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Soy Isoflavones·Balance hormones·finding 17 of 26
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★☆☆Contested — the evidence disagrees with itself, or the finding carries a caution. A caution or conflict always shows one star, however strong the sources are.

Sexual & reproductive · mixed evidence · contested

Soy pills cut hot flushes by a fifth, and two reviews disagree

The figure comes from double-blind trials at a median 54 mg of soy isoflavones a day, run for six weeks to twelve months. Two later reviews declined to agree.

What the study found

Soy pills cut hot flushes by a fifth, and two reviews say otherwise

The figure comes from double-blind trials at a median 54 mg of soy isoflavones a day, run for six weeks to twelve months, with severity falling by about a quarter alongside frequency. The Cochrane review and the North American Menopause Society both looked again and declined to agree.

The caveat · Pooled trials contradict each other

Heterogeneity is high, 67 percent for frequency and 86 percent for severity, so the pooled figures sit on trials that contradict one another. The results are percentages, not flushes per day, which flatters a small absolute change. A co-author directs the industry-funded Soy Nutrition Institute.

What we don't know

Whether soy pills ease hot flushes is unsettled because the reviews disagree first about whether trials this varied can be combined at all, and only then about the answer. That is why more studies have not settled it.