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doi: 10.1016/0165-0173(94)90011-6

See comment in PubMed Commons belowJ Clin Invest 124: 31073120

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Fluctuating estrogen levels during menopause directly affect the inner ear and brain, causing dizziness in approximately 2530% of perimenopausal and postmenopausal women weekly Herbal supplements like black cohosh, ginkgo biloba, and ginger root may help alleviate dizziness symptoms for some women, but evidence remains limited and mixed Blood sugar stability through proper hydration, electrolyte management, and reduced caffeine intake plays a critical role in preventing dizzy spells Physical practices, including yoga, tai chi, and the Epley maneuver, offer immediate and long-term relief for balance issues Stress reduction techniques and deep breathing exercises address the anxiety component that often worsens menopause-related dizziness That sudden spinning sensation while standing up from your desk isn't just in your head