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Black Cohosh
kari69 posted:

What is your opinion on Black Cohosh? does it work? is it safe? I am a 43 year old woman who is in the throes of perimenopause and I am having issues with anxiety, rapid heartbeat etc. I have had every blood test known to man just recently because they detected a small pericardial effusion on my echocardiagram, my ovarian reserve is normal, thryoid normal, chest xray normal. My primary care physician speaks highly of the black cohosh, I was just wanting opinions from anyone that has taken it. I'm not on any type of medications.

Mary Jane Minkin, MD responded:
Dear Kari69,
I, too, am a black cohosh fan. However, you need to be careful about what product you choose. One study done by researcher Dr. Fredi Kronenbourg several years ago studied 11 different "black cohosh" products available in the US; 3 of these had 0 black cohosh. One product that is reliably tested is the German product Remifemin; it has been manufactured for about 50 years, and they use a standard isopropanolic extraction technique. It is available over the counter at most pharmacies in the US. It is certainly reasonable to try.
Good luck,
Mary Jane
cheaptrickfan replied to Mary Jane Minkin, MD's response:
Remifemin was recommended by my MD It's mostly for hot flashes and night sweats.. It doesn't make them go away but does lessen the amount you have. I helped me but you have to take it for a few weeks before it actually kicks in.

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For more information, visit the North American Menopause Society website