While it may be nutritional, unless you have a really poor diet most of us get enough vitamins and minerals. Have your gynecologist run a FSH (follicle stimulating hormone) test. You may be perimenopausal or even menopausal. I had no hot flashes or other signs of menopause other than loosing hair and slight memory loss. My FSH test showed that I was menopausal though I too am still in my 40's. Taking estradiol cured both problems.
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