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A few of you have mentioned that you're dealing with the side effect of hot flashes. As a cancer survivor you may be experiencing hot flashes because of surgical removal of ovaries or because of hormone suppressive therapy to decrease the levels of estrogen in the body. This problem is not just experienced by breast and ovarian cancer survivors, but it's also a problem for men taking hormone-blocking therapy as a treatment for prostate cancer.
Some practical ideas to help keep hot flashes under control by keeping your body and your environment cool include:
A number of drug therapies and other options have been used to help control hot flashes. Some of the common therapies include vitamin E, anticonvulsants, blood pressure-lowering medications and antidepressant medications. Complementary and alternative therapies include acupuncture, yoga, meditation and herbal supplements. Ask your cancer doctor about a strategy that would work for you. Please share ideas that have been successful for you.
Sheryl M. Ness, R.N.
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Join the discussion at #livingwithcancer.
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I have stage four Prostate Cancer.and have been taking hormone implants for sevon years. Hot flashes the entire time,, I hope to have them for another 30 years.J
Hi, I recently found very helpful article about self examination for breast cancer I hope it gonna help.
My heart aches for you women. 5.5 years ago i had breast cancer surgery and removal of ovaries (double wammy isnt it?) and started the 'power surges' 30 days later. Every 2 hours every day ever since then until 3 weeks ago. Robin, yes, sitting at my desk as the water drips off my fingers onto the keyboard and down the back of my legs into my shoes.Wear Black from head to toe, layer thin cotton t-shirts and singlets, spares in the office and car for quick changes when they are drenched and silk scarves to look a bit glam and colourful. No one notices if you wear 3 different scarves each day (as the others are drying on the back of the office door).Hair pulled back and earings. Loose powder not liquid, no need for foundation as the powder sticks to the moist skin, don't cringe until you have been there. Sleep? Worse than the breastfeeding years isnt it - no one can stay sane with 1.5 hours of sleep at a time with a 30 minutes gap while you change clothes and have a little weep with despair. Get a prescription for sleeping tablets, dont drink any alcohol for 3 hours prior to the sleeping tablets and whilst you will wake up with the powersurges you will fall straight back to asleep again. I have tried 11 precription drugs including Gabapanthen/Clonodine/Epilpsy drugs/blood thinners/seratonin uplifts/stellate ganglion blocks in my neck twice. Try everything the specialist suggest, for most women One will work.Good luck xxxxxxxxxx
I went through menopause several years ago. I'm experiencing a sweating head, no body sweating. I had a radical hysterocetomy but if I went through menopause already, why is my head sweating?
Had breast cancer--two+ years ago, ovaries out too since I have the Brac Gene. I'm so burned out from hot flashes/soakings. Once every hour or two I am literally soaked with sweat--dripping wet. It pours off my eyebrows, down my back--if I rest my uncovered arm on a surface it leaves a puddle. I've tried the Gabapentin--it sort of worked or so and then stopped.
I have to wear black cotton all the time to hide the sweat.
It's just dawned on me that despite the doctors saying it should let up after a year, (It's been almost three), I'm beginning to think it will never get any better.
It irritates me when I hear my friends complain about having hot flashes that occur once or twice a day and they get a little red in the face and worry that people might notice. Try pouring a bucket or water over your head and see how people look at you.
Caith, I don't, thankfully, have cancer but I too have those severe heat problem's that you described so well. My doctor's also ignore them. So keep on yelling till they hear your! And sleep whenever you can, I do with ice pack's and fan's surrounding me. Turn the temperature down as low as you need, it's easier to add warmth and other's in your house can just deal with it. I did research on-line at NIH site and one answer may lie in adrenal gland function. Thank's for sharing at least I know I'm not alone.
Gabapentin 300MG capsules x3 helps control my hot flashes. Make sure you are not taking any medications that may interact with this as it is an anti-seisure medication.
