I am a MD who specializes in Menopause treatment in NYC. I have found this product to be a very succesful non hormonal adjuvent to my therapy for hot flashes. I have had many patients consistantly return to reorder this product with very good relief of not just hot flahes but also insomnia. I will just let you know that this product is IDENTICAL to the AM/PM menopause produce by Enzymatic which can be purchased for half the price. Let me know your experience.M Abrahams MD,FACOG,NCMP
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