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Ingredients/Herb/Ashwagandha (KSM-66)

Ashwagandha (KSM-66).

The stress shock absorber. Takes the edge off everyday stress. Trials measure lower cortisol readings, better sleep quality scores, and in training studies, gains in strength and recovery.

StrongResearch strength300 to 600mgDaily amount45Studies read

Reviewed March 2026

AKHerb
Ashwagandha (KSM-66)IngredientMD
Category
Herb

Also filed under
StressTestosteroneSleepAdaptogen

What Ashwagandha (KSM-66) is, and what it does.

Does it work
Suits people under steady work or family pressure, anyone who struggles to wind down at night, and lifters wanting recovery support. Root-only, water-extracted, with trials behind it.
How much to take
Start with 300mg a day, taken with food. 300 to 600mg is the daily band where this extract earns its keep, as one dose or split morning and evening.
Time to feel it
About eight to nine weeks of daily use.
The first dose
Day one is usually quiet, though some people notice a mild settling or slight drowsiness within a couple of hours. Taking it with food keeps the stomach comfortable.
With regular use
Across weeks, stress and sleep ratings tend to settle and cortisol readings drift down on a lab panel. Training studies tracked strength and recovery over eight to twelve weeks.
How well tolerated
Well tolerated in trials. Mild stomach upset or drowsiness are the usual reports. Check with your clinician if you're pregnant or take thyroid, sedative or immune-modulating medication.
How it feels
Most people describe a higher stress threshold rather than a buzz. Things that used to needle you land softer, and evenings are easier to switch off.
The overlooked benefit
Most people meet it as a calm ingredient, but it has also been studied in resistance training programmes, with strength and recovery as the measured outcomes.

300 to 600mg a day is where Ashwagandha (KSM-66) works.

How much to take a dayMedium confidence
300 to 600mg
Daily maintenanceThe everyday amount, and where most daily supplements sit. This is the one you take month after month.
1,200mgClinical territory. Trials run high on purpose, for a set number of weeks, against one measured outcome. Impressive to hit, and not what a daily product is for.
Above 1,500mgPast what the research covers. More capsules rather than more effect.
MORE EFFECT ↑0600mg1,200mg plateauDAILY DOSE →
The shaded band is where the dosing trials landed.

Source: Chandrasekhar 2012 + Lopresti 2019 meta-analysis

How long it takesPromising
WHAT THE TRIALS MEASUREDthe level the trials measuredDay 0TIME ON IT →
Builds over about eight to nine weeks of daily use

In a 60 day randomised, double-blind, placebo-controlled trial, 60 stressed healthy adults took 240 mg of a standardised ashwagandha extract (Shoden) once daily or placebo. The ashwagandha arm showed a larger fall in Hamilton Anxiety Rating Scale scores (p = .040) and in morning cortisol (p < .001) than placebo, with the DASS-21 change near-significant (p = .096). A separate 8 week randomised, double-blind, placebo-controlled dose-ranging trial enrolled 131 adults with self-reported high stress and analysed 98, measuring reduced Perceived Stress Scale scores at 125, 250 and 500 mg per day of an aqueous root and leaf extract. Two trials on two different extracts, both landing in the same eight to nine week band.

The proof, claim by claim.

These words describe the research, not the molecule's worth. Research strength is how much work stands behind one claim, and it is never a product score.

Extensively studied.

Massive evidence for stress and testosterone.

2 citations on page
  • Reduces stress and lowers serum cortisolMeta-analysis of 12 RCTs
  • Enhances muscle strength and recoveryMeta-analysis of 10 RCTs
  • Improves sleep quality and onset latencyMeta-analysis of 5 RCTs
PubMedCochraneClinicalTrials.govNIH ODSSUPP.AI45 studies readLabs test. IngredientMD verifies.PubMedCochraneClinicalTrials.govNIH ODSSUPP.AI45 studies readLabs test. IngredientMD verifies.

Questions people ask about Ashwagandha (KSM-66).

