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  1. Thomas, Paul R. EdD, RD


Dietary supplements promoted as alternatives to hormone replacement therapy are enjoying healthy sales growth, although they haven't been well studied for their long-term effectiveness and safety. Nevertheless, a few supplements, particularly those containing black cohosh and phytoestrogens, may be worth considering, especially if future studies confirm that they provide some relief from the hot flashes, night sweats, and related symptoms that women often experience during their perimenopausal years.