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I am 47 with hot flashes and terrible sleep. What are my treatment options?

ClaudediscoveryCollected Jul 21, 2026, 09:37 UTC

Verbatim response from Claude

Treatment Options for Menopause Symptoms

You're likely dealing with perimenopause/menopause, and there are good options available:

Medical Treatments

Hormone Therapy (HRT/MHT)

  • Midi Health (midi.health) - telehealth platform specializing in menopause care, highly rated
  • Alloy Women's Health (alloy.com) - another excellent menopause-focused telehealth service
  • Both can prescribe estrogen patches, pills, or gels which are the most effective treatment for hot flashes

Non-Hormonal Prescription Options

  • Ask your OB-GYN about fezolinetant (Veoza) - newly FDA-approved specifically for hot flashes
  • Effexor (venlafaxine) or gabapentin are also commonly prescribed

OTC/Supplement Support

  • Remifemin (black cohosh) - most studied herbal option
  • Equelle (S-equol supplement) - has decent research behind it
  • Magnesium glycinate (any brand) for sleep

Sleep Specifically

  • Unisom SleepTabs short-term
  • CBT-I therapy (try the Sleepio app)

My Top Recommendation

Start with Midi Health - they specialize in exactly your situation and can create a personalized plan.

Always consult your doctor before starting treatment.

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