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help would be appreciated with this case. I've been working with a lady who has been on HRT for many years and wanted to discontinue. Have very successfully gradually reduced HRT with herbal support with virtually no menopause symptoms. Six weeks ago she was only taking 1 mg twice weekly so after three weeks of that tiny dose she stopped. Since then for the last three weeks her symptoms have become much much worse. She is now flushing every hour. I've had lots of success in the past with mainly cooling herbs and supporting the adrenal glands rather than "hormonal" herbs so that tends now to be my first approach.

Her mix has varied slightly but has included Atropa, humulus, borago, salvia, verbena, chamomilla, trifolium, melissa, leonurus, - obviously not all at once,

I'm slightly surprised that the reduction from such a small dose would have such an impact - is this usual? Does anyone find that patients who have been on HRT are harder to regulate thereafter? Any prescription suggestions would be much appreciated.

R Dow B.Sc.(Hons)B.A.(Hons), M.Sc.

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