Home › Menopause Supplements › Black Cohosh
Latest four-week snapshot through 2026-08-05 · 1 wave. Use the controls above to change the window.
Menopause Supplements · 1 wave · n=54 answers, pooled
How often each assistant brings the brand up in recommendation answers.
| assistant | share of voice | answers |
|---|---|---|
| ChatGPT | 17% | 3 of 18 |
| Claude | 6% | 1 of 18 |
| Gemini | 11% | 2 of 18 |
Wave-by-wave share of recommendation answers that named this brand.
| wave | share of voice | answers | change |
|---|---|---|---|
| 2026-08-05 | 11% | 6 of 54 |
Recurring descriptions in the assistants' own words, grouped by theme.
“Black cohosh has inconsistent evidence for menopausal symptoms, is *not recommended* by The Menopause Society for hot flashes, and has rare but potentially serious liver-safety concerns.”
“** A Cochrane review of 16 studies with over 2,000 women found insufficient evidence to support the use of black cohosh for menopausal symptoms.”
“* **Safety Concerns:** Herbal supplements are not tightly regulated, meaning purity can vary greatly.”
“there is currently insufficient evidence to support the use of black cohosh for menopausal symptoms.”
“" Even sources more favorable to it admit research results are mixed, and it's generally less effective than hormone therapy.”
“On top of the shaky efficacy data, there are real safety concerns: black cohosh supplements aren't FDA approved or regulated, and there have been reports of serious liver problems associated with contaminated black cohosh supplements.”
“Generic standardized black-cohosh supplements are commonly cheaper than branded blends. Evidence is mixed, and it can interact with medications or be unsuitable with liver problems, so it's worth checking with a pharmacist or clinician first.”
“Black cohosh's evidence is shaky. A Cochrane review of 16 studies with over 2,000 women found insufficient evidence to support the use of black cohosh for menopausal symptoms.”
“More broadly, many people use black cohosh to ease menopause symptoms, but studies of how well it works have had mixed results.”
“While you referred to them both as supplements, it is important to clarify that **Veozah (fezolinetant) is an FDA-approved prescription medication**, whereas black cohosh is an over-the-counter herbal supplement.”
41 exact quoted mentions in this snapshot, grouped by coded tone.
“The most researched herbal option. Black cohosh remains the most studied herbal remedy for hot flashes, with some clinical trials showing modest benefits.”
“if I had to choose one, **black cohosh** has the slightly more favorable and more frequently replicated individual-trial data for hot flashes specifically”
“**Choose Black Cohosh** only”
“**black cohosh** is the more established recommendation”
“While a few small trials suggest it might modestly reduce hot flashes, major clinical reviews have concluded it is not reliably effective.”
“Black cohosh is commonly used to help manage menopausal symptoms like hot flashes and night sweats, but there are several more affordable alternatives you could consider”
“in one phase II clinical trial, black cohosh and red clover did not significantly reduce the frequency of vasomotor symptoms as compared with placebo”
“**Maybe—but only as a cautious, short trial for mild menopausal hot flashes/night sweats.** It is *not* a reliably effective treatment, and the evidence is mixed: some studies find modest improvement, while major reviews and guidance find n”
“Generic standardized black-cohosh supplements are commonly cheaper than branded blends. Evidence is mixed, and it can interact with medications or be unsuitable with liver problems, so it's worth checking with a pharmacist or clinician firs”
“I would not call black cohosh the best choice: some studies suggest benefit, but results are inconsistent, products may be mislabeled, and rare serious liver-injury reports exist”
“Black cohosh is popular, but results are inconsistent. It can cause side effects and has rare reports of serious liver injury; avoid it or get clinician approval if you have liver disease, take multiple medicines, or have/had breast or uter”
“Black cohosh: mixed evidence; it may help some people, but results are inconsistent and rare serious liver-injury reports exist. I would not make it the first choice, and would avoid it with liver disease or hormone-sensitive cancer history”
“There have been rare but serious reports of liver damage associated with black cohosh. Always look for USP-verified brands, and avoid it if you have liver issues.”
“Black cohosh supplements aren't FDA approved or regulated, and there have been reports of serious liver problems associated with contaminated black cohosh supplements.”
Which competitors assistants suggest when shoppers ask for something cheaper.
2 of 41 mentions appear alongside an identifiable web citation. Citation does not establish causation.
| cited source | mentions |
|---|---|
| goodrx.com | 1 |
| clearedrx.com | 1 |
| remedysnutrition.com | 1 |
Method: fixed shopper questions asked repeatedly to Claude, OpenAI GPT and Gemini with web search on. Shares are the percentage of recommendation answers mentioning the brand. Quotes are AI outputs; full transcripts are kept as receipts.