Keep out of reach of children. Consult your healthcare professional if you have or have had liver problems, frequently use alcoholic beverages or tale any medication before using supplements containing black cohosh. Do not use if you are pregnant or lactating. Stop use and see a physician if you develop symptoms that may signal liver problems (e.g., unexplained fatigue, abdominal pain, loss of appetite, fever, vomiting, brown urine, light-colored stools, yellow eyes or skin). Not for use by individuals under the age of 18 years.