I started having hot flashes and for a couple of months did nothing. Then I read in our paper that pine bark helps with hot flashes. I took one pill each day and it started working for me right away. I had no hot flashes for at least six months. Then one week i didn't take it everyday because I forgot and now it doesn't seem to be helping any. I started taking black cohash and it doesn't help at all. Please try the pine bark because it worked fantastic on me with no side effects. They usually recommend one pill in the morning and one at night but I only did the one in the morning.