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One of the cleaner ones, a 24-week randomized study of 279 mild-to-moderate Alzheimers patients, tested three doses against placebo and found a result no marketer would have designed: the lowest dose, 10 mL a day, beat placebo on both a cognitive scale and a global clinical rating, while the higher 30 and 60 mL doses improved the global rating but not cognition (Alvarez et al., Eur J Neurol 2006, randomized controlled trial)

FEBS Lett 470, 113117 (2000)

Black cohosh and ginkgo biloba can interact with certain medications and may affect liver enzymes or blood clotting

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It acts as a critical partner for enzymes involved in metabolism, helping to generate ATP, the bodys main energy currency