Menopausal Hot Flashes Are Not Inevitable

Why do 85 percent of menopausal women suffer hot flashes in some countries but only 15 percent in others?

I continue with this topic in the next video, Soy Foods for Menopause Hot Flash Symptoms (https://nutritionfacts.org/video/soy-foods-for-menopause-hot-flash-symptoms). Also see Dietary Approach to Naturally Treating Menopause Symptoms (https://nutritionfacts.org/video/dietary-approach-to-naturally-treating-menopause-symptoms/).

I recently did a series on vaginal menopause symptoms, including:
• The Best Moisturizers and Lubricants for Vaginal Menopause Symptoms (https://nutritionfacts.org/video/the-best-moisturizers-and-lubricants-for-vaginal-menopause-symptoms)
• Hormone Treatment (Estrogen Pills and Creams) for Vaginal Menopause Symptoms (https://nutritionfacts.org/video/hormone-treatment-estrogen-pills-and-creams-for-vaginal-menopause-symptoms)<br />• Soy Milk for Vaginal Menopause Symptoms (https://nutritionfacts.org/video/soy-milk-for-vaginal-menopause-symptoms)

For more on how to live your longest, healthiest life, preorder my new book How Not to Age (https://nutritionfacts.org/book/how-not-to-age/). (As always, all proceeds I receive from all of my books (https://nutritionfacts.org/books/) are donated to charity.)

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-Michael Greger, MD FACLM

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38 Risposte a “Menopausal Hot Flashes Are Not Inevitable”

  1. I just turned 39 last week. Yesterday I saw an IG reel of some middle aged women talking about how no one discussed perimenopause with them. And they ended lauding the joys of HRT. Bodybuilders who took too much juice are now on HRT. I knew it was a red flag. Thanks doc for highlighting that in the beginning of this video.

  2. I'm on hormone therapy (a compounded cream). The research I found was not as scary as that presented here (more details below). Regardless, I would still be on it even if these states are true. For me it was a last resort. I am my ideal weight, exercise regularly, eat wfpb (no oil, no sugar and limited salt), do mental health exercises regularly, etc. Hormone therapy was all I could find left to help. I went from feeling hopeless, depressed, and nearly homocidal and suicidal before hormone supplementation to being calm, happy and my normal self again with it. My doc thinks most of my psych symptoms were from disturbed sleep in part due to night sweats (although I do not get daytime hot flashes). I have a special breathable mattress topper and bedding. I even tried eating tempeh, tofu, and/or soy milk daily. But, I still need the hormone therapy for mood regulation. There is a lot of conflicting evidence about hormone supplementation. In part because there are different kinds and used at different stages of life. What I found is specifically for compounded creams that omit the “bad” kind of estrogen, include progesterone and are used during perimenopause. It's important to do your own research though.

  3. So, let's look at the prevalence of hypothyroidism among adults in Japan because I think all that soy in the diet there might have another health cost.

  4. If it turns out that Soy is the key, guess I’ll just be buying fans. Because I’m an asthmatic and eating large amounts of soy makes me wheeze. I had a full on Asthma attack after eating a tofu banh mi. (Sad too because it was delicious). Had to cut soy out of my plant based diet. 😭

  5. I'm 51 and finally started peri around 50. I felt 6 weeks of what I'd call occasional "warmth" but no overwhelming flashes or anything crazy. Veggie for 33 years. I eat a little bit of soy, but not much. I exercise like a banshee 7 days a week though and wonder if this is helping. It must be….

  6. They also have a lot more Iodine in their diet and the Japanese recommended daily allowance is a lot higher than the U.S. I didn’t realize how important it is in my wife’s and I diet until I became deficient in it. My wife’s hot flashes have been reducing in frequency and intensity as we have been supplementing with Iodine. Since we are vegan and don’t really have access to the seaweed sheets we been using a little bit of the pharmacy bought Iodine and rubbing a little patch on our skin. It absorbs super quickly but taking a little longer as we get more in our systems.

  7. Never had a hot flash, 4 years post. The only symptoms I have had are crazy dreams, brain fog, and dry skin. I do eat soy most every day – tofu, milk, or yogurt. My BMI has gone from 37 to 27 this year (yay), and my skin has improved, but otherwise about the same.

  8. I’m a vegan and went into surgical menopause 6 months ago. I am not on HRT. I’ve upped my soy and omega 3 intake and am doing pretty well. I had occasional mild hot flashes about a month in for a few months but they have dissipated. Thank you for your good work.

  9. WFPB for three years. Cancer survivor (triple positive, 6 round neo adjuvant therapy and 14 rounds adjuvant therapy) — have been on Tamoxifen five years. My cancer was estrogen-fueled. Can't do soy. Are there options for people in my situation? I have miserable hot flashes.

  10. Hi all,

    For those of you who are eating soy, what would you suggest as the easiest and most versatile way to incorporate soy into my diet? I do prepare most of my meals at home, even when I am planning to be in the office all day, however, this is time consuming. I do appreciate any and all comments.

