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What Causes What
Lifestyle & environment

Ashwagandha

mg/day extract

A standardized extract of Withania somnifera root at a named milligram dose. Trials give the plant on its own, not as a sleep schedule or a mixed adaptogen pack.

Trials use a standardized root extract and usually report the withanolide fraction on the label. Sleep and stress studies dose the extract as its own bottle. Mixes that add piperine or other herbs are a different product.

Also called Withania somnifera, withanolides.

Connected relationships

MECHANISM− DECREASES

Randomized trial · Contested

Ashwagandha→Cortisol

Higher Ashwagandha decreases Cortisol.

Choudhary 2017 found that 300 mg of ashwagandha root extract twice a day for eight weeks lowered morning serum cortisol versus placebo in 52 overweight adults under chronic stress (13.41 versus 15.44 μg per deciliter at week 8, P=0.0132). Cortisol was a secondary endpoint in a weight-and-craving trial.

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MECHANISM+ INCREASES

Randomized trial · Contested

Ashwagandha→Sleep duration and regularity

Higher Ashwagandha increases Sleep duration and regularity.

Deshpande 2021 found that 120 mg a day of a standardized ashwagandha extract for six weeks raised self-reported restorative sleep by 72 percent versus 29 percent on placebo among 150 adults with non-restorative sleep, and actigraphy moved efficiency, total sleep, latency, and wake after sleep onset. Langade 2021 found a similar direction in 80 people, stronger in the insomnia arm.

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MECHANISM+ INCREASES

Randomized trial · Contested

Ashwagandha→Testosterone

Higher Ashwagandha increases Testosterone.

Smith 2023 found that 200 mg of Witholytin ashwagandha root extract twice a day for twelve weeks raised free testosterone and luteinizing hormone versus placebo in the men of a trial of overweight adults aged 40 to 75 (P=0.048 and 0.002). The primary stress score did not beat placebo.

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Sources