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Black cohosh is the name for the root or the underground stem of a plant named Cimicifuga / Actaea racemosa, which is native to North America and was used by indigenous people for centuries for menstrual and menopausal pains. Clinical trials found promising results that black cohosh extracts and formulations that contain it may assist in decreasing the impact of menopausal symptoms, such as hot flashes. This is due to a phytochemical that acts similarly to serotonin and regulates body temperature. Black cohosh supplements are safe for 12 months, with typical doses ranging from 40 to 128 mg daily. Black cohosh can cause some side effects, like headache, nausea, cramping, and vaginal spotting. Taking black cohosh supplements for longer than a year might cause some liver issues, and pregnant and breastfeeding women, as well as those suffering from breast cancer, should not take it.
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