Great question — there are several non-hormonal options with decent evidence behind them: Hot Flashes & Night Sweats Fezolinetant (Veoza) - FDA-approved non-hormonal prescription specifically for this Effexor (venlafaxine) or Lexapro - antidepressants that genuinely help hot flashes Magnesium glycinate (brands like Thorne or Pure Encapsulations) - helps sleep and some temperature regulation Sleep Magnesium Breakthrough by BiOptimizers - popular formulation for sleep quality Melatonin by Natrol or Life Extension in low doses (0.5-1mg) Mood & Anxiety Ashwagandha - brands like KSM-66 or Sensoril (look for these standardized extracts in products by Jarrow or NOW Foods) Vaginal Dryness (without hormones) Revaree (hyaluronic acid suppositories) - well-reviewed specifically for this Good Clean Love moisturizer General Support Strength training genuinely helps more than most supplements Cognitive behavioral therapy (CBT) has solid evidence for hot flashes and mood Worth Avoiding Many "menopause supplements" have weak evidence — be skeptical of expensive blends. Would you like more detail on any specific symptom?
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