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The how-to
Tempeh is sold already fermented, so the hard part is done before it reaches your cart.
Buy plain tempeh in the refrigerated case near the tofu, usually an eight to ten ounce block for two to four dollars. Look for a tight, white to lightly gray surface, and skip any block with pink, yellow, or blue patches or a sharp ammonia smell. Steam or simmer the block about ten minutes to soften any bitterness, then slice, marinate, and pan-fry or bake it. A steady pattern of a few servings a week matters more than any single meal, since the trials that saw an effect ran for weeks to months. If hot flashes are the target, give it several weeks, and know it may do more for you if you happen to be an equol producer, which you cannot easily tell without testing. The whole fermented food is still a sound way to eat soy either way. Cook it thoroughly and refrigerate leftovers, and throw out any block that smells of ammonia or shows off colors, since that points to spoilage rather than proper fermentation. If you take thyroid medication, have a soy allergy, or your hot flashes are severe or newly changed, talk with a clinician before leaning on soy foods.
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