Do botanicals help alleviate vasomotor symptoms?

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Black cohosh has no effect on frequency or intensity of hot flushes. Red clover may be effective, but only in the short term (3–4 months) (SOR: A, meta-analyses of RCTs). Genistein extracts (>30 mg daily) likely reduce the frequency of hot flushes for months to years (SOR: A, systematic review of RCTs).

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