Ashwagandha can be found in anything from drinks that reduce stress to sleep aids and supplements for the gym that promise increased endurance. People seeking natural ways to feel more energized, calmer, and stronger are turning to this age-old Ayurvedic herb. However, something is not always safe just because it is natural. A critical concern that has gained attention recently is whether ashwagandha can damage your liver. Doctors are voicing concerns about potential side effects that we should not disregard as more individuals incorporate it into their everyday routines without seeking medical advice.
Ashwagandha is an Ayurvedic herb that is made from the roots of the Withania somnifera plant, a low-growing evergreen shrub that grows in India and Southeast Asia, according to StatPearls. “Horse smell” is the Sanskrit translation of the name Ashwagandha. Often called “Indian ginseng,” this herb possesses anti-inflammatory and neuroprotective qualities. Stress, anxiety, sleeplessness, exhaustion, pain, a number of dermatological disorders, diabetes, arthritis, and epilepsy are among the ailments it is used to treat. Ashwagandha also acts as a general tonic, reducing weariness, increasing energy, and reversing the ravages of aging.
However, the notion that “natural equals safe” can be deceptive, much as all-natural medicines.
Can Your Liver Be Affected by Ashwagandha?
Although ashwagandha-induced liver damage is rare, it is not unheard of. Numerous case reports of individuals who took ashwagandha supplements and experienced Drug-Induced Liver Injury (DILI) have been published in the medical literature. Ashwagandha is generally well tolerated by most people. However, within a few weeks of starting the supplement, some people have reported experiencing liver dysfunction, which can range from modest increases of enzymes to abrupt liver failure, according to Chawla.
When the supplement is stopped, these adverse effects usually go away. The symptoms can be severe while they last, though, and the most significant warning signs include dark urine, jaundice, nausea, weakness, and stomach pain.
A 2023 study found that cholestatic hepatitis is associated with liver damage brought on by the ashwagandha plant. Acute-on-chronic liver failure syndrome, which has a high death rate among patients with pre-existing liver illness, may result from this.
Extracts with larger concentrations than those often found in conventional preparations like tonics or churn may cause liver damage. Additionally, a study published in Elsevier suggests that ingesting doses above the recommended quantity may also result in harm.
Why is this occurring at this time?
Although the plant itself is not new, our consumption of it has undergone significant modification. Ashwagandha was traditionally used in small doses with little processing, frequently customized by Ayurvedic practitioners. On the other hand, today’s over-the-counter vitamins are mass-produced, intensified, and used without a prescription, Chawla continued.
The majority of these goods are unregulated, and they do not always contain what is stated on the label. Additives, impurities, or variations in dosage are possible. The danger of adverse effects, including liver damage, is increased by this uncertainty.
Who Is More at Risk?
Ashwagandha should not be taken unless prescribed by a skilled physician if you are pregnant or nursing, have a pre-existing liver issue, or take numerous drugs. People often consider of it as just a vitamin or herbal tea, but interactions can be harmful if you are taking other medications, especially ones that are digested by the liver.
How About Temporary Use?
For healthy people, short-term, low-dose ashwagandha use is safe, especially when supervised by a physician or Ayurvedic practitioner. According to Chawla, it may reduce cortisol, reduce anxiety, and even enhance the quality of sleep.
However, monitoring and moderation are crucial. Avoid self-medication and the belief that more is better. Stop taking it immediately and have your liver enzymes evaluated if you experience any side effects, such as yellowing of the eyes, upset stomach, or extreme exhaustion.
Advice for Secure Use
- See your physician, particularly if you are on medication or have any medical issues.
- Select a trustworthy brand that offers certifications and ingredient transparency.
- Unless otherwise advised, start with the smallest dosage and avoid combining it with other herbal products.
- Steer clear of utilizing it nonstop without interruption or follow-up.
- Be mindful of any unusual symptoms and seek medical attention as soon as possible.
Bottomline
“Ashwagandha can provide benefits, but it is not risk-free,” Chawla concluded. Although it is uncommon, liver damage is a possible adverse effect that is typically associated with excessive use, subpar supplements, or personal health issues. It is simple to follow trends in the wellness industry. However, a careful, knowledgeable approach will always be more effective than a miraculous medication when it comes to your health.