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Interestingly, research suggests that many women actually wake just before a hot flush occurs, rather than being woken by it indicating that the underlying hormonal disruption is affecting sleep architecture directly

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Medical nutrition therapy in dermatological diseases: a joint consensus statement of the Italian Association of Dietetics and Clinical Nutrition (ADI), the Italian Society of Dermatology and Sexually Transmitted Diseases (SIDeMaST), the Italian Society of Nutraceuticals (SINut), Club Ketodiets and Nutraceuticals KetoNut-SINut and the Italian Society of Endocrinology (SIE), Club Nutrition, Hormones and Metabolism

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Louis and Flint, 2009)