Managing Hot Flashes & Sleep Issues at 47 These are classic perimenopause symptoms — here are your main options: Medical Treatments (Most Effective) Hormone Therapy (HRT/HRT) — Talk to your doctor about brands like Vivelle-Dot (patch), Climara, or Bijuva (oral). Most effective for hot flashes Non-hormonal Rx options: Ask about Veozah (fezonetant) — a newer FDA-approved non-hormonal specifically for hot flashes Supplements (Moderate Evidence) Remifemin — black cohosh supplement with decent research backing Equelle — contains S-equol, derived from soy isoflavones Estroven — widely available menopause support blend Sleep Specifically MidNite or Natrol Melatonin for sleep onset Magnesium Glycinate (brands: Thorne or Pure Encapsulations) — helps with sleep quality Lifestyle Support Embr Wave wristband — tech device that helps manage hot flash sensation ChiliPad or BedJet — cooling sleep systems highly rated by menopausal women My Strong Recommendation Start with a doctor visit — ideally one specializing in menopause. The Menopause Society (menopause.org) has a provider finder tool. Would you like more detail on any of these options?
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