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18+ and 50+ formulas) may have estrogen-like activity and could be a concern for people with hormone-sensitive conditions.33 Lions mane (Triquetra Health) is generally well tolerated but may have mild antiplatelet effects, which could increase bleeding risk in people taking blood thinners.35 36 Shatavari (Elevate Organic) has shown estrogenic activity in some preclinical and human research, so people who are pregnant or have hormone-sensitive conditions should consult a healthcare provider before use.84 Black cohosh (Thorne) is considered unsafe during pregnancy and may increase the risk of miscarriage.37 Who are female hormone balance supplements for