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I’ve been perimenopausal for a few years and find myself incredibly tired and moody.

Q. Dear Terry, “I’ve been perimenopausal for a few years and find myself incredibly tired and moody. I have occasional hot flashes as well. What can I do to help ease this transition?” – Mariann K., New Haven, CT

A. Dear Mariann, Black cohosh has been used as a medicinal plant for centuries. In the past 50 years, black cohosh has been the focus of clinical research on menopause relief. Black cohosh has been scientifically proven to relieve hot flashes, night sweats, mood swings, and other troubling menopause symptoms.

The effectiveness of black cohosh comes down to many things, and foremost among them are concentration, standardization, and dosage levels. I’ve heard from many women that they tried black cohosh and either it didn’t work, or it stopped working after a short period of time. I believe this is because they were not using the correct amount or standardization of black cohosh.

Many black cohosh products on the market today are using hundreds of milligrams, but it appears that black cohosh may actually provide less benefits as you increase the dosage. That’s because the herb works on a bell curve. Once you pass the peak of that curve, it’s just not effective anymore.

In fact, clinical studies have found that the best dose of black cohosh is much less than you may expect – 13 mg daily. Be sure to use it consistently each day for best results and please be patient, as it may take up to three months to fully regulate your hormones.

For additional support, you could also consider adding in the adaptogenic herb Rhodiola rosea. Rhodiola is known to help with improving energy levels, focus, mood, and the ability to cope with stress. New research even demonstrates that black cohosh and rhodiola work better together than black cohosh alone for menopausal symptoms. Look for a rhodiola that is clinically studied and standardized for rosavins and salidrosides.

Healthy Regards!

Terry . . . Naturally


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