Hi Karen -
When I tried to come off HRT, the meno clinic specialist recommendations were: Femarelle (soy derivative) and Promensil (Red Clover) and MenoHerb (Black Cohosh and SJW). They are quite expensive and may or may not work and have to be taken for a few months to give benefit.
Sage did nothing for me.
As you well know, there's a whole (confusing) range of alternatives out there, eg. Maca, Starflower, Agnus Castus.
Maybe try Promensil (red clover) - there are reviews on Amazon.
Sorry, you've mentioned in past threads but I can't recall, what stage of meno are you at - have your periods stopped?
Would you consider seeing a herbalist for a tailored remedy. From what I've read, Black Cohosh does seem to give good results.
Or trying Clonidine or ultra-low dose AD, eg. Prozac or Venlafaxine.
Or can you go back to your GP and ask for a referral to a meno clinic?
I have a 30 day sample pack of MenoHerb (in date) that I won't be using - if you would like to try it, PM me your address and I'll send it to you.
Hope you find a way forward, meno is the pits.
Night_Owl
x