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Head-to-head evidence comparison — which supplement is right for you?
Black Cohosh and Potassium are closely matched across evidence, studies, and safety.
Verdict
Likely helps
7 of 10 studies with measurable effects showed benefit.
Top outcomes
Verdict
Probably helps
10 of 15 studies with measurable effects showed benefit.
Top outcomes
Shared outcomes (1)
Outcomes where both Black Cohosh and Potassium have evidence — compare verdict strength side-by-side.
20-40mg standardized extract (1mg triterpene glycosides)
Morning and evening, With or without food
Standardized extract (2.5% triterpene glycosides)
99-500mg daily from supplements (food provides more)
With food to reduce GI upset, Spread throughout day, During/after exercise for athletes
Potassium Citrate or Potassium Gluconate
4-8 weeks
4-8 weeks
4-8 weeks
2-4 weeks
1-2 weeks
Long-term
With excess or kidney issues
Black cohosh extracts in women with menopausal symptoms: an updated pairwise meta-analysis
Menopause (New York, N.Y.) (2023) · Meta analysis · n=2310
However, black cohosh did not significantly improve anxiety (Hedges' g = 0.194, 95% CI = -0.296 to 0.684, P = 0.438) or depressive symptoms (Hedges' g = 0.406, 95% CI = -0.121 to 0.932, P = 0.131).
Modulation of the hypothalamic-pituitary-adrenal (HPA) axis by plants and phytonutrients: a systematic review of human trials
Nutritional neuroscience (2022) · Systematic review
For most phytonutrients, the effects of supplementation on HPA-axis activity in humans is unclear.
Review & meta-analysis: isopropanolic black cohosh extract iCR for menopausal symptoms - an update on the evidence
Climacteric : the journal of the International Menopause Society (2021) · Meta analysis · n=43759
Effect sizes were larger when higher dosages of iCR as monotherapy or in combination with St.
Effect of changes in potassium intake on blood pressure: a dose–response meta-analysis of randomized clinical trials (2000–2024)
Clinical Kidney Journal (2025) · Meta analysis · n=2500
Dose-response analysis of RCTs from 2000-2024
Magnesium and Potassium Supplementation for Systolic Blood Pressure Reduction in the General Normotensive Population: A Systematic Review and Subgroup Meta-Analysis for Optimal Dosage and Treatment Length
Nutrients (2024) · Meta analysis
Both supplements demonstrated greater reductions in SBP for the general population at lower dosages and longer treatment durations.
Sex-specific associations between sodium and potassium intake and overall and cause-specific mortality: a large prospective U.S. cohort study, systematic review, and updated meta-analysis of cohort studies
BMC medicine (2024) · Meta analysis · n=237036
Meta-analysis examining Potassium efficacy
Based on multiple meta-analyses showing modest improvement in hot flashes. Isopropanolic extracts (iCR) showed most consistent effects. Effect sizes were larger at higher dosages but evidence shows only moderate benefit overall.
AI-estimated from published studies. Interpret as directional guidance.
Both Black Cohosh and Potassium are closely matched — the best choice depends on your specific health goals.
No known interactions between Black Cohosh and Potassium have been documented in our database. However, always consult a healthcare provider before combining supplements.