Moderate flashes are warmer, produce obvious perspiration, and last 2 to 3 minutes. Severe flashes causes profuse perspiration, generate intense heat, last longer and interfere with ongoing activity. It is more practical to dress in layers so that clothing can be removed and added as needed. Natural remedies work in conjunction with a healthy diet and adequate exercise and tend to work more slowly. It is important when using herbs and vitamins to pay attention to our bodies' responses and to remember that natural doesn't mean we can take large amounts of a substance without thinking of side effects.
Herbs are generally available individually or in combination in capsule or extract form.
It is very difficult to prescribe exact doses for herbal remedies since every body responds differently. Sometimes it is useful to work with someone who is familiar with herbs and vitamins to get advice on dosages and adjustments. D-alpha tocopherol means that it comes from a natural source, but DL alpha means a synthetic. The vitamin E I use is mixed tocopherols. When flashes subside, take 400 IUs daily.