When should I take it?
Morning for energy-related benefits, evening for calming ones. Take with food to reduce any stomach upset.
How long until I notice something?
Most people notice something within 2-4 weeks. Full effects usually take 6-8 weeks. Be patient.
Should I cycle it?
Good idea. Take 6-8 weeks on, 1-2 weeks off. Adaptogens can lose effectiveness with constant use. Your body adapts to adaptogens (ironic, right?).
Any drug interactions I should know about?
Always check with your pharmacist before combining with prescription meds. Herbs can affect how your liver processes drugs, sometimes in surprising ways.
Fish oil vs. krill oil?
Both work. Krill is slightly better absorbed (phospholipid form) and has astaxanthin, but costs more. Fish oil at the right dose works just fine for most people.
How do I avoid fish burps?
Take it with food. Store in the freezer (seriously, it works). Look for enteric-coated capsules. If it still happens, the oil might be rancid. Give it a sniff.
Pairs well with40 on file

Why these belong in the same formula. Each row says what the basis is, from settled biochemistry through to a trial that measured the pair.

Ashwagandha (KSM-66) + MagnesiumComplementary stress-response mechanisms

Magnesium is a cofactor the nervous system depends on for normal nerve and muscle function and for a calm baseline, while ashwagandha moderates the body's cortisol response to everyday stress. Calm and sleep formulas pair them because each supports relaxation through a separate pathway rather than the same one.

Ashwagandha (KSM-66) + L-TheanineComplementary calm without sedation

L-theanine promotes alpha-wave activity in the brain and supports GABA signaling to produce a relaxed but alert state, while ashwagandha acts on the stress axis by moderating cortisol. The two support daytime calm through different mechanisms, which is why focus and stress formulas routinely combine them.

Ashwagandha (KSM-66) + Rhodiola RoseaLong-standing adaptogen co-formulation

Both are adaptogens that act on the HPA stress axis to support how the body copes with everyday demands, but rhodiola tends toward an energizing effect and ashwagandha toward a calming one. Herbal formulators have long combined the pair so it supports steady daytime energy alongside a quieter stress response.

Ashwagandha (KSM-66) + MelatoninComplementary sleep-onset mechanisms

Melatonin signals the body's circadian clock that it is time to wind down, while ashwagandha lowers the stress-related arousal that can keep the mind active at bedtime. Sleep formulas pair them because one sets the timing of sleep and the other quiets what competes with it.

Ashwagandha (KSM-66) + Glycinetwo separate inhibitory routes to calm

Withanolides act on GABA-A signalling while glycine works at its own inhibitory receptor and lowers core body temperature at night. The two reach settled sleep onset by different routes.

Phosphatidylserine acts on feedback sensitivity of the hypothalamic pituitary adrenal axis while ashwagandha lowers cortisol output at the adrenal end. The pair addresses the same normal stress response at two points.

Ashwagandha (KSM-66) + Black Pepper Extract (BioPerine)absorption enhancer, textbook mechanism

Piperine slows intestinal glucuronidation and some CYP-mediated clearance, raising exposure to a range of lipophilic plant actives. Ayurvedic practice paired pepper with root extracts long before the enzymology was described.

Ashwagandha (KSM-66) + Valerian Rootadditive GABA-A modulation

Valerenic acid and the withanolides both act as positive modulators at GABA-A sites, so their calming effects stack. Useful in an evening formula and worth knowing about for daytime dosing.

Passionflower flavonoids act at benzodiazepine-sensitive GABA-A sites, overlapping the withanolide mechanism, so the combined evening effect is likely stronger than either alone.

Ashwagandha (KSM-66) + Iodineadditive effect on normal thyroid hormone output (anti-synergy)

Ashwagandha raises circulating T4 and T3 within the normal range and iodine is the substrate the gland needs to make them. Stacking both pushes the same output in one direction, so the pairing warrants attention.

Ashwagandha (KSM-66) + Seleniumcofactor for the same hormone conversion

The deiodinases that convert T4 to T3 are selenoproteins, so selenium status governs the step ashwagandha nudges. The effect on normal thyroid hormone levels runs in the same direction.

Ashwagandha (KSM-66) + Caffeineoffsetting actions, long-standing formulation practice

Caffeine blocks adenosine receptors to raise arousal while withanolides lower sympathetic tone, so the pair smooths the jittery edge without cancelling alertness. That is why KSM-66 shows up in stimulant preworkout and focus blends.

