopathy Center, progressive degeneration of brain tissue in people with CTE includes the buildup of an abnormal protein called tau in a pattern that distinguishes it from other diseases such as Alzheimer’s.


Associated Press writers Maryclaire Dale and Laura Ungar contributed to this story.

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AWG Group unveils Magnum Sports Complex

Cebu’s sports and wellness landscape is set for a significant transformation with the opening of the Magnum Sports Complex on July 17, 2025. Magnum Sports Complex stands as the ultimate destination, meticulously designed to cater to everyone from the seasoned athlete to the casual player and wellness enthusiast. Developed by the AWG Group of Companies, […]

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AWG Group unveils Magnum Sports Complex

Cebu’s sports and wellness landscape is set for a significant transformation with the opening of the Magnum Sports Complex on July 17, 2025.

Magnum Sports Complex stands as the ultimate destination, meticulously designed to cater to everyone from the seasoned athlete to the casual player and wellness enthusiast.

Developed by the AWG Group of Companies, this ₱300 million, 1.5-hectare, 3-story facility strategically located on San Miguel Road, Apas —just a short distance from the bustling IT Park—is poised to become Cebu’s comprehensive hub for both recreational activities and serious athletic pursuits.

A vision realized: power, presence, and purpose

AWG Group unveils Magnum Sports Complex: Cebu's game-changing hub for health & athletics

The opening of Magnum Sports Complex was a testament to community spirit, drawing support from personnel, distinguished guests, and leaders across Cebu’s diverse sports communities. Spearheaded by Atty. Augusto W. Go and Elizabeth Gan-Go, the event showcased the complex’s extensive array of state-of-the-art facilities, meticulously designed to ignite the passion of every sports enthusiast and fitness lover.

The name “Magnum” was a deliberate choice, resonating with power, presence, and purpose. It encapsulates the complex’s ambition to be a central hub for sports, fostering passion, discipline, and a strong sense of community. Atty. Go highlighted the urgent need for such a facility in Cebu, stating with conviction, “Cebu needs something like this.” 

Your ultimate sports and wellness destination

AWG Group unveils Magnum Sports Complex: Cebu's game-changing hub for health & athletics

Atty. Augusto W. Go

Magnum Sports Complex stands as the ultimate destination, meticulously designed to cater to everyone from the seasoned athlete to the casual player and wellness enthusiast. This state-of-the-art facility boasts an impressive and diverse range of amenities, ensuring that every passion and pursuit is addressed with top-tier equipment and premium materials.

  • A Haven for Team Sports: For those who thrive in team environments, Magnum Sports Complex offers an exceptional lineup. The tennis court features premium Tiger Turf Elite grass from New Zealand, providing a world-class playing surface. Basketball enthusiasts will appreciate the FIBA-standard indoor courts, while volleyball courts, pickleball courts, and six dedicated badminton courts round out the extensive offerings for group play.
  • Dedicated Spaces for Individual Pursuits: Individuals seeking focused practice or leisurely activity will find their niche here. The complex provides dedicated spaces for table tennis, an indoor archery range for precision training, and billiard tables for a classic game.
  • Elevating Wellness and Training: Magnum Sports Complex is equally committed to holistic well-being and advanced training. A serene yoga studio offers a tranquil space for mindfulness and flexibility, while a dedicated martial arts studio caters to various disciplines. The innovative tennis simulator provides an immersive training experience, and a fully equipped wellness gym supports all fitness goals, making it an ideal environment for enhancing physical and mental health.

 
 

Beyond the sports facilities, the complex also includes food kiosks and ample parking for over 100 vehicles, ensuring convenience for all visitors. Its spacious design also allows for the future hosting of special events, with the basketball court bleachers alone accommodating up to 200 people.

Catering to demand and charting the future

AWG Group unveils Magnum Sports Complex: Cebu's game-changing hub for health & athletics

Elizabeth Gan-Go and Dondon Hontiveros

Recognizing the unique needs of surrounding BPO companies in IT Park, Elizabeth Gan-Go revealed plans for 24-hour operation, noting that BPO employees often prioritize fitness during early morning hours. This commitment underscores the AWG Group’s dedication to fostering a healthier future for everyone.

 

Looking ahead, Gan-Go shared that the AWG Group is already eyeing a property in Lapu-Lapu for another potential sports facility. She also expressed openness to Magnum Sports Complex hosting larger events, such as the Palarong Pambansa, should the facility meet the necessary qualifications. 

The opening of Magnum Sports Complex marks a significant milestone for Cebu. This cutting-edge facility, already boasting numerous state-of-the-art amenities, continues its development to further enhance its offerings and solidify its vision as a dynamic sports hub. It’s poised to elevate the region’s sports infrastructure and actively promote a healthier, more dynamic lifestyle for residents, becoming an integral force in shaping Cebu’s vibrant future.

It’s game on, Cebu!

Book your court by calling 032 272 0325 / 032 272 8269 / 0915 451 2097. You may also email [email protected]. You may also follow Magnum Sports Complex on Facebook.

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