Sylvia, aged 49 years, is suffering from hot flushes. She has tried HRT and says it didn't work and that she put on weight. She asks about complementary remedies.

For this activity, search the websites and other articles and information on this topic. Discuss with your team:

• What other questions would you ask Sylvia?
• How many types of HRT exist? Might Sylvia benefit from another type? Could she be referred to her GP?
• Does HRT cause weight gain? What is the evidence?
• What diet and lifestyle information could you give to Sylvia?
• What information could you give Sylvia to maintain her bone health?
• Which complementary therapies could Sylvia consider for her symptoms? Consider supplements and therapies that could be provided by complementary practitioners. Which practitioner(s) could you recommend in your local area? Which online or local support groups could you suggest?