I posted this for another poster and thought it may be helpful to leave it here.
https://thebms.org.uk/wp-content/uploads/2024/09/04-BMS-ConsensusStatement-Non-hormonal-based-treatments-SEPT2024-A.pdf
Basically, none of the alternatives are as effective as HRT and many come with side effects of their own, some potentially serious.
However, this report is for women who can't take/won't use HRT for whatever reason and may want to try supplements and other drugs.
There are often comments here suggesting herbs and minerals and this report digs into the science of their effectiveness, not just personal experiences. Interestingly, the report says that the placebo effect can be up to 50% although that's not necessarily a no-no for using it!