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Mushrooms

Chaga

Chaga is a mushroom supplement. People may take it in connection with digestion, mood, memory, present-moment awareness, and allergy symptoms, while research has also explored possible relevance to Diabetes Type 2, Kidney Disease (General), and Obesity.

Chaga is explored across allergy symptom relief, digestion improvement, and emotional regulation improvement.

Overview

Chaga is a mushroom supplement. People may take it in connection with digestion, mood, memory, present-moment awareness, and allergy symptoms, while research has also explored possible relevance to Diabetes Type 2, Kidney Disease (General), and Obesity.

Barely researched: 87 studies. Last checked Oct 8, 2026.

0
human evidence
0
eligible
12
unclassified
15
animal / null result

Best-evidenced uses

EvidenceInsufficient
87
Studies

Evidence checked Oct 8, 2026 · newest study 2026

The text on this page was written before the latest evidence check. The tables and numbers are up to date.

Study designs:Case report2Animal study79In vitro5
Study grades:
D
87

318 community reports across 5 platforms

Coverage

Effects
19
Helps with
8
Side effects
9
Interactions
22
How to read the evidence

Evidence tier — overall strength of the evidence for the whole compound

  • StrongWell established — backed by strong, consistent human research.
  • ModerateSome genuine support, but mostly from small or lower-quality studies. Promising, not proven.
  • PreliminaryEarly-stage evidence — a promising hypothesis, not an established effect yet.
  • LimitedVery limited evidence — treat this as a hypothesis, not proof.
  • InsufficientNot enough good evidence to draw conclusions yet.

Certainty — how sure we can be that the effect is real

  • Very highVery sure — strong, consistent evidence
  • HighFairly sure — consistent evidence from good studies
  • MediumModerately sure — new studies could change this
  • LowNot sure — little or mixed evidence
  • Very lowVery unsure — almost no usable evidence

Source — where the data comes from

  • Meta-analysisPooled analysis of many trials — the strongest evidence
  • RCTRandomized controlled trial — a strong human study design
  • ClinicalA human clinical study
  • Reference knowledgeFrom general health-science or pharmacology references, not a study of this exact claim
  • Animal researchStudied in animals, not humans
  • Community reportsAggregated user reports — anecdotal signal, not evidence
  • TheoreticalMechanism-based reasoning, not yet tested

Study grade — quality of each underlying study (A best, D weakest)

  • AHigh-quality — strong, consistent human trials
  • BGood — solid evidence with some limitations
  • CModerate — limited, small, or mixed-quality studies
  • DWeak — preliminary, indirect, or animal-only

Confidence — how strongly the sources back a finding

A 0–100 score from study quality and agreement

Most supplement evidence is graded C–D. Read it as preliminary signal, not proof.

These are research findings, not promises. A supplement does not replace medical treatment, and taking more does not work better.

What does research say?

None of these claims has good evidence yet. Best evidence first.

19 claims:2 not enough evidence17 not tested in people

  • Antioxidant Protection EnhancementNot enough evidence

    Too few or too small studies to know if it works.

    All 2 studies with a clear result found a benefit. Amount studied: 1–3 g daily of dried extract.

    In laboratory testing, IO–AgNPs and MIO–AgNPs significantly outperformed native I. obliquus extract. This result comes from in vitro testing rather than a clinical outcome in people.

    Open the Antioxidant Protection Enhancement page
  • DNA Damage ProtectionNot enough evidence

    Too few or too small studies to know if it works.

    The one study found a benefit.

    Open the DNA Damage Protection page
  • Immune System SupportNot tested in people

    Only tested in animals, cells or theory. Results like these often do not carry over to people.

    All 2 studies with a clear result found a benefit. Strongest study: an animal study. Amount studied: 1–2 g daily, for Temporal monitoring 0 to 35 days post-inoculation.

    Chaga contains beta-glucans and polysaccharides described as modulating immune cell activity and cytokine production. It is also described as an immunomodulatory medicinal mushroom with beta-glucans that enhance immune function.

    Open the Immune System Support page
  • Cognitive Function ImprovementNot tested in people

    Only tested in animals, cells or theory. Results like these often do not carry over to people.

    The one study found a benefit. Strongest study: an animal study.

    Open the Cognitive Function Improvement page
  • Blood Glucose Level SupportNot tested in people

    Only tested in animals, cells or theory. Results like these often do not carry over to people.

    7 of 8 studies found a benefit; 1 found none. Strongest study: an animal study. Studied for 21 days.