  11. Vegetarian for 30 years, vegan for 8. I am 54 years old and haven't had a period in around two years or experienced a single hot flash. My soy consumption is moderate at best. A whole food vegan lifestyle is a win win win.

  12. This seems true to me. I don't have any of the problems described (obesity, etc.) and never noticed any menopause symptoms except my period gradually disappeared.

  13. So, it’s because of low estrogen? High estrogen? Hormone imbalance?

    I’ve had hot & cold flashes most of my life (since about 12). Overall, they’ve gotten worse over time. I’m fairly young, I’m underweight (gaining weight is mostly unrealistic for me) & I’ve been vegan for 8 years. I prefer to eat whole foods, but often find the need to eat very soon, before I get sick, so I’ve been eating more processed foods for a while, now. I drink an average of 1-2 bottles of (414mL) Soylent everyday to avoid starvation (on top of meals).

    What do I do to stop having so many hot & cold flashes?

  14. Dr. Greger, I hope you will look into the latest data regarding hormone therapy. The estradiol patch along with oral progesterone remove the risk of blood clot and breast cancer almost entirely, and falling estrogen levels affect women in myriad ways, not just with hot flashes. The data you present here is not current.

  15. Went through menopause in 2018 at age 52 (I'm now almost 58). No hot flashes, no brain fog, no crabby moods, nothing really horrible aside from a random pimple or two on my jawline now and again. I'm convinced that a plant based diet, limiting caffeine to 400 mg (or less) per day, limiting alcoholic beverages to few and far between, and walking 45 minutes a day helped. Since age 52, I've completed a couple of university degrees, and lived in Wales and Poland as a digital nomad for short stints, as well. Nope, I don't take hormone replacements, nor any prescription medications, either. Like most of us who follow a plant-based diet, we feel decades younger than our actual ages !

  16. Je confirme ! Je suis devenue végétalienne à 48 ans après avoir lu le rapport Campbell et j'ai commencé ma prémenopause et ménopause à 56 ans. Je n'ai jamais ressenti le moindre symptôme de ménopause, pas de bouffée de chaleur, pas de malaise, seul l'arrêt des menstruations. Rien d'autre! Ça m'a surprise car les femmes chez moi ont toutes eu beaucoup de symptômes. Aucun dans mon cas. J'ai maintenant 61 ans. Je suis la seule dans la famille à manger à base de plantes et du tofu.

  17. I follow you Dr Greger for a long time now and vegan for 10 years. I'm a bit confused with this video en how light you go on the studied risks for cancer and strokes from HRT… They are a lot of recent studies that shows that bio identical HRT is safe en beneficial on the short and long run. I do not smoke nor drink, I eat tofu and all recommended food every day. Yet my life quality without HRT is very poor. Hot flushes, depression, dark thoughts, join and muscle pain, and more… If I did not do a lot of research on the subject (peri-menopause) the last 5 years, I would be afraid of HRT viewing of this video. That makes me sad for other women who could becomes scared of taking HRT. Here is a very recent study from the Cambridge University to prove my point at least on the mental side of the menopause.
    https://www.cambridge.org/core/journals/bjpsych-bulletin/article/severe-mental-illness-and-the-perimenopause/8D072AACBCD3C7888C173B36635C08C3

  18. I eat a lower fat vegan diet for the most part and I've never had a hot flash. And I'm 58. I also never had PMS or any menopausal system (including cramps) after I began eating this way. My sisters, who eat meat and dairy, are obese and nearly bled out and experienced severe pain during menopause.

  19. I believe you. I used to get horrible PMS. Since I went wfpb I don't get any symptoms whatsoever unless I eat a ton of salty/oily foods. I am very optimistic about my upcoming menopause. I'm tired of women victimizing themselves because of periods. None of the symptoms this society accepts as normal are normal, it's just that the vast majority of the population eats so unhealthily that of course all the consequences of that are now considered normal. Swollen breasts, cramps, mood swings – none of this is normal. Eat well and your body will be well.

  20. Vegetarian from age 3, vegan last thirty years. Drink soy and eat tofu everyday. Mostly WFPB (a little vegan junk food).
    Have extremely terrible menopausal symptoms. Everything. HRT for life.
    Went through hell without HRT thinking what is wrong. Was doing everything right. WFPB and have been for so long. Finally went on HRT. Suffered for so long. Within two weeks was feeling a Trillion times better.

  21. Twenty Nine years after onset of menopause, still hammered with Hot flashes and a miserable Attitude. Plant based diet over 6years, no dairy, meat etc. Soy as much as possible.. Still working on it & seems to be LIFETIME COMMITMENT. Thank you Dr. Greger.

  22. It appears that you are not willing to share your blood results, your Vo2 max, your grip strength and your bio-age. This lacks of transparency clears shows that your book on aging is a total joke and your recommendations useless

  23. Unfortunately I get hot flashes everyday and I’m primarily whole food plant based. I’m in my third year dealing with it. I’ve tried everything. So, at this point I’m giving up. I don’t smoke, I don’t consume much soy if at all, and very little alcohol. I am just trying to power through it at this point.

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