Ashwagandha (KSM-66) + MCT Oillipid vehicle for lipophilic actives

Withanolides are lipophilic steroidal lactones with limited water solubility, so a lipid vehicle helps disperse them for uptake. Oil-based and lipid-loaded presentations rest on this.

Ashwagandha (KSM-66) + Vitamin B6 (Pyridoxine)Established cofactor biochemistry

Pyridoxal 5-phosphate is the required cofactor for glutamate decarboxylase, which makes GABA, and for aromatic L-amino acid decarboxylase, which makes serotonin and dopamine. Ashwagandha withanolides are described as acting on GABA-A receptor signalling, so the cofactor supports the transmitter supply while the herb acts at the receptor. Cofactor biochemistry is settled; the pairing itself has not been trialled.

Ashwagandha (KSM-66) + P5P (Active B6)Established cofactor biochemistry

Pyridoxal 5-phosphate is the already-phosphorylated coenzyme form, so it does not require hepatic conversion by pyridoxal kinase. It serves the same decarboxylase steps that supply GABA and the monoamines in calm-focused formulas built around ashwagandha. Established cofactor chemistry, no combination data.

Ashwagandha (KSM-66) + GABAEstablished receptor pharmacology on one side

Withanolides and withanoside constituents show GABA-A receptor activity in cell and animal preparations, and supplemental GABA is added to the same formulas for the same target. Combining two influences on inhibitory signalling is additive on alertness and should be treated that way rather than as a benefit. Oral GABA's own passage across the blood brain barrier remains debated.

Ashwagandha (KSM-66) + L-TyrosineEstablished neurotransmitter biochemistry

Tyrosine is the precursor for dopamine, noradrenaline and adrenaline, and catecholamine synthesis becomes substrate-limited under sustained demand. Pairing it with an adaptogen used for stress-related demand addresses supply while the herb acts on the response. Substrate logic, and the human work on tyrosine is about acute demanding conditions rather than this combination.

Ashwagandha (KSM-66) + L-TryptophanEstablished neurotransmitter biochemistry

Tryptophan is the precursor for serotonin and then melatonin, and its transport into the brain competes with the other large neutral amino acids. It appears with ashwagandha in evening formulas, where both are aimed at sleep onset. Precursor biochemistry is established; the pair has not been studied together and both influence alertness.

Ashwagandha (KSM-66) + 5-HTPEstablished neurotransmitter biochemistry

5-hydroxytryptophan sits one enzymatic step from serotonin and bypasses the rate-limiting tryptophan hydroxylase step. Combined with a sedating adaptogen in an evening formula the effects on drowsiness are additive, and anyone taking a serotonergic medication should be discussing the combination with a clinician rather than stacking it. Flagged for the additive direction.

Ashwagandha (KSM-66) + ApigeninEstablished receptor pharmacology

Apigenin binds the benzodiazepine site of the GABA-A receptor as a weak ligand, which is the same receptor system ashwagandha withanolides are described as touching. Two mild positive modulators of one receptor are additive on sedation. Receptor binding is established in vitro; the combined effect in people is not measured.

Ashwagandha (KSM-66) + Magnolia BarkEstablished receptor pharmacology

Honokiol and magnolol are positive allosteric modulators at GABA-A receptors in preclinical work, and magnolia bark is routinely combined with ashwagandha in evening cortisol-focused formulas. The additive sedative direction is the thing to state. No human combination trial.

Ashwagandha (KSM-66) + Lemon BalmEstablished enzyme pharmacology plus formulation practice

Rosmarinic acid from lemon balm inhibits GABA transaminase in vitro, raising GABA availability, which converges with the receptor-side activity attributed to withanolides. The two are commonly blended for evening use. Additive on calm and on drowsiness, with the mechanism established for lemon balm alone.

Ashwagandha (KSM-66) + ChamomileTraditional and commercial formulation practice

Chamomile's apigenin content gives it weak GABA-A activity and it is one of the standard evening companions to ashwagandha. The pairing is conventional rather than tested. Additive sedation is the honest label.