    Open the Blood Glucose Level Support page
  • Cholesterol Level ReductionNot tested in people

    Only tested in animals, cells or theory. Results like these often do not carry over to people.

    All 7 studies with a clear result found a benefit. Strongest study: an animal study. Studied for 12 weeks.

    In animal models, total cholesterol was lower with IOPH and IOPM than in the model group. HIOP produced a 40.0% reduction versus HFD.

    Open the Cholesterol Level Reduction page
  • Kidney Health SupportNot tested in people

    Only tested in animals, cells or theory. Results like these often do not carry over to people.

    4 of 5 studies found a benefit; 1 found none. Strongest study: an animal study. Studied for 12 weeks.

    At 17 weeks in an animal model of diabetic kidney disease, both doses significantly reduced SCr versus the DKD model; Chaga100 returned SCr to levels not different from the normal control. Kidney-related measures also significantly improved with IO_L and IO_H versus ORG and were not different from CON.

    Open the Kidney Health Support page
  • Insulin Sensitivity ImprovementNot tested in people

    Only tested in animals, cells or theory. Results like these often do not carry over to people.

    All 5 studies with a clear result found a benefit. Strongest study: an animal study. Studied for 8 weeks.

    Open the Insulin Sensitivity Improvement page

Only reported by users, not studied: Mood Improvement, Physical Energy Increase, Concentration Improvement, Brain Fog Reduction, Anxiety Reduction, Sleep Quality Improvement, and 1 more.

Also studied in people with 8 health conditions

How strong the evidence is in each group. This is research, not a treatment recommendation.

  • GastritisNot enough evidence

    Too few or too small studies to know if it works.

    Open the Gastritis page
  • Kidney Disease (General)Not tested in people

    Only tested in animals, cells or theory. Results like these often do not carry over to people.

    All 3 studies with a clear result found a benefit.

    In animal studies of diabetes-related kidney injury, Chaga reduced renal tubular damage scores and the area of collagen deposition. Biochemical, ultrasound, and tissue findings suggested effects that may delay progression of diabetic kidney disease.

    Open the Kidney Disease (General) page
  • Breast CancerNot tested in people

    Only tested in animals, cells or theory. Results like these often do not carry over to people.

    The one study found a benefit.

    Open the Breast Cancer page
  • Cancer (General)Not tested in people

    Only tested in animals, cells or theory. Results like these often do not carry over to people.

    The one study found a benefit.

    Open the Cancer (General) page
  • COVID-19Not tested in people

    Only tested in animals, cells or theory. Results like these often do not carry over to people.

    The one study found a benefit.

    Open the COVID-19 page
  • Diabetes Type 2Not tested in people

    Only tested in animals, cells or theory. Results like these often do not carry over to people.

    The one study found a benefit.

    In animal research, Chaga showed blood-sugar- and blood-lipid-lowering effects alongside anti-inflammatory activity and improved the structure of some organs and cells. These findings indicate potential relevance to type 2 diabetes, but they do not establish the same effects in people.

    Open the Diabetes Type 2 page
  • Lung CancerNot tested in people

    Only tested in animals, cells or theory. Results like these often do not carry over to people.

    The one study found a benefit.

    Open the Lung Cancer page
  • ObesityNot tested in people

    Only tested in animals, cells or theory. Results like these often do not carry over to people.

    The one study found a benefit.

    In high-fat-diet mice, Inonotus obliquus extracts improved body-weight growth rate, accumulated body-weight gain, and accumulated energy intake within 14 weeks. Its polysaccharide reduced body weight, systemic lipid accumulation, and obesity-related liver injury in mice.

    Open the Obesity page

Before you try it

What studies and reports say about side effects and who it may not suit.

Side effects

Possible: Kidney Function Decrease.

8 more with weak evidence.

May not suit you if you have
Bleeding Disorders, Chronic Kidney Disease, Kidney Stones, Organ Transplant Recipient, Pre-Surgery, Autoimmune Disease (General), and 4 more
Pregnancy, breastfeeding, children
Avoid in breastfeeding and children. Not enough data for pregnancy.
Reported by users
Anxiety Increase (12 posts) and Insomnia (6 posts)

General wellness information, not medical advice. Ask a doctor before you start, especially if you take medicines or have a health condition.

The expert view shows every study, dose protocol and source.

How it works

Chaga is described as a fungus containing beta-glucans and other polysaccharides. These compounds provide a proposed basis for immune-modulating activity, which helps connect findings related to immune and inflammatory responses rather than treating each reported effect as an unrelated action. Comparisons with other medicinal mushrooms focus on complementary polysaccharide profiles and the possibility of enhanced immune function, but this does not establish that every reported outcome arises through the same pathway.

