My hot flashes and crying spells are nearly non-existent since I’ve started taking these O Positive Meno vitamins. I have been on them now for five months and I don’t even recall the last hot flash I’ve had! I was getting multiple daily, so that is quite a testimonial to how well these have worked for me. I highly recommend these for anybody in perimenopause. Disclaimer: I am not a doctor. I’m not making medical or health claims. I am sharing my personal testimony. Your experience may be different.