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Women looking for over-the-counter options to treat menopausal symptoms have a new one to add to the mix, a supplement called Femarelle.

This is not an FDA-approved drug, it’s a dietary supplement that its manufacturer says is clinically tested and “promotes the relief of menopausal symptoms and increased bone density.”

Its Web site–www.femarelle.com–is probably the easiest way to pick up product-approved information on the pill, which is made of tofu and flaxseed and is taken twice a day for symptoms such as hot flashes, night sweats, headaches, and slight joint and muscle discomfort.

The controversial area is its possible use for osteoporosis.

As its most-quoted clinical study says, it “appears to be a promising [product] for the prevention of postmenopausal osteoporosis.”

Studies have shown it increases bone mineral density, but that doesn’t mean it prevents fractures.

And its Web site doesn’t make that claim, saying only that it’s “for those who care for the future of their bone health.”

“Promising, that’s the key,” says Pamela Boggs, director of education and development for the North American Menopause Society, which published a study on the supplement in its “Journal.”

“The data is encouraging, but I would want to see more data on fracture prevention. If you are at risk for osteoporosis, you need physician oversight and to be using proven therapies.”

Nurse practitioner Debbie Ranes has given samples over the last two months to about 30 patients who complained of hot flashes, but didn’t want to use hormone replacement therapy because of the health risks of using estrogen and progestin.

There were no complaints of side effects.

For the record, she said she wasn’t paid to promote or distribute the product.

And she agrees that it shouldn’t be relied upon by those looking for alternatives to osteoporosis medication, which can be frightening to take.

Most such medications need to be taken with a full eight ounces of water and require the consumer to remain upright for at least 30 minutes.

If you recline, warnings say, you can damage your esophagus.

No wonder people are searching for alternatives. But, so far, this doesn’t appear to be it.

“I wouldn’t initiate it for bone therapy,” says Ranes, who practices in the office of Palm Beach Gardens obstetrician/gynecologist Dr. Nancy Thornton. “Building bone doesn’t always improve the fracture risk.”

For those who want to give Femarelle a try, anyway, it sells for about $30 for a month’s supply and currently is available at selected retail outlets–check the Web site for locations–or call 877-336-2735. It also can be ordered online.