Hi, Lisa- I'm afraid I don't have any good advice! My hot flashes tend to come and go. I can go several months without any and then they come back and I'll several per day. I cannot take any hormones. Do you get them mostly at night or in the day? I find that if I sleep in lighter pj's and with just a sheet and light blanket, I don't seem to get as many. But there are times that the blanket goes off and on many times during the night! I also sleep with a fan on. In the daytime, I wear cooler clothes, in layers, like a t-shirt with a light jacket, so I can take the jacket off if I get too hot. Ice cream, cold water, my bare feet on the tile floor and standing outside in the chilly air all help, too!
I know some ladies have had success with soy. Maybe someone else will chime in with some better advice for you. Try reading thru some of the posts if you haven't all ready. Maybe you will find some answers. Good luck! Gardenbear