I started taking these tablets back in July 2022. They started to work almost immediately, and within a handful of days I had virtually no symptoms. Hurray! No hot flashes, improved memory, not as much brain fog and, as a result, a better mood. There's a small downside...I did get a bit constipated after about 2 months of taking the tablets. I stopped taking them but still had constipation on and off for about a month. It might be nothing to do with the tablets?! Anyway, the hot flashes have started to come back, so I'm going to try the tablets again. I'm having trouble sleeping again, so I need to control the hot flashes!