Ginkgo Biloba
Specifically for Brain Fog
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Why it works for Brain Fog:
Neurovascular & antioxidant actions. Standardized ginkgo leaf extracts contain ~24% flavone glycosides and ~6% terpene lactones (ginkgolides/bilobalide). These compounds have antioxidant effects and promote microcirculatory blood flow and vasodilation, which are biologically relevant to cognitive symptoms. Mayo Clinic
Neurotransmission & neuroinflammation. Reviews of the standardized extract EGb 761® describe effects on synaptic plasticity, neurotransmission, and anti-inflammatory activity, all of which are hypothesised contributors to post-viral cognitive complaints. (Note: many of these papers discuss mechanisms and data from dementia/MCI; direct brain-fog trials are sparse.) MDPI
What the big evidence syntheses say: For dementia/MCI, results are mixed—some trials/meta-analyses show modest benefits in cognition, activities of daily living, or neuropsychiatric symptoms with EGb 761®, others are negative or inconclusive. That means plausibility exists, but it’s not a slam dunk even in diagnosed conditions. Wiley Online Library
How to use for Brain Fog:
Product type
- Choose a standardized leaf extract (typical spec: 24% flavone glycosides, 6% terpene lactones). This is the form used in most clinical studies and recognized by European regulators. European Medicines Agency (EMA)
Dose & schedule (adults)
- Typical study doses are 120–240 mg/day of standardized extract, taken once daily or divided twice/three-times daily. Don’t exceed 240 mg/day without medical advice. Mayo Clinic
- Time to assess benefit: allow at least 6–8 weeks of consistent use before judging effect (some guidance suggests 8+ weeks in chronic symptoms). If no meaningful improvement, stop. Vinmec International Hospital
- With food? You can take it with meals to reduce stomach upset. (General clinical advice reflected in mainstream monographs.) Mayo Clinic
Special notes for “brain fog”
- For post-COVID brain fog, formal randomized trials are ongoing (e.g., COCOS study testing EGb 761®, 240 mg/day). Current publications include case series and expert recommendations, not definitive RCTs—so treat as experimental and monitor closely. clinicaltrials.eu
Scientific Evidence for Brain Fog:
Direct evidence for generic “brain fog”:
- Very limited. Published items include case series suggesting improvement of post-COVID cognitive complaints with EGb 761®, but these are uncontrolled. ResearchGate
- A primary-care recommendations paper for post-COVID cognitive impairment includes ginkgo among options, but it’s not definitive efficacy evidence. Frontiers
- Trials are in progress for post-COVID cognitive impairment; results pending. clinicaltrials.eu
Indirect evidence (closest high-quality data):
- MCI / mild dementia RCTs & meta-analyses (often using EGb 761® at 120–240 mg/day) show mixed but sometimes positive effects on cognition, neuropsychiatric symptoms, and daily functioning vs. placebo. These data support biological plausibility but don’t prove effectiveness for non-specific brain fog. Frontiers
- Cochrane review (older but rigorous) concluded overall evidence in dementia/cognitive impairment is inconsistent, with methodological issues in earlier trials. Cochrane
Specific Warnings for Brain Fog:
- Bleeding risk: Ginkgo has antiplatelet effects and can increase bleeding risk, especially combined with warfarin, DOACs, antiplatelets (e.g., aspirin, clopidogrel), or NSAIDs. Observational data and case reports support this caution. Stop at least 1–2 weeks before surgery unless your surgeon says otherwise. PLOS
- Seizure risk / seeds are poisonous: Raw or roasted ginkgo seeds contain ginkgotoxin and can cause seizures; even leaf extracts may theoretically lower seizure threshold. Avoid in epilepsy unless your neurologist clears it. Mayo Clinic
- Pregnancy & breastfeeding: Insufficient safety data; major authorities advise avoiding use. Mayo Clinic
- Common side effects: GI upset, headache, dizziness, palpitations, skin reactions—usually mild and transient. Stop if you develop unusual bruising/bleeding, severe headache, or neurologic symptoms. Drugs.com
- Drug interactions: Beyond anticoagulants/antiplatelets, check for interactions with anticonvulsants and other meds. Use a pharmacist/doctor review or an interaction checker. Drugs.com
- Quality matters: Use reputable brands with third-party testing; European regulators (EMA/HMPC) recognize standardized ginkgo dry extract for age-related cognitive impairment/mild dementia—this is the preparation used clinically (not powdered leaf or seed). European Medicines Agency (EMA)
General Information (All Ailments)
What It Is
Ginkgo biloba is an herbal supplement derived from the leaves of the Ginkgo biloba tree, one of the oldest living tree species in the world. Native to China, it has been used in traditional medicine for thousands of years. Today, it is available in various forms such as capsules, tablets, extracts, and teas. The active components of ginkgo include flavonoids and terpenoids, which are known for their potent antioxidant and anti-inflammatory properties.
How It Works
Ginkgo biloba is believed to work primarily through three mechanisms:
- Improved Blood Flow: Ginkgo enhances circulation by dilating blood vessels and reducing blood viscosity, which can increase oxygen and nutrient delivery to tissues—especially in the brain, eyes, and extremities.
- Antioxidant Action: The flavonoids in ginkgo combat oxidative stress by neutralizing free radicals, which may help protect cells and slow age-related decline.
