This is an update on the pine bark extract. It started working again and very well, but I noticed every three or four months that it would not work 100 %. The one really great think about pine bark extract is there are no known side effects and it is a strong antioxident. Anyways so every few months I would have about three weeks of mostly no hot flashes, just occasionly would get warm. After about a year I upped my intake to two pills per day. Worked wonderful for a good year at least. I am now going through actual menapause I believe, since I haven't had a period for about five months. Pine Bark still works amazingly well, but here and there I will get a hot flash. Decided to up it to three per day because I don't want to have them at all. I figure my body is going through the severe change right now. So three a day is working well, just having an occasional semi flash! Still swear by this stuff, since no side effects.