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Ashwagandha

أشواغاندا

Botanical / adaptogen

The verdict

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.

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).

Halal status: halal

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

Worth knowing

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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