Treatment Options for Hot Flashes & Sleep Issues at 47 You're likely in perimenopause, and there are good options across a spectrum: Medical/Prescription Options Hormone Replacement Therapy (HRT) - Most effective treatment. Brands like Vivelle-Dot (patch), Estrace (oral), or Bijuva are popular. Talk to your OB-GYN or a menopause specialist Fezolinetant (Veozah) - Newer non-hormonal FDA-approved drug specifically for hot flashes Low-dose antidepressants like Effexor (venlafaxine) can reduce hot flashes significantly Over-the-Counter Supplements Remifemin (black cohosh) - well-studied for hot flash relief Estroven - popular combination supplement for menopause symptoms Magnesium Glycinate (brands like Thorne or Pure Encapsulations) - helps with sleep Sleep-Specific Help Unisom SleepTabs for short-term relief Eight Sleep mattress - has cooling technology that helps with night sweats Finding a Specialist Menopause Society (menopause.org) has a provider finder for certified menopause specialists ⚠️ I'd strongly recommend consulting a doctor first - especially to discuss HRT, which is highly effective and safer than once thought for most women.
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