A 49-year-old woman presents with worsening hot flashes, mood swings, and difficulty sleeping for th

A 49-year-old woman presents with worsening hot flashes, mood swings, and difficulty sleeping for the past 6 months. She has no other complaints and reports her last menstrual period was 6 months ago. She has been taking a black cohosh supplement, dressing in layers, limiting her alcohol consumption, and drinking chamomile tea at bedtime with minimal symptom relief. Her vital signs and the physical examination findings are within normal limits. Which of the following is a potential serious adverse effect of her current regimen? A. Liver damage B. Renal injury C. Joint destruction D. Intestinal ischemia

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