Evidence explainerCordyceps
Is Cordyceps Safe? Short Trials Found No Problems, but Products Vary by Species
Cordyceps products come from different species and growing methods. Short trials report few problems; long-term controlled safety data do not exist yet.
Key takeaways
- In a 4-week placebo-controlled trial of 79 men taking 1.5 g/day of C. militaris, there was no statistically significant adverse reaction [1].
- In 49 people taking 1.05 g/day of Cordyceps cicadae mycelium for 3 months, kidney and liver tests did not change, but there was no placebo group [2].
- Trials used different species and products: C. sinensis (CordyMax Cs-4), C. militaris extracts, C. cicadae mycelium and blends [3][1][2][4].
- Results from one species or product may not apply to another, and no trial in our sources compared species head to head [3][4].
The evidence, graded
Pulled from our monograph evidence tables. Grades follow our evidence-grading policy.
- Grade CImprovedNatural killer cell activity and lymphocyte proliferationNK cell activity, lymphocyte proliferation, IL-2 and interferon-gamma rose more than with placebo; other Th1 cytokines did not. No statistically significant adverse reactions.
- Grade CNo effectAerobic capacity and endurance time trialVO2peak, ventilatory threshold and time-trial performance did not change and did not differ from placebo (time trial 62.1 vs 61.4 min).
What the safety data show
In the 4-week C. militaris trial (39 on cordyceps, 40 on placebo), researchers ran safety tests alongside the immune measures and found no statistically significant adverse reaction [1].
A 3-month study gave 49 participants 1.05 g/day of freeze-dried Cordyceps cicadae mycelium [2]. Kidney and liver function, electrolytes and blood lipids did not change, and participants reported no side effects [2]. Without a placebo group, it shows only that nothing obvious changed.
Militaris, sinensis and cicadae
The cordyceps products in human trials were not the same thing [3][1][2]:
- Cordyceps sinensis (CordyMax Cs-4 tablets): 3 g/day for 5 weeks in trained cyclists [3].
- Cordyceps militaris: an ethanol-processed preparation at 1.5 g/day for immune markers [1], and a blend containing it at 4 g/day for exercise [4].
- Cordyceps cicadae mycelium grown by liquid fermentation: 1.05 g/day for 3 months [2].
What is missing
None of the trials in our sources ran longer than 3 months, and none compared species directly [2][3]. Anyone taking prescription medicines, pregnant or managing a chronic condition should talk to a clinician before adding cordyceps.
For what the trials found on performance, read cordyceps benefits.
Quick answers
Is cordyceps psychoactive?
The trials in our sources tested exercise, immune markers and cognition; their abstracts do not describe psychoactive effects [1][3].
Which cordyceps species is better?
No trial in our sources compared species; each tested a different product [3][1][2].
Is cordyceps hard on the liver or kidneys?
In a 3-month uncontrolled study of C. cicadae mycelium, kidney and liver tests did not change [2].
Keep reading
Full monographs
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References
- [1]Cordyceps militaris Enhances Cell-Mediated Immunity in Healthy Korean Men. J Med Food, 2015.
- [2]Safety Assessment of HEA-Enriched Cordyceps cicadae Mycelium: A Randomized Clinical Trial. J Am Coll Nutr, 2021.
- [3]Cordyceps Sinensis (CordyMax Cs-4) supplementation does not improve endurance exercise performance. Int J Sport Nutr Exerc Metab, 2004.
- [4]Cordyceps militaris Improves Tolerance to High-Intensity Exercise After Acute and Chronic Supplementation. J Diet Suppl, 2017.
