Review title is Helped me a lot, my sister...eh...a bit so far [SEP] I ordered this for myself and my sister. It has worked quite well for me. My sister has terrible hot flashes so she uses 1/2 tsp on her arms 2x day. It helps but hasn't alleviated all her hot flashes but she swears she will keep it up. We don't want to use premarin because we have family history of estrogen fed breast cancer.