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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

Overton HA, Babbs AJ, Doel SM, Fyfe MC, Gardner LS, Griffin G, et al

5 Safety, clinical tolerability, and periconception management strategies From the perspective of actionable clinical management, this section categorizes three core challenges associated with the use of GLP-1RAs in women of reproductive age with PCOS: (i) discontinuity in adherence driven by gastrointestinal adverse effects