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Before You Fade

Before You Fade is general information, not medical advice. I'm not a doctor. Talk to a qualified clinician before starting any supplement, especially if you're pregnant, take medication, or have a thyroid, liver, or autoimmune condition.

CortiSync Side Effects: What the Ingredient Research Says

By Ray, software developer, not a clinician

Last reviewed

This page looks at CortiSync side effects through the published research on its ingredients, one at a time. It is not a safety claim about the product, and it isn’t medical advice. Most of the trials below were small and ran for weeks, not years, so they can’t rule out rare problems.

Ashwagandha has by far the most safety data of the seven, so most of this page is about it. For the doses, trial sizes and funders behind each ingredient, see CortiSync ingredients.

Ashwagandha (Sensoril)

Ingredient evidence · Ashwagandha

  • Common effects: the NIH Office of Dietary Supplements describes ashwagandha as generally well tolerated for up to about 3 months. The side effects it lists are mostly mild: loose stools, nausea and drowsiness.
  • In a short trial: in 80 healthy adults aged 18–45, a root extract at 600 mg/day for 8 weeks left physical, blood and biochemical measures, including liver and thyroid markers, within normal limits, and no adverse events were reported. That trial was short, in young healthy people, and too small to catch rare problems.
  • Sensoril specifically: in a 12-week trial of 38 men aged 18–45 on a strength program, Sensoril at 500 mg/day left clinical blood chemistries normal and was well tolerated. It was reportedly funded through a grant from the Sensoril maker.
  • Liver: LiverTox notes that clinical trials of ashwagandha haven’t reported liver enzyme rises or clinically apparent liver injury, but rare cases of liver injury have been reported, usually 2–12 weeks after starting, with jaundice and itching. Most settle on their own, with liver tests back to normal within months.
  • Liver case series: in a case series of 5 patients from Iceland and the US, itching and high bilirubin lasted 5–20 weeks; none developed liver failure, and liver tests normalized within 1–5 months in 4 of them. A case series from India found that some people with existing chronic liver disease developed liver failure after using single-ingredient ashwagandha, and some of them died.
  • Thyroid: in 50 adults with subclinical hypothyroidism, an ashwagandha root extract at 600 mg/day raised T3 and T4 and lowered TSH vs placebo over 8 weeks. In a small secondary analysis of an 8-week Sensoril trial (500 mg/day) in a psychiatric population, all 3 people on the extract who had abnormal thyroid values saw T4 rise (reported as 7–24%), while 6 of 7 on placebo saw it fall. The authors suggest watching for possible hyperthyroidism.
  • Pregnancy, prostate cancer and medicines: the ODS fact sheet also cautions about use in pregnancy and in hormone-sensitive prostate cancer, and flags possible interactions with medications.
  • Long-term use: ODS notes a lack of long-term safety data. A 2023 systematic review of ashwagandha and cortisol reached a similar point: long-term effects aren’t understood, and the authors advise medical supervision.

Most of this safety data comes from other ashwagandha extracts, often root extracts at 600 mg/day. The Sensoril-specific pieces are the 12-week strength trial and the small thyroid analysis.

The liver cases above showed up as jaundice (yellowing of the skin or eyes) and itching. If you notice either while taking any ashwagandha product, stop taking it and call your doctor.

The other six ingredients

These have much less safety data, mostly because they have much less research of any kind. Here is what the sources checked report.

Lemon balm

Ingredient evidence · Lemon balm

A lab-stress trial gave single doses of 300 and 600 mg of a standardized extract to 18 healthy young volunteers. At 600 mg, people rated themselves calmer and also less alert. The sources checked don’t report adverse-event detail. One small single-dose study also says little about daily use over weeks, so safety data here are limited.

Lychee (lichi) fruit extract

Ingredient evidence · Lychee (lichi)

The human lychee data in the sources checked come from Oligonol, a different proprietary lychee and green tea product. The trial cited here gave it to 19 healthy young men for 4 weeks. Those sources don’t report adverse-event detail, so safety data for lychee fruit extract as a supplement are limited.

L-theanine

Ingredient evidence · L-theanine

A 2020 systematic review of 9 trials of pure L-theanine reported no notable adverse effects. The trials were few, small and varied, and several were industry-linked.

Holy basil

Ingredient evidence · Holy basil

A 2017 review of 24 human studies of holy basil (tulsi) found that none reported significant adverse events, and a 6-week trial in 150 adults, run with authors from the extract’s maker, reported no adverse events. Many of the studies were small, and the review’s authors said dose and dose form still need clarifying.

Magnolia bark

Ingredient evidence · Magnolia bark

The human stress trials of magnolia in the sources checked used Relora, a blend of magnolia and phellodendron bark. In a 6-week pilot trial of 40 women, no significant adverse events were reported. The trial was small and company-linked, and it tested the blend, not magnolia on its own.

Rhodiola

My take

Opinion · Ray ·

Most of the side-effect research on these seven ingredients is about ashwagandha. Those data point to mostly mild effects, with rare but real liver and thyroid concerns. For the other six, thin data isn’t the same thing as a clean record.