Thankfully, I am a seven year breast cancer survivor. Other than chemo and radiation I did not have any post cancer treatment. I am 69yrs and for the last 3years have had extreme hot flashes.(for want of a better term). Mine do not fall in to the normal range as I do not perspire. When I get into bed its as if someone plugs me in and I boil internally all night long. Its as if my cooling mechanism no longer works, my brain, eyes and whole body feel as if I am having a heat stroke and I am completely boiled dry. I drink water during the night, go to the bathroom frequently, get little sleep, am continually exhausted, feels as if my brain is going to come out of the top of my head. My doctors won't even give me a diagnosis, won't tell me what chemo I got, so over all my quality of life is terrible and to add insult to injury treat me as if this is all a figment of my imagination!! I am not really worried about dying and quality of life as much as possible is more important. I find the resounding silence of all the cancer organizations on this matter of hot flashes as a result of chemo rather puzzling and know that there are some clinical trials beginning. Given that so many of us are suffering because of this, it would be wonderful if more research could happen. vKXf5Y
Thank you all for reassuring me I am not crazy. I am 62, have DCIS (ductal carcinoma in situ). Diagnosed in Feb 2006, had 2 surgeries and 33 radiation treatments. I was on Femara for 5 years and have been off for one year. I was also on Evista (have been off about 4 months). My flashing/sweating lasts a very long time, from head to waist. Someone mentioned grape seed extract. How would I use that? My oncologist only suggested "Healthy Woman" pills. Anything I have tried lasts for a week or 2 and then doesn't work. Grape seed extract sounds interesting. Do I put it in a drink or what? thanks.
Dear all, it is a long time since I wrote my last post in this blog and by then I was more optimistic than today. I have to say that I keep searching for something to diminish my hot flashes which have been my company for two years by now. I tried every thing … food restrictions (no tomatoes, no cheese,…) remedies (Reiky, acupuncture, yoga or sports ) products (flax seed, homeopathy,...) or medicines ( Clonidine®, Venlafexine®, ...) some helped a bit, but NOT for long. The ones that worked better for me, produced side effects that were not worth wile the benefits, somnolence and the constipation were the difficult ones when taking Clonidine, which I think is the one best worked in my situation.
Now I’m doing nothing but saving money in useless products, nothing seems to help.
Sorry to disapoint!
I have had hot flashes for 20 yrs nothing has worked. My Mother had flashes from 42 to 83 when she died, I have about 20 years left to go and some times I think life is not worth living, I have spent thousands of dollars on creams lotions and pills,been to an assortment of Drs, without results. Is there anyone out there, with anything new for me to try?
Ask your doctor if the herb/vitamin Black Cohosh is ok for you to take. I take it (40mg) 1-2 times a day and it has really helped. I am not a big believer in vitamins or herbs but this works!
Cath - I also have ovarian cancer (3C) and began having hot flashes a couple months after completing chemo. So far they've been very mild but sometimes they feel kind of "prickly", like tiny needles; which really bothers me. I've tried to avoid just about anything that might produce estrogen because of my fear of a recurrence. Your comment about the green tea interested me and I did a search on hot v. cold: http://www.prevention.com/food/healthy-eating-tips/iced-tea-hot-tea-and-antioxidants. I'm sure you could find even more information on the subject.
I have ovarian cancer and had hot flashes after debulking surgery: Felt very very cold for several hours, then very warm, with very bad sweats. Especially painful during the nightime (had to change pyjama and sheets....).
Soy milk worked really well (contains natural phytooestrogenes). I take one glass a day and still have hot flashes but it's weaker. Problem is that with oestrogene sensitive cancer we are not supposed to take products containing oestrogens - so I asked to several doctors and as a general rule, recommanded to take only 1 serving a day. No supplements!
I noticed that the hot flashes are triggered by drinking hot things, as said in the article. I learned to not drink my green tea when it's too hot - which is good because it contains more actives when infused for a longer time.
Last: I had surgery 6 months ago and still experience hot flashes every hour.
I am still having some hot flashes especially at night. I received 4 Zoladex shots back in 2009 after having prostate cancer. I would like to know if these flashes are related to the Zoladex or could there be somthing else causing it.
This recommendation for men experiencing hot flashes as the result of treatment of prostate cancer with LHRH agonists: By top Medical Oncologist Stephen Strum, a specialist specifically in the treatment of recurring as well as advanced, high grade prostate cancer, should be the one to follow: ““I am not a user of Megace in this setting since it is metabolized to DHEA and then to androstenedione and then to testosterone. When the PSA is in good control and the testosterone is low, I use Depo-Provera intramuscular injection 400mg ONCE and that usually eliminates hot flashes forever.”
This is for Jimmy (August 15,2011). After my prostate surgery I received Zoladex hormone shots for two years to stop the production of testosterone and I also experienced hot flashes. And after the last shot, the hot flashes were more frequent than before. But ten months after the last shot, they suddenly stopped and I haven't had a hot flash in two months.
