Ashwagandha is not safe for pregnant or breastfeeding women, those who have prostate cancer and those with autoimmune diseases.

Ashwagandha is not safe for pregnant or breastfeeding women, those who have prostate cancer and those with autoimmune diseases.

Ashwagandha is not safe for pregnant or breastfeeding women, those who have prostate cancer and those with autoimmune diseases.

The ancient medicinal herb Ashwagandha, known as amukkuam in Malayalam, has long been used in traditional medicine. The shrub, also known as Indian ginseng, is known for its relaxing properties, promoting sleep and energy and even reducing fatigue. That said, like many Ayurvedic ingredients, it is important to understand which part of it is safe to use. The Food Safety and Standards Authority of India (FSSAI) recently directed food business operations to use only the Ashwagandha roots and their extracts, and not the leaves in any form. Why so?

Why no leaves?
The leaves of Ashwagandha contain high concentrations of reactive withanolides, such as Withaferin-A, which are natural compounds that can damage the liver. Therefore, the leaves and their extract should not be used in foods. Meanwhile,  its roots are formulated into gummies, capsules, liquid drops and powders. According to the Cleveland Clinic's integrative medicine specialist, Yufang Lin, it's important to stick to a reasonable dosage - not more than 500 milligrams twice a day, while consuming ashwagandha. Moreover, its long-term use hasn't been studied, and it should only be taken under a doctor's advice. 

According to Medical News Today, taking ashwagandha in large amounts can also cause nausea. Photo: iStock/Azay photography
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Is ashwagandha safe for everyone?
No. It's not safe for pregnant or breastfeeding women, those who have prostate cancer, those with autoimmune diseases, thyroid conditions, those who take certain medications for diabetes or anxiety issues, and those who have had recent surgeries. According to Medical News Today, taking the herb in large amounts can also cause nausea, vomiting, digestive distress, and irritation to the intestinal mucosa. 

Frequently Asked Questions
1. What is the best time to take ashwagandha?
Experts say there is no one good time to have it. However, it's best to follow your doctor's advice to understand the right time and dosage.
2. Is ashwagandha FDA-approved?
No. The Food and Drug Administration doesn't approve herbal products and supplements.

Ashwagandha roots are safe for use. Photo: iStock/Azay photography
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3. Is ashwagandha good for athletic performances?
Certain studies and experts claim that the herb can improve athletic performance. However, it is better to take it as advised by your doctor. 
4. Does ashwagandha increase male fertility?
According to Healthline, certain studies have shown that ashwagandha benefits male fertility and increases testosterone levels. However, there aren't enough studies conducted on the subject.