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Western Herbalism

Black Cohosh

Actaea racemosa

Western, Native American

Gabriel Score
79/ 100Good
EvidenceGood - effective for menopause symptoms
Conditions4 applications
How it works

Serotonergic activity, possible estrogen receptor modulation, anti-inflammatory

Typical Dosage

20-40mg extract 2x daily (standardized to triterpene glycosides)

Used for
Menopause symptomsPMSmenstrual crampsarthritis

The Science

Active Compounds

Triterpene glycosides, cimicifugoside, isoferulic acid

Evidence Base

Good - effective for menopause symptoms79/100

Mechanism unclear (not directly estrogenic); monitor liver function; takes 4-8 weeks

How to Use

Tincture, capsule

Dosing should be individualized. Consult a qualified herbalist or healthcare practitioner.

Safety Profile

Interactions

May interact with hepatotoxic drugs; theoretically with hormone therapy

Contraindications

Liver disease; pregnancy; hormone-sensitive cancers (debated)

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TraditionWestern Herbalism
EvidenceGood - effective for menopause symptoms
Applications4
Gabriel Score79/100

Educational purposes only. Consult a qualified healthcare provider before starting any herbal protocol.

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