I can't really do them really hot anymore. I can do Frank's Hot Sauce and no more than that.
Depends on if one is raised on spicy sauces or comes to like them in later years.
We were trained that in some parts of the world diet played a big part in disease.
We travel outside the USA to find places with educated hospitals and doctors that get in a tizzy when a tourist comes to them with , say, gall stones or kidney stones.
The diet of the people prevents this in all but 1% or less of the population and the trained Doctors who have never come across this problem in their country. Perhaps in the country's they were trained in but after years back home they forget these things.
There is one sauce that the people from southern Asia make at home that will clear your sinuses in 3 seconds.
One spoon full of red pepper flakes
One half spoon full of sugar
One cup full of vinegar
Some add a pinch of salt, some do not.
This is made into batches and will keep in a cool place for months.
Everyone is protective of their own recipe for family hot sauce. Much difference between the Latino and the Asian sauces. Anchovies [yuck] are added to some sauces, and some people will order a Pizza with anchovies. But I think these are the people that eat sardines out of the can head first, or Tuna packed in water not oil.
I buy and use Cholula Hot Sauce as it is spicy but not so hot I cannot taste my food but get a kick from the bland tasting foods need a kick up.