Functional Wellness

Ashwagandha Benefits: Cortisol, Testosterone & Dosage Guide

Ashwagandha Benefits: Cortisol, Testosterone & Dosage Guide

💡 What You Need to Know Right Away

  • Ashwagandha significantly reduces stress and anxiety according to a meta-analysis of 12 randomized controlled trials with 1,002 participants.[Evidence: A][1]
  • Sleep quality improves with a small but significant effect (SMD -0.59), especially for those with insomnia taking 600+ mg daily for 8+ weeks.[Evidence: A][4]
  • Physical performance improves including strength, cardiorespiratory fitness, and recovery based on a Bayesian meta-analysis of 13 RCTs.[Evidence: A][11]
  • Testosterone levels increase significantly (p < 0.0001) in adult males taking 300 mg twice daily for 8 weeks.[Evidence: B][12]

If you've been exploring natural ways to manage stress, improve sleep, or boost your energy, you've likely come across ashwagandha. This ancient Ayurvedic herb—scientifically known as Withania somnifera—has become one of the most researched adaptogens of our time.

But with so much information available, it can be hard to separate hype from science. What does the research actually say? How much should you take? Is it safe?

This guide cuts through the noise. We've analyzed 12 clinical studies published between 2020 and 2025 to bring you evidence-based answers. Whether you're dealing with chronic stress, struggling with sleep, or looking to enhance your physical performance, you'll find actionable, science-backed information here. Let's explore what ashwagandha can—and can't—do for you.

❓ Quick Answers

What is ashwagandha good for?

Ashwagandha is primarily used for stress and anxiety reduction, sleep improvement, and physical performance enhancement. Research shows it significantly reduces perceived stress scores and cortisol levels while improving sleep quality and muscle strength.[Evidence: A][1][4][11] It may also support cognitive function and testosterone levels in men.

How much ashwagandha should I take daily?

Research supports 300-600 mg of ashwagandha root extract daily. Most clinical studies used 300 mg twice daily (600 mg total). For sleep improvement specifically, studies show optimal results at 600 mg or more daily for at least 8 weeks.[Evidence: A][1][4] Always choose standardized extracts with 5-10% withanolides.

How long does it take for ashwagandha to work?

Most people notice effects within 2-8 weeks of consistent daily use. Stress and anxiety benefits typically appear within 4-8 weeks, while sleep improvements may take 6-8 weeks at doses of 600+ mg daily.[Evidence: A][4] Maximum plasma concentrations of active compounds occur within 1-2 hours of taking a dose.[Evidence: B][7]

Does ashwagandha increase testosterone?

Yes, research indicates ashwagandha can increase testosterone in men. A randomized controlled trial found that 300 mg twice daily for 8 weeks produced a statistically significant increase in serum testosterone levels (p < 0.0001).[Evidence: B][12] A 12-month observational study also confirmed increased serum testosterone.[Evidence: C][10]

Can ashwagandha help with anxiety?

Strong evidence supports ashwagandha for anxiety relief. A 2022 meta-analysis of 12 randomized controlled trials (1,002 participants) found that ashwagandha supplementation significantly reduced anxiety scores. Another 2024 meta-analysis of 9 RCTs (558 participants) confirmed significant reductions in anxiety ratings compared to placebo.[Evidence: A][1][2]

🔬 How Does Ashwagandha Work in Your Body?

Understanding how ashwagandha works helps explain why it addresses such a wide range of concerns—from stress to sleep to physical performance.

The Stress Response: Your Body's Alarm System

Think of your body's stress response like a home security system. When triggered, your hypothalamic-pituitary-adrenal (HPA) axis sounds the alarm by releasing cortisol—your body's primary stress hormone. This is helpful for genuine emergencies, but chronic stress keeps that alarm blaring constantly, exhausting your system.

