Black Cohosh for Hormonal Balance
Black cohosh affects menopausal symptoms without measurably changing hormone levels.
Overview
Verdict
How It Works
Dosing & Protocol
Typical dose
- Recommended dose
- 40-80 mg/day standardised extract (2.5% triterpene glycosides), with food
- Expected timeframe
- 4-12 weeks
Protocol
- form
- Extract standardised to 2.5% triterpene glycosides, from a reputable brand - species adulteration is common
- step 1
- Understand what this is not - trials consistently show no change in FSH, LH or estradiol, so black cohosh does not rebalance hormones
- timing
- With food; split dosing helps if you get mild stomach upset
- duration
- Up to 6 months, reassessed at 8-12 weeks
- titration
- Increase to 40-80 mg/day in one or two doses after two weeks if symptoms persist
- measurement
- A daily vasomotor symptom count, since that is the endpoint that actually responds
- starting dose
- 20-40 mg standardised extract once daily with food
Evidence
What the studies say
No studies are yet linked to both Black Cohosh and Hormonal Balance.
Safety
Caveats
Do not expect hormone levels to change - they do not, and measuring them will not show whether it is working. Rare but serious liver injury has been reported, including cases requiring transplant: stop immediately with jaundice, dark urine, right upper abdominal pain or unusual fatigue, and avoid with existing liver disease. Contraindicated in pregnancy and breastfeeding. Discuss with your oncologist before use in breast or other hormone-sensitive cancer. Do not use for longer than 6-12 months without review. Adulteration with other Actaea species is common - buy tested products.
Less likely to help if
Medical Disclaimer
The information provided on this website is for educational and informational purposes only and is not intended as a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition or before starting any supplement regimen.
Individual results may vary. The statements on this website have not been evaluated by the Food and Drug Administration. Products and information are not intended to diagnose, treat, cure, or prevent any disease.