Hot flashes are often thought to be synonymous with perimenopause and menopause and while fluctuating and decreasing estrogen levels can be one cause of hot flashes and night sweats, it’s far from the only thing to cause them.     And even the role estrogen plays with these symptoms is more complicated than just a lower estrogen level, as it can be complicated by low progesterone and how well you metabolize your estrogen. But we often forget the impact that blood sugar, stress and even thyroid hormones play in hot flashes. And what’s more: of course you can have more than one of these things going on! I cover it all here and help you make sense of all these variables so you can deal with this pesky symptom.   To work with Dr Brooke click here and if you loved this episode please leave a review!     This episode is sponsored by Cozy Earth, makers of sustainable, deliciously soft and incredibly luxurious sheets from 100% viscose bamboo and they are so indulgent you’ll never want to get out of bed! This revolutionary moisture wicking material helps keep you cooler while you sleep so you sleep more soundly and can even help with hot flashes and night sweats - amen to that! They’v ebeen one of Oprah’s Favorite Things for 5 years and they will soon be one of yours. Save 35% with code BETTEREVERYDAY at checkout. Treat yourself! You deserve a fabulous night’s sleep.    Follow Dr Brooke on Instagram and get signed up for my awesome emails here. Seriously,I write really great emails, or so 1000s of women tell me and I’d like to send you one too.   Be sure you connect with me in my FREE PRIVATE Facebook group: Hormones & Happiness with Dr Brooke where other amazing, like minded women like YOU are already hanging out! Join us!