Reishi (Ganoderma lucidum)

SleepCalmImmuneAdaptogen

The 'mushroom of immortality' in Chinese medicine. Calms the nervous system, supports sleep, modulates immune function, and gently supports the liver. Take at night.

EvidenceModerate

Strongest evidence: immune modulation in cancer-adjunct settings (Chinese trials show improved quality of life and immune function alongside chemotherapy). Moderate for sleep quality, anxiety, and fatigue in CFS-like presentations. Effects: 2–4 weeks subjective; 8–12 weeks for immune markers.

Reishi is a hard, woody mushroom used in East Asian traditional medicine for over 2,000 years. Its bioactive compounds (triterpenoids, beta-glucans, ganoderic acids) act on the nervous system (calming, sleep-promoting), the immune system (modulating — calms over-active immunity, supports under-active), and the liver. Unlike stimulating adaptogens, reishi is sedating-leaning — it's usually taken in the evening. Cancer-supportive research (especially in conjunction with chemotherapy in Asia) is ongoing. For most users, the noticeable effect is reduced anxiety and better sleep within 1–2 weeks.

Form
Dual-extract (water + alcohol) from fruiting body — captures both the water-soluble beta-glucans and the alcohol-soluble triterpenes. Fruiting body extract standardised to >2% triterpenes. Avoid plain mycelium-on-grain without verified actives. Reishi spore-powder (broken cell wall) is a separate, more concentrated product.
Dose
1,000–3,000 mg/day of dual-extract. Spore powder: 500–1,000 mg/day.
Timing
PM, 1–2 hours before bed for sleep / calm. AM is fine for immune-only use.
Schedule
Daily. Some users cycle (5 on, 2 off) — evidence for needing this is thin.
Side effects
Generally well-tolerated. GI upset, dry mouth, nosebleed at very high doses. Mild blood-thinning effect.
Interactions
Anticoagulants and antiplatelets — additive, hold before surgery. Immunosuppressants — reishi modulates immunity (can interact either direction). Antihypertensives — additive BP lowering.
Contraindications
Active bleeding disorders. Pre-surgery (stop 7–14 days before). On immunosuppressants (e.g. after organ transplant) without provider approval.
Lab markers
Not standard. Cytokine panels (IL-6, TNF-α) in research contexts.
Food sources
Reishi is too tough and bitter to eat as food — it's traditionally consumed as a long-simmered tea or extract.

Pairs with

Magnesium glycinate, glycine, apigenin (sleep stack). Cordyceps (complementary — reishi calms, cordyceps energises; balanced AM/PM split). Astragalus (immune support combo).