Black Cohosh Protocol

Black cohosh (actaea racemosa) is a North American herb traditionally used for women's reproductive health and, more recently, for menopausal symptoms such as hot flashes and night sweats.

Clinical trials show mixed results - some randomised trials and meta-analyses report modest reductions in hot flashes versus placebo, while a Cochrane systematic review concluded the evidence is insufficient to be definitive.

The precise mechanism remains unclear. Black cohosh does not appear to act as classical oestrogen replacement. Proposed actions include effects on brain signalling pathways and hormone regulation, plus anti-inflammatory properties reported in preclinical studies.

May reduce frequency and severity of menopausal hot flashes and night sweats in some women, with effects typically appearing within 2-8 weeks in responsive individuals.

Often chosen as an alternative to hormone replacement therapy by women who prefer non-hormonal options or cannot take oestrogen.

Response varies significantly between individuals and depends heavily on the extract and preparation used. Use standardised extracts like Remifemin that match those tested in trials for best results.

Look for third-party tested products with clear mg amounts rather than raw powder.