Botanical

Perilla

Also called Perilla frutescens, perilla seed oil, shiso, egoma, purple perilla leaf extract

By Kymata Labs EditorialMedical review pendingLast reviewed October 13, 2026 · What changed

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Summary

Perilla seed oil is a rich plant source of the omega-3 fat ALA. Small trials found 7 ml/day for 12 months slowed calcaneal bone loss markers in 52 Japanese adults, and 4.8 g/day for 8 weeks lengthened platelet clotting time in smokers. A 100-person Korean trial reported better cognitive scores with a leaf extract.

Top graded outcomes:D evidence grade Calcaneal bone density and bone-resorption markersD evidence grade Cognitive scores in early cognitive impairment

Key facts

Two products
Perilla seed oil (an alpha-linolenic acid source) and standardized purple perilla leaf extract are different supplements with different trials[1][3]
Bone
12 months of 7 ml/day perilla oil raised calcaneal %YAM and lowered the bone-resorption marker TRACP-5b vs olive oil[1]
Platelets
4.8 g/day for 8 weeks prolonged collagen-ADP closure time and raised blood ALA and EPA in healthy smokers[2]
Cognition
500 mg/day leaf extract for 12 weeks improved K-MMSE-2 and ADAS-Cog scores more than placebo in adults with cognitive impairment[3]
Evidence base
2 graded human outcomes on this page
Last reviewed
October 13, 2026

How it works

ProposedPerilla seed oil supplies alpha-linolenic acid (ALA), which raised ALA and EPA in red cells and plasma in trials and is proposed to reduce bone resorption and platelet reactivity. The leaf extract's polyphenols are proposed to act on brain pathways; plasma amyloid-β and BDNF did not change in its trial.[1][2][3]

What the human research says

Human trials only, one row per outcome. The form column shows what each trial actually tested. Grades follow our evidence-grading policy.

At a glance: strongest evidence per outcome

Evidence at a glance: strongest human evidence per outcome
OutcomeGradeEffectStrongest evidenceRows
CognitionGrade DImprovedRCT · n = 100 · 2026Form tested: Standardized ethanol extract of purple perilla leaves1 row
BoneGrade DImprovedRCT · n = 52 · 2023Form tested: Perilla seed oil vs olive oil placebo1 row

Every graded row

Outcome
Form tested
Sort

Showing 2 of 2 outcomes. Human trials only.

OutcomeEffectGradeBest evidencePMID
Cognitive scores in early cognitive impairmentImprovedGrade D

RCT · n = 100 · 2026

Adults with cognitive impairment (Korea)

Form: Standardized ethanol extract of purple perilla leaves · Dose: 500 mg/day · Duration: 12 weeks

K-MMSE-2 and ADAS-Cog scores improved more than placebo; plasma amyloid-β and BDNF did not differ; no safety concerns.

41901135 (opens PubMed)Source [3]
Calcaneal bone density and bone-resorption markersImprovedGrade D

RCT · n = 52 · 2023

Healthy Japanese adults, mean age 54 (Japan)

Form: Perilla seed oil vs olive oil placebo · Dose: 7.0 ml/day · Duration: 12 months

%YAM (calcaneal ultrasound) rose and serum TRACP-5b fell vs placebo; bone formation marker BALP did not change; red-cell ALA and antioxidant ratio rose.

36637040 (opens PubMed)Source [1]

Forms

FormElemental %Absorption (human data)GI toleranceStudied for
Perilla seed oilVaries[1][2]Not applicable (whole compound or extract; no elemental fraction)No head-to-head human absorption data; raised red-cell and plasma ALA in trials.[1][2]No safety issues reported over 12 months at 7 ml/day.[1]Bone health and platelet function
Purple perilla leaf extract (standardized ethanol extract)Varies[3]Not applicable (whole compound or extract; no elemental fraction)No head-to-head human absorption data.No clinically significant safety changes over 12 weeks at 500 mg/day.[3]Cognitive impairment (one trial)

Studied doses

Doses studied in human trials ranged from 500 mg/day of leaf extract (12 weeks) to 4.8 g/day of seed oil (8 weeks) and 7.0 ml/day of seed oil (about 6.4 g, 12 months).[3][2][1]

These are amounts used in research, not personal advice. Your clinician or pharmacist can say what fits you.

