A couple options to improve:
1. circadian rhythms are the 24-hour changes in our physiology that synchronize with the day-night cycle and modulate when we are hungry, sleepy, want sex, or, in the afternoon, have asthma attacks or a fever.
2. circadian rhythms are the 24-hour changes in our physiology that synchronize with the day-night cycle and modulate when we are hungry, sleepy, want sex, or suffer conditions like asthma attacks or fevers.
3. circadian rhythms are the 24-hour changes in our physiology that synchronize with the day-night cycle and modulate when we are hungry (mealtimes), sleepy (nighttime), want sex (??? i didnt know this was a thing), or suffer asthma attacks or fevers (afternoons).
Only for people unable to understand a sentence in context.
In general, the Oxford comma, or it's lack thereof, rarely, if ever, is a problem - except for grammar geeks (and even those have debated its significance since forever).
https://desk.thecontentcloud.net/wp-content/uploads/2018/02/...