Ashwagandha acts like a skilled technician that recalibrates your security system. Research shows it produces a statistically significant reduction in cortisol levels of approximately 1.16 µg/dL compared to placebo.[Evidence: A][3] This biological effect on your stress hormones explains the anxiety-reducing benefits seen in clinical trials with over 1,000 participants.[Evidence: A][1][2]

Active Compounds: The Science Behind the Benefits

Ashwagandha's effects come from bioactive compounds called withanolides, particularly withaferin A and withanolide A. These compounds:

  • Modulate GABA receptors (your brain's calming neurotransmitter system)
  • Regulate the HPA axis to normalize cortisol production
  • Provide neuroprotective effects supporting cognitive function
  • Influence hormone production including testosterone

Pharmacokinetic studies reveal that these active compounds are rapidly absorbed from the stomach, reaching maximum plasma concentrations within 1-2 hours of ingestion.[Evidence: B][7]

Physical Performance: Energizing Your Cells

Imagine your muscle cells as rechargeable batteries. Ashwagandha appears to enhance how efficiently these batteries charge and discharge energy. A Bayesian meta-analysis of 13 randomized controlled trials found ashwagandha more efficacious than placebo for physical performance, with documented benefits in strength and power variables, cardiorespiratory fitness, and fatigue reduction.[Evidence: A][11]

Cognitive Enhancement: Supporting Brain Function

A systematic review of clinical trials found early evidence supporting cognitive benefits across diverse populations. Participants showed improvements in cognitive tasks, executive function, attention, and reaction time with good tolerability and minimal adverse effects.[Evidence: A][5]

Bioavailability: Not All Extracts Are Equal

The concentration of withanolides matters significantly. Research comparing different ashwagandha extracts found dramatic differences—one formulation with 35% withanolide glycosides was 280.74 times more bioavailable than a 2.5% extract.[Evidence: B][6] This explains why standardized extracts (typically 5-10% withanolides) are recommended for consistent results.

📊 Dosage and How to Use Ashwagandha

Getting the dosage right is essential for experiencing ashwagandha's benefits. Here's what clinical research tells us about optimal dosing.

Health Goal Dosage Duration Evidence
Stress and Anxiety Management 300-600 mg daily 8+ weeks [A][1]
Sleep Improvement (General) 300-600 mg daily 6-8 weeks [A][4]
Sleep Improvement (Insomnia) 600+ mg daily 8+ weeks [A][4]
Testosterone and Male Well-being 300 mg twice daily 8 weeks [B][12]
General Safety Protocol 300 mg twice daily 8 weeks [B][9]

Key Dosing Principles

  • Consistency matters: Take ashwagandha at the same time(s) daily for best results
  • Split dosing: Taking 300 mg twice daily (morning and evening) may provide more stable blood levels than a single dose
  • With food: Taking ashwagandha with meals can reduce potential digestive discomfort
  • Standardized extracts: Choose products standardized to 5-10% withanolides for consistent potency

When to Take Ashwagandha

For stress and energy: Morning doses work well since ashwagandha supports daytime stress management without causing drowsiness in most people.

For sleep: Take your dose 1-2 hours before bedtime. Studies showing sleep benefits typically used evening dosing.

For overall benefits: Split dosing (morning and evening) provides consistent active compound levels throughout the day and night.

⚠️ Risks, Side Effects, and Warnings

While ashwagandha has a favorable safety profile in clinical studies, understanding potential risks helps you use it wisely.

What the Research Shows About Safety

An 8-week randomized, placebo-controlled study in 80 healthy adults taking 300 mg twice daily found no statistically significant changes or abnormalities in hematological, liver function, or thyroid assessments. No adverse events were reported by any participant, and the supplement was safe for both males and females.[Evidence: B][9]

Longer-term data from a 12-month observational study of 191 healthy adults (ages 18-65) documented only 18 mild adverse events, all of which resolved without intervention. There were no clinically significant liver function changes over the entire year.[Evidence: C][10]

Meta-analyses note that adverse effects associated with ashwagandha are generally mild to moderate in nature.[Evidence: A][2]

Common Side Effects

  • Mild digestive upset (nausea, stomach discomfort)
  • Drowsiness (especially at higher doses)
  • Headache (infrequent)

When to Stop Use

Discontinue ashwagandha and consult a healthcare provider if you experience:

  • Yellowing of skin or eyes (jaundice)
  • Dark urine or pale stools
  • Severe abdominal pain
  • Unusual fatigue or weakness
  • Signs of allergic reaction (rash, itching, swelling)

🥗 Practical Ways to Use Ashwagandha

Getting the most from ashwagandha involves choosing the right product and incorporating it effectively into your daily routine.

