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Pelvic Health

Best Vitamins & Supplements for Menopause Hot Flashes

Best Vitamins & Supplements for Menopause Hot Flashes

by Dr. Barb DePree, MD

Menopause is a significant phase in a woman's life marked by the end of her menstrual cycle and it often brings with it a host of symptoms, including hot flashes.
Hot flashes are sudden feelings of warmth, which are usually most intense over the face, neck, and chest. To combat these, many women turn to vitamins and supplements.
Here, we explore the 11 best vitamins that can help manage hot flashes during menopause.

Top Vitamins for Menopause Hot Flash Relief

1. Vitamin E

Vitamin E is a powerful antioxidant that plays a role in skin health and blood vessel function. Studies suggest that vitamin E can help reduce the severity and frequency of hot flashes. Women can take a daily dose of around 400 IU, but it's important to consult a healthcare provider before starting any new supplement.

2. Vitamin B6

Vitamin B6, also known as pyridoxine, helps the body make serotonin, which can influence mood. The regulation of hormonal balance by vitamin B6 can potentially ease menopause symptoms, including hot flashes. A daily intake of 1.3 to 1.5 mg is generally recommended for adult women.

3. Vitamin B12

Often paired with other B vitamins, B12 supports the functioning of the nervous system and can help improve sleep patterns disturbed by menopause. The recommended daily intake of vitamin B12 for women over 50 is 2.4 µg.

4. Vitamin D

Vitamin D is crucial for bone health, especially important during menopause when women are at a higher risk of osteoporosis. While its direct effect on hot flashes isn’t profound, its overall benefits for mood and immune function make it essential during menopause. An intake of 600 to 800 IU per day is beneficial.

5. Vitamin C

This well-known vitamin supports the immune system and acts as a powerful antioxidant. For menopausal women, vitamin C can help in reducing hot flashes by improving vascular health. A daily dose of 75 mg for women is advisable.

6. Omega-3 Fatty Acids

Omega-3 supplements, often derived from fish oil, can have significant anti-inflammatory effects. They are known to help with depression and cardiovascular health, which can be beneficial for managing menopause symptoms including hot flashes.

7. Magnesium

Magnesium plays a role in over 300 enzyme reactions in the human body, including those for temperature regulation. An adequate magnesium intake can help reduce night sweats and hot flashes. The recommended dietary allowance for magnesium for women 51 and older is 320 mg per day.

8. Calcium

Calcium is vital for bone health, particularly during menopause. While it doesn’t directly reduce hot flashes, maintaining recommended calcium levels helps prevent bone loss. Women over 50 should aim for 1,200 mg of calcium per day.

9. Probiotics

Probiotics can help maintain a healthy gut microbiome, which is important for overall health and hormonal balance. They may indirectly influence menopause symptoms and contribute to overall well-being.

10. Black Cohosh

Black cohosh is a herb widely used for menopause symptoms, including hot flashes. While not a vitamin, its inclusion is relevant due to its popularity and use in herbal supplements aimed at reducing menopause symptoms.

11. Soy Isoflavones

Soy isoflavones are phytoestrogens—plant-derived compounds with estrogen-like effects. They have been shown to help reduce the frequency of hot flashes. Women can consider incorporating soy-rich foods into their diet or taking supplements after consulting with a healthcare provider.

12. Vitex Chasteberry

Vitex Chasteberry, also known as Agnus Castus, is a supplement that has been used traditionally to help balance hormones and manage symptoms related to hormone fluctuations.

It works by affecting pituitary gland function, which in turn can help alleviate menopause-related symptoms such as hot flashes. Like with other supplements, it is crucial to consult with a healthcare provider before starting Vitex to ensure it is appropriate for your health needs.


While vitamins and supplements can help mitigate the symptoms of menopause such as hot flashes, they should be part of a holistic approach that includes a healthy diet, regular exercise, and sufficient sleep. It is essential to consult with a healthcare provider before starting any new supplement regimen, especially during menopause, to ensure that it does not interfere with existing conditions or medications.

The transition through menopause can be challenging, but with the right support and resources, it is possible to manage symptoms effectively and maintain a high quality of life.