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Common triggers that may precipitate hot flashes include: Dietary factors : spicy foods, caffeine, and alcohol consumption Environmental conditions : warm rooms, hot weather, or overheated bedrooms Lifestyle factors : smoking, stress, and anxiety Physical activity : sudden exertion or hot baths Beyond menopause, hot flashes can occur in other contexts, including certain medications (such as tamoxifen or aromatase inhibitors used in breast cancer treatment), thyroid disorders, and rarely, carcinoid syndrome

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But medication can only be part of the path forward: We have this population of children, particularly low-socioeconomic kids, that find themselves in an environment where they become obese, where they dont have enough physical activity and they dont have access to enough healthy food, he says

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And similarly, no one begins a fat loss journey hoping theyll need to repeat the process again in a few years