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Common triggers that may precipitate hot flashes include: Dietary factors : spicy foods, caffeine, and alcohol consumption Environmental conditions : warm rooms, hot weather, or overheated bedrooms Lifestyle factors : smoking, stress, and anxiety Physical activity : sudden exertion or hot baths Beyond menopause, hot flashes can occur in other contexts, including certain medications (such as tamoxifen or aromatase inhibitors used in breast cancer treatment), thyroid disorders, and rarely, carcinoid syndrome