The Dr. Tyna Show
Hot Flashes Are a Warning Sign: The Truth About Metabolic Dysfunction | Quick + Dirty
Mon, 17 Mar 2025
Hot flashes aren’t just annoying—they’re your body’s way of waving a giant red flag. They’re not just about estrogen; they’re about metabolic health, brain function, and long-term resilience. In this quick and dirty episode, I’m breaking down exactly why normalizing hot flashes is a mistake and what they’re really telling you about your health. Topics Discussed: What hot flashes really are (hint: it’s not just about hormones) The link between metabolic dysfunction and brain health Why ignoring or normalizing hot flashes is a dangerous game How to support your metabolic health for long-term vitality If you’ve been told to “just deal with it,” this episode is your wake-up call. Let’s get into it! On This Episode We Cover: 00:00:00 – Introduction 00:01:45 – What Is a Hot Flash? 00:04:04 – Vasomotor Symptoms Explained 00:05:25 – Hot Flashes & Metabolic Dysfunction 00:09:39 – The Obesity Connection 00:12:07 – Fixing Metabolic Health 00:13:53 – Don’t Normalize Hot Flashes! Show Links: GLP-1s Done Right University Further Listening: GLP1s Uncovered FREE 4 Part Video Series EP. 171: STOP Aging with This One Simple Trick | Nathalie Niddam EP. 196 | The Answer Is The Gym | Quick + Dirty Sponsored By: BIOptimizers Go to bioptimizers.com/tyna and use promo code TYNA10 to order Masszymes now and get 10% off any order Nutrisense Head over to nutrisense.io/drtyna to get $125 off your program. Sundays As a Listener of The Dr Tyna Show, you can Get 40% off your first order of Sundays. Go to sundaysfordogs.com/DRTYNA and use code DRTYNA at checkout. Disclaimer: Information provided in this podcast is for informational purposes only. This information is NOT intended as a substitute for the advice provided by your physician or other healthcare professional, or any information contained on or in any product. Do not use the information provided in this podcast for diagnosing or treating a health problem or disease, or prescribing medication or other treatment. Always speak with your physician or other healthcare professional before taking any medication or nutritional, herbal or other supplement, or using any treatment for a health problem. Information provided in this blog/podcast and the use of any products or services related to this podcast by you does not create a doctor-patient relationship between you and Dr. Tyna Moore. Information and statements regarding dietary supplements have not been evaluated by the Food and Drug Administration and are not intended to diagnose, treat, cure, or prevent ANY disease.
Chapter 1: What are hot flashes and what do they mean?
That means your vasculature is spasming, which is crazy to think about, which means your entire body is having a vasomotor spasm. And that's concerning when you think about the fact that the Spasming is happening around your cardiovascular system, around your heart. It's happening potentially in your brain. These are vasomotor spasms. That's what is happening when you're having hot flashes.
And that is why I say it's the harbinger of doom. These are not benign. These are not to be taken lightly. These are not to be dismissed. These are not something to be accepted. These are not something that we just brush off and say, oh, it's part of getting older and that's just what I have to expect. No, no. We do not want hot flashes, ladies.
Bad hot flashes are a bad sign, and I'm not trying to scare anyone, but I'm telling you the data clearly shows this. So just because your doctor hasn't told you or you haven't looked into it or the influencers aren't talking about it yet does not mean that it's not a dangerous scenario to be in.
And I think that folks that have chronic hot flash issues, I've seen these women in my clinics, and they all have something very much in common. And that is in most cases, they are dealing with metabolic dysfunction, excess adiposity, and they are metabolically busted. across the board. These women are women who don't go to the gym.
Chapter 2: How does metabolic dysfunction relate to hot flashes?
They don't tend to necessarily be that concerned about their carbohydrate intake. They're not watching what they eat very much. And they're not even getting adequate movement. A lot of these are really nice women who are housewives or been housewives who take care of the whole family, who like to bake a lot, or maybe they've just worked themselves into metabolic dysfunction due to chronic stress.
And they weren't stay-at-home moms. They were the boss moms, you know? It's across the board, but one thing they all have in common is that they are not taking very good care of their physical body and they are sitting in metabolic dysfunction and they may or may not know it until I show them their labs. But vasomotor symptoms are a harbinger and they are telling us something.
So let's talk about... this in a bit more detail just so you can have all the facts. So understanding vasomotor symptoms, what are they? They're sudden sensations of heat often accompanied by sweating and flushing primarily of the upper body. That sweating and flushing is the vasomotor spasm happening.
Chapter 3: What is the connection between obesity and hot flashes?
They're experienced by a significant number of women during menopause and other hormonal transitions. The metabolic connection is that insulin resistance has been shown in the data to relate very closely and be associated with the frequency and severity of hot flashes. So we know that particularly insulin resistance has been associated with the frequency and severity of hot flashes.
Chapter 4: How can metabolic health be improved for longevity?
And most American adults have some level of insulin resistance, unfortunately. So impaired insulin sensitivity and signaling can disrupt sensitivity. the hypothalamic regulation of body temperature leading to vasomotor symptoms. And can this be helped with GLP-1s? Probably.
Chapter 5: Why should we not normalize hot flashes?
I've had women report that they get less frequency of hot flashes, less severity, but that's not going to make up for time in the gym and hitting your protein macros and really taking advantage of the whole... the whole situation, including HRT. I'm a big fan. If you're dealing with chronic vasomotor symptoms, i.e.
hot flashes, I would encourage you to go talk to somebody who knows what they're doing about hormone replacement therapy. All right, what about obesity and adipose tissue activity? Excess adipose tissue, especially visceral fat, contributes to systemic inflammation and metabolic disturbances, exacerbating hot flashes.
So adipose tissue produces inflammatory cytokines that can affect thermoregulatory centers in the brain. Research indicates that individuals with higher body mass report more frequent and intense hot flashes. So that kind of goes with what I was explaining earlier of who I see this most often in. Dyslipidemia or abnormal lipids and cardiovascular implications.
Abnormal lipid profiles characteristics of metabolic syndrome are associated with increased incidence of hot flashes. Elevated triglycerides and low LDL, for instance, may impair vascular function leading to vasomotor symptoms. I think it's not so much a direct result of the lipid impairment. I think the lipid impairment is a symptom of
more often than not, of the metabolic dysfunction and usually the waning of the hormones and usually hypothyroidism to boot. And then they end up with these vasomotor symptoms. We can't blame it on the abnormal lipids. It's just something that goes in that profile that I often see. You guys, I have to tell you about the absolute game changer in my dog's lives, Sunday's dog food.
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