cautionAsk a health care practitioner/health care provider/health care professional/doctor/physician before use to exclude the diagnosis of a serious cause of hormonal imbalance (UpToDate 2024).
cautionAsk a health care practitioner/health care provider/health care professional/doctor/physician if symptoms persist or worsen.
cautionAsk a health care practitioner/health care provider/health care professional/doctor/physician before use if you are taking medications or natural health products (Linus Pauling Institute 2017; Brinker 2010; Reed et al. 2005; Bradlow et al. 1994).
cautionAsk a health care practitioner/health care provider/health care professional/doctor/physician before use if you are attempting to conceive (Bennetts et al. 2008; Michnovicz et al. 1997).
cautionStop use and ask a health care practitioner/health care provider/health care professional/doctor/physician if you develop liver-related symptoms (e.g., yellowing of the eyes and/or skin, dark urine, abdominal pain, jaundice) or symptoms of low estrogen (Reed et al. 2005; Dalessandri et al. 2004; Bell et al. 2000; Michnovicz et al. 1997; Wong et al. 1997; Bradlow et al. 1994).
cautionAsk a health care practitioner/health care provider/health care professional/doctor/physician before use if you have a liver disorder or symptoms of low estrogen such as joint pain, mood changes, changes in libido, hot flashes, night sweats, vaginal dryness or irregular menstruations (Reed et al. 2005; Dalessandri et al. 2004; Bell et al. 2000; Michnovicz et al. 1997; Wong et al. 1997; Bradlow et al. 1994).
cautionAsk a health care practitioner/health care provider/health care professional/doctor/physician before use if you have a liver disorder or symptoms of low estrogen such as joint pain, mood changes or changes in libido (Reed et al. 2005; Dalessandri et al. 2004; Bell et al. 2000; Michnovicz et al. 1997; Wong et al. 1997; Bradlow et al. 1994).
contraindicationDo not use if you are pregnant or breastfeeding (Reed et al. 2006; Michnovicz et al.1997).