Vitamin E (as d-Alpha Tocopheryl Acetate)
Vitamin E is an antioxidant. Can it prevent hot flashes? There were studies done in the late 1940's showing it to relieve hot flashes and postmenopausal vaginal dryness. More recent studies are lacking. There are other benefits. We know from the Nurses Health Study that women who took vitamin E over a two-year period reduced their risk of fatal heart attacks by 40%. Vitamin E is also being studied for its effect on Alzheimer's disease and cancer. Combining vitamin E with other antioxidants such as selenium, chromium, beta-carotene, and vitamin C may offer a synergistic effect. That means they work better together than separate.

Soy (Glycine max) (seed)
Soy contains natural plant estrogens called phytoestrogens. In fact, no other food has a higher phytoestrogen content than soy. Although phytoestrogens are weaker than human estrogens they behave similarly in the human body. In the body, phytoestrogens balance a woman's estrogen level by attaching themselves to the body's estrogen receptor sites. When attached, phytoestrogens can decrease estrogen levels in perimenopausal women and increase estrogen levels in postmenopausal women. In addition to relieving menopausal symptoms, research shows that soy helps promote heart health. Many doctors and researchers soy to relieve many menopausal symptoms including hot flashes, night sweats, mood swings, vaginal dryness and other discomforts. 

Black Cohosh (Cimicifuga racemosa) (root)
The primary use of black cohosh extract is for alleviation of menopausal symptoms. The American College of Obstetrics and Gynecology guidelines on the use of botanicals for the management of menopausal symptoms support this use for up to six months, especially in treating the symptoms of sleep and mood disturbance, and hot flushes. Studies demonstrate efficacy in patients taking black cohosh extract similar to that of estrogen in the treatment of neurovegetative menopausal symptoms. 

Damaiana (Turnerna diffusa) (leaf)
This yellow-flowering shrub typically grows in climates that are hot and humid, including Central and South America, and in the state of Texas. Damiana has historically been used as an aphrodisiac and has been claimed to induce euphoria. It is indicated to alleviate depression and relieve anxiety and induce relaxation. Damiana could lead to relaxation and could calm anxiety. Those suffering from sexual dysfunction resulting from stress or emotional troubles could benefit from supplementation with this herb.

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