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“There is wide variation in symptoms from woman to woman,” Nanette F. Santoro, MD, professor in the divisions of reproductive endocrinology and infertility and reproductive sciences in the department of obstetrics and gynecology and the E. Stewart Taylor Chair of OB/GYN at the University of Colorado School of Medicine, Aurora, told Endocrine Today. “Some women report no hot flashes, but they are relatively few. There are also large differences in how much symptoms affect a woman’s quality of life.”