Is black kohosh the best thing for hot flashes?

Maybe it can help. Black cohosh is a widely studied herbal treament for hot flashes. Some studies have suggested it can help, others suggest no real benefit. So it becomes an individual choice. It may help you, and it is usually safe to try. Red clover has also been used. Lifestyle changes can help, too (stop smoking, exercise, some diet changes). Some rx other than hormones can help (paxil).If serious talk with doc.