Botanicals such as soy and black cohosh are promoted to reduce treatment-related hot flashes in cancer patients. However, evidence suggests that they are not effective. Randomized, placebo-controlled trials show no benefit for black cohosh118 or soy119,120 in reducing the frequency of hot flashes in breast cancer patients. Vitamin E decreases hot flashes only minimally,121 but its low cost and lack of toxicity have led at least some authorities to recommend its use.122
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Among the evils which a vitiated appetite has fastened upon mankind, those that arise from the use of Tobacco hold a prominent place, and call loudly for reform. We pity the poor Chinese, who stupifies body and mind with opium, and the wretched Hindoo, who is under a similar slavery to his favorite plant, the Betel but we present the humiliating spectacle of an enlightened and christian nation, wasting annually more than twenty-five millions of dollars, and destroying the health and the lives of thousands, by a practice not at all less degrading than that of the Chinese or Hindoo.