Menopausal symptoms
Lifestyle modifications
NUTRITION
Alcohol, caffeine and spices may worsen menopausal symptoms (1)
Drinking cold water (1)
A whole food plant based diet low in fat with a daily 1/2 cup (86g) of cooked soybeans: In a randomized controlled study including postmenopausal women with 2 or more hot flashes daily there was a 79% reduction of total hot flashes (49% in the control group with no intervention), 84% reduction of moderate-severe hot flashes (42% in the control group). From week 0-12 56% of the intervention group reported becoming free of moderate-severe hot flashes (no change in control group) (2).
STRESS
Stress management as stress may worsen symptoms (1)
Avoid warm environment (1)
WEIGHT & PHYSICAL ACTIVITY
Weight reduction if obese/overweight and regular exercise may not reduce menopausal symptoms (hot flashes, etc.), but have benefits for cardiovascular and bone health (1).
References
Resources

EXPLANATION TO EVIDENCE PRESENTATION
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Evidence based on guidelines and evidence based Clinical Decision Systems is written in BOLD
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Evidence based on meta analysis or systematic reviews is written in BOLD and CURSIVE
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Evidence based on randomized controlled trials is written in plain font
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Evidence based on observational / cohort studies is written in CURSIVE
Figure: Evidence pyramid