Safety and efficacy of high-concentration full-spectrum ashwagandha root extract in reducing stress and anxiety in adults.
64 adults with a history of chronic stress. Mean age ~30s-40s. 60-day trial period.
Prospective randomized double-blind placebo-controlled trial. 300 mg high-concentration full-spectrum ashwagandha root extract twice daily for 60 days vs placebo. Outcomes: PSS (Perceived Stress Scale), DASS, GHQ-28 (General Health Questionnaire), serum cortisol.
Statistically significant reduction across all stress scales in the ashwagandha group vs placebo (p<0.0001) at Day 60. Serum cortisol substantially reduced (p=0.0006). Mild and comparable adverse-event profile between groups.
Single-site trial. The proprietary extract used (KSM-66) may not generalize to all ashwagandha products. Placebo response in stress-scale endpoints is typically large, though dose-resolved cortisol change adds objective signal.
Why this matters for Inner Compass: This is the foundational modern RCT establishing ashwagandha's measurable effect on the HPA axis. Inner Compass uses ashwagandha root extract as the central botanical in its cortisol-recovery system specifically because of the converging evidence this trial helped establish.