I purchased this product hoping to find relief from hot flashes and night sweats. I'm 48 and the hot flashes just started for me 3 months ago. I had heard that black cohosh can help so I set off on a search to find it. I chose this product over several available because it had clinical backing and all the ingredients I wanted as well as other things I'd not heard of. I started with the recommended dose of 2 in the morning and also 2 at night. 3 DAYS, I realized I had not had a hot flash on the 3rd day! This is an amazing product and I'm happy to recommend it. Thank you to the makers of this, I am grateful to have found relief with the first product I tried! It's also helped with mood swings, that's a huge plus!