Hello I saw your comment and wanted to reply. I’m 57 and have PolycythemiaVera. I’m in full flown menopause. The tingling and aches and hot flashes are crazy and constant. I was told from my oncologist NO HORMONES. So I tried non prescription things they recommended but they didn’t work. Blood clots are a serious concern. I wanted to let you know I was prescribed Clonidine for the hot flashes and it has made a huge difference. This is kind of off topic but I thought I’d share. It’s a blood pressure med that’s been around forever and super cheap. I don’t have high BP and it only lowered it by 10 points or so. I take .1 mg twice a day. You can Google it. I wish you luck with your illness and this change too!