Ashwagandha (KSM-66) + TaurineEstablished receptor pharmacology

Taurine is an agonist at glycine and GABA-A receptors and contributes to inhibitory neurotransmission, overlapping with the receptor system attributed to withanolides. The overlap is mechanistic and mostly preclinical. Early, and additive on drowsiness.

Ashwagandha (KSM-66) + Bacopa MonnieriTraditional Ayurvedic pairing with separate clinical literatures

Bacopa and ashwagandha are the two most commonly paired Ayurvedic botanicals in cognition and stress formulas, and each carries its own body of randomised human work. What has not been done is a trial of the two together, so the pairing is convention plus two independent evidence bases rather than a measured synergy. Bacopa also has a documented gastrointestinal tolerance profile of its own.

Ashwagandha (KSM-66) + Ginseng (Panax)Traditional adaptogen pairing

Both botanicals are classed as adaptogens acting on hypothalamic pituitary adrenal axis signalling, though panax ginseng tends toward the stimulating end and ashwagandha toward the calming end. That means the pairing can pull in two directions depending on dose and time of day. Two separate literatures, no combination trial.

Ashwagandha (KSM-66) + EleutheroTraditional adaptogen pairing

Eleutherococcus senticosus is a classical adaptogen used for stress-related fatigue and it sits with ashwagandha in adaptogen blends. Both are described as modulating the stress axis rather than stimulating it directly. Traditional pairing with thin human data for the combination.

Ashwagandha (KSM-66) + SchisandraTraditional adaptogen pairing

Schisandra lignans appear alongside ashwagandha in adaptogen formulas, and the lignans also inhibit CYP3A4 in vitro, which is worth noting because it can alter clearance of co-administered compounds. Traditional pairing on one side, an enzyme interaction on the other. Early.

Ashwagandha (KSM-66) + CordycepsTraditional adaptogen pairing

Cordyceps is combined with ashwagandha in stamina and stress formulas, with its own preclinical work on exercise capacity and mitochondrial function. The rationale is complementary category use rather than a shared mechanism. Early, and largely preclinical for the partner.

Ashwagandha (KSM-66) + ReishiTraditional pairing in calming adaptogen blends

Ganoderma lucidum is placed with ashwagandha in evening adaptogen formulas, and reishi triterpenes have sedative activity in animal work. Additive on drowsiness in principle. Early, and the mechanism is preclinical.

Ashwagandha (KSM-66) + Creatine MonohydrateEstablished muscle energetics, with separate human literatures for each

Creatine raises phosphocreatine availability for repeated high-intensity efforts, an energetics mechanism, while ashwagandha's strength and recovery literature is built on resistance-training trials with a different and less specified mechanism. The two act on the same training adaptation from unrelated directions. Each has its own randomised evidence; the pairing does not.

Ashwagandha (KSM-66) + Whey Protein IsolateEstablished muscle protein synthesis biochemistry

Whey supplies the leucine-rich amino acid load that drives muscle protein synthesis after training, which is the substrate side of the adaptation ashwagandha has been studied against. Substrate plus a stress-axis effect are different levers on one outcome. Established for whey, and the combination is not measured.

Ashwagandha (KSM-66) + Vitamin D3Established signalling biology of skeletal muscle

Vitamin D receptor signalling influences skeletal muscle function and the anabolic response to loading, the same broad process the strength side of ashwagandha's literature addresses. Vitamin D status here is a marker, not an outcome. No trial of the pair.

Ashwagandha (KSM-66) + ZincEstablished endocrine biochemistry

Zinc is a cofactor for enzymes across steroid hormone synthesis and for thyroid hormone signalling, both axes ashwagandha is studied against. Adequate zinc status is a precondition for those pathways rather than an additive push. Cofactor status is established; the interaction with the herb is not measured.

Ashwagandha (KSM-66) + Tongkat AliShared formulation practice in men's hormonal formulas

Eurycoma longifolia and ashwagandha are the two botanicals most often combined in formulas aimed at the male hormonal axis, each with its own small randomised literature on hormone markers and stress measures. Hormone markers are markers, not clinical outcomes. Convention plus two separate evidence bases.

