black kohash is effective for a lot of women. worse comes to worse, do not shy away from hormone replacement therapy. that's not i don't think a danger for women when they're entering menopause to take for a short period of time. take it with aspirin. that's where the average practitioner will agree to use the drugs. >> good advice. you have a question about pain. >> hi, dr. oz. my question is in regards to pain. i have a pre-existing shoulder injury and i notice the older that i become, the more frequent the pain is starting to appear. so my question to you is is there a preventive measure that i can use to help alleviate the pain so that long term it won't turn into arthritis? >> that's a great question. many americans must suffer from pain in some capacity, long-term pain. what is the best way to try to deal with this? >> we tackle this in the show a lot. 116 million americans with chronic pain issues. a lot of us are on pills. pills aren't the right solution. they paint over the crack in the foundation of your being. let's ta