Supplements / Traditional & emerging
Black Cohosh
Best for: Healthy aging
Black Cohosh is rated traditional use (tier D on our evidence scale). 20–40 mg standardized extract daily. Morning.
Sources last reviewed
When and how to take Black Cohosh
- Dose
- 20–40 mg standardized extract daily.
- Timing
- Morning.
- Review
- Reassess after 8 to 12 weeks.
- Forms
- standardized cimicifuga racemosa extract
What Black Cohosh is used for
- Mixed trial evidence for menopausal symptoms.
- Hepatotoxicity reports keep it off routine recommendation.
When Almavivo suggests Black Cohosh
- If you reported perimenopause symptoms: studied for vasomotor symptoms in menopause.
Who should be careful with Black Cohosh
- Not appropriate during pregnancy or breastfeeding.
- Avoid if you have a history of liver issues.
Safety checks for Black Cohosh
- Not suggested: Pregnancy or breastfeeding
- Not suggested: Liver disease history
What to look for when buying Black Cohosh
- Preferred third-party verification: Third-party tested (COA).
- Common contamination risks: Heavy metals, Mislabeling / identity, Ingredient swapping.
- Identity: Verify Cimicifuga racemosa species; many products are adulterated with cheaper Asian Cimicifuga species.
Talk to a clinician first
This is a supplement we won’t link to a specific product without clinician context. Hepatotoxicity case reports require explicit warning.Once we offer clinician partner pathways, this is where they’ll appear.
If you’re working with a doctor or qualified practitioner, they can advise on dose, brand, and monitoring.
Your experience
If you’ve tried Black Cohosh, you can log how it went. This stays on your device — only you see it.
We frame these as personal experience, not medical claims. Self-reported subjective outcomes are influenced by placebo, regression to the mean, and parallel lifestyle changes. We’ll never present ratings as equivalent to RCT evidence.
Research sources for Black Cohosh
- Black cohosh for menopausal symptoms (Cochrane) (reviewed 2026-04-30)
Related supplements
Almavivo is for education only, not medical advice. Check with a doctor or pharmacist before starting a supplement, especially if you take prescription medicine, are pregnant or breastfeeding, or have a long-term health condition.