Effects

19 listed

Start here

The best we have, but the evidence is still weak

  1. Antioxidant Protection EnhancementCertaintyLowSourceReference knowledgenot used for recommendations2 other sources

    In laboratory testing, IO–AgNPs and MIO–AgNPs significantly outperformed native I. obliquus extract (p<0.05). This result comes from in vitro testing rather than a clinical outcome in people.

    What the sources found

    2 positive · 0 neutral · 0 negativeconfidence 70/100

    How big is the effect

    No study gave a number we could compare, so the size is not known.

    Why this rating

    Rests on: reports and reference sources, no studies

    • No studies: low at most
    • Not eligible as a recommendation: low at most

    Where the evidence comes from

    • Reference knowledge2

    Dose & course

    1–3 g daily of dried extract

    Who it applies to

    • Adults

    Why it isn't used for recommendations

    No oral-route evidence in adults

    Show studies (2)
    Reference knowledgepositive75% confidence

    Chaga is exceptionally rich in melanin and polyphenols, particularly superoxide dismutase (SOD)-like compounds and triterpenes, which are well-documented for potent free radical scavenging and systemic antioxidant effects.

    1–3 g daily of dried extractweeks to monthsEstablished pharmacology
    Reference knowledgepositive65% confidence

    Chaga is rich in melanin, polyphenols, and superoxide dismutase, which scavenge free radicals and reduce oxidative stress.

    1-2 g dailyEstablished pharmacology
    Open Antioxidant Protection Enhancement
    →
  2. Blood Glucose Level SupportCertaintyLowSourceAnimal researchanimal / in-vitro onlylong-termnot adult-relevantnot used for recommendations8 cited studies

    In diabetic animal models, IOPH lowered blood glucose by 31% versus the model (8.59 ± 1.55 vs 12.51 ± 1.3 mmol/L, p<0.01). In another model, PIO-30 lowered it to 10.1±3.2 versus 22.2±2.2 mmol/L with STZ (P<0.05), while PIO-20 and PIO-10 were not statistically significant.

    What the sources found

    7 positive · 1 neutral · 0 negativeconfidence 34/100

    How big is the effect

    No study gave a number we could compare, so the size is not known.

    Why this rating

    Rests on: animal or lab studies only

    • Animal or lab studies only: low at most
    • Not eligible as a recommendation: low at most

    Who was studied

    • People with a condition
    • Chronic Kidney Disease
    • Diabetes Type 2
    • Kidney Disease (General)
    • Obesity

    Where the evidence comes from

    • Article8

    Dose & course

    21 days

    Who it applies to

    • Animal
    • Unspecified

    Why it isn't used for recommendations

    Animal or in-vitro evidence only

    Show studies (8)
    Animal studyDAnimalpositive35% confidence2021

    Effect of Inonotus obliquus (Fr.) Pilat extract on the regulation of glycolipid metabolism via PI3K/Akt and AMPK/ACC pathways in mice.

    Significant reduction in blood glucose at 250 and 500 mg/kg (no numeric values reported in abstract)

    Top journal
    250 and 500 mg/kg/day8 weeksPMID 33640441
    Animal studyDAnimalneutral35% confidence2020

    Cecal Butyrate (Not Propionate) Was Connected with Metabolism-Related Chemicals of Mice, Based on the Different Effects of the Two Inonotus obliquus Extracts on Obesity and Their Mechanisms.

    Neither IOE nor IOP improved HFD-induced impairment of glucose tolerance; no significant difference reported

    Top journalNo control group
    500 mg/kg/day (IOE); 1000 mg/kg/day (IOP)14 weeksPMID 32685836
    Animal studyDAnimalpositive35% confidence2017

    Anti-diabetic effects of Inonotus obliquus polysaccharides in streptozotocin-induced type 2 diabetic mice and potential mechanism via PI3K-Akt signal pathway.

    Reduced fasting blood glucose (direction reported; numeric value not in abstract)

    Top journalNo control group
    900 mg/kgNot StatedPMID 28954386
    Animal studyDAnimalpositive35% confidence2024

    Inonotus obliquus (Chaga) against HFD/STZ-induced glucolipid metabolism disorders and abnormal renal functions by regulating NOS-cGMP-PDE5 signaling pathway.

