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Extra resources for A Doctor's Guide to Alternative Medicine: What Works, What Doesn't, and Why

Sample text

8 A published review took into account all forms of black cohosh post-marketing surveillance and adverse-report data from the FDA and the World Health Organization. 9 Adverse reactions such as nausea, vomiting, headaches, dizziness, mastalgia (breast pain), and weight gain have been observed in some clinical trials. However, the safety of black cohosh is inconclusive. Conclusion In my clinical practice I have found quite a variable response to the use of black cohosh for menopausal symptoms, with some of my patients saying it was helpful while others found it was not useful at all.

John’s wort compared to modern synthetic drugs. This lack of side effects could also make it more likely that people will continue taking the herb for the length of time required to prevent relapse. St. John’s wort can be purchased at health-food stores without a prescription. There is still some shame attached to mental and emotional health issues in our society. indd 9 7/15/14 1:44 PM A Doctor’s Guide to Alternative Medicine ill, whereas taking over-the-counter herbs would have fewer negative connotations.

In two trials, no significant difference was found in the percentage of hot flash severity reduction between Promensil and placebo. indd 29 7/15/14 1:44 PM A Doctor’s Guide to Alternative Medicine One of the studies in another Cochrane review assessed an unspecified red clover extract (not included in the previous meta-analysis), and this study reported a benefit for hot flash and night sweat severity. 4 Howes et al. did a meta-analysis in 2006 and reported that isoflavones may produce a slight to modest reduction in the number of daily flashes.

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