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.
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