Managing Hot Flashes & Sleep Issues at 47 You're likely in perimenopause, and there are several good options: Medical Treatments (Most Effective) Hormone Therapy (HRT/MHT) Alloy or Midi Health – telemedicine platforms specializing in menopause; easy access to prescriptions Estradiol patches (like Vivelle-Dot) + progesterone (Prometrium) – considered the gold standard for hot flashes and sleep Talk to your OB-GYN or a menopause specialist (find one at The Menopause Society directory) Non-Hormonal Rx Options Veozah (fezonetant) – FDA-approved specifically for hot flashes, non-hormonal Effexor (venlafaxine) or Brisdelle (paroxetine) – antidepressants that reduce hot flashes Sleep-Specific Help CBT-I (Cognitive Behavioral Therapy for Insomnia) – try Sleepio app Magnesium glycinate (like Nature Made or Pure Encapsulations) – gentle sleep support Lifestyle Support Embr Wave bracelet – wearable that helps manage hot flash sensation Coolifit or BedJet – cooling systems for better sleep My Top Recommendation Start with a telemedicine menopause specialist through Midi Health – they're knowledgeable, fast, and insurance-friendly. Would you like more detail on any option?
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