I am in my second year of menopause, and my main symptoms have been the raging heart beat and anxiety. I have had lesser symptoms, but I'm not sure if they were a part of the actual hormonal change or the anxiety. The anxiety was so bad that in the last 2 years I have run to my DR twice just to have him do an EKG, I've called 911 on myself once, and I've driven myself to the fire station three times. All because of the debilitating anxiety that would always accompany one of my thumping heartbeat episodes. Before I began taking it I actually came here and read the reviews, even though my initial purchase was at my local health food store. The recommended dosage is 4 per day, but the general consensus here was 2 per day; I take my 2 in the morning. This product came highly recommended for anxiety, along with magnesium. Since I began taking the adrenal health, I feel co much more relaxed, and now when I have one of my thumping heart episodes, I can remain calm, not panic, and see it for what it is. Please note: I cannot stress enough the difference between an irregular heartbeat or a heart attack and the thudding heart beat that I have. During the first 5 months of my symptoms I had 3 EKG's. I KNOW it's not a heart attack because too many professionals have told me it's not. I also learned the signs of a heart attack in women, and now that I can think clearly when this happens, I look for other signs, and they're not present. What happens to me is that my heart beat just pounds for a few seconds to a few minutes, but the beat is normal and there are no other associated symptoms. If I ever did have any other symptoms, I would not hesitate to call 911 immediately. If you are experiencing any kind of menopause-related anxiety, I cannot recommend these enough. They have made a major difference in my life