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These include: Alcohol and caffeine Spicy foods Cigarette smoking Emotional stress Sedentary lifestyle or lack of regular physical activity Understanding and managing these triggers can be a helpful part of a broader strategy to reduce hot flash episodes Hot Flashes Across the Menopausal Transition Hot flashes often begin in perimenopause, when menstrual cycles become irregular but have not stopped for a full year

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[2] Holding a 15% weight reduction against a body that is metabolically pushing to regain it is a real physiological achievement even though the scale looks static