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One of the first symptoms of approaching menopause is hot flashes (see tip on hot flashes). Those infamous hot flashes usually last between three and six minutes and may occur up to several times a day. Hot flashes can be mild to physically draining. They may or may not include sweating and often can lead to insomnia. Associated with hot flashes might be headache, nausea, and general feelings of lethargy or difficulty in concentration.
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