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Research Brief

Black cohosh: menopause interest with liver and label cautions

NCCIH notes that black cohosh has been studied for menopause symptoms, with mixed conclusions and rare but serious liver injury reports associated with products labeled as black cohosh.

Menopause SupportBlack cohoshNCCIH safety summary and review context
Source linkedLimits includedCheck label before buyingNot medical advice

What the study looked at

Topic
Menopause Support
Ingredient
Black cohosh
Study type
NCCIH safety summary and review context
Published
Updated resource

What it may mean

Black cohosh should be presented as a high-caution botanical, not a simple hot flash supplement.

What it does not prove

The evidence does not prove reliable benefit for every menopause symptom, and safety uncertainty remains important.

What shoppers should check

  • Avoid use during pregnancy or breastfeeding.
  • Check liver disease, dark urine, fatigue, jaundice, and abdominal pain warnings.
  • Be cautious with products that do not clearly identify the botanical species and extract.