EvidenceAll findings
Worried about black cohosh and your liver? A meta-analysis of 5 randomized controlled trials (1,117 women, 3 to 6 months) of an isopropanolic black cohosh extract found no significant change in liver enzymes. Case reports exist, so if you have a liver condition, ask your doctor first.
Source: Naser et al., meta-analysis, Menopause, 2011
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