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When I first went through menopause 20 years ago, I started to take black cohosh.

Currently I take black cohosh, and that seems to reduce the dryness and discomfort.

The herb rue can cause organ injury, black cohosh has been associated with liver injuries, and blue cohosh can make people sick to their stomach, he said.

Some people find alternative therapies such as acupuncture, phytoestrogens or black cohosh helpful, although systematic reviews have not found strong evidence to support these approaches making a measurable difference.

In addition to American ginseng, Felumlee cultivates goldenseal, black cohosh, blue cohosh, bloodroot, red trillium, and false unicorn under his trees’ canopy.