- Neuroprotective Effects: It may improve neuronal function and communication by influencing neurotransmitters such as dopamine and serotonin. Some studies suggest it can support cognitive function and memory, particularly in older adults or those with mild cognitive impairment.
Why It’s Important
Ginkgo biloba is valued for its potential benefits in several health areas:
- Cognitive Health: It is widely studied for supporting memory, focus, and mental clarity, with potential benefits for individuals experiencing cognitive decline or dementia.
- Circulatory Support: By improving blood flow, it may aid in conditions like peripheral artery disease or tinnitus (ringing in the ears) that are related to poor circulation.
- Antioxidant Protection: Its antioxidant capacity can help combat cellular damage associated with aging and environmental stressors.
- Mood and Anxiety Relief: Some evidence indicates that ginkgo may have mild anxiolytic (anti-anxiety) effects by modulating stress-related hormones and neurotransmitters.
Considerations
While ginkgo biloba is generally considered safe when taken at recommended doses, there are important precautions:
- Interactions: Ginkgo may interact with blood thinners (like warfarin or aspirin), increasing the risk of bleeding. It can also interact with antidepressants and certain diabetes medications.
- Side Effects: Possible side effects include headaches, dizziness, upset stomach, or allergic reactions. Rarely, it may cause heart palpitations or gastrointestinal discomfort.
- Dosage and Quality: Standardized extracts (often 24% flavone glycosides and 6% terpene lactones) are typically recommended for consistency and safety. The quality of supplements can vary widely, so reputable brands should be chosen.
- Special Populations: Pregnant or breastfeeding individuals, and those with seizure disorders or bleeding conditions, should avoid ginkgo unless directed by a healthcare professional.
Helps with these conditions
Ginkgo Biloba is most effective for general wellness support with emerging research . The effectiveness varies by condition based on clinical evidence and user experiences.
Detailed Information by Condition
PTSD
Ginkgo’s plausibility for PTSD comes from several biological actions that map onto processes believed to underlie PTSD (neuroinflammation, oxidative s...
Fibromyalgia
Antioxidant / anti-inflammatory effects. Standardized ginkgo extracts (e.g., EGb 761) contain flavone glycosides and terpene lactones that can reduce...
Erectile Dysfunction
Vasodilation / blood-flow effects. Standardized Ginkgo leaf extracts (e.g., EGb 761) can influence endothelial function and nitric oxide (NO) pathways...
Alzheimer's
Proposed mechanisms (based largely on pharmacology and preclinical data) include:Antioxidant & anti-inflammatory effects (flavone glycosides; terp...
Parkinson's
Antioxidant & anti-inflammatory effects. Ginkgo flavonoids and terpene lactones scavenge free radicals and dampen neuroinflammation—mechanisms rel...
Macular Degeneration
Researchers have hypothesized that standardized ginkgo leaf extracts (especially EGb 761) could support retinal health via:Antioxidant/neuroprotective...
Cataracts
Antioxidant & anti-fibrotic actions. Standardized ginkgo extracts (e.g., EGb 761 or LI 1370) contain flavone glycosides and terpene lactones that...
Tinnitus
Blood flow & anti-platelet effects. Ginkgo’s terpene lactones (especially the ginkgolides) antagonize the platelet-activating-factor (PAF) recepto...
Poor Circulation
Vasomodulatory & antioxidant actions. Standardized Ginkgo leaf extracts (e.g., EGb 761) contain ~24% flavone glycosides and ~6% terpene lactones....
Brain Fog
Neurovascular & antioxidant actions. Standardized ginkgo leaf extracts contain ~24% flavone glycosides and ~6% terpene lactones (ginkgolides/bilob...
Vertigo
Improved vestibular compensation & neuroplasticity. Animal and human data suggest EGb 761® can speed the brain’s adaptation after vestibular injur...
Atherosclerosis
Antioxidant & anti-inflammatory actions: Standardized leaf extracts (e.g., EGb 761®) contain flavone glycosides and terpene lactones that can scav...
Vitiligo
Targets mechanisms implicated in vitiligo: Oxidative stress and immune dysregulation contribute to melanocyte loss in vitiligo. Standardized Ginkgo ex...
Glaucoma
Neuroprotection & mitochondrial support. Standardized Ginkgo biloba extract (often EGb 761) contains flavonoids/terpenoids that scavenge free radi...
Meniere’s Disease
Proposed mechanisms: standardized Ginkgo extracts (e.g., EGb 761) have antioxidant, microcirculatory and anti-platelet-activating-factor effects that...
Multiple Sclerosis
Anti-inflammatory / antioxidant actions. Standardized extracts (e.g., EGb 761) reduce pro-inflammatory cytokines in preclinical work and have antioxid...
Peripheral Artery Disease
Antiplatelet/hemorheologic effects. Ginkgo’s terpene lactones (especially ginkgolides A/B) antagonize the platelet-activating factor (PAF) receptor an...
Raynaud’s Disease
Raynaud’s attacks are caused by excessive vasospasm and impaired microcirculation in the digits. Standardized Ginkgo leaf extracts contain flavonoids...
Schizophrenia
Ginkgo biloba (usually as a standardized extract such as EGb-761) has been studied as an adjunct (add-on) therapy to antipsychotics in schizophrenia....
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