Well I thought it was awful ! I have a thyroid condition , makes me hot as crap !!! Added menopause :evil: I was completely miserable !!! Could sleep , was babysitting all day and evening . The name "grouchy -itch " Dr wasn't any help , thought I was too for menopause . Wanted to do exploratory surgery , no way ! They sucked me into that before , not a second time . So I bought the remifemin and was taking it . My primary care Dr had a fit when she found out I was taking it . She said their clinic did a study on it and it has kava kava in it . Causes kidney problems , so be ware . Annie