I’d take the label to a pharmacist or doctor before starting, especially if you take anything regularly. For the rest of my view on the product, including price and the guarantee terms, see the full CortiSync review.

One person's view. Your results may differ.

Before you start any of these

Talk to your doctor before any adaptogen supplement if you’re pregnant, take medication, or have a thyroid, liver or autoimmune condition.

Bring the label with you, so your doctor or pharmacist can check each ingredient against what you already take.

Before You Fade is general information, not medical advice. I'm not a doctor. Talk to a qualified clinician before starting any supplement, especially if you're pregnant, take medication, or have a thyroid, liver, or autoimmune condition.

FAQ

What side effects are reported for ashwagandha?

The NIH Office of Dietary Supplements describes ashwagandha as generally well tolerated for up to about 3 months, with mostly mild side effects such as loose stools, nausea and drowsiness. It also notes rare reports of liver injury, possible thyroid effects and possible drug interactions.

Ingredient evidence · studies listed under Sources below

Can ashwagandha affect the liver?

Rarely, yes. NIH's LiverTox and published case series describe liver injury, usually 2 to 12 weeks after starting, with jaundice and itching. Most cases settled within months, but some people with existing chronic liver disease have had severe outcomes, including deaths. If you have a liver condition, talk to your doctor before taking it.

Ingredient evidence · studies listed under Sources below

Can ashwagandha change thyroid levels?

It can. In a small 8-week trial in adults with subclinical hypothyroidism, an ashwagandha root extract at 600 mg/day raised T3 and T4 and lowered TSH compared with placebo. If you have a thyroid condition or take thyroid medication, ask your doctor first.

Ingredient evidence · studies listed under Sources below

Is there long-term safety data on these ingredients?

Not much. The NIH fact sheet notes a lack of long-term safety data for ashwagandha, and the individual trials of the other six ingredients described on this page lasted from a single dose to 8 weeks.

Ingredient evidence · studies listed under Sources below

*These statements have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure, or prevent any disease.

Sources

  1. NIH Office of Dietary Supplements. Ashwagandha: Health Professional Fact Sheet.
  2. NIDDK. Ashwagandha. LiverTox: Clinical and Research Information on Drug-Induced Liver Injury. NCBI Bookshelf.
  3. Björnsson HK, et al. Ashwagandha-induced liver injury: A case series from Iceland and the US Drug-Induced Liver Injury Network. Liver International. 2020.
  4. Philips CA, et al. Ashwagandha-induced liver injury: A case series from India and literature review. Hepatology Communications. 2023.
  5. Sharma AK, et al. Efficacy and Safety of Ashwagandha Root Extract in Subclinical Hypothyroid Patients: A Double-Blind, Randomized Placebo-Controlled Trial. Journal of Alternative and Complementary Medicine. 2018.
  6. Gannon JM, et al. Subtle changes in thyroid indices during a placebo-controlled study of an extract of Withania somnifera […]. Journal of Ayurveda and Integrative Medicine. 2014.
  7. Verma N, et al. Safety of Ashwagandha Root Extract: A Randomized, Placebo-Controlled, study in Healthy Volunteers. Complementary Therapies in Medicine. 2021.
  8. Ziegenfuss TN, et al. Effects of an Aqueous Extract of Withania somnifera on Strength Training Adaptations and Recovery: The STAR Trial. Nutrients. 2018.
  9. Della Porta M, et al. Effects of Withania somnifera on Cortisol Levels in Stressed Human Subjects: A Systematic Review. Nutrients. 2023.
  10. Kennedy DO, et al. Attenuation of laboratory-induced stress in humans after acute administration of Melissa officinalis (Lemon Balm). Psychosomatic Medicine. 2004.
  11. Lee JB, et al. The effect of Oligonol intake on cortisol and related cytokines in healthy young men. Nutrition Research and Practice. 2010.
  12. Williams JL, et al. The Effects of Green Tea Amino Acid L-Theanine Consumption on the Ability to Manage Stress and […] Levels: a Systematic Review. Plant Foods for Human Nutrition. 2020.
  13. Jamshidi N, Cohen MM. The Clinical Efficacy and Safety of Tulsi in Humans: A Systematic Review of the Literature. Evidence-Based Complementary and Alternative Medicine. 2017.
  14. Saxena RC, et al. Efficacy of an Extract of Ocimum tenuiflorum (OciBest) in the Management of General Stress: A Double-Blind, Placebo-Controlled Study. Evidence-Based Complementary and Alternative Medicine. 2012.
  15. Kalman DS, et al. Effect of a proprietary Magnolia and Phellodendron extract on stress levels in healthy women: a pilot, double-blind, placebo-controlled clinical trial. Nutrition Journal. 2008.
  16. Olsson EM, et al. A randomised, double-blind, placebo-controlled, parallel-group study of the standardised extract SHR-5 of the roots of Rhodiola rosea in […] subjects with stress-related fatigue. Planta Medica. 2009.
  17. Lekomtseva Y, et al. Rhodiola rosea in Subjects with Prolonged or Chronic Fatigue Symptoms: Results of an Open-Label Clinical Trial. Complementary Medicine Research. 2017.