Does ashwagandha lower cortisol? Evidence review (2026)
Ashwagandha is the most-studied cortisol-lowering supplement. Here's what the meta-analyses actually show, plus dose and timing.
Updated May 23, 2026 · Reviewed by Cortisol+ Editorial
Verdict
Yes, ashwagandha lowers cortisol — with moderate-to-strong evidence in adults under chronic stress. Multiple randomized trials show 15–30% reductions in morning serum cortisol over 8 weeks.
The studies
The evidence base is unusually robust for an herbal supplement. Key trials:
- Salve et al. 2019 (60 chronically stressed adults, KSM-66 300 mg twice daily, 8 weeks): 27.9% reduction in serum cortisol vs 7.9% in placebo. Significant improvements in perceived stress and sleep quality.
- Chandrasekhar et al. 2012 (64 chronically stressed adults, KSM-66 300 mg twice daily, 60 days): 27.9% serum cortisol reduction vs 7.9% placebo. Significant reduction in the Perceived Stress Scale.
- Lopresti et al. 2019 (60 stressed adults, Shoden 240 mg once daily, 60 days): 23% morning cortisol reduction.
- Multiple meta-analyses (2021–2023) consistently confirm a 15–30% reduction in morning cortisol across studies. Effect size is larger in populations with elevated baseline stress.
Most positive trials use 300–600 mg/day of standardized extract for 8–12 weeks. Lower doses (125–250 mg) show smaller effects; doses above 600 mg/day don’t appear to add benefit. Time-to-effect is typically 4 weeks for subjective stress, 8 weeks for cortisol biomarkers.
How to use
- Form: KSM-66 (full-spectrum root extract, withanolides standardized to 5%) has the largest evidence base. Sensoril is a leaf+root extract with slightly different effect profile (more sedating). Generic “ashwagandha root powder” without standardization has weaker evidence.
- Dose: 300–600 mg/day. Many practitioners split into 300 mg morning + 300 mg evening for steadier effect.
- Timing: Adaptogenic, not strictly stimulating or sedating. Evening dose may best target evening cortisol elevation. Some users find it mildly relaxing — taking it 2–3 hours before bed is a common protocol.
- Duration: Most trials run 8 weeks. Cycle off after 12 weeks for 2–4 weeks before restarting.
- Avoid if: Pregnant, breastfeeding, autoimmune condition (it’s immunostimulating), on thyroid medication (can affect thyroid function), on sedatives or anti-anxiety meds. Talk to a doctor before combining with prescription medications.
- Side effects: Generally well-tolerated. Most common: mild GI upset, occasional drowsiness. Rare: thyroid stimulation requiring dose adjustment in patients with thyroid disease.
How Cortisol+ tracks this
If you start ashwagandha, Cortisol+ surfaces the change in your HRV-based cortisol score over the following weeks — so you can see if it’s actually working for you.