Doctor B.Wunna is a menopause counsellor is Barnsley District General Hospital and she shares her thoughts: There is no doubt more & more is being studied & researched about how to naturally manage menopause. Herbal remedies like red clover, Soya isoflavones with Piperine (e.g. Menocease) can be a good choice for women who can not or choose not to take HRT. Over the years these herbs have played major role in most women to manage menopause symptoms, so I am not surprised that these herbs (Menocease) have helped women suffering from menopausal symptoms so much. Always it's not important how many supplements you take, certainly absorption of supplements play critical role thus Piperine added can enhance the uptake & absorption of supplements into your body.