Ashwagandha (KSM-66) + ShatavariTraditional Ayurvedic pairing

Asparagus racemosus is the classical Ayurvedic companion to ashwagandha in formulas for women, with the two named together in traditional texts. The rationale is long use, not a measured mechanism. Early, and should be presented as tradition.

Ashwagandha (KSM-66) + Curcumin (Turmeric)Traditional Ayurvedic pairing plus shared absorption practice

Curcumin and ashwagandha appear together in Ayurvedic-derived formulas, and both are routinely co-formulated with piperine for absorption reasons, which is the stored bioperine relationship on this page. The pairing itself has not been tested. Early.

Ashwagandha (KSM-66) + Sunflower LecithinEstablished formulation practice for lipophilic constituents

Withanolides are lipophilic steroidal lactones with limited aqueous solubility, so phospholipid dispersion is a standard way to improve dissolution of this class. Lecithin supplies the phospholipid. It changes delivery, not the underlying pharmacology, and the stored MCT oil partner works on the same principle.

Ashwagandha (KSM-66) + InositolEstablished second messenger biochemistry

Inositol is the backbone of the phosphoinositide second messenger system that many neurotransmitter and hormone receptors signal through, and it is combined with ashwagandha in calm and cycle-support formulas. The link is upstream and general rather than specific to withanolides. Early.

Ashwagandha (KSM-66) + St John's WortEstablished enzyme induction pharmacology

Hyperforin activates the pregnane X receptor and induces CYP3A4 and P-glycoprotein, which speeds clearance of lipophilic plant constituents including steroidal lactones, so co-dosing plausibly lowers withanolide exposure. It also brings a long list of medication interactions and its own serotonergic activity, which stacks with a sedating adaptogen. The induction mechanism is textbook; the effect on withanolides specifically is inferred.

Who should be cautious

Talk to a doctor before taking Ashwagandha (KSM-66) if any of these apply to you: Hyperthyroidism. These are flags to check first, not effects Ashwagandha (KSM-66) is known to cause.

Not medical advice. Show the label to your pharmacist.

What Ashwagandha (KSM-66) actually does.

Established

The active compounds are steroid-like plant molecules called withanolides, and the root and leaf contain different ones.

Established

They do not dissolve well in water, so what they are formulated with affects how much gets absorbed.

Established

Some extracts use root only and some include leaf. The leaf contains a harsher compound, which is why root-only sourcing is something certificates state.

Established

The body cuts the sugars off and tags the rest for disposal. Also, two labels quoting different withanolide percentages may just be using different tests.

Grown, 6 steps on record

Where Ashwagandha (KSM-66) comes from.

Cultivated ashwagandha roots are washed, dried and milled, then extracted with water rather than alcohol. The extract is concentrated, tested by HPLC for its withanolide content, and spray dried into a powder. Two details decide whether one product matches another: whether leaf was included, and which test produced the percentage on the label.

Made from a plant. What ends up in the capsule tracks the harvest, so batch testing and a stated marker matter more here than with a made molecule.

Starts as
Cultivated Withania somnifera roots

Roots from cultivated plants, largely from Rajasthan, Madhya Pradesh and Gujarat in India, harvested after one growing season. Root-only sourcing is a specification point because leaf material carries a different withanolide profile.

Converted by
Washing, drying and milling

Roots are cleaned, cut and dried, then milled. Drying conditions and storage affect withanolide retention and microbial load, which is why total plate count and pesticide screening sit on the certificate alongside the potency figure.

Extracted by
Water-based extraction

The root-only standardised material is produced by an alcohol-free process using water with milk as a traditional adjunct, which is the point of difference from ordinary hydroalcoholic ashwagandha extracts. Solvent choice determines which withanolides transfer.

Purified by
Filtration and concentration

The extract is filtered to remove particulates and concentrated under vacuum at controlled temperature to limit thermal loss of the steroidal lactones.

Standardised to
HPLC assay of withanolide glycosides

Content is set by HPLC against withanolide reference standards and adjusted to a declared percentage, commonly 5% withanolide glycosides. A percentage quoted as total withanolides by a different method is not the same number and cannot be compared directly.

