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For this reason, individuals with a history of gout or elevated uric acid should be monitored carefully when initiating significant weight loss, whether through medication, diet, or surgery
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In addition, although many were placebo-controlled trials, no studies compared black cohosh to conventional MHT.There were originally reports of liver toxicity from the use of black cohosh.8 A review of the 69 cases of suspected black cohosh-induced liver disease concluded that data does not support a direct causal relationship, with no signal of safety concern.9 Another meta-analysis found no evidence of black cohosh adversely affecting liver function, although studies were only up to 6 months of treatment.10Phytoestrogens (including red clover, below)A wide range of products containing plant or phytoestrogens, including soy products, are available as over the counter remedies for hot flushes
Nature Reviews Molecular Cell Biology, 5 (9), 699711.
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