    Improvement reported; no numerical values in abstract

    No control group
    50 and 100 mg/kg8 weeksPMID 39059831
    Animal studyDAnimalpositive35% confidence2026

    Supernatant of Water Extraction-Ethanol Precipitation of Chaga mushroom Improves Hyperglycemia in Type 2 Diabetes Mellitus and Is Accompanied by Changes in Gut Microbiota Composition.

    FBG decreased by 52.29% vs Model after 4 weeks (SWEPC-H, 300 mg/kg/day)

    -52.29%Large effectWeak journalSome bias concerns
    300 mg/kg/day4 weeksPMID 42450501
    Animal studyDAnimalpositive35% confidence2023

    Renoprotective Impacts of Inonotus obliquus Ethanol-Ethyl Acetate Extract on Combined Streptozotocin and Unilateral Nephrectomy-Induced Diabetic Nephropathy in Mice.

    EtCE-EA 300 and 500 mg/kg significantly lowered fasting blood glucose vs 1/3 NT + STZ alone (p<0.01); 100 mg/kg effect not reported as significant

    Weak journalSome bias concerns
    300-500 mg/kg2 weeksPMID 36901874
    +2 more in Sources
    Open Blood Glucose Level Support
    →
  3. Cholesterol Level ReductionCertaintyLowSourceAnimal researchanimal / in-vitro onlylong-termnot adult-relevantnot used for recommendations7 cited studies

    In animal models, total cholesterol was lower with IOPH and IOPM than in the model group (3.34 ± 0.39 and 4.04 ± 0.25 vs 4.69 ± 0.39 mmol/L, p<0.05). HIOP produced a 40.0% reduction versus HFD (3.69 ± 0.60 vs 6.15 ± 0.54 mmol/L, p<0.05).

    What the sources found

    7 positive · 0 neutral · 0 negativeconfidence 34/100

    How big is the effect

    No study gave a number we could compare, so the size is not known.

    Why this rating

    Rests on: animal or lab studies only

    • Animal or lab studies only: low at most
    • Not eligible as a recommendation: low at most

    Who was studied

    • People with a condition
    • Diabetes Type 2
    • Dyslipidemia
    • Kidney Disease (General)
    • Obesity

    Where the evidence comes from

    • Article7

    Dose & course

    12 weeks

    Who it applies to

    • Animal
    • Unspecified

    Why it isn't used for recommendations

    Animal or in-vitro evidence only

    Show studies (7)
    Animal studyDAnimalpositive35% confidence2024

    Study of active components and mechanisms mediating the hypolipidemic effect of Inonotus obliquus polysaccharides.

    TC significantly lower than MG (p<0.05); no numeric values reported

    Top journalSome bias concerns
    450 mg/kg/day8 weeksPMID 38628208
    Animal studyDAnimalpositive35% confidence2021

    Effect of Inonotus obliquus (Fr.) Pilat extract on the regulation of glycolipid metabolism via PI3K/Akt and AMPK/ACC pathways in mice.

    Increased HDL-C and liver glycogen; decreased TC, TG and LDL-C at 250 and 500 mg/kg (no numeric values reported in abstract)

    Top journal
    250 and 500 mg/kg/day8 weeksPMID 33640441
    Animal studyDAnimalpositive30% confidence2017

    Anti-diabetic effects of Inonotus obliquus polysaccharides in streptozotocin-induced type 2 diabetic mice and potential mechanism via PI3K-Akt signal pathway.

    Increased HDL-C; decreased TC, TG and LDL-C (numeric values not in abstract)

    Top journalNo control group
    900 mg/kgNot StatedPMID 28954386
    Animal studyDAnimalpositive35% confidence2024

    Inonotus obliquus (Chaga) against HFD/STZ-induced glucolipid metabolism disorders and abnormal renal functions by regulating NOS-cGMP-PDE5 signaling pathway.

    Improvement reported; no numerical values in abstract

    No control group
    50 and 100 mg/kg8 weeksPMID 39059831
    Animal studyDAnimalpositive35% confidence2026

    Inonotus obliquus Polysaccharides Prevent High-Fat Diet-Induced Obesity in Mice Related to Reshaping Gut Microbiota.

    significant decrease in serum TG, TC and NEFA vs HFD (no numeric values reported)

    Weak journalSome bias concerns
    0.2% w/w in diet (approx. 250 mg/kg/day)13 weeksPMID 42195973
    Animal studyDAnimalpositive35% confidence2024

    Effects of Inonotus obliquus on ameliorating podocyte injury in ORG mice through TNF pathway and prediction of active compounds.

