It's not possible to say that it's safe to take other herbal remedies and supplements with HRT. They are not tested the same way as at the pharmacy or by prescription. They are not tested in the same way as drugstore or prescription drugs. They are usually not tested to determine what effect they may have on other medications. It's perfectly safe to take vitamin supplements, especially vitamin D, magnesium, calcium, and zinc.
It is necessary to follow the dosage guidelines. Vitamin D is one of the most studied supplements and is an important natural aid for women during menopause. First, it promotes bone health and helps prevent osteoporosis, especially when taken in combination with calcium. Second, vitamin D is an excellent mood booster and can help alleviate symptoms of mild depression during menopause. For example, vitamin D and calcium improve bone health, omega-3 fatty acids improve cardiovascular health, and probiotics, B vitamins, black cohosh, evening primrose oil, and soy isoflavones are valuable supplements to complement a hormone therapy regimen.
An increasing number of premenopausal women are using contraception, while postmenopausal women are using hormone replacement therapy (HRT). On the other hand, estrogen therapy combined with melatonin or retinol supplements may increase the level of dietary supplements in the serum, as studies have demonstrated the concomitant beneficial effect of hormone therapy and vitamin E supplements on profiles lipids. Scientific evidence to support its use is lacking and, in fact, the North American Menopause Society advises doctors to avoid recommending it, as it is not effective. Every woman is different: some supplements can be very beneficial for some women and less effective for others. Women who used hormone replacement therapy alone reported relief from hot flashes much more often than those who used dietary supplements alone (63% compared to the combined use of dietary supplements and hormone replacement therapy) seemed to be associated with greater relief from certain menopausal symptoms.
In addition to controlling the undesirable effects of hormone therapy, some supplements offer additional benefits and improve overall health. HRT is beneficial for people who have symptoms of hormonal imbalances in the post-menopausal phase. The hormonal fluctuations associated with menopause and HRT alter intestinal health and cause signs such as diarrhea, bloating and constipation. Satisfaction with advice from a primary care provider about menopause was significantly higher in women who received only hormone replacement therapy (p = 0.0) and combination therapy (p = 0.00).) compared to women who received only dietary supplements.