Managing Hot Flashes & Sleep Issues at 47 These are classic perimenopause symptoms. Here are your main options: Medical Treatments (Talk to Your Doctor) Hormone Therapy (HRT) Alloy or Midi - telehealth menopause specialists who can prescribe quickly The Menopause Society website can find certified local doctors Estrogen/progesterone therapy is the most effective option for most women Non-Hormonal Rx Veozah (fezonetant) - newer FDA-approved non-hormonal option specifically for hot flashes Low-dose antidepressants like Effexor are sometimes prescribed Sleep-Specific Help Magnesium Glycinate (brands: Nature Made, Thorne) - widely recommended for sleep Estroven - OTC supplement targeting menopause sleep/hot flash symptoms Lifestyle & Cooling Products BedJet or Eight Sleep mattress cooling systems - very effective for night sweats Sheex or Coop Home Goods cooling bedding Oura Ring to track sleep quality Telehealth Options (Fast Access) Midi Health, Alloy, Evernow - menopause-focused platforms with quick appointments I'd strongly recommend starting with a menopause specialist - HRT is highly effective and often life-changing for these symptoms. 🌡️
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