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She’d have to look at trigger foods and drinks for hot flashes, like alcohol and caffeine.

Sangeeta, who goes by one name, is overwhelmed every day as she juggles work, household chores and childcare while enduring severe hot flashes, fatigue, insomnia, backache and abdominal pain.

“I’m sick of explaining that perimenopause means hot flashes AND heavy periods to guards the same age as my kids.”

“There are women that are going through hot flashes, mood swings and brain fog — all of the 34 symptoms that we associate with menopause, and they are not accessing care,” Malone said.

Which means that for 20 years, many of them have been suffering terrible symptoms, including hot flashes, migraines, mood swings, brain fog and insomnia, that could have been greatly lessened by MHT.