Yes chills can follow. It does for me at times. stress brings on hot and cold flashes too. I have a meno book that says that very thing. I am going through a stressful time right now and I am getting hot and cold flashes alot. I am also gettin the hot flash where my forearms feel like they are on fire.It wakes me up at night. I am on prozac an wishing that it would click in!!!!