Rankings / Immune & Inflammation

Reishi (Ganoderma lucidum)

Immune & Inflammation · Medicinal mushroom / beta-glucan

Tier C

beta-glucananti-inflammatoryotc
4.6 / 10
Tier C
Ev 4.5 Bn 3.5 Sf 5

Bottom line

Read Off Label grades Reishi (Ganoderma lucidum) as C (4.6/10) based on weak-moderate evidence, low-moderate benefit magnitude, and a med-risk safety profile.

The classic 'shen' tonic mushroom of TCM.

Typical use: 1-3 g/day dual-extract fruiting body (water + alcohol); spore-oil products variable — OTC.

What this is

The classic 'shen' tonic mushroom of TCM. The hepatotoxicity case reports (Wanmuchun-type) are the meaningful safety note — choose reputable brands with COA and avoid mystery powders. Effect size on sleep/immune is real but modest. Standardization across products is poor.

Mechanism

Triterpenes (ganoderic acids) and polysaccharides (beta-glucans); Dectin-1/TLR2 activation; modulates NK cell activity; weak ACE-inhibitory and 5-alpha-reductase inhibitory effects in vitro

Dose & route

1-3 g/day dual-extract fruiting body (water + alcohol); spore-oil products variable

Citations

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Common questions

Does Reishi (Ganoderma lucidum) work?
Read Off Label rates the evidence for Reishi (Ganoderma lucidum) as Weak-Moderate and the benefit magnitude as low-moderate, producing an overall grade of C (4.6/10). The classic 'shen' tonic mushroom of TCM.
Is Reishi (Ganoderma lucidum) safe?
Reishi (Ganoderma lucidum) has a med risk profile in published human data. Legal status: OTC. This is not medical advice — see the disclaimer.
What is the typical dose for Reishi (Ganoderma lucidum)?
1-3 g/day dual-extract fruiting body (water + alcohol); spore-oil products variable
How does Reishi (Ganoderma lucidum) work?
Triterpenes (ganoderic acids) and polysaccharides (beta-glucans); Dectin-1/TLR2 activation; modulates NK cell activity; weak ACE-inhibitory and 5-alpha-reductase inhibitory effects in vitro

This is an independent synthesis of published research by a non-clinician. Scores are opinions supported by citations, not prescriptions. See the full disclaimer and methodology for how this score was produced and what it does and doesn't mean.