1. Choose a Quality Extract

Not all ashwagandha supplements are equal. Bioavailability research shows that formulations with higher withanolide glycoside content are dramatically more absorbable—one study found a 280-fold difference between extract types.[Evidence: B][6] Another study showed a novel 1.5% formulation had 2.1-fold higher bioavailability than a standard 5% extract at nearly 5 times the dose.[Evidence: B][8]

What to look for:

  • Root extract only (not leaf or whole plant)
  • Standardized to 5-10% withanolides
  • Branded extracts (KSM-66, Sensoril) have more research backing
  • Third-party tested for purity (USP, NSF, or ConsumerLab verification)
  • GMP-certified manufacturing facility

2. Establish a Consistent Routine

Clinical benefits in studies emerged after 4-8 weeks of consistent daily use. Build ashwagandha into an existing habit:

  • Morning routine: Take with breakfast for stress and energy support throughout the day
  • Evening routine: Take with dinner or 1-2 hours before bed for sleep support
  • Split routine: Take 300 mg with breakfast and 300 mg with dinner for balanced, round-the-clock effects

3. Track Your Response

Individual responses vary. Keep a simple log noting:

  • Sleep quality (1-10 scale)
  • Stress levels (1-10 scale)
  • Energy levels (1-10 scale)
  • Any side effects

Review after 4 weeks and again at 8 weeks. Research shows maximum benefits often appear after 8-12 weeks of consistent use.

4. Consider Your Goals

For stress and anxiety: 300-600 mg daily works well for most people. Start with 300 mg and increase if needed after 4 weeks.

For sleep: Higher doses (600 mg+) taken in the evening show stronger effects, especially for those with insomnia.[Evidence: A][4]

For physical performance: Athletes in studies typically used 300-600 mg daily as part of their training regimen.[Evidence: A][11]

5. Storage and Handling

  • Store in a cool, dry place away from direct sunlight
  • Keep container tightly sealed
  • Check expiration dates—potency may decline over time
  • Powder forms should be protected from moisture

⚖️ Ashwagandha vs. Other Adaptogens

Ashwagandha belongs to a class of herbs called adaptogens—natural substances that help the body adapt to stress. Here's how it compares to other popular options.

Feature Ashwagandha Rhodiola Rosea Holy Basil (Tulsi)
Primary Benefits Stress, anxiety, sleep, physical performance, testosterone Mental fatigue, endurance, acute stress Stress, inflammation, blood sugar
Best For Chronic stress, sleep issues, athletes, men seeking hormone support Mental performance, physical endurance, short-term stress General wellness, metabolic health, respiratory support
Typical Dosage 300-600 mg/day standardized extract 200-600 mg/day standardized extract 300-600 mg/day or as tea
Time to Effect 4-8 weeks for full benefits Days to weeks 2-4 weeks
Research Volume High (multiple meta-analyses) Moderate Moderate
Calming vs. Energizing More calming/grounding More energizing/stimulating Balancing

When to Choose Ashwagandha

Ashwagandha may be your best choice if you:

  • Experience chronic, ongoing stress (not just occasional stressful events)
  • Struggle with sleep quality or insomnia
  • Want to support athletic performance and recovery
  • Are a man interested in testosterone and reproductive health support
  • Prefer a calming adaptogen that won't feel stimulating

When to Consider Alternatives

  • Choose rhodiola if you need mental energy, combat fatigue, or face short-term acute stressors
  • Choose holy basil if you want gentler support or prefer drinking adaptogenic tea
  • Combination: Some people use ashwagandha in the evening (for its calming, sleep-supporting effects) and rhodiola in the morning (for energy and focus). However, research on adaptogen combinations is limited—start with one and add others cautiously.

