How it impacts your symptoms: Ashwagandha is an ancient herb used in Ayurvedic medicine and is a powerful adaptogen that helps with perimenopause symptoms including poor sleep, stress and anxiety, low mood, brain fog and hot flashes. Ashwagandha contains potent chemicals that help to support overall health in the body.* Super Star Ingredients: Organic Ashwagandha (Withania somnifera)(root), Organic Black Pepper (Piper nigrum)(fruit), pullulan capsules. Manufacturer Country: USA Amount: 60 capsules Suggested Use: Take one (1) capsule twice a day as a dietary supplement. For best results, take 20-30 min before a meal with an 8oz glass of water or as directed by your healthcare professional.