Hello and thank you! A few suggestions give me hope. I am currently on Femara , having tried all 3 drugs for estrogen positive breast cancer. I recently decided to get off the Effexor XR because I have been on it for 3 years and still having mega watt hot flashes. I have been trying acupuncture twice a month for the last 6 months. I always feel magnificent when the treatment is over and then, the dreaded HFs return. I have been given megace but am afraid to take it because one of the side effects is weight gain. Has anyone used it and can please comment on the side effects. TY and stay cool!
Well thank you jesus! I thought I was going nuts till I read your posts. I had 12 rounds of chemo, lumpectomy with 28 nodes removed, then 3o radiation treatments. I have sweat so much that I,m surprised I am not a prune. Through my clother, through my sheets, and so on. Neurontin made me so dizzy, tried it for a while, but couldn,t stand it. Somedays the water just pours down my body! I will lay off the tomatoes and citrus. Thanks for the ideas, good health to all!
I guess I'm the only man willing to talk about hot flashes. I received Lupron shots for about 3 years(female hormone)to destroy testosterone. They stopped giving me the shots about 6 months ago but my hot flashes are as many as ever. I wonder if I would start taking a testosterone supplements would help?
Hotflashes- I am 59 yrs old. I have been on
Clonidine HCl 0.025mg 2 Tablets twice daily 12
hours apart since May/11. Also known as Dixarit. Reduced the intensity of the hot flashes that they were very very mild. To reduce further I also take flax seed mixed with my oatmeal 1 tbsp and 1tbsp mixed with
yogurt at bedtime. I spoke to my pharmacist and family doctor as to what to do. They both
suggested this. This medication is used to lower blood pressure, but in this very low dosage it helps some people with hot flashes. Iam one of the lucky ones. I hope this helps some of you. It does not work for everyone. My prayers go out to all of you.
2010 was a bad year -- started with a heart attack and stint. Then in August I was diagnosed with Stage1 breat cancer -- had a lumpectectomy followed by radiation. 1 cm (80% invasive/20% DCIS).In January I went on Tamoxifen. I came off it in March. Here is the problem -- the oncologist wants me back on tamoxfen -- I have a 14-15% chance of recurrense over 10 years without Tamoxifen, and a 10% chance if I take Tamoxifen.
The cardiologist says he will double up on the high blood pressure meds and can presribe something else for the high triglycerides. I hate taking all this medication. Is 4-5% worth it ...
Coming off tamoxifen I now have hot flashes (which I never had before) and my hair has fallen out. I had this reaction when I came off birth control pills -- the hair came out. When I was on tamoxifen, my blood pressure went up, irregular heart beats and raised triglycerides, dry mouth, bumpy contacts, and a stiff neck -- plus trouble sleeping.
A hemotogist/oncologist said if I decided to go back on the drugs, stay on them as they found woman who went off and on got cancer. He also said if you have your uterus and are over 65, you shouldnt be on Tamoxifen. The other three drugs cause high blood pressure, high chlorestoral. They also can cause bone loss.
The worse thing would be to put up with these side effects and still get cancer.
Is it worth it? 4-5%. I have to decide by the end of he month and am going crazy. Any opinions welcome.
Megestrol or megace low dose 20mg stops hot flashes right away. It does have a few side effects but I took it for 10 years and I am still kicking! Just came off and hot flashes are back. good luck finding a Dr. that knows about it, my oncologist prescribed it. Now I can't find one who will perscribe!
My girlfriend was diagnosed with duct. carcinoma 2 yrs ago age 60, and has had chemo then surg. then radiation. The surg went well and the removal was done very well as noted by the Dr. The problem she is having is very painful sensations under the scar and under the arm ( 2 nodes were removed). Many test's have been done and no Cancer found. The pain has subsided sonewhat, but is still there. Has any one heard of this before and is there a remedy? Thanks. Boyfriend
Neurontin works. Generic name: gabapentin. Get it in 100 mg capsules and take up to 3 as needed. Good luck! and blessings....
