Eastern tradition · Adaptogen Herb

Ashwagandha (KSM-66) 印度人参

Ayurveda's premier Rasayana tonic — now one of the most RCT-backed adaptogens for stress, cortisol, testosterone, and cognitive aging.

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Origin & tradition

Ashwagandha (Withania somnifera) is classified as a Rasayana in Ayurveda — the highest tier of rejuvenating tonics — used for millennia to promote vitality, stamina, and longevity alongside sexual health.

Why longevity buyers care

Key active: Withanolides (botanical extract — KSM-66 / Sensoril standardized).

KSM-66 and Sensoril extracts show consistent HPA-axis regulation in human RCTs: reduced cortisol, improved testosterone, muscle strength, and cognitive performance. Animal studies show healthspan extension and Nrf2/FOXO pathway activation. The withanolide withanone inhibits CDK4/6 and may suppress cellular senescence.

Effect summary

Studied health outcomes

Editorial summary — This table is curated by hand from published research consensus, not automatically calculated from our trial database. Grades reflect our interpretation of the literature. Treat as a starting point, not a definitive verdict. See the Evidence panel below for the underlying trial and paper counts sourced directly from ClinicalTrials.gov and PubMed.
Health outcomeEffectMagnitudeGrade
Cortisol / perceived stressDecreasesStrongA
Testosterone (men)IncreasesModerateB
Muscle strength & massIncreasesModerateB
Sleep quality (PSQI score)IncreasesModerateB
Anxiety (HAM-A scale)DecreasesStrongA
Thyroid hormones (T3/T4)IncreasesMinorC
Cardiorespiratory enduranceIncreasesModerateB

Grade: A = robust RCTs · B = several RCTs / meta-analysis · C = limited or mixed RCTs · D = observational or early data

Dosage guidance

How Ashwagandha (KSM-66) is typically used

Typical dose
300–600 mg/day (root extract)
Form
capsule (KSM-66 or Sensoril standardized extract)
Timing
morning or evening; evening preferred if using for sleep

KSM-66 (5% withanolides, root only) has the most RCT data. Sensoril (10% withanolides, root+leaf) is an alternative. Start at 300 mg; most studies use 300–600 mg. Not for use during pregnancy.

Informational only — not a prescription or personalised medical advice. Consult a qualified clinician before starting any supplement or medication.

Evidence summary

What the research actually says

82Evidence confidence
Human RCT evidence57 randomized controlled trials · 45 meta-analyses / systematic reviews

Multiple high-quality RCTs (stress, hormones, cognition, muscle); strong evidence base

KSM-66 and Sensoril extracts show consistent HPA-axis regulation in human RCTs: reduced cortisol, improved testosterone, muscle strength, and cognitive performance. Animal studies show healthspan extension and Nrf2/FOXO pathway activation. The withanolide withanone inhibits CDK4/6 and may suppress cellular senescence.

72registered clinical trials reference this intervention
    0selected peer-reviewed papers (longevity / aging angle)
      Key active: Withanolides (botanical extract — KSM-66 / Sensoril standardized) — a multi-compound botanical extract, so activity is not reducible to a single molecule.

      According to PubMed and ClinicalTrials.gov: trial counts from ClinicalTrials.gov, peer-reviewed literature from PubMed. Counts auto-refresh weekly; last checked 2026-06-12. They include trials across many endpoints, not only longevity.

      Informational only — not medical advice, a treatment claim, or a substitute for a qualified clinician. Evidence strength varies; we show mixed and null results on purpose.

      Compare the evidence

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