Verbatim response from Claude
Here are some well-supported options worth considering:
Supplements
- Bonafide Relizen - plant-based, clinically studied for hot flashes, no hormones
- NOW Foods Black Cohosh - widely used for hot flash relief, decent evidence
- Magnesium Glycinate (many brands like Thorne or Pure Encapsulations) - helps sleep and mood
- Vital Proteins Collagen - supports skin and joint changes
Lifestyle Approaches
- Peloton or strength training apps - resistance training genuinely helps bone density and mood
- Calm or Headspace - mindfulness measurably reduces hot flash intensity
Specific Products
- Replens - for vaginal dryness, well-established and widely available
- Revaree (hyaluronic acid suppositories) - good option without hormones
- CBDFX or Charlotte's Web CBD - some women find it helps sleep, though evidence is limited
Prescription Non-Hormonal Options
- Veozah (fezolinetant) - newer FDA-approved non-hormonal drug specifically for hot flashes, ask your doctor
- SSRIs like Effexor - doctors prescribe off-label for hot flashes
Tracking
- Menopause app (Stella or Balance) - helps identify personal triggers
Worth noting: effectiveness varies a lot individually. A menopause-specialist OB/GYN is worth finding through the Menopause Society's provider directory.