Full review: all 36 actives, their studies and their EU status, up to date. What changed
ShelfBalance · Hormonal wellbeing
Volume23 / 36
Reviewed3 Nov 2026

Siberian rhubarb ERr 731®

Siberian rhubarb (Rheum rhaponticum) is a relative of garden rhubarb.

Promising
Reference dose4mga day
TimingWhenever you likeOnce a day, with water.
FormRheum rhaponticum root extract (ERr 731®)
EU statusAvailable in the EU · check the status of the specific product (in some countries it is sold as a herbal medicine)

4 mg of extract a day.

01

What it is

Its root contains plant compounds that act selectively on oestrogen receptors. The standardised extract ERr 731 has been used for decades in Germany for wellbeing during perimenopause.

02

What it is used for

The quiz suggests it when your answers justify it. It usually appears with these goals:

03

What the evidence says

Promising

Trials in people that point the same way, but still few, small or funded by the manufacturer.

12-week clinical trials in perimenopausal women showed fewer hot flushes and better wellbeing compared with placebo. Most come from the same research group.

YearWhat was studiedWhat was foundSource
2006Hot flushes and wellbeing12-week trial with 109 perimenopausal women: it reduced symptoms on the MRS II scale and, from 4 weeks, the number and intensity of hot flushes compared with placebo. No differences in endometrial biopsies. Heger et al.Menopause
2009Long-term useObservational follow-up of the same women for up to 96 weeks: symptoms kept falling and there were no adverse effects related to the extract. Hasper et al.Menopause
2024The reviewMeta-analysis of 4 high-quality trials with 390 women: it reduced the menopause symptom score compared with control. The authors call for more trials because of variability between studies. Dubey et al.Journal of Biomedical Research
2025Breast safetyObservational study using German gynaecologists’ medical records: the 5,686 women prescribed ERr 731 had no more breast cancer diagnoses than those who did not take it or those on hormone therapy. Being retrospective, it cannot rule out other factors. Heger et al.Breast Cancer Research and Treatment
04

What to look for on the label

  • Exactly the ERr 731® extract: it is the only one with clinical trials.
05

Precautions

  • If you have had a hormone-dependent cancer (breast, uterus, ovary) or are on hormone therapy, do not take it without asking first.
06

Where to find it

Products whose label meets what this profile asks for: form, dose per serving and nothing that contradicts it. Three at most: quality of the active comes first and, among the best, we look for one option in each price range. We choose by composition, not by who pays. The shops are European or ship to Europe.

  1. iHerbShips from the US, VAT includedHigh end
    Metagenics

    Estrovera® (ERr 731®)

    4 mg of ERr 731® extract per tablet

    For the reference dose1 tablet

    Meets the criteria.

    View at iHerb (opens in a new tab)
  2. iHerbShips from the US, VAT includedBudget
    Solgar

    Menopause Relief (ERr 731®)

    4 mg of ERr 731® extract per tablet

    For the reference dose1 tablet

    Meets the criteria. Also contains 28 mg of saffron extract (affron®): bear this in mind if you already take it.

    View at iHerb (opens in a new tab)
  3. Life ExtensionShips from the NetherlandsMid range
    Life Extension

    Menopause Relief

    4 mg of Rheum rhaponticum root extract per tablet

    For the reference dose1 tablet

    With caveats. It states the ERr 731® standardisation (rhaponticin and desoxyrhaponticin), but the label does not name it.

    View at Life Extension (opens in a new tab)

We link to the shop; we do not sell anything. Today we earn no commission on any link. If we ever do, the link will say so and the selection will not change: the label decides. Labels checked on 2 November 2026; check the one on the pack before you buy. All these shops deliver to the EU; some of their pages open in Spanish. How we are funded.

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Profile reviewed on 3 November 2026. Sources: EFSA, Regulation (EU) 432/2012 and published studies.

General information based on published scientific evidence and EU law. Food supplements should not be used as a substitute for a varied, balanced diet and a healthy lifestyle, and are not intended to diagnose, treat or prevent any disease.

Do not exceed the daily dose stated on each product. If you take medication, have a medical condition or have any doubts, ask your doctor or pharmacist.