Ends up as
Spray-dried powder

The concentrate is spray dried, usually onto a small amount of carrier, and packed for capsules, tablets and blends.

The specific extraction parameters of the branded process are proprietary and not published, so what a buyer can actually verify is the certificate of analysis: plant part, solvent class, the assay method behind the withanolide figure, and the contaminant screens.

Getting Ashwagandha (KSM-66) from food.

The whole-food sources on file. A supplement closes the gap, it does not replace dinner.

Withania somnifera rootUnprocessed Ashwagandha Root

A gram-for-gram figure (how much of each you would eat to match a dose) will appear here once it is sourced and reviewed. This page will not print a number it cannot cite.

The forms it comes in.

Withania somnifera root extract, standardised to withanolide glycosides (commonly 5%)Roots only, extracted without alcohol using a milk and water based process, assayed by HPLC for withanolide glycosidesFits The material behind most of the standardised-extract human trials, so label doses map onto that literatureTrade-off A percentage stated as withanolide glycosides is a different measurement from total withanolides, so it reads lower than an extract quoting the latter without being less concentrated in a meaningful sense
Withania somnifera extract (root and leaf)Includes leaf material, which contributes withaferin A and a broader withanolide profile than root aloneFits Where a higher total withanolide figure is specified and leaf constituents are wantedTrade-off Withaferin A is a more cytotoxic withanolide in cell assays and the human trial literature is built largely on root-only material, so this is a different composition rather than a stronger version of the same thing
Ashwagandha root powder (churna)Dried, milled whole root at its native low withanolide content, with the starch and fibre matrix intactFits Traditional Ayurvedic preparations taken by the gram, often in milk or gheeTrade-off Withanolide content is low and variable, so gram-for-gram it is not comparable with a standardised extract, and the traditional lipid vehicle is part of how it was used
Ashwagandha extract (ethanol extracted, higher withanolide percentage)Ethanol or hydroalcoholic extraction pulls a higher proportion of lipophilic withanolides than a water-based processFits Formulas specifying a high declared withanolide percentage in a small servingTrade-off The solvent changes which constituents come across, so a high-percentage alcohol extract is a chemically different material from a water-extracted one at a lower percentage
Ashwagandha extract with phospholipid carrierExtract dispersed in lecithin phospholipids to address the poor aqueous solubility of the withanolidesFits Liquids, gummies and any water-based formatTrade-off Part of the declared weight is carrier, and the delivery system is not what the standardised-extract trials usedActive and formulation aid
Ashwagandha full-spectrum root extractExtract characterised for both withanolides and the native alkaloid fraction rather than withanolides aloneFits Formulas that want the root's constituent balance kept close to the raw materialTrade-off Two declared markers means two assays to verify, and the alkaloid fraction is not the constituent class the clinical literature was standardised on
What the strongest studies found

The essence, in one line each.

