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Astragalus

ImmuneAdaptogenCardiovascular

A central TCM tonic herb with strong immune-support and emerging telomere / longevity research (Astragaloside IV / TA-65).

EvidenceModerate

Moderate for immune support (reduced cold incidence and duration), congestive heart failure adjunct (improved ejection fraction in Chinese trials), and chemotherapy adjunct (reduced side effects, immune support). TA-65 telomere lengthening shown in small human trials. Effects: 4–12 weeks.

Astragalus membranaceus is one of the most-used herbs in TCM, classified as a 'qi tonic' — building energy and supporting immunity. Modern research has focused on its polysaccharides (immune modulation) and astragalosides — particularly astragaloside IV, which appears to activate telomerase (the enzyme that maintains chromosome end-caps). The branded form TA-65 is concentrated astragaloside IV and is one of the few commercial telomerase activators with human research. Outside the longevity angle, astragalus is a solid immune-support herb with cardiac and renal-protective effects.

Form
Astragalus root extract standardised to polysaccharides and/or astragalosides. TA-65 — concentrated astragaloside IV, much more expensive. Astragalus root in TCM herb shops for traditional decoction.
Dose
Root extract: 500–1,500 mg/day. TA-65: per manufacturer (typically 1–8 mg/day).
Timing
Anytime with food. AM common.
Schedule
Daily. Cycle (3 months on / 1 off) optional.
Side effects
Generally very well-tolerated. Mild GI upset, skin reactions rare.
Interactions
Immunosuppressants — astragalus is immune-stimulating; opposing action. Anticoagulants — mild additive. Lithium — astragalus is mildly diuretic; can affect lithium levels.
Contraindications
Active autoimmune disease (immune-stimulating effect can flare). On immunosuppressants (organ transplant). Acute infection at presentation (theoretical concern with immune stimulation during sepsis). Pregnancy / breastfeeding.
Lab markers
Not standard. Immune panels in research contexts. Telomere length (specialty labs — Life Length, Repeat Diagnostics) for TA-65 users.
Food sources
Astragalus root is added to TCM soups and tonics — long-simmered then removed. The root itself is fibrous and not eaten.

Pairs with

Reishi, turkey tail (immune mushroom blend). Eleuthero, ginseng (adaptogen stack). Vitamin C, zinc (immune cofactors).

Where to buy

Curated pick
Nature's Way Astragalus Root
Standalone alternatives: Nature's Way Astragalus Root, Gaia Herbs Astragalus, Solaray Astragalus Root Extract. Standard dose: 500-1000mg daily for immune tonic use.

Prices are checked periodically and drift — Amazon’s is the live one. We take no commission on these links.

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