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Red Clover No Relief for Hot Flashes
Excerpt By Andrew Stern, Reuters Health

Red clover extract, advertised as a substitute for hormone therapy, offered menopausal women no more relief from hot flashes than a placebo, according to a study published on Tuesday.

Many women who suffer menopausal symptoms are seeking an alternative to hormone replacement therapy after a recent study showed long-term use of the most popular estrogen-progestin combination increased the risks of heart disease, breast cancer and dementia.

The new study said interest in red clover extract stemmed in part from reports that Asian women suffer fewer hot flashes and other menopausal symptoms because their diets are rich in isoflavones, natural compounds found in soy products and legumes such as chickpeas.

"Hot flashes are the primary reason that women seek medical attention for menopausal symptoms," Jeffrey Tice of the University of California, San Francisco, wrote in the latest study.

The results of the 12-week study appeared in the Journal of the American Medical Association, which has previously published reports rebuking the efficacy of other herbal remedies.

In this trial, 250 menopausal women experiencing at least five hot flashes a day were given one of two isoflavone products made from red clover extract -- Promensil or Rimostil -- or a placebo.

All of the women experienced a comparable decline in hot flashes of between 34 percent and 41 percent, though Promensil, reduced them more quickly.

"Although the study provides some evidence for a biological effect of Promensil, neither supplement had a clinically significant effect on hot flashes or other menopausal symptoms when compared with placebo," the report said.

Novogen Ltd, the Australia-based maker of Promensil and Rimostil that funded the study, said the findings overstated the "placebo effect." In a statement, the company said previous studies showed women taking a placebo had symptoms decline by no more than 20 percent.

But a Duke University reproductive endocrinologist, Dr. Claude Hughes, said in a telephone interview that the placebo effect can vary widely in such studies of menopausal symptoms.

Hughes said he often starts his menopausal patients with diets rich in soy foods, such as tofu, then tries isoflavone extracts, then moves on to hormone replacement therapy.

"It's a matter of finding what works," Hughes said.

Reference Source 89

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