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Limited evidenceHeart & metabolic

Ginseng Berry Extract

The fruit of Panax ginseng, richer in ginsenoside Re than the root. One decent crossover trial in prediabetes is encouraging, but it is the only substantial human evidence.

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What the science says

  • Glucose metabolism in prediabetes Limited evidence

    A randomised, double-blind, placebo-controlled crossover trial in 195 people with prediabetes found a ginseng berry saponin capsule lowered 2-hour post-load glucose by about 1.0 mmol/L and improved HOMA-IR alongside lifestyle intervention, with no effect claimed on fasting glucose as a standalone result. Each treatment period was only 4 weeks and the product was a specific Chinese patent medicine.

  • Ginseng and glycaemic control generally Limited evidence

    A systematic review and meta-analysis of ginseng trials found small reductions in fasting glucose, but the trials were short, heterogeneous in species and preparation, and mostly did not use berry extract.

  • Weight and body composition Limited evidence

    Claims that ginseng berry aids weight loss come from mouse studies of ginsenoside Re; no human trial has shown a change in body weight.

Dosage & safety

Studied doseThe prediabetes trial used a standardised ginseng berry saponin capsule for 4 weeks. Commercial extracts are usually labelled at 100–200 mg/day standardised to ginsenoside Re. No dose-ranging work exists.
SafetyReported side effects of ginseng preparations include insomnia, headache, nervousness and, occasionally, raised blood pressure. Ginseng can interact with warfarin, with diabetes medication (additive glucose lowering) and with stimulants and MAO inhibitors. Avoid in pregnancy and breastfeeding, and use cautiously in hormone-sensitive conditions. Anyone with prediabetes should treat this as an add-on to, not a replacement for, diet and exercise.

How to take it

TimingTake it in the morning, because ginseng preparations commonly disturb sleep.
With food?With or without food; neither is clearly better.
Worth knowingGinseng berry is not ginseng root, so root trials tell you nothing about the dose or effect of a berry extract.

Interactions

With medications

  • warfarin

    Ginseng reduced warfarin's anticoagulant effect in a randomised trial in healthy people. do not combine without telling the doctor who monitors your INR

  • insulin, metformin and other glucose-lowering drugs

    Additive glucose lowering, with a risk of hypoglycaemia. monitor your blood glucose and discuss dose changes with your doctor

  • MAO inhibitors such as phenelzine

    Reports of insomnia, headache and agitation when combined with ginseng. do not combine without medical supervision

  • stimulants, including caffeine

    Additive insomnia, jitteriness and raised blood pressure. keep total stimulant intake low and avoid taking it late in the day

Well-established interactions only — this is not a complete list. Always tell your doctor and pharmacist what you take.

Frequently asked questions

Does ginseng berry lower blood sugar?

Ginseng berry extract has limited evidence: a crossover trial in 195 people with prediabetes found a ginseng berry saponin capsule lowered 2-hour post-load glucose by about 1.0 mmol/L alongside lifestyle changes. Each treatment period lasted only 4 weeks, and it is the only substantial human trial.

Does ginseng berry help with weight loss?

The weight-loss claims for ginseng berry come from mouse studies of ginsenoside Re; no human trial has shown a change in body weight. The evidence is limited.

Is ginseng berry the same as ginseng root?

No, ginseng berry is the fruit of Panax ginseng and is richer in ginsenoside Re than the root, so root trials say nothing about a berry extract's dose or effect. Ginseng berry extracts are usually labelled at 100–200 mg/day, without dose-ranging work.

Does ginseng berry interact with medications?

Yes, ginseng can reduce warfarin's effect, add to insulin, metformin and other glucose-lowering drugs, and cause problems with MAO inhibitors and stimulants. Take ginseng berry in the morning, since ginseng preparations commonly disturb sleep.

Scientific references

Related in Heart & metabolic

Herbal medicines: what the evidence says (335)