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They are basically the same but it's just a different way of taking it. Some people complain of the taste so capsules are a good alternative. Just check the amount of cohosh in the drops and the capsules because sometimes either can be more concentrated. I heard the tea is more effective if you can stand the taste. Also I have a link saying that blue works best when taken with black, if you are trying to start labor.

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Q: What is the difference between Blue Cohosh capsules and the drops?
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