Menopause is a classic case where lay opinion often diverges from evidence. Many women fear hormone therapy (HT) due to outdated interpretations of the WHI study (2002). Current evidence shows HT is safe and effective for symptom relief in women under 60 or within 10 years of menopause onset, with a favorable benefit-risk profile. Lay advice frequently promotes soy isoflavones, black cohosh, or 'natural' diets as cures, but evidence for these is weak to mixed. No robust RCT confirms that any supplement reliably eliminates hot flashes. Lifestyle measures like exercise and weight management have modest benefits. The key takeaway: individual risk assessment (cardiovascular, breast cancer) with a clinician is essential, not generic lay opinions. Evidence is human-moderate to human-strong for HT, but weak for most alternative remedies. Sources: empty (no menopause-specific evidence in provided context).
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