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Hot Flashes

Users on Reddit report a variety of experiences related to temperature regulation while on GLP-1 medications, including sensations that resemble hot flashes, such as feeling suddenly hot, sweating, and experiencing temperature fluctuations.

Experiences with Hot Flashes and Feeling Hot:

  • Some users describe intense feelings of heat and sweating. One user with fibromyalgia on GLP-1s reported amplified temperature intolerance, describing it as "Feels like I’m getting dunked in an ice bath while flickered by a flame torch" and experiencing "Sweats. "[1]

  • Another user on Zepbound described night sweats: "abruptly wake up a couple hours later sweating and so hot that I ligit throw the covers off me b/c I'm burning up. "[2]

  • A user explicitly mentioned, "A hot flash can trigger nausea" while on Mounjaro. [3]

  • General feelings of being hot and increased sweating are also noted, with one user mentioning "under boob sweat 😂 and the general feeling of being hot all the time. "[4]

  • Many users report broader temperature dysregulation, which can include feeling excessively hot. For instance, some feel "overwhelmed in the heat/sun and get freezing at night,"[5] or fluctuate between "freezing and then five minutes later I’m burning up and then five minutes later I’m freezing again. "[6] One user on Mounjaro experienced "even worse temperature dysregulation" when starting the medication. [7]


Remedies and Preventions Recommended:

While specific remedies for hot flashes are not extensively detailed, users discuss managing overall temperature dysregulation and associated symptoms:

  • Dose Adjustment: For severe temperature fluctuations including night sweats and feeling hot, one user considered reducing their Zepbound dose: "I hate to go back to the 10mg and slow the weight loss to a trickle b/c I still have 30 lbs to lose, but that may be my only option. "[2]

  • Time for Adaptation: Some users find that temperature regulation issues, including feeling hot or dysregulated, may improve over time. A user noted that their "temperature dysregulation" adapted after about 6 weeks on Mounjaro. [7]

  • Managing Associated Symptoms: When a hot flash triggered nausea, one user recommended to "drink LOTS of water and electrolyte drinks" and "eat a small amount of plain food even if you don’t feel hungry in the slightest. "[3]

  • Managing Chills (as part of temperature dysregulation): For users experiencing the cold aspect of temperature fluctuations, remedies like a "heated blanket and sometimes took a Tylenol" were mentioned. [10]


Potential Explanations Discussed by Users:

  • Users speculate that GLP-1 medications might affect the brain's temperature control center, the hypothalamus: "From what I understand, it has to do with GLP-1 pathways affecting a neuron that controls the thermal regulation in our brain. "[8]

  • Changes in blood flow due to vasodilation are also discussed as a potential cause for feeling hot: "When your blood vessels dilate they come closer to the surface of your skin, which is the same process your body uses to cool off.
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