Ashwagandha (Withania somnifera)
Evidence: ★★★★☆ · Status: OTC Supplement
In plain English
Turns down the stress-hormone (cortisol) thermostat, which improves sleep, calm, and — because stress suppresses testosterone — modestly raises T in stressed men.
How it works
Withanolides act on the HPA axis to lower cortisol and modulate GABA receptors; reduces the cortisol-driven suppression of testosterone.
Molecular target & official sources
NR3C1 glucocorticoid receptor (NCBI Gene) · Withanolide A (PubChem CID 11294368)
Protocol
300–600 mg/day KSM-66 or Sensoril.
Watch out
Stimulates thyroid; caution in autoimmune disease/thyroid meds; rare liver reports.
Bottom line
Best-evidenced adaptogen for stress, sleep, and hormones.
Helps with: Sleep Better · Hormones & Testosterone · Stress & Anxiety
The human evidence
Several small randomised trials (many using KSM-66 or Sensoril extracts) report reductions in perceived stress and cortisol over 6–8 weeks, with modest sleep and, in some, testosterone effects. Consistent but small studies, often manufacturer-linked — promising, not definitive.
Stacks with
Shares a pathway — often paired with: Omega-3 (EPA/DHA), Vitamin D3 (+ K2), Testosterone (TRT), Finasteride / Dutasteride.
Avoid combining with
Sedatives and benzodiazepines (additive drowsiness), thyroid medication (it can raise thyroid hormone), and immunosuppressants (it’s immune-stimulating). Skip in pregnancy.
Availability & where to buy
Available over the counter. Widely available OTC — e.g. iHerb (ships worldwide); in Singapore also Guardian, Watsons, GNC, Shopee / Lazada. Look for a third-party-tested / GMP mark and check the dose per serving. ~S$20–40/month for a standardised extract (KSM-66 or Sensoril). Guardian, Watsons, iHerb.
How it works: the Nuclear receptors pathway →
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Common questions
Does Ashwagandha (Withania somnifera) actually work?
Human-evidence rating: 4 of 5. Best-evidenced adaptogen for stress, sleep, and hormones.
How do you take Ashwagandha (Withania somnifera)?
300–600 mg/day KSM-66 or Sensoril.
What are the risks or side effects of Ashwagandha (Withania somnifera)?
Stimulates thyroid; caution in autoimmune disease/thyroid meds; rare liver reports.
Is Ashwagandha (Withania somnifera) legal or approved?
Regulatory status: OTC Supplement.