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Menopausal tablets/capsules

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I have a female patient aged 51 years, who is just starting the

menopause. Sadly she has been alcoholic for 25 years, but has been dry

for the last 3 years.She also has smoked since being a teenager and at

present is smoking 20 a day. Due to the alcohol abuse only 1/3 of her

liver is working.

Her periods are about every 3 months and her LMP was end of September

2008. However at present she is suffering from hot sweats, two or three

during the day, but up to 10 at night which is disturbing her sleep.

She refused to drink herbal teas, does anyone know of a good herbal

tablet I can prescribe, that will not cause problems with her liver.

At present I am using Milk thistle capsules, but I wish to help her

further.

All contributions gratefully received, many thanks

Tina.Alder

Alnus@...

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