Oh now, vesta dear.
The cousin's so hyped up on mood-altering pharmaceuticals, woman-changing pharmaceuticals, uppers and downers, thinners and fatteners, hormones and anti-hormones, reds and blues, hydrators and dehydrators, solidifiers and liquefiers, laxatives and constipators, &c., &c., &c., that if she's going through the change of life thing (admittedly, she's about the right age for it), she wouldn't even know it.