What is a potential negative effect of using St. John's Wort?

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Using St. John's Wort can negatively affect the effectiveness of birth control due to its ability to induce certain liver enzymes that metabolize contraceptives more quickly. Specifically, it can enhance the activity of the cytochrome P450 system, resulting in reduced blood levels of hormonal contraceptives. This can lead to decreased contraceptive efficacy and an increased risk of unintended pregnancy.

The other options, while they may refer to effects of St. John's Wort, do not capture its known potential negative implication. For instance, increasing energy levels and enhancing maternal bonding are typically viewed as positive effects rather than negative ones. Improving mood in bipolar conditions may also be misleading since St. John's Wort can potentially trigger manic episodes in susceptible individuals rather than providing stable improvement in mood. Thus, the chosen answer illustrates a clear risk associated with St. John's Wort use in the context of reproductive health.

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