start here
http://www.rlrouse.com/menopausal-weight-gain.html
look at all the information you can find for the "active ingredients"
Ingredients contained in the Zalestra⢠formulation, include black cohosh, mega soy extract, DHEA, Indole 3 Carbinol, borage oil and vitex fruit extract.
black cohosh side effects-
bradycardia, dizziness, headache, tremors, giddiness
hepatotoxicity (case report)nausea, vomiting. and it interacts with breast cancer medications
DHEA is a steroid analog. it is converted in the body to estrogen or androgens. this is the ingredient that is most worrysome. it will bring an increased risk of cardio vascular events such as stroke or heart attack. you may know of the risks associated with hormone replacement therapy (estrogens) in menopause and DHEA would be vary similar.