    Serum TC decreased in IO_H vs ORG (p=0.005); ORG elevated vs CON (p<0.001)

    Weak journalSome bias concernsNo control group
    150 mg/kg/day (IO_H)12 weeksPMID 39234117
    +1 more in Sources
    Open Cholesterol Level Reduction
    →
  4. Kidney Health SupportCertaintyLowSourceAnimal researchanimal / in-vitro onlylong-termnot adult-relevantnot used for recommendations5 cited studies

    At 17 weeks in an animal model of diabetic kidney disease, both doses significantly reduced SCr versus the DKD model (p<0.001); Chaga100 returned SCr to levels not different from the normal control. Kidney-related measures also significantly improved with IO_L and IO_H versus ORG (p<0.001) and were not different from CON.

    What the sources found

    4 positive · 1 neutral · 0 negativeconfidence 35/100

    How big is the effect

    No study gave a number we could compare, so the size is not known.

    Why this rating

    Rests on: animal or lab studies only

    • Animal or lab studies only: low at most
    • Not eligible as a recommendation: low at most

    Who was studied

    • People with a condition
    • Chronic Kidney Disease
    • Diabetes Type 2
    • Kidney Disease (General)

    Where the evidence comes from

    • Article5

    Dose & course

    12 weeks

    Who it applies to

    • Animal
    • Unspecified

    Why it isn't used for recommendations

    Animal or in-vitro evidence only

    Show studies (5)
    Animal studyDAnimalneutral35% confidence2026

    Kidney Injury Induced by High-Dose Chaga Mushroom Consumption: Experimental Evidence in a Rat Model.

    HD group had lowest serum Cr, significantly lower than control; authors attribute to glomerular hyperfiltration

    Some bias concernsNo control group
    3844.8 mg/kg16 weeksPMID 41555803
    Animal studyDAnimalpositive35% confidence2024

    Inonotus obliquus (Chaga) against HFD/STZ-induced glucolipid metabolism disorders and abnormal renal functions by regulating NOS-cGMP-PDE5 signaling pathway.

    Improvement reported; no numerical values in abstract

    No control group
    50 and 100 mg/kg8 weeksPMID 39059831
    Animal studyDAnimalpositive35% confidence2024

    Effects of Inonotus obliquus on ameliorating podocyte injury in ORG mice through TNF pathway and prediction of active compounds.

    24-h urinary protein significantly reduced in IO_H vs ORG at four time points from week 10 to week 20 (p<0.05)

    Weak journalSome bias concernsNo control group
    150 mg/kg/day (IO_H)12 weeksPMID 39234117
    Animal studyDAnimalpositive35% confidence2023

    Renoprotective Impacts of Inonotus obliquus Ethanol-Ethyl Acetate Extract on Combined Streptozotocin and Unilateral Nephrectomy-Induced Diabetic Nephropathy in Mice.

    EtCE-EA 300 mg/kg reduced ACR (p<0.05) and 500 mg/kg reduced ACR (p<0.01) vs 1/3 NT + STZ alone

    Weak journalSome bias concerns
    300-500 mg/kg2 weeksPMID 36901874
    Animal studyDAnimalpositive35% confidence2016

    Renal Protective Effects of Low Molecular Weight of Inonotus obliquus Polysaccharide (LIOP) on HFD/STZ-Induced Nephropathy in Mice.

    ACR significantly decreased with LIOP 1000 mg/kg vs saline at 8 weeks (p<0.05); no significant difference at 2 weeks; 300 mg/kg not significant

    Weak journalSome bias concerns
    1000 mg/kg8 weeksPMID 27649140
    Open Kidney Health Support
    →
  5. Insulin Sensitivity ImprovementCertaintyLowSourceAnimal researchanimal / in-vitro onlylong-termnot adult-relevantnot used for recommendations5 cited studies

    What the sources found

    5 positive · 0 neutral · 0 negativeconfidence 34/100

    How big is the effect

    No study gave a number we could compare, so the size is not known.

    Why this rating

    Rests on: animal or lab studies only

    • Animal or lab studies only: low at most
    • Not eligible as a recommendation: low at most

    Who was studied

    • People with a condition
    • Diabetes Type 2
    • Kidney Disease (General)
    • Obesity

    Where the evidence comes from

    • Article5

    Dose & course

    8 weeks

    Who it applies to

    • Animal
    • Unspecified

    Why it isn't used for recommendations

    Animal or in-vitro evidence only

    Show studies (5)
    Animal studyDAnimalpositive35% confidence2021

    Effect of Inonotus obliquus (Fr.) Pilat extract on the regulation of glycolipid metabolism via PI3K/Akt and AMPK/ACC pathways in mice.

