Which supplement is commonly used for menopause symptoms?

• A. Melatonin
• B. Garlic
• C. St. John's Wort
• D. Black cohosh

Answer: (D)

The main idea is identifying a supplement commonly used to relieve menopause-related symptoms, especially vasomotor ones like hot flashes. Black cohosh has a long history for this purpose and is the herbal option most often chosen for menopausal symptoms. Although its exact mechanism isn’t fully understood, it may modulate estrogen receptors or serotonin pathways to help reduce the frequency and intensity of hot flashes. Clinical studies have shown modest benefit in some women, which is why it’s frequently used as a non-hormonal alternative. Safety is generally acceptable for short-term use, but rare cases of liver injury have been reported, so it should be used with caution in people with liver disease and monitored for signs of liver problems. It can also interact with other medications, especially those processed by the liver, so take care if combining with other drugs. The other supplements listed don’t target menopause symptoms specifically—melatonin is mainly for sleep, garlic for cardiovascular or antimicrobial effects, and St. John’s Wort is used for mood disorders but has broad drug interactions and isn’t a standard menopause remedy.