Would like to start taking natural herbal remedies for menopause symptoms. which ones could you recommend. and what do you know about macafem?

None: I would recommend seeing a doctor. If you are interested in nonstandard medical therapy consider seeing a holistic physician who can help match your preferences with options that work. Most studies do not show benefits of herbal therapies and menopause treatments

Black Cohash and eve: Black cohash and evening primrose oil are the most commonly used and are generally quite effective. Each can be taken alone or together depending on the severity of symptoms. For sleep disturbance that can occur at night you can also add melatonin. "Nature's Bounty" makes a formulation that includes AM and PM and is quite effective. Am not familiar with the active ingredients in Macafem.