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Side effects are similar to those in people without surgery and typically improve over time

Chang H-L, Chang F-R, Chen J-S, Wang H-P, Wu Y-H, Wang C-C, Wu Y-C, Hwang T-L (2008) Inhibitory effects of 16-hydroxycleroda-3, 13 (14) E-dien-15-oic acid on superoxide anion and elastase release in human neutrophils through multiple mechanisms

Although some people may find it helpful, there is a lack of evidence supporting the efficacy of black cohosh for reduction of hot flushes 12 , and the NICE guidelines state Do not offer [] black cohosh to treat menopausal symptoms in women with breast cancer. Lab research has shown that black cohosh can inhibit the two core enzymes that convert tamoxifen to endoxifen, meaning it may reduce the function of tamoxifen

It is widely known for its effectiveness in treating nerve disorders, B12 deficiency, and neuropathic pain