Interactions

Published interactions only: each row cites a source. No row means none was found in our sources, not that a combination is safe.

Medicines

  • Anticoagulants and antiplatelet drugsRCTe.g. warfarin, apixaban, clopidogrel, aspirinPerilla oil lengthened platelet closure time in healthy smokers, so it could add to the effect of drugs that slow clotting; not studied together.[2]

Who should be careful

Bleeding risk or upcoming surgery
Perilla oil prolonged a platelet clotting test in a trial.[2]
Perilla seed allergy
Perilla seed has caused anaphylaxis in published case reports, and 6 of 21 Korean children with perilla seed allergy had anaphylaxis; people with this allergy should avoid perilla products.[4][5]
Pregnancy and breastfeeding
The cited trials did not enrol pregnant or breastfeeding women.[1][2][3]
Other medicines
No interaction studies exist for diabetes or blood-pressure drugs, antibiotics, levodopa or chemotherapy.[1][2][3]

Talk to your pharmacist or clinician before starting a supplement, especially if you take prescription medicines.

How to read the label

  1. Oil or leaf?Bone and platelet results come from seed oil; the cognition result comes from one leaf extract. They are not interchangeable.[1][2][3]
  2. Label dose vs studied doseSoftgels often hold 1 g of oil; the trials used about 5–6 g/day.[1][2]

Frequently asked questions

Is perilla oil an omega-3?

Yes. It is rich in alpha-linolenic acid (ALA), and in trials it raised ALA and EPA levels in blood.[1][2]

Does perilla oil help bones?

One 52-person Japanese trial found 7 ml/day for a year slowed heel bone loss markers vs olive oil.[1]

Does perilla help memory?

One 100-person Korean trial found a standardized leaf extract improved cognitive test scores over 12 weeks.[3]

Does perilla oil thin the blood?

It lengthened a platelet clotting test in smokers, which matters for people on blood thinners.[2]

Can perilla cause allergic reactions?

Yes. Perilla seed allergy is documented, including anaphylaxis in case reports and in about 3 in 10 children in a Korean case series.[4][5]

Sources

  1. [1]Perilla seed oil improves bone health by inhibiting bone resorption in healthy Japanese adults: A 12-month, randomized, double-blind, placebo-controlled trial.. Phytother Res, 2023. RCT PMID 36637040
  2. [2]Effects of perilla oil on platelet and inflammatory responses in healthy smokers: a randomized, double-blind, placebo-controlled, parallel trial.. Food Funct, 2026. RCT PMID 42132779
  3. [3]Efficacy and Safety of Standardized Ethanol Extract of Purple Perilla (Perilla frutescens Britton var. acuta Kudo) Leaves in Cognitive Impairment: A Randomized, Double-Blind, Placebo-Controlled Clinical Trial.. Nutrients, 2026. RCT PMID 41901135
  4. [4]Two cases of anaphylaxis caused by perilla seed.. J Allergy Clin Immunol, 2006. observational PMID 16751022
  5. [5]Clinical and Immunological Characterization of Perilla Seed Allergy in Children.. J Investig Allergol Clin Immunol, 2023. observational PMID 34643183

What changed

  1. October 13, 2026 · safety and evidence · reviewIndependent adversarial review: added perilla seed allergy and anaphylaxis (PMIDs 16751022, 34643183) to who should avoid and FAQ.Writer: Kymata Labs Editorial · No credentialed reviewer yet
  2. October 13, 2026 · all · new pageFirst draft. Every PMID checked against NCBI E-utilities esummary (title and year taken from the record) and abstracts read for the cited rows.Writer: Kymata Labs Editorial · No credentialed reviewer yet
  3. October 13, 2026 · all · reviewSelf-review pass (strict second read): seed oil and leaf extract kept separate; smokers platelet trial kept out of the evidence table because its abstract gives no participant count. Drug interactions checked explicitly: anticoagulants/antiplatelets (listed, platelet RCT); diabetes and blood-pressure drugs, antibiotics, levodopa and chemotherapy (no data, stated).Writer: Kymata Labs Editorial · No credentialed reviewer yet

How we write, grade and correct these pages: editorial and evidence policy.

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