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Health Propaganda, Exposed

Supplements · Published 2019-09-13 · By Henry Rearden

Ashwagandha's stress claims: the supporting trial was paid for by the extract's maker

Source: Lopresti et al., Medicine (Baltimore), 2019

Before you act: Don't stop, replace, or delay any treatment without talking to your doctor.

“This study was funded by Arjuna Natural Ltd.”

Evidence level

Human randomized, double-blind, placebo-controlled trial (60 healthy adults with self-reported high stress; 60 days).

Funding

Industry. The paper states: "This study was funded by Arjuna Natural Ltd." (the extract's maker). One author had previously received study funding from the company.

What was published

A peer-reviewed trial testing a commercial ashwagandha extract (240 mg/day) against placebo, with anxiety scales and hormone measurements.

What it shows

The authors report that, compared with placebo, ashwagandha "was associated with a statistically significant reduction in the HAM-A (P = .040) and a near-significant reduction in the DASS-21 (P = .096)," plus greater reductions in morning cortisol and DHEA-S. "All participants completed the trial with no adverse events reported."

What it does not show

It does not show effects in people with diagnosed anxiety disorders; the authors say effects "in clinical populations ... remain to be determined" and that "larger sample sizes, diverse clinical and cultural populations, and varying treatment dosages are needed." The self-reported stress measure (DASS-21) did not reach significance. Results apply to one branded extract.

Documented counterpoints

Separate case reports describe liver injury linked to ashwagandha (see our entry on the Indian case series). A 60-day trial of 60 people cannot detect rare adverse effects.

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