Article: Is black cohosh a safe and effective substitute for hormone replacement therapy?(Critically Appraised Topic)

A 50-year-old woman is seeking advice from her primary care PA regarding her progressively worsening hot flashes associated with menopause. The patient reports an average of eight hot flashes per day for the past 7 days; she has difficulty sleeping and is concerned about her loss of interest in sexual activities. She is the mother of two teenagers, so maintaining her emotional stability and energy are important to her. The patient eats a healthy diet, exercises daily, denies tobacco use, and drinks a glass of red wine nightly with dinner. She takes daily vitamins and is more accepting of holistic remedies than prescription medications. She has been researching various ...

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