Research suggests that ashwagandha extracts may lower stress, anxiety, and cortisol levels. Evidence from a small number of studies suggests that taking ashwagandha extract may improve several aspects of sleep, including sleep quality, sleep efficiency, total sleep time, and sleep latency. These benefits tend to be more pronounced among people with insomnia.

Limited evidence also suggests Ashwagandha can modestly lower blood pressure, primarily by acting as an adaptogen that reduces stress and anxiety-related hypertension. Some studies indicate that its root extract may help manage high blood pressure, but it should not replace medical treatment

Those with chronic liver disease should avoid taking Ashwagandha