Important: Direct head-to-head clinical trials comparing ashwagandha to other adaptogens are limited. This comparison is based on each herb's individual research profile.

Frequently Asked Questions

Is ashwagandha safe for daily use?

Clinical evidence supports the safety of daily ashwagandha use for up to 12 months in healthy adults. An 8-week randomized, placebo-controlled study found no adverse events with 300 mg twice daily, and no abnormalities in blood work, liver function, or thyroid markers. A 12-month observational study of 191 adults documented only 18 mild adverse events that all resolved without intervention, with no clinically significant changes in liver function throughout the year. However, long-term studies beyond 12 months are still needed, and you should consult a healthcare provider before extended use.

What medications should not be taken with ashwagandha?

While controlled drug interaction studies are limited, ashwagandha's pharmacological effects suggest caution with several medication classes. Diabetes medications may have additive blood sugar-lowering effects. Blood pressure drugs may have enhanced effects. Thyroid hormones may be affected since ashwagandha can increase thyroid activity. Immunosuppressants may have reduced effectiveness since ashwagandha may stimulate immune function. Sedatives and CNS depressants may cause excessive drowsiness. Always consult your healthcare provider before combining ashwagandha with any medications.

Does ashwagandha help you sleep?

Yes, research supports ashwagandha for sleep improvement. A meta-analysis of 5 randomized controlled trials with 400 participants found a small but significant effect on overall sleep quality (SMD -0.59). Results were even stronger for those with insomnia taking 600+ mg daily for 8 or more weeks. Participants also reported improved mental alertness upon waking and reduced anxiety, which may contribute to better sleep. No serious adverse effects were documented in sleep studies. The 12-month observational study also noted that 69% of participants showed clinical improvement in overall well-being, which included sleep quality.

Can ashwagandha cause liver damage?

Clinical studies have not shown ashwagandha causes liver damage in healthy individuals at recommended doses. An 8-week RCT found no statistically significant changes in liver function assessments with 600 mg daily. A 12-month observational study specifically confirmed no clinically significant liver function changes over the entire year of supplementation. However, rare case reports exist of liver injury with supplement use. If you have existing liver disease, use ashwagandha only under medical supervision. Stop use and seek medical attention if you develop jaundice (yellowing of skin/eyes), dark urine, or severe abdominal pain.

What is the difference between KSM-66 and regular ashwagandha?

KSM-66 is a branded, standardized ashwagandha root extract with extensive clinical research. The key differences are standardization (KSM-66 guarantees a specific withanolide content, typically 5%), plant part used (root only, which has a different phytochemical profile than leaf), research backing (many clinical trials specifically used KSM-66), and quality control (branded extracts have more rigorous manufacturing standards). Bioavailability research shows dramatic differences between extract types—standardized extracts with higher withanolide glycoside content can be hundreds of times more bioavailable than lower-quality alternatives. Generic ashwagandha may vary in potency and quality. Sensoril is another reputable branded extract.

Should I take ashwagandha in the morning or at night?

The best timing depends on your goals. For stress management and daytime energy, morning dosing works well. For sleep support, take ashwagandha 1-2 hours before bedtime—sleep studies showing positive results typically used evening dosing. For comprehensive benefits, consider split dosing with 300 mg in the morning and 300 mg in the evening. This approach matches safety study protocols that used 300 mg twice daily. Pharmacokinetic research shows active compounds reach peak blood levels within 1-2 hours of ingestion. Taking ashwagandha with food may reduce digestive discomfort if you experience any sensitivity.

Our Accuracy Commitment and Editorial Principles

At Biochron, we take health information seriously. Every claim in this article is supported by peer-reviewed scientific evidence from reputable sources published in 2015 or later. We use a rigorous evidence-grading system to help you understand the strength of research behind each statement:


  • [Evidence: A] = Systematic review or meta-analysis (strongest evidence)
  • [Evidence: B] = Randomized controlled trial (RCT)
  • [Evidence: C] = Cohort or case-control study
  • [Evidence: D] = Expert opinion or clinical guideline

Our editorial team follows strict guidelines: we never exaggerate health claims, we clearly distinguish between correlation and causation, we update content regularly as new research emerges, and we transparently note when evidence is limited or conflicting. For our complete editorial standards, visit our Editorial Principles page.


This article is for informational purposes only and does not constitute medical advice. Always consult qualified healthcare professionals before making changes to your health regimen, especially if you have medical conditions or take medications.

References

  1. 1 . Does Ashwagandha supplementation have a beneficial effect on the management of anxiety and stress? A systematic review and meta-analysis of randomized controlled trials. Akhgarjand C, et al. Phytotherapy Research, 2022. DOI | PubMed [Evidence: A]
  2. 2 . Effects of Ashwagandha (Withania Somnifera) on stress and anxiety: A systematic review and meta-analysis. Arumugam V, et al. Explore (NY), 2024. DOI | PubMed [Evidence: A]
  3. 3 . Dual impact of Ashwagandha: Significant cortisol reduction but no effects on perceived stress - A systematic review and meta-analysis. Albalawi AA. Nutritional Health, 2025. DOI | PubMed [Evidence: A]
  4. 4 . Effect of Ashwagandha (Withania somnifera) extract on sleep: A systematic review and meta-analysis. Cheah KL, et al. PLoS One, 2021. DOI | PubMed [Evidence: A]
  5. 5 . A systematic review of the clinical use of Withania somnifera (Ashwagandha) to ameliorate cognitive dysfunction. Ng QX, et al. Phytotherapy Research, 2020. DOI | PubMed [Evidence: A]
  6. 6 . Pharmacokinetics and bioequivalence of Withania somnifera (Ashwagandha) extracts - A double blind, crossover study in healthy adults. Kim SK, et al. Heliyon, 2023. DOI | PubMed [Evidence: B]
  7. 7 . Clinical pharmacokinetic evaluation of Withania somnifera (L.) Dunal root extract in healthy human volunteers: A non-randomized, single dose study utilizing UHPLC-MS/MS analysis. Vaidya VG, et al. Journal of Ethnopharmacology, 2024. DOI | PubMed [Evidence: B]
  8. 8 . Superior Bioavailability of a Novel 1.5% Ashwagandha Formulation (Zenroot™): A Randomized, Double-Blind, Single-Dose, Comparative, Oral Bioavailability Study in Healthy Adults. Ramapalaniappan A, et al. Advances in Therapy, 2025. DOI | PubMed [Evidence: B]
  9. 9 . Safety of Ashwagandha Root Extract: A Randomized, Placebo-Controlled, study in Healthy Volunteers. Verma N, et al. Complementary Therapies in Medicine, 2021. DOI | PubMed [Evidence: B]
  10. 10 . Safety of 12-Months Administration of Ashwagandha (Withania somnifera) Standardized Root Extract in Healthy Adults: A Prospective, Observational Study. Salve J, et al. Phytotherapy Research, 2025. DOI | PubMed [Evidence: C]
  11. 11 . Effects of Ashwagandha (Withania somnifera) on Physical Performance: Systematic Review and Bayesian Meta-Analysis. Bonilla DA, et al. Journal of Functional Morphology and Kinesiology, 2021. DOI | PubMed [Evidence: A]
  12. 12 . Effect of standardized root extract of ashwagandha (Withania somnifera) on well-being and sexual performance in adult males: A randomized controlled trial. Chauhan S, et al. Health Science Reports, 2022. DOI | PubMed [Evidence: B]

Medical Disclaimer


This content is for informational and educational purposes only. It is not intended to provide medical advice or to take the place of such advice or treatment from a personal physician. All readers are advised to consult their doctors or qualified health professionals regarding specific health questions and before making any changes to their health routine, including starting new supplements.

Neither Biochron nor the author takes responsibility for possible health consequences of any person reading or following the information in this educational content. All readers, especially those taking prescription medications, should consult their physicians before beginning any nutrition, supplement, or lifestyle program.

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