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    please help
    helenroberts posted:
    I am 51 and think i have it the hard stage. i cannot take hrt, i take zoloft now was on effexor . my blood pressure is up want to cry and tired . i have no energy to even clean my house anymore, i totally feel like i am going crazy. i have been checking into soy and black cohosh but i want to be safe, can anyone help
    Mary Jane Minkin, MD responded:
    Dear Helenroberts,
    I hope I can make a couple of suggestions. You certainly can add some soy to your diet; and the supplement Icool has the same active ingredient in soy, isoflavones, which are weak plant estrogens, and many of my patients find it helpful. Also you might try Remifemin, which is black cohosh; and you can take Icool and Remifemin together. That would be about the best combo of non medical interventions for hot flashes. And you can take those with effexor. If you are still uncomfortable, and your health care provider doesn't have any other suggestions, you may want to go to the website, the website of the North American Menopause Society, which has a listing of certified menopause clinicians throughout the country.
    Good luck,
    Mary Jane

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    For more information, visit the North American Menopause Society website