Supplement Scholar
Herb

Ashwagandha

Buy on Amazon ↗

Affiliate link: we may earn a commission at no extra cost to you. Disclosures

Ashwagandha. Adaptogenic herb that down-regulates HPA-axis output — lowers cortisol, supports T in stressed men.

How it works. Withanolides modulate the HPA axis, attenuating cortisol secretion under stress. Likely acts on GABA-A receptors and reduces sympathetic tone.

What the research supports. 5 graded claims. Strongest: Reduces perceived stress and serum cortisol (strong).

How much to take. Typical dose: 600 mg KSM-66 (or 240 mg Shoden). Split AM/PM, or single dose evening for sleep.

Side effects and interactions. 4 medication interactions listed. Serious: Rare reports of acute liver injury — discontinue if jaundice develops.

Stacking. Pairs well with Magnesium glycinate, L-Theanine. Avoid combining with Other strong sedatives.

Forms. 3 forms. Pick one to open its profile.

Key studies. 11 studies cited. The strongest are listed with links to PubMed.

Community. Experiences from people who have tried Ashwagandha. Anecdotes are not medical advice.

Ashwagandha. Adaptogenic herb that down-regulates HPA-axis output — lowers cortisol, supports T in stressed men.

Key compound: withaferin AC28H38O6 · 470.6 g/mol

What it is

An evergreen shrub in the nightshade family used for >3,000 years in Ayurveda. Standardized root extracts (KSM-66, Shoden) deliver withanolide-rich doses studied in modern trials.

Also called

Withania somniferaIndian GinsengKSM-66

Food sources

Root extract (most studied)Leaf extract (different alkaloid profile)

Goals

How it works

Withanolides modulate the HPA axis, attenuating cortisol secretion under stress. Likely acts on GABA-A receptors and reduces sympathetic tone.

Pathways

  • HPA-axis modulation
  • GABA-A agonism
  • Nrf2 antioxidant pathway

Effects

  • ↓Cortisol (~20–30%) decreases
  • ↓Perceived stress decreases
  • ↑Testosterone in stressed/subfertile men increases
  • ↑VO₂ max increases
  • +Sleep quality supports

What the research supports

Reduces perceived stress and serum cortisolstrong
Improves sleep quality (PSQI)moderate
Increases testosterone in stressed/subfertile menmoderate
Improves strength and recovery with resistance trainingmoderate
Reduces symptoms of anxietymoderate

Strong: consistent results across large trials or meta-analyses. Moderate: several trials, mostly positive. Limited: small or mixed studies. Preclinical: animal or cell research only.

Typical dose
600 mg KSM-66 (or 240 mg Shoden)
TimingSplit AM/PM, or single dose evening for sleep
With foodWith food to reduce GI upset
Best formKSM-66 root extract, standardized to ≥5% withanolides
Upper limitNot formally defined; >1,000 mg/day not better in trials
Shop Ashwagandha on Amazon ↗

As an Amazon Associate I earn from qualifying purchases. Look for USP, NSF or Informed Sport seals before you buy.

Side effects & interactions

Common side effects

  • Drowsiness (especially at higher doses)
  • Mild GI upset

Serious

  • Rare reports of acute liver injury — discontinue if jaundice develops

Medication interactions

Thyroid medicationsmoderate

May potentiate thyroid hormone activity.

Immunosuppressantsmoderate

Immunomodulatory — may interfere.

Sedatives / benzodiazepinesmoderate

Additive CNS depression.

Anti-diabetic drugsminor

May lower blood sugar additively.

Check any supplement–medication combination with your pharmacist before starting.

Combines with

Pairs well

Avoid combining

  • Other strong sedativesAdditive drowsiness.

Key studies

11 studies cited in total.

PubMed: Ashwagandha — Reduces perceived stress and serum cortisol ↗
Systematic review · PubMed (NLM) · 2026

Opens current human and preclinical literature matching Ashwagandha and "Reduces perceived stress and serum cortisol". Filter by RCT, meta-analysis, or year on the results page.

PubMed: Ashwagandha — Improves sleep quality ↗
Systematic review · PubMed (NLM) · 2026

Opens current human and preclinical literature matching Ashwagandha and "Improves sleep quality". Filter by RCT, meta-analysis, or year on the results page.

PubMed: Ashwagandha — Increases testosterone in stressed/subfertile men ↗
Systematic review · PubMed (NLM) · 2026

Opens current human and preclinical literature matching Ashwagandha and "Increases testosterone in stressed/subfertile men". Filter by RCT, meta-analysis, or year on the results page.

Discussion

Loading discussion…