Ginkgo biloba and cognition

What 4 graded rows on ginkgo biloba agree on for cognition, and where they differ. Counted side by side, never averaged.

What the rows agree on

Each block and row is one graded row from the Ginkgo biloba page, with its PubMed record.

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Ginkgo biloba and cognition

4 rows · 9,062 people

Split. 2 rows found an improvement and 2 found no difference.

No difference
Improved
Each block is one evidence row, sized by how many people it enrolled, with its grade inside.
  • Grade B× 2
  • No effect× 2
Rows
4
Trials
22
People
9,062
Pooled reviews may count some twice

Where they differ

From the rows
Who was studied

The best-graded row, grade B, is a meta-analysis of 2,801 people (2026) and found an improvement. 2 rows are graded No effect, our grade for adequately powered trials that found no effect.

Only the 2 rows that found no difference name older adults in their population.

The rows

2 improved · 2 no difference
  1. Grade BCognition, daily living and global status in dementia · Improved

    Meta-analysis, 9 studies · n 2,801 · 2026 · People with dementia in placebo-controlled trials (13 trials, 3,288 participants)

    Varied across trials · 6 months (outcome time point)

    Low-certainty evidence of small to moderate benefits at six months: better cognition on the Syndrom-Kurztest (9 trials, 2,801 people), slightly better daily living scores and better global status. Adverse events were no more common than with placebo.

    Row on the Ginkgo biloba page · PubMed 41641880 (opens PubMed)

  2. Grade BCognition and function in existing dementia · Improved

    Meta-analysis, 9 studies · n 2,561 · 2015 · People with cognitive impairment or dementia in 9 trials

    Mainly 240 mg/day · 22–26 weeks

    EGb 761 at 240 mg/day stabilised or slowed decline in cognition, function and behaviour versus placebo.

    Row on the Ginkgo biloba page · PubMed 25114079 (opens PubMed)

  3. No effectRate of cognitive decline · No difference

    RCT · n 3,069 · 2009 · Adults aged 72–96 in the GEM study

    120 mg twice daily · Median 6.1 years

    Annual decline in memory, attention and other domains did not differ from placebo.

    Row on the Ginkgo biloba page · PubMed 20040554 (opens PubMed)

  4. No effectGlobal status and cognition in mild cognitive impairment · No difference

    Meta-analysis, 3 studies · n 631 · 2026 · People with mild cognitive impairment (12 placebo-controlled trials, 1,913 participants)

    Varied across trials · 6 months (outcome time point)

    Moderate-certainty evidence that ginkgo probably has little or no effect at six months on global status (3 trials, 631 people), cognition (ADAS-cog, 2 trials, 508 people) or daily activities. Serious adverse events did not differ from placebo.

    Row on the Ginkgo biloba page · PubMed 41641880 (opens PubMed)

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