Not many: First find out why hrt is not recommended. Is there a contraindication like blood clot or severe endometriosis. If not it actually is recommend for women in of premenopausal age, < 50 who don't smoke to protect the bones and general well-being. As for alternatives, other meds have been tried for treating hot flashes but not for other sx and they do not work very well.
Answered 11/25/2016
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