It is quite some time since I last posted a comment but I did not feel like complaining again. Today, I have good news, I have to say that I am feeling better the hot flashes that were annoying me so badly are diminishing and becoming more bearable. I don’t say I have any, but the intense ones are less frequent and the quantity of the mild ones had diminished from 18-20 the worst days to an average of 10-12 and that is almost a 40% improvement. The treatment I am following for hot flashes is a combination of everything: acupuncture (I’m on the 8 week of the 12 week planed treatment), ground flax seed 2 soup spoons every morning combined with the cereals, I eat few oranges and tomatoes, less cured cheese and I avoid spicy food as much as possible, I’m back to summing and walking, and next month back to work!. Also weather conditions in autumn are more favorable for hot flashes than were in August and myself, I feel better of my disease, it is 6 months since I stated Tamoxifen® and almost 10 since my last menstruation, it seems that my body is adapting to the circumstances, not fighting I would say.
this i sdirected to Terri who asked if any nonbreast/uterine cancer survivors were suffering from teh hot flashes and night sweats? YES !!! I have Thymic Carcinoma,surgery and 28 sessions Radiation. The hot flashes during rad. were difficult but I think much of that was from the burning of the skin. It got better thought I could actually pack away my summer clothes this winter....was I wrong ! Not sure but they are back and almost worse than before. always walking around with wet hair, looks like I just got out of the shower.As another commented change clothes alot.
I am very concious of what I wear when I do go to town . cotton...layers...hair clips !!! I can't stand it on my face or neck. I am taking several medications and 15 months later am still on prednisone for my lungs. I am seeing my family Dr. this week to discuss this and some of the stuff the "specialists" at mayo won't address. It isn't their dept.! That makes me HOT ALSO LOL but there has to be a bright side ??? some where???? doesn't there???
I went into menopause after taking tamoxifen. Nothing seemed to help, not vitamin E or B12 or green tea. Since I couldn't sleep I found sleeping pills worked best at night. After I stopped taking tamoxifen after 5 years the hot flashes subsided.
After the mastectomy and chemo etc ...It was the hot flashes.
I have tried Clonidine and Effexor but now the best is Neurontin . I started with 200mg 3x a day and apparently you can go up to 900mg a day. IT WORKS
My mother in law has had a double mastectomy but is terminal. The cancer has gone into her bones. She uses tamoxifen. Her problem is not hot flashes but cold sweats that only occur when she is lying down. She completely soaks her clothing and bed. If she sleeps in her lift chair this does not happen. She is totally exhausted and we are concerned about dehydration from the loss of fluids. PLEASE, does anyone have any ideas? We have told her doctors but no one seems to have answers.
I was diagnosed with Fibromyalgia Febr'90. Currently I'm only on cyclobenzaprine. Had been on premarin since Nov'96 after a complete hysterectomy. Hot flashes were unbearable.
A May '09 biopsy's results showed that I had stage I invasive ductal cancer at age 62yrs. My lumpectomy was June'09. My cancer tumor was less than 1/3". The Oncotype DX test showed that chemo wasn't needed but I finished 33rounds of radiation the end of Sept'09.
Started Tamoxifen Oct'09 and instantly my war with hotflashes began. Took 37.5mg of Effexor XR but it didn't help.By June'10 I was taking 150mg of Effexor XR.
By July '10 my hot flashes turned into extreme warmth and sweats. I do feel lucky that sweats don't happen during the night. Some nights I can't fall asleep as easily as before.
My oncology hemotologist agreed that Effexor XR is NOT working. Currently cutting back dosage to ween off the drug.
My 5yr treatment plan is 2yrs of Tamoxifen and 3yrs of Arimidex. I hate to sound like a complainer but this is not the life after surgery that I expected. Surgery and radiation were easy compared to the hotflashes, extreme heat, and sweats. I'm tired of changing my clothes 2-3 times daily.
I have a very understanding husband as all ceiling fans are on 24/7. At night he uses a blanket so he isn't cold. Our A/C temperature is set 4*lower than pre-Tamoxifen days. Our utility bills are higher due to my bodyheat "war".
I'm thankful to find that I not alone battling bodyheat!!!
I'm 63 & still having severe hot flashes day & night.
And I'm on HRT!!! Nights are the worse when I'm awake for most of the night and then fall asleep from exhaution 2 hours before it's time to get up. At work I sweat through several hot flashes a day and drip down my sides & down my front. I thought I was the only one who ever did this until reading this blog. Thank you all who have shared their experience. I will try flax seed, Vit. E and grape seed extract. Already did relaxation techniques, guided imagery, Reiki - no help at all. And I'm going back to the doctor. This is ridiculous!!!!
i was diagnosed with stage III colon cancer in september 2008, had surgery (resection) plus 12 rounds of chemo over six months. I went through menopause ten years before, and had finally passed the "flashing" stage. But i find myself experiencing hot flashes again, since treatment. i wonder if it is residual from the chemo since i am not on any hormone suppressants and, in fact, wear a low dose estrogen patch at the recommendation of my gyn. I'd be interested to know if anyone else with cancer of the NON breast/ovarian type has experienced this?
