I've mangled the dose recommendations for black cohosh use in menopause so
here's the correction:

Current dose used by the German company that has done most of the studies is
1- 40 mg. tab/cap. standardized extract, 2X/day with food ( to avoid Gl
upset).  European health authority standards define a standardized extract of
cohosh to contain 2.5% triterpene glycosides, calculated as 27-deoxyactein.
Each 40 mg. capsules/tablets of this extract will contain 1 mg. triterpene
glycosides.  Recommended total daily dose is now 2 mg. triterpenes, down from
their previous recommendation of 4 mg./day.

Most of the standardized products available here in Minnesota reflect the
lower dose recommendation, but not all of them.

Sorry for the error - more ginkgo perhaps!

Also note about yams.  Eating food yams is not the equivalent of using wild
yam root for menopausal symptoms.  Wild yam ( Dioscorea villosa ) is also
called colic root, rheumatism root.  Contains much less diosgenin than
fenugreek, which leaves Jim Duke less impressed with it than other herbs with
reputed estrogenic effects.  But, as he puts it, he bows to the experiences of
many herbalists which swear by it's use in a salve form.

Sheila Humphrey
BSc  RN  IBCLC
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