We acknowledge the substantial contributions of Ernst and Borelli in the field of complementary and alternative medicine over the past decades. We concur that inclusion of non-English literature is desirable, and applaud Borelli and Ernst1 for inclusion of such in their review of black cohosh in 2002. This is particularly important when reviewing a single therapy in which many of the trials are conducted in non–English-speaking countries. The English language limitation for our review was a required practical decision to limit the volume of literature to a manageable amount because we reviewed all complementary and alternative therapies used for the management of menopausal symptoms. Of note, the 4 clinical trials reviewed by Borelli and Ernst1 are referenced in our review2 and noted for their historical importance. Most importantly, both reviews arrive at the same conclusion regarding black cohosh and the need for further research.
Nedrow A, Miller J, Huffman LH, Nygren P, Walker M, Nelson HD. Alternatives for Menopause—Reply. Arch Intern Med. 2007;167(5):515-516. doi:10.1001/archinte.167.5.515-b