Everything DoseRank tracks on the black cohosh shelf — Black Cohosh. The category itself is never ranked: 36 products get scored the moment you say what you want them to do.
How to read the scores
This legend covers the scores on this page — for data sources, scoring weights, and limits, read the full methodology →
Answer a few questions about your goals, habits, stack, and budget. Then, DoseRank will find the products that best match your needs based on your answers. It's free and only takes 60 seconds! No account is required.
A saved, shareable breakdown: your matched products, dose math, interaction flags to discuss with a clinician, and a price-tracked stack you can revisit.
Questions
Each product gets a composite score blending clinical strength, evidence, dose fit, trust and value — computed for the goal you picked, across this category's products. The #1 on the DoseRank tab has the highest composite; the other tabs re-rank the same products by Value, Trust, or Popularity. Placement is never paid.
Start with a goal, not a brand
Browsing black cohosh supplements without a goal makes no sense — different products do different jobs, and “best” flips depending on which job you're hiring for. These are the 37 health outcomes that matter for this category. Pick yours, and the full evidence-ranked shelf loads for that goal alone.
Hot flashesEpisodes of sudden heat sensation commonly related to menopause.33 rankedModerate-strong
Menopausal symptom severityBurden of symptoms such as hot flashes and sleep disturbance.33 rankedStrong
IrritabilityLow threshold for frustration or anger.2 rankedStrong
Menstrual regularityMore predictable and regular menstrual cycles.8 rankedModerate-strong
Female fertilityAbility to conceive through female reproductive capacity.5 rankedLimited
Sleep qualityOverall restfulness and perceived quality of sleep.33 rankedStrong
Aspartate aminotransferase (AST)Enzyme used to assess liver and muscle injury.1 rankedStrong
Dyspepsia or indigestionUpper abdominal discomfort related to digestion.5 rankedModerate-strong
Gastrointestinal infection incidenceFrequency of infectious GI illnesses.1 rankedModerate-strong
Pain intensitySeverity of pain regardless of body site.2 rankedStrong
CortisolStress-related glucocorticoid hormone level.1 rankedStrong
Free thyroxine (Free T4)Circulating active thyroid hormone fraction.1 rankedLimited
Premenstrual symptom severityBurden of PMS-related mood or physical symptoms.3 rankedStrong
AppetiteDesire to eat; may be clinically favorable or unfavorable depending on context.2 rankedModerate-strong
Hydration statusAdequacy of body water and fluid balance.3 rankedStrongNothing is ranked yet — the shelf stays locked until you pick a goal.
No goal, no ranking.
A “best black cohosh supplement” list without a goal would be marketing, not evidence. Pick what you want to improve and DoseRank scores all 36 products against that goal's trials.