    Significant alleviation at 250 and 500 mg/kg (no numeric values reported in abstract)

    Top journal
    250 and 500 mg/kg/day8 weeksPMID 33640441
    Animal studyDAnimalpositive30% confidence2020

    Cecal Butyrate (Not Propionate) Was Connected with Metabolism-Related Chemicals of Mice, Based on the Different Effects of the Two Inonotus obliquus Extracts on Obesity and Their Mechanisms.

    Both IOE and IOP reduced the increase in fasting glucose difference induced by HFD; no numeric effect size reported

    Top journalNo control group
    500 mg/kg/day (IOE); 1000 mg/kg/day (IOP)10 weeks (fasting glucose comparison within 14-week study)PMID 32685836
    Animal studyDAnimalpositive35% confidence2017

    Anti-diabetic effects of Inonotus obliquus polysaccharides in streptozotocin-induced type 2 diabetic mice and potential mechanism via PI3K-Akt signal pathway.

    Improved glucose tolerance (direction reported; numeric value not in abstract)

    Top journalNo control group
    900 mg/kgNot StatedPMID 28954386
    Animal studyDAnimalpositive35% confidence2026

    Supernatant of Water Extraction-Ethanol Precipitation of Chaga mushroom Improves Hyperglycemia in Type 2 Diabetes Mellitus and Is Accompanied by Changes in Gut Microbiota Composition.

    HOMA-IR decreased by 44.42% vs Model (abstract); SWEPC-H lower than SWEPC-L (p=0.001) and MET (p=0.022)

    -44.42%Large effectWeak journalSome bias concerns
    300 mg/kg/day4 weeksPMID 42450501
    Animal studyDAnimalpositive35% confidence2016

    Renal Protective Effects of Low Molecular Weight of Inonotus obliquus Polysaccharide (LIOP) on HFD/STZ-Induced Nephropathy in Mice.

    AUC significantly smaller in LIOP (300 and 1000 mg/kg) groups vs saline at 8 weeks; no significant difference at 4 weeks

    Weak journalSome bias concerns
    300 and 1000 mg/kg8 weeksPMID 27649140
    Open Insulin Sensitivity Improvement
    →
  6. Triglyceride Level ReductionCertaintyLowSourceAnimal researchanimal / in-vitro onlylong-termnot adult-relevantnot used for recommendations4 cited studies

    In animal models, triglycerides fell to 2.23 ± 0.42, 2.53 ± 0.42, and 2.68 ± 0.31 mmol/L across IOPH, IOPM, and IOPL, versus 3.08 ± 0.22 mmol/L in the model group (all p<0.05). HIOP produced a 24.8% reduction versus HFD (2.37 ± 0.20 vs 3.15 ± 0.36 mmol/L, p<0.05).

    What the sources found

    4 positive · 0 neutral · 0 negativeconfidence 34/100

    How big is the effect

    No study gave a number we could compare, so the size is not known.

    Why this rating

    Rests on: animal or lab studies only

    • Animal or lab studies only: low at most
    • Not eligible as a recommendation: low at most

    Who was studied

    • People with a condition
    • Dyslipidemia
    • Kidney Disease (General)
    • Obesity

    Where the evidence comes from

    • Article4

    Dose & course

    12 weeks

    Who it applies to

    • Animal
    • Unspecified

    Why it isn't used for recommendations

    Animal or in-vitro evidence only

    Show studies (4)
    Animal studyDAnimalpositive35% confidence2024

    Study of active components and mechanisms mediating the hypolipidemic effect of Inonotus obliquus polysaccharides.

    TG significantly lower than MG (p<0.05); no numeric values reported

    Top journalSome bias concerns
    450 mg/kg/day8 weeksPMID 38628208
    Animal studyDAnimalpositive30% confidence2020

    Cecal Butyrate (Not Propionate) Was Connected with Metabolism-Related Chemicals of Mice, Based on the Different Effects of the Two Inonotus obliquus Extracts on Obesity and Their Mechanisms.

    Both IOE and IOP reduced HFD-induced hepatic triglyceride accumulation; no numeric effect size reported

    Top journalNo control group
    500 mg/kg/day (IOE); 1000 mg/kg/day (IOP)14 weeksPMID 32685836
    Animal studyDAnimalpositive35% confidence2024

    Effects of Inonotus obliquus on ameliorating podocyte injury in ORