Skip to main content
Supplement ScienceSupplementScience
Reishi supplement
Medicinal Mushroom

Reishi — Research Profile

Evidence:Moderate
·

This content is for informational purposes only and does not constitute medical advice. Statements about dietary supplements have not been evaluated by the FDA and are not intended to diagnose, treat, cure, or prevent any disease. Individual results may vary — consult your healthcare provider before starting any supplement. Full disclaimer

Reishi is a calming medicinal mushroom adaptogen best for immune modulation, sleep quality, and stress relief.

Reishi is a calming medicinal mushroom adaptogen best for immune modulation, sleep quality, and stress relief. Unlike stimulating adaptogens, it promotes relaxation. Standard dose is 1.5-3g dried mushroom powder or 500-1000mg extract (standardized to polysaccharides and triterpenes) daily.

Bottom line: Reishi is the best mushroom for immune support and calm. Take 1-3g daily — ideal for evening use due to its relaxing qualities.

Evidence:Meta-analysis (2016) · 5 RCTs · moderate confidence[#1]. See full reference list below.

Key Facts

What it is
A medicinal mushroom (Ganoderma lucidum) used in TCM as an immune modulator and calming tonic
Primary benefits
  • Modulates and supports immune function
  • Promotes sleep quality and relaxation
  • Anti-inflammatory and antioxidant
  • Supports liver health
  • May have anti-cancer adjunctive properties
Typical dosage
1.5-3g dried powder or 500-1000mg concentrated extract daily
Evidence level
Moderate
Safety profile
Safe with Caution

Get the free evidence-based Reishi guide — delivered in 60 seconds.

No spam. Unsubscribe anytime.

What the Research Says

Reishi is a well-researched supplement known for its immune-modulating properties. A systematic review by Jin et al. (2016) analyzed five randomized controlled trials (RCTs) involving cancer patients and found that Reishi, when combined with chemotherapy or radiotherapy, improved immune cell counts compared to treatment alone. However, the evidence for tumor regression remains inconclusive due to insufficient data. Another notable study by Cui et al. (2012) demonstrated that Reishi extract significantly improved sleep duration and reduced fatigue in patients with neurasthenia.

Recent research has expanded on Reishi's potential benefits beyond immune modulation. A systematic review by Narayanan et al. (2023) evaluated 39 clinical studies involving mushroom preparations, including Reishi, and found that they may improve survival rates, immune responses, and quality of life in cancer patients. However, the authors noted that the evidence is limited by small sample sizes and a lack of large-scale randomized trials.

In terms of product quality, concerns have been raised about the composition of Reishi supplements. Many products contain mycelium grown on grain rather than the fruiting body, which may result in lower triterpene content—a key bioactive component. To address this, dual-extraction methods (combining hot water and alcohol) are recommended to ensure a comprehensive extraction of bioactive compounds.

Overall, Reishi shows promise as an adjunct therapy for immune support and symptom management in cancer patients, though further large-scale studies are needed to confirm its efficacy and optimize its use in clinical settings.

Benefits of Reishi

  • Immune modulation — a 2016 Cochrane review (Jin et al.) analyzed reishi as adjunctive therapy in cancer patients and found it increased CD3, CD4, and CD8 T-cell counts and NK cell activity across 5 RCTs
  • Sleep and relaxation — Cui et al. (2012, n=48) found reishi extract (1.8g/day for 8 weeks) significantly improved subjective sleep quality and reduced fatigue in neurasthenia patients
  • Anti-inflammatory activity — ganoderic acids inhibit NF-κB and COX-2 pathways, reducing inflammatory cytokine production (Cör et al., 2018 review)
  • Hepatoprotective effects — preclinical and early clinical evidence shows reishi triterpenes protect liver cells from toxin-induced damage and reduce elevated liver enzymes
  • Adjunctive cancer support — while NOT a cancer treatment, reishi may improve quality of life and immune parameters when used alongside conventional therapy (Jin et al., 2016)
Did you know?

Reishi is a well-researched supplement known for its immune-modulating properties.

Forms of Reishi

Reishi supplement forms compared by bioavailability and best use
FormBioavailabilityBest For
Dual Extract (hot water + alcohol)HighBest option — extracts both water-soluble polysaccharides and alcohol-soluble triterpenes
Hot Water ExtractModerateImmune support — rich in beta-glucans but lower in triterpenes
Dried Fruiting Body PowderLow-ModerateTraditional use — requires longer supplementation and higher doses
Spore OilHighConcentrated triterpenes — expensive but potent for specific applications

Dosage Recommendations

General recommendation: 1.5-3g dried mushroom powder daily or 500-1000mg dual extract

Timing: Evening or before bed for sleep support; split doses for immune support • Take with food for best absorption.

Dosage by Condition

Immune support
1-1.5g dual extract dailyModerate
Sleep quality
1.5-3g powder or 500mg extract before bedEmerging
General wellness
1-2g powder dailyModerate
Cancer adjunctive
1.5-5.4g extract daily (with oncologist approval)Emerging

Upper limit: 5.4g extract daily (highest dose used in clinical trials)

Side Effects and Safety

Safety profile: Safe with Caution

Potential Side Effects

  • Mild digestive upset (nausea, bloating) in some users
  • Dry mouth and throat
  • Dizziness or headache (uncommon)
  • Rare: liver toxicity reported with concentrated reishi powders (case reports)
  • Nosebleeds or blood-thinning effects at high doses

Drug & Supplement Interactions

  • May enhance effects of anticoagulant/antiplatelet medications (reishi inhibits platelet aggregation)
  • May lower blood pressure — caution with antihypertensive medications
  • May interact with immunosuppressant drugs (stimulates immune function)
  • May lower blood sugar — monitor with diabetes medications
  • Discontinue 2 weeks before surgery due to blood-thinning effects
Check Reishi interactions with other supplements →
BenefitsDosage GuideSide EffectsTypes & FormsResearchFAQ

Related Conditions

Commonly Taken Together

Related Guides

Related Supplements

Learn More

Frequently Asked Questions

Can reishi help with sleep?

Yes, reishi has a calming, GABAergic-like effect that can improve sleep quality. Cui et al. (2012) showed significant improvements in subjective sleep quality after 8 weeks of supplementation. Unlike melatonin, reishi does not induce drowsiness acutely but rather promotes overall relaxation and reduces the hyperarousal that prevents restful sleep. Taking it 1-2 hours before bed is a common approach.

Is reishi safe to take daily?

For most healthy adults, daily reishi use at recommended doses (1-3g) appears safe for several months. However, rare cases of liver toxicity have been reported with concentrated reishi powders, so periodic liver function monitoring may be prudent with long-term use. People with autoimmune conditions, bleeding disorders, or those on immunosuppressants should consult a healthcare provider.

What should I look for in a reishi supplement?

Look for: (1) fruiting body extract, not mycelium on grain; (2) dual extraction (hot water + alcohol) to capture both polysaccharides and triterpenes; (3) standardization to both beta-glucans (>20%) and triterpenes; (4) third-party testing for heavy metals. Avoid products that list "myceliated grain" or "mycelial biomass" as these are primarily grain starch with minimal mushroom compounds.

What is the best form of Reishi to take?

The best form of reishi depends on your specific health goals, absorption needs, and tolerance. Chelated and standardized extract forms generally offer higher bioavailability than raw or unstandardized versions. Check the product label for third-party testing to ensure potency and purity.

What are the proven benefits of Reishi?

Reishi has been studied for multiple health applications with varying levels of clinical evidence. The strongest evidence typically comes from randomized controlled trials and meta-analyses published in peer-reviewed journals. Individual responses can vary based on baseline status, dosage, and duration of use.

Evidence:Meta-analysis (2016) · 5 RCTs · moderate confidence[#1]. See full reference list below.

How much Reishi should I take per day?

Reishi dosage depends on the specific form, your health goals, and individual factors such as body weight and baseline nutrient status. Following the dose used in clinical trials is generally the most evidence-based approach. Starting at the lower end of the recommended range and adjusting upward is advisable.

When is the best time to take Reishi?

Reishi timing depends on whether it is fat-soluble or water-soluble and whether it causes digestive sensitivity. Consistency in timing is more important than the specific hour of the day. Taking supplements at the same time daily helps maintain steady levels.

What are the side effects of Reishi?

Reishi is generally well tolerated at recommended doses, with gastrointestinal discomfort being the most commonly reported side effect. Side effects are typically mild and dose-dependent, resolving with dose reduction or taking with food. Serious adverse effects are rare at standard supplemental doses.

Does Reishi interact with any medications?

Reishi may interact with certain prescription medications by affecting absorption, metabolism, or pharmacological effects. Always inform your healthcare provider about all supplements you take, especially before surgery or when starting new medications. Spacing supplements and medications by 2 hours reduces most absorption interactions.

Who should consider taking Reishi?

Reishi is most appropriate for individuals with confirmed deficiency, suboptimal levels, or specific health conditions supported by clinical evidence. People in higher-risk demographics, including older adults and those with restricted diets, may benefit most. Testing baseline levels before supplementing provides the best guidance.

How long does Reishi take to show results?

Reishi effects vary by the specific health outcome being targeted, with some benefits appearing within days and others requiring weeks to months of consistent daily use. Correcting a deficiency typically shows improvement within 2-4 weeks. A minimum 8-12 week trial at the recommended dose is advisable before evaluating effectiveness.

Is Reishi safe for long-term daily use?

Reishi is considered safe for long-term use at recommended doses based on available clinical data. Staying within established upper intake limits minimizes the risk of adverse effects over time. Periodic reassessment with a healthcare provider is recommended, especially if health conditions change.

Can you take too much Reishi?

Exceeding the recommended dose of reishi increases the risk of adverse effects without providing additional benefit. Toxicity risk varies by form and individual factors such as kidney and liver function. Mega-dosing is not supported by clinical evidence and should be avoided.

Can I combine Reishi with other supplements?

Reishi can generally be combined with complementary supplements, though some combinations may affect absorption or create additive effects. Spacing different supplements by 1-2 hours can reduce absorption competition. Consulting a healthcare professional is advisable when combining multiple supplements targeting the same health pathway.

What should I look for when buying a Reishi supplement?

Third-party testing from USP, NSF, or ConsumerLab is the most important quality indicator when purchasing reishi supplements. Look for products that clearly state the specific form, dose per serving, and any relevant standardization percentages. Avoid proprietary blends that hide individual ingredient amounts.

Continue Reading

References

  1. Meta-analysisJin X, Ruiz Beguerie J, Sze DM, Chan GC (2016). Ganoderma lucidum (Reishi mushroom) for cancer treatment. Cochrane Database of Systematic Reviews. DOI PubMed
  2. Meta-analysisJin X, Ruiz Beguerie J, Sze DM, Chan GC (2012). Ganoderma lucidum (Reishi mushroom) for cancer treatment.. The Cochrane database of systematic reviews. DOI PubMed
  3. ReviewCizmarikova M (2017). The Efficacy and Toxicity of Using the Lingzhi or Reishi Medicinal Mushroom, Ganoderma lucidum (Agaricomycetes), and Its Products in Chemotherapy (Review).. International journal of medicinal mushrooms. DOI PubMed
  4. RCTMitra S, Mitra M, Nandi DK, Saha M, et al. (2024). Efficacy of Lingzhi or Reishi Medicinal Mushroom Ganoderma lucidum (Agaricomycetes) Supplementation on Psychological Stress and Selective Fitness Profile Parameters in Female College Students in West Bengal, India.. International journal of medicinal mushrooms. DOI PubMed
  5. Meta-analysisNarayanan S, de Mores AR, Cohen L, Anwar MM, et al. (2023). Medicinal Mushroom Supplements in Cancer: A Systematic Review of Clinical Studies.. Current oncology reports. DOI PubMed
  6. RCTWightman E, Khan J, Smith E, Rolfe V, et al. (2023). Chronic supplementation of a multi-ingredient herbal supplement increases speed of cognitive task performance alongside changes in the urinary metabolism of dopamine and the gut microbiome in cognitively intact older adults experiencing subjective memory decline: a randomized, placebo controlled, parallel groups investigation.. Frontiers in nutrition. DOI PubMed
  7. Azizi M, Tavana M, Farsi M, Oroojalian F (2012). Yield performance of Lingzhi or Reishi medicinal mushroom, Ganoderma lucidum (W.Curt.:Fr.) P. Karst. (higher Basidiomycetes), using different waste materials as substrates.. International journal of medicinal mushrooms. DOI PubMed