  1. Across 9 randomized trials in 558 adults, ashwagandha lowered perceived stress scale scores by about 4.7 points and reduced serum cortisol compared with placebo.Meta-analysis. Arumugam et al., 2024 (Explore). PMID 39348746
  2. Across 5 randomized trials in 400 adults, ashwagandha produced a small but statistically significant improvement in overall sleep versus placebo (standardized mean difference about 0.6), most noticeable at 600 mg a day or more taken for at least 8 weeks.Meta-analysis. Cheah et al., 2021 (PLoS One). PMID 34559859
  3. In 57 men doing 8 weeks of resistance training, 300 mg ashwagandha root extract twice daily raised bench-press one-rep max by about 46 kg versus about 26 kg on placebo, with a larger drop in body fat percentage.Randomised controlled trial. Wankhede et al., 2015 (J Int Soc Sports Nutr). PMID 26609282
  4. Pooling four randomised trials in 142 athletes and non-athletes, ashwagandha raised maximal oxygen uptake by about 3.0 mL/kg/min (95% CI 0.18 to 5.82), with high heterogeneity between studies.Meta-analysis. Pérez-Gómez et al., 2020 (Nutrients). PMID 32316411
  5. Reviewing 32 randomised trials of 13 herbs in men, ashwagandha root and root-and-leaf extracts were one of two extracts with positive effects on testosterone concentrations, though only 9 of the 32 trials reached statistical significance and only 6 were at low risk of bias.Systematic review. Smith et al., 2021 (Advances in Nutrition). PMID 33150931
  6. In 56 team-sport athletes over 42 days, 600 mg a day of ashwagandha root extract held salivary cortisol steady where it rose on placebo in the women, improved their reported recovery, soreness and fatigue scores, and improved countermovement jump in the men.Randomised trial. Coope et al., 2026 (Nutrients). PMID 41599843
  7. Among 73 children over eight weeks, ashwagandha root extract improved speed of information processing, delayed word recall (d 0.59), Stroop accuracy (d 0.61) and Corsi block span (d 0.66), plus parent-reported sleep quality, with no significant adverse events.Randomised trial. Saxena et al., 2026 (Frontiers in Nutrition). PMID 41889719
  8. In young healthy men doing eight weeks of high-intensity interval training, the training itself shifted adiponectin and irisin while ashwagandha showed no detectable effect on any of the energy-metabolism hormones, body composition or lipids measured.Randomised trial. Charmas et al., 2025 (Nutrients). PMID 41156498
  9. A review of human trials of Withania somnifera found reductions in self-reported anxiety and stress scores across the studies included.Systematic review. Pratte et al., 2014 (Journal of alternative and complementary medicine). PMID 25405876
  10. In healthy adults, ashwagandha root extract was well tolerated over the study period, with no meaningful change detected in the blood safety markers measured.Randomised trial. Movva et al., 2026 (Frontiers in nutrition). PMID 42253745
  11. In a double-blind placebo-controlled trial, ashwagandha root extract improved self-reported reproductive and sexual wellbeing scores.Randomised trial. Vani et al., 2025 (Frontiers in reproductive health). PMID 41561822
  12. In healthy men, ashwagandha root extract was associated with better self-reported sexual function scores compared with placebo.Randomised trial. Khanna et al., 2026 (Frontiers in reproductive health). PMID 41766918
  13. Ashwagandha root extract was associated with lower self-reported stress scores over the trial.Randomised trial. Pakhale et al., 2025 (Journal of medicine and life). PMID 41635453
  14. A review of Withania somnifera as an adaptogen, summarising reported effects on immune and nervous system signalling and identifying hypothalamic pituitary adrenal axis modulation and GABAergic activity as the mechanisms most often invoked; the underlying evidence is a mix of preclinical and small clinical work.Narrative review. Jamnekar PP et al., 2025 (Cureus). PMID 41356880
  15. A review of tolerability reporting for standardised Withania somnifera root extract, drawing together how adverse events have been recorded across published studies and where reporting is incomplete; it maps the tolerability literature rather than measuring an effect.Narrative review. Coope OC et al., 2026 (Pharmaceuticals). PMID 42198398
  16. A prospective clinical study assessing tolerability of a standardised Withania somnifera root extract in pregnant women; findings apply only to the doses and follow-up period the study used, and pregnancy is a setting where any supplement decision belongs with a clinician.Open-label trial. Ajgaonkar A et al., 2026 (Frontiers in Global Women's Health). PMID 41767760

These are the studies our verdict leans on, chosen from the 2,243 we read for Ashwagandha (KSM-66). The full linked list is below.

Every figure on this page, at source

Labs test. IngredientMD verifies.

Lopresti et al., 2019 (Medicine)Randomised controlled trial. Time to effect, about eight to nine weeks of daily use.PMID 31517876
Pandit et al., 2024 (Nutrients)Randomised controlled trial. Time to effect, about eight to nine weeks of daily use.PMID 38732539
Sources checked 21 July 2026. A strength word says how much research stands behind a claim. It is never a product score.Educational information about an ingredient, not medical advice and not a claim about any specific product. Statements about ingredients have not been evaluated by the Food and Drug Administration. Bring the label to your pharmacist.

FDA Disclaimer: These statements have not been evaluated by the Food and Drug Administration. This information is for educational purposes only and is not intended to diagnose, treat, cure, or prevent any disease. Consult your healthcare provider before starting any supplement regimen.