It’s Hot in Here — But You Can’t Take Off Your Skin: Menopausal Heat Regulation

Menopause, Heatwaves & Veoza: What’s Actually Happening Inside My Body

Here’s the truth nobody tells you: in menopause, you cannot maintain your core temperature the way you used to.

Your brain’s thermostat — the hypothalamus — becomes miswired because of the drop in oestrogen. Your hormones are dysregulated. Your internal signals are confused. Everything that used to be automatic becomes unreliable.

So when a heatwave hits, menopausal women feel it as intensely as tiny babies and very elderly people — because all three groups struggle to regulate temperature. We are right up there with the most vulnerable.

I take Veoza for my hot flushes. Before it, I couldn’t drink a warm drink or eat hot food for years. My body would go into instant overheating — a full internal alarm.

So here’s what I needed to know this week: Does Veoza still work in 40‑degree heat?

And the answer is: yes — but the heat still overwhelms the body.

Veoza blocks the misfiring brain pathway that causes hot flushes. It stops the internal thermostat from panicking. But a heatwave is an external force — and no medication can override the environment.

So right now, I’m not showing the physical flush on my chest or neck… but inside, I am on fire.

My body is working so hard to keep me alive in this heat that if I put warm food, hot food, or even any food into my system, it triggers fight‑or‑flight. Not because something is wrong — but because my body is already at maximum effort trying to maintain everything else.

This is normal physiology in extreme heat. It’s not a failure. It’s not the medication stopping. It’s your body doing its best under impossible conditions.

And with an ND brain, everything is amplified. Cold is easy — you can add layers, blankets, duvets. But heat? There is nothing left to take off. You reach the point where you want to unzip your skin just to cool down.

So if you’re menopausal and you feel like you’re losing your mind in a heatwave — you’re not. Your body simply cannot regulate temperature the way it used to, and extreme heat exposes that truth brutally.

This is what’s happening for me. This is why it feels so intense. And this is why it’s not your fault.

⚠️ Safety Note

I’m not medically trained. If you’re on Veoza or any menopause medication and you feel unwell, faint, confused, or your symptoms change suddenly, please speak to a qualified healthcare professional. Heat can mask or mimic other issues, and it’s always better to check.

FACT's from AI (I am NOT MEDICAL)

How Veoza works (in general terms)

Veoza doesn’t cool your body like a fan or lower your temperature like paracetamol. It works on a brain pathway — the NK3 receptor — that controls the “thermostat” in the hypothalamus.

Hot flushes happen when that thermostat becomes hypersensitive and misfires.

Veoza reduces the misfiring, so the brain stops sending out those sudden heat‑surge signals.

That mechanism doesn’t switch off just because the weather is hot.

What extreme heat does change

Even though Veoza still works on the brain pathway, 40°C heat stresses everyone’s body, with or without menopause, with or without medication.

High heat can:

• make your body work harder to cool itself

• increase sweating

• raise heart rate

• make you feel flushed even if it’s not a “hot flush”

• make any underlying temperature‑regulation issues feel worse

So you can feel hot, overheated, or wiped out in extreme weather — but that’s not the medication failing. That’s the environment overwhelming the body’s normal cooling systems.

So does Veoza still work in 40°C heat?

Yes — the medication still works on the brain pathway. But the weather can create heat symptoms that feel similar to hot flushes, even though they’re not caused by the same mechanism.

It’s like:

• Veoza calms the internal thermostat

• but 40°C heat is an external blast furnace

Two different things happening at the same time.

What matters most

If the heat is making you feel unwell, faint, confused, or your heart is racing in a way that feels wrong, that’s a medical situation, not a menopause one — and you should speak to a healthcare professional.

And because Veoza is processed through the liver, any time you feel “off” in a new way, it’s worth checking in with your GP or menopause specialist.