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You could try Vitamin E (have herad that works for some, me not so much - but I think the Lousiana heat & humidity plays a big part in that)   Or you might be able to ask your your Dr to rx some Cattapress (?) Patches - they are for lowering blood pressure, but they worked for me for a while - been meaning to ask for more.   Unfortunately the meds you take don't help much (I used to take Effexor and it's one of those drugs that make you tired or fatigued, more suspectable to weight gain, and works with other meds to torture you with hot flashes!)  I have resorted to wearing tank tops to bed, since most often the worst hot flashes happen during sleep - and it has helped a bit.  I also shower lukewarm now (especially if efter spending time outside and am hot) Try wearing your hair up of you can as I know the back of my neck is a problem area for me - and I also always carry a bandana with me so I can wipe away the sweat or wet it and use to cool me off.   Wish I had better advice.  Hot flashes are no fun!   Stay cool = ) Angi