Last updated: November 2026
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Quick verdict: O Positiv MENO Gummies are one of the best-known hormone-free menopause gummies. They combine black cohosh, chasteberry and KSM-66 ashwagandha. The research on these herbs for hot flashes is mixed, so think of this as something to try for 8 weeks with realistic expectations — and with your doctor’s OK.
What is in MENO Gummies?
Per serving (2 gummies):
- Black cohosh root extract: 40 mg
- Chasteberry fruit extract: 40 mg
- KSM-66 ashwagandha root extract: 150 mg
- Also contains: vitamin D3 and vitamin B6
- Servings: 30 per bottle; hormone-free, vegan, gluten-free, non-GMO
The brand also sells MENO capsules, which contain 300 mg of KSM-66 — twice the ashwagandha in the gummies.
What the research says
Black cohosh is the most studied herb for hot flashes and night sweats, but results are mixed. The NIH notes that some analyses found improvements in hot flashes, while a Cochrane review found there was not enough evidence to support or reject its use. Black cohosh is generally well tolerated in studies lasting up to a year.
Chasteberry has been studied more for PMS than for menopause. Ashwagandha (KSM-66) has good evidence for stress, but most studies used 600 mg a day — more than one serving of these gummies.
Pros and cons
- Pro: hormone-free, multi-ingredient formula in an easy-to-take gummy
- Pro: the brand says to expect results after about 2 months, which matches how long studies usually last
- Con: evidence for the main ingredients is mixed
- Con: lower ashwagandha dose than the capsule version
Who should talk to a doctor first
- Anyone with a history of breast cancer or other hormone-sensitive conditions.
- Anyone with liver problems — rare cases of liver damage have been reported in people taking black cohosh products. Stop and call your doctor if you notice dark urine, yellow skin or unusual tiredness.
- Anyone taking hormone therapy, thyroid medicine or antidepressants.
- Do not use if pregnant or breastfeeding.
How we wrote this guide: we compared the product labels, prices and the published research on the main ingredients. We did not run our own lab tests. Labels and prices change, so always check the current label before you buy.
These statements have not been evaluated by the Food and Drug Administration. The products mentioned are not intended to diagnose, treat, cure, or prevent any disease. Always talk to your doctor before starting a supplement, especially if you take medication, are pregnant or nursing, or have a health condition.