@lholiway
Sorry it's taken me so long -- my daughter has been in labor! I had such horid problems with Anastrozole and switched to letrozole, and finally to exemestane. Mood swings and pain were horrific for me on the first two and not so bad on the last. You may wish to try one of the others to see how well you do. Everyone reacts diffierently. I find that walking daily helps a lot with mood and just trying to stay active as well. As far as hot flshes, just dress in layers and cottons if you can. I used to take the pills at night and since switching to the morning, it's not as bad - I find that about 8 p.m. or so I get hot but not as bad as the beginning. I also wake up hot and sweaty in the middle of the night. If I stay away from alcohol or sugary foods, there are less problems so if I wish to have a glass of wine, I know that that evening may be worse! Sendng all good wishes your way.