Hormone replacement therapy (HRT) and herbal medicine can be combined. ① mild herbs without estrogen-mimicking compounds are chosen, ② focus on supporting symptoms (insomnia, anxiety, joint pain) HRT doesn't fully address, ③ avoid soy/red clover/dong quai high doses while on HRT, ④ regular monitoring of hormone levels. Inform your prescribing doctor about all medications. Combined therapy can reduce HRT dose for some patients.