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Lulu is 53 and has not had her menstrual period in a year. several times a day, she feels a tingling in her upper chest, and then heat washes over her, in an upwards direction. it is intensely uncomfortable for about 5 minutes, during which she is nearly overwhelmed with an urge to fling off her clothing. the cause of lulu's hot flashes is

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Lulu is 53 and has not had her menstrual period in a year. several times a day, she feels a tingling in her upper chest, and then heat washes over her, in an upwards direction.

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