i started the menopause in my late forties and have not had bad hot flushes although lately, i am now 52, have had more symptoms of depressed days, anxiety, and general hot flushes. I was told by someone to try a combination of vitamins in one bottle and they are called flash fighters and u get them from Holland and Barratt - they seem to work for me. I hope u don't suffer too much with them as they are horrible and I carry a fan with me to restaurants!