I WOULD NOT WISH HOT FLASHES ON MY WORST ENEMY! Your comments have given me hope! One thing that I have learned, one treatment may not work the same for each individual. I have tried the grape seed extract and it seems to decrease the amount and severity of my hot flashes. May daugther said that hot flashes are just my inner child playing with matches. :-}
Thanks for all the ideas. I am starting tamoxifen today and not looking forward to the hot flashes. I have been concerned about starting it anyway and am not looking forward to the hot flashes at all. Didn't have to go thru them at menopause so I thought I was thru that phase - oh well - if it helps the breast cancer from showing up again!
I am 48 yrs old and experienced surgical menopause in 2008 after hysterectomy, chemo and continuing drug therapy. My flashes woke me every night for 2 years and I had several each day where the perspiration would drip from my face they were so severe. My doctor put me on a low dose of clonidine which was used as an early blood pressure medication but is now prescribed quite regularly as an aid to hot flashes. A co-worker also was prescribed clonidine by a different doctor and we both have significantly less frequent or severe flashes. If taken at bedtime it also helps sleep.
Hot flashes started for me 7 months after going thru chemo treatments for a tumor located in my hip area. I had hot flashes during chemo treatments, but of course stopped after treatment was discontinued. Thank goodness the flashes aren't as bad, but still enough to wake me up at night. I want to thank all of you for the things you have tried because it will help me to pay more attention to the foods I eat and my habits to see what helps and what makes them worse.
I am 68, was 44 at the time of menopause, and have had two lung cancer surgeries, one in each lung. I am lucky that it was caught in very early stages. However, three months after completing radiation therapy and five after a truncated serious of chemotherapy I have begun to have hot flashes. It may be something that occurs in other types of cancer. Just a thought.
Thank you to each one of you for your comments. I am preparing for surgery, radiation, and hormone suppressive therapy. I had a total hysterectomy 8 years ago and so had taken Premarin to assist with hot flashes among other things. I do take Effexor XR so hopefully that will continue to help, I have occasional hot flashes since discontinuing the hormones. I can tolerate outside heat but not getting hot inside. I will definitely try the additional suggestions you've made. God bless you all.
I have been on Arimidex for one year and have had my share of hot flashes. The best remedy I have found is to eliminate sugar from my diet as much as possible and take the supplement, Grape Seed Extract. My oncologist suggested the grape seed extract and it hasn't eliminated them completely , but made them much more tolerable.
I found Vitamin E helped a bit but Effexor XR was the best. It stopped hot flashes and the night sweats. In fact at 68 years old, I am still on it, because the hot flashes went way past my treatment with Tamoxifen.
for Robyn: I too had terrible hot flashes like you (still do but thats a different story) I had fibroids that were growing, all biopsies and ultra sounds showed benign fibroids. had hysterectomy last summer and found uterine cancer (sarcoma) nestled among the fibroids.I don't know if there is a connection but you should check with dr. to be sure.
Here is something that you might try for the night sweats and hot flashes. It helps me some - or maybe it just knocks me out. One of my Doctors put me on Belladona at night. I can actually feel my body cool down at bedtime. I sleep better and don't wake up all wet. I wish I could take it durning the day but she said not too because it stops you from sweating.
I had a lumpectomy at Mayo in 2005 and had hot flashes after radiation at Mayo. A doctor told me to use approx. 2 tablespoons of GROUND flax seed each day and it stopped the hot flashes. The GROUND flax seed needs to be kept in a refrigerator, and the flax seed needs to be ground up as whole flax seeds will just pass through your system.
I put this on my old fashion oatmeal (not quick cooking oatmeal) each morning and it worked for me in getting rid of the hot flashes. You might try it.
Let me add that everything i mentioned makes the flashes tolerable, but I am very tired of living a tolerable life. I had a thriving career with international travel but was "downsized" during my treatment (I am suing). I had a wonderful life. Now I have scars, and weakness and hot flashes, no career and no insurance, and the best I can hope for is that my life will become "tolerable".
I am 49 with chemo-induced menopause, on Aromasin as well. The hot flashed were bad during chemo but once I started the aromatese inhibitor (I first tried femara) I had flashes 24 hours a day. One would end and the next one would begin. The switch to Aromasin helped as does 300mg of gabapentin taken at 6pm. As for alternative therapies, yoga 3x weekly helps me, and so does guided imagery. I've also come to realize that for me there is no pattern to the flashes, no foods that trigger them, etc. Deep breathing and keeping busy help as well. I also joke that i stay
outside in the FL summer and then i don't notice the hot flashes. I have had them so bad that I have walked fully clothed into my swimming pool or sat naked in a cold shower in the middle of the night. I think the only cure is time, and getting off the aromatese inhibitor in 4 years 8 months an d3 days, but who's counting.
I am 63, past "the change of life" by 48 but I still have hot flashes. These are some of the tips I have learned that have helped me. I hope that they help you.
• Wear clothing made of natural fibers so that the hot flash heat can dissipate the heat and sweat.
• Covering and uncovering your feet or head can influence the heating and cooling effects of releasing the body heat from hot flashes.
• Wear the lightest clothing the weather and climate will allow.
• Wear layers of natural fabric garments.
• After a hot or warm shower turn the water to the coolest temperature you can tolerate for at least 5 minutes to bring down the heat that your body absorbed in the hot or warm part of your shower. Be sure your feet cool down and use a cloth with cool water on your face to cool it down.
• Don’t wear heavy slippers after the shower. Only wear light socks or nylon knee-hi socks so that the heat will dissipate from your feet.
• I have fans in every room of my apartment” ceiling fans, standing fans, and small fans in the bathroom on the counter to cool off my face before putting my makeup on.
I’m really affected by those hot flashes and so far I think that are interfering in my daily life more than surgery, chemotherapy and radiotherapy treatments I’ have received.
It is hard to figure out how to live a normal life (going back to work, to do exercise, cook,…) having to stop and look for a fan to cool my body a little bit. I think Tamoxifen® is part of the problem, but I know that it helps to control hormone dependent breast cancer, which is my case so I tray to keep good adherence to it.
As I told you in a previous comment I’m on acupuncture treatment to control vasomotor symptoms. I had done Reiki sessions and it did not work for me at all. Since all those complementary therapies are expensive I think is good to share results if some improvement is achieved.
I have had terrible hot flashes since my breast cancer diagnosis in Dec. 2008. I was on Tamoxifen until last summer when it was recommended that I have a hysterectomy, which made things worse, being thrust into menopause. I just made an appt. this morning for an alternative medicine consultation to check out acupuncture, Reiki, and hypnotherapy. Has anyone had success with any of these??
i have been getting them for no apparent reason - i thought at 44/45 it was the start of change of life/menapause but the blood tests said this wasn't the case. have had them for about 15 months now. it is so bad that after a shower i need to have another one. doesn't help that i have hyperhydrosis either. i have found out i have fibroids and am wondering if these can be a cause?
I have had hot flashes for 6 years - every since my cancer surgeries and the removal of my ovaries. I have been on Effexor the entire time. It helped with the hot flashes when I was taking tamoxifen. But since I quit that I cant tell that it helps. The days are as bad as the nights. I am totally miserable. I sweat enought to drop my potassium levels and Have to take supplements. I think its almost worth the risk to take estrogen supplements in order to feel good again.
Thank you very much for starting this new blog to discourse hot flashes. Until now I was writing in the slipping disturbances blog, since hot flashes cause me several awakening episodes every night. But the situation is not only uncomfortable at night it is also difficult to keep hot flashes under control during day time too.
By now I can not share a successful strategy there are some, too many, moments that I feel miserable wet.
I’m doing acupuncture because I’ve read an article (J Clin Oncol. 2010 Feb 1;28(4):634-40. Epub 2009 Dec 28. Acupuncture versus venlafaxine for the management of vasomotor symptoms in patients with hormone receptor-positive breast cancer: a randomized controlled trial. Walker EM, Rodriguez AI, Kohn B, Ball RM, Pegg J, Pocock JR, Nunez R, Peterson E, Jakary S, Levine RA. Department of Radiation Oncology, Henry Ford Hospital, Detroit, MI 48202, USA) but just today I have done the second session.
I was not aware that certain foods could worsen the situation; it is going to be hard for me to avoid tomatoes, oranges and cheese because I am a tomato orange and cheese lover.
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