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Reviewed by the Scan Dose Research Team and Clinical Advisory Board

Astragalus

LIMITED EVIDENCEAdaptogenLast updated April 2026

SCAN DOSE SUMMARY

Astragalus (Astragalus membranaceus) is a traditional Chinese medicine herb with preliminary evidence for immune modulation, kidney protection, and cardiovascular support. Most evidence comes from Chinese clinical trials with moderate-to-low quality. Our research identifies immunostimulatory effects that conflict with immunosuppressant therapy.

EVIDENCE GRADES

Immune functionLow-moderate — mostly TCM trials
C+
Kidney disease (adjunct)Low-moderate — Chinese RCTs
C+
Cardiovascular protectionLimited
C
Anti-aging (telomerase activation)Preliminary — TA-65 extract specifically
C-
Exercise performanceInsufficient evidence
D

WHAT IT DOES

Astragalus contains active compounds including astragaloside IV, cycloastragenol, and polysaccharides. Astragaloside IV has demonstrated cardioprotective and anti-inflammatory properties in animal models. Cycloastragenol activates telomerase (marketed as TA-65), though clinical anti-aging evidence remains preliminary. Astragalus polysaccharides stimulate immune cell proliferation and cytokine production.

OPTIMAL DOSAGE

  • Root powder/extract: 500-2,000mg/day
  • Standardized extract: 200-500mg/day (standardized to astragaloside IV)
  • TA-65 (cycloastragenol): 8-25mg/day (proprietary dosing)
  • Most TCM formulas use astragalus as part of multi-herb combinations
Scan a supplement containing Astragalus

DRUG INTERACTIONS

Immunosuppressants (cyclosporine, tacrolimus)Severe

Astragalus is immunostimulatory — directly opposes immunosuppression

LithiumModerate

May reduce lithium excretion (diuretic properties)

Anticoagulants (warfarin)Moderate

Theoretical antiplatelet effects

Diabetes medicationsModerate

May lower blood sugar additively

SAFETY PROFILE

Drug Interactions

Side Effects

  • Generally well tolerated
  • Mild GI effects at high doses
  • May cause immune stimulation (problematic in autoimmune conditions)

Pregnancy & Lactation

  • Traditional use in TCM during pregnancy exists, but no modern safety data. Use with caution.

WADA Status

Not Prohibited

HOW SCAN DOSE SCORES THIS

Products standardized to astragaloside IV score higher
Autoimmune disease and immunosuppressant use trigger automatic flags
TA-65 products are expensive; evidence for anti-aging claims is very preliminary
Quality varies widely in TCM-sourced products; third-party testing important

CLINICAL REFERENCES

1.

Li X et al. Astragalus in cardiovascular diseases: a review.

PMID: 23467679

2.

Zhang J et al. Astragaloside IV for experimental focal cerebral ischemia.

PMID: 27060570

3.

Harley CB et al. A natural product telomerase activator (TA-65).

PMID: 26916911

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Reviewed by the Scan Dose Research Team and Clinical Advisory Board | Last updated: April 2026

Not medical advice. Based on published clinical research and systematic reviews.

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