I'm not knowledgeable about GB/ Liver Flushes for menopausal symptoms as I've already passed the menopause. But from my own experience, I can tell you that what helped me get through it without very many problems (esp in regard to hot flashes) was taking Mexican Wild Yam Root capsules (I think I started with 3 a day and later 2). Give it time to work. Some may prefer the tincture. It has to be the root, though. Do not use the cream as it is practically useless! Also, natural progesterone cream is needed. I use emerita Pro-Gest Body Cream. The book "What Your Doctor May Not Tell you About Menopause: The breakthrough book on natural progesterone" by John R. Lee, tells all about it, plus help on proper nutrition. Also, Damiana Leaf extract is good. You could do more research on this on your own. I hope things improve for you.