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The Study

Processed foods in the context of a vegan diet, and changes in body weight and severe hot flashes in postmenopausal women: a secondary analysis of a randomized clinical trial

In simple terms

This study is like a science experiment where half the women changed what they ate, and the other half didn’t. The ones who ate only plants lost weight and had fewer hot flashes. But we can’t say for sure that eating processed foods caused those changes — we only saw that they happened together.

53%

Analysis score

53/ 72

Maximum 72 for a cohort study.

Where the score came from

Reporting0
Methodology40
Publication100
Statistical77
Study type (basis of the score)
Cohort Study
Level 2b - Individual cohort study
What’s the bottom line?

Women who stopped eating animal foods and ate lots of plants and soy every day for 12 weeks had way fewer hot flashes and lost weight — even if they ate processed plant foods like vegan burgers.

Where does this study sit?

Reviews of RCTs (Meta-analyses)

Max 100

Randomized Trials

Max 90

Reviews of Cohort Studies

Max 85

Cohort Studies

Max 72

Reviews of Case-Control Studies

Max 63

Case-Control Studies

Max 58

Cross-Sectional & Case Series

Max 50

Expert Opinion

Max 5
StrongerWeaker
Cohort Studies
Level 2b
53

53 / 100

Quality score

Groups of people are followed over time to see who develops an outcome. Strong for identifying risk factors and associations, but cannot prove causation as firmly as RCTs.

Can establish causation

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Key takeaways

Summary

Based on the study abstract and findings.

  1. 1Yes — 92% fewer severe hot flashes means most women stopped having them entirely, and losing 3.6kg is a meaningful, healthy weight loss without dieting.
  2. 2Hot flashes dropped by 92%, weight dropped by 3.6kg.
  3. 3Cutting out animal foods — whether plain or processed — was linked to these changes.
  4. 4Eating processed plant foods didn't help or hurt.

Score breakdown, methodology, conflicts of interest, evidence analysis & raw study data

Publication

Journal

Menopause (New York, N.y.)

Year

2025

Authors

H. Kahleová, Tatiana Znayenko-Miller, Arathi Jayaraman, Giulianna Motoa, L. Chiavaroli, Richard Holubkov, Neal D. Barnard

Open Access
2 citations
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Not medical advice. For informational purposes only. Always consult a qualified healthcare professional before making health decisions.