Ash7.5

Ashwagandha

Ashwagandha (Withania somnifera) - KSM-66

A powerful adaptogen that reduces cortisol, anxiety, and stress while supporting sleep quality and recovery.

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Last reviewed: January 1, 2025
7.5/10
40+ studies
Evidence
moderate
Safety
300-600mg daily (standardized extract)
Dose
4-8 weeks
Time to Effect
KSM-66 or Sensoril standardized extract
Best Form

Ashwagandha is one of the most studied adaptogens with proven effects on cortisol reduction, anxiety relief, and stress resilience. KSM-66 and Sensoril are the two most researched standardized extracts. It has received provisional recommendations for generalized anxiety from major psychiatric organizations.

Mechanisms of Action

📉
Cortisol Reduction

Significantly lowers stress hormone cortisol

🧘
GABA Modulation

Mimics GABA activity for calming effects

⚖️
Thyroid Support

May normalize thyroid hormone levels

Recommended Dose

300-600mg daily (standardized extract)

300mg600mg

Optimal Timing

  • Morning for daytime stress
  • Evening for sleep support

Take with food

Best Form

KSM-66 or Sensoril standardized extract

Alternatives: Root powder (less potent), Full-spectrum extract

KSM-66 (5% withanolides) and Sensoril (10% withanolides) are the most studied forms. Raw root powder requires much higher doses. Avoid products without standardization.

Duration

Minimum: 4 weeks

Optimal: 8 weeks

Cycling: 8 weeks on, 2-4 weeks off. Long-term continuous use may reduce effectiveness or affect thyroid.

Note: Can be taken morning or evening depending on goals. Some experience drowsiness, so evening may be better for those individuals. Can split into 2 doses.

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😌
Stress Relief

Noticeable reduction in stress and anxiety

2-4 weeks
85% of users notice thispositive
😴
Improved Sleep

Better sleep quality and easier falling asleep

2-4 weeks
70% of users notice thispositive
⚡
Balanced Energy

More stable energy without jitteriness

2-4 weeks
65% of users notice thispositive
😵
Drowsiness

May cause drowsiness in some people

First week
20% of users notice thistrade-off
ModerateMax safe dose: 600mg standardized extract daily is well-studied; higher doses not recommended
🔴
Pregnant/nursing

Avoid — Potential abortifacient properties and lack of safety data

🔴
Children

Limited safety data; not recommended

🟡
Thyroid conditions

Use with caution; may affect thyroid hormone levels

Who Should NOT Take This

  • Thyroid disorders (can affect thyroid hormones)
  • Autoimmune diseases
  • Pregnancy and breastfeeding
  • Scheduled surgery (stop 2 weeks before)

Drug Interactions

Thyroid medicationsmoderate

May alter thyroid hormone levels; monitor closely

Sedatives/benzodiazepinesmoderate

Additive sedative effects

Immunosuppressantsmoderate

May counteract immunosuppressive effects

Possible Side Effects

Drowsinessuncommon

Tip: Take in evening or reduce dose

GI upsetuncommon

Tip: Take with food

Headacherare

Tip: Reduce dose

Warnings

  • May affect thyroid function - monitor if you have thyroid issues
  • Cycle off periodically for best results
  • Rare cases of liver issues reported - stop if you notice symptoms

Top studies from 40+ peer-reviewed papers

meta-analysisn=873
DOI

Arumugam M et al. • Journal of the American Nutrition Association (2024)

“Ashwagandha supplementation significantly reduced anxiety, stress, and cortisol levels at 8 weeks of treatment.”
Key Findings:
  • Significant reduction in HAM-A anxiety scores (p=0.0007)
  • Reduced perceived stress (p=0.0013)
  • Significant cortisol reduction (p<0.0001)
rctn=131
DOI

Pandit S et al. • Nutrients (2024)

“Our findings demonstrate the stress-reduction capabilities of this well-characterized aqueous extract of WS (root and leaf) at the low dose of 125 mg/day, in a dose-dependent manner, via the modulation of the HPA axis.”
Key Findings:
  • Our findings demonstrate the stress-reduction capabilities of this well-characterized aqueous extract of WS (root and leaf) at the low dose of 125 mg/day, in a dose-dependent manner, via the modulation of the HPA axis.
  • Published in Nutrients (2024)
  • Further research warranted to confirm findings
systematic-review
DOI

Lorca C et al. • Critical reviews in food science and nutrition (2023)

“Together, the results from the compiled studies highlight the nootropic effects and the inconsistencies regarding PDNs that require further research.Supplemental data for this article is available online at https://doi.org/10.1080/10408398.2021.2021137.”
Key Findings:
  • Bacopa monnieri improves language, learning and memory.
  • Withania somnifera (Ashwagandha) modulates anxiety and social-related cognitions.
  • Caffeine enhances attention and executive functions.
  • Together, the results from the compiled studies highlight the nootropic effects and the inconsistencies regarding PDNs that require further research.Supplemental data for this article is available online at https://doi.org/10.1080/10408398.2021.2021137.
systematic-review
DOI

Della Porta M et al. • Nutrients (2023)

“Brief-term supplementation with WS appears to have a stress-reducing effect in stressed individuals.”
Key Findings:
  • Brief-term supplementation with WS appears to have a stress-reducing effect in stressed individuals.
  • However, since the long-term effects of WS supplementation are not yet fully understood, WS supplements should be used under medical supervision.
  • Further research warranted to confirm findings
systematic-review
DOI

Lopresti AL et al. • Nutritional neuroscience (2022)

“For most phytonutrients, the effects of supplementation on HPA-axis activity in humans is unclear.”
Key Findings:
  • For most phytonutrients, the effects of supplementation on HPA-axis activity in humans is unclear.
  • Before more definitive conclusions about the effects of phytonutrients on the HPA-axis can be made, further research is required.
  • Further research warranted to confirm findings
40
Total Studies
8.9/10
Avg Quality
10-1,002
Sample Size Range
2012-2025
Research Span

Study Type Distribution

RCT
20
Systematic Review
13
Meta-Analysis
6
Crossover
1

This information is for educational purposes only and is not intended as medical advice. Always consult a qualified healthcare provider before starting any supplement.