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All ingredients
SupplementsSo-so

Ashwagandha

أشواغاندا

Botanical / adaptogen

The VerdictSo-so

A genuinely popular calm-and-sleep herb with decent evidence - but it has a real, if uncommon, liver-injury risk that even normal doses have triggered, so stop immediately if you notice jaundice or itching. Avoid in pregnancy and with thyroid disease, and choose a third-party-tested brand.

Why this verdict

Popular adaptogen with moderate evidence for stress/anxiety and sleep. BUT NIH LiverTox rates it score B (LIKELY cause of clinically apparent liver injury) - multiple cholestatic-jaundice case reports, usually self-limited but rare fatal/transplant cases (esp. pre-existing liver disease). Also thyroid-stimulating signal and a traditional abortifacient reputation. Caution.

What It Is

An Ayurvedic adaptogen herb (Withania somnifera) taken for stress, anxiety and sleep - effective for some, but with a documented liver-injury signal.

WTF Fact

Ashwagandha is one of the most-hyped 'natural calm' supplements, and it does have reasonable evidence for stress, anxiety and sleep. The catch is the part the wellness ads skip: it's on the NIH's liver-injury registry as a 'likely' cause of clinically apparent liver damage. Real people have developed cholestatic hepatitis - jaundice and intense itching - after taking ordinary label doses, and while most recover after stopping, there are rare cases of liver failure needing a transplant. It can also nudge thyroid hormones up (a problem if you have thyroid disease) and has a traditional reputation as an abortifacient, so it's off the table in pregnancy. None of this makes it 'dangerous' for most people, but it's a herb to respect: pick a third-party-tested product and stop at the first sign of yellowing skin or itching.

Evidence & Status

EU Status

Sold as botanical supplement; some EU bodies have flagged liver-injury signal.

US · FDA Status

FDA-regulated dietary supplement (DSHEA).

Intake & Safety

Upper limit (UL)

None set

Interactions

thyroid treatments (additive - may raise thyroid hormones); sedatives/CNS depressants (additive); immunosuppressants (immunostimulant effect); anti-diabetic/antihypertensive (additive)

Third-party testing

important (identity, heavy metals, standardized withanolides)

Halal Status: Halal

Plant root extract (Withania somnifera) - halal. Capsule shell + any added excipients the only check.

Standard: Ashwagandha halal (plant); confirm capsule/excipients per MS 1500:2019.

Worth Knowing

Allergen: Nightshade family (Solanaceae)Use caution for childrenUse caution in pregnancy

Also Known As

Withania somnifera · winter cherry · Indian ginseng · KSM-66 / Sensoril (branded extracts) · withanolides

Primary Source

NIH LiverTox - Ashwagandha likelihood score B (likely cause of clinically apparent liver injury); cholestatic jaundice case reports; rare fatal/transplant; cause (withanolides) unclear; adulteration a confounder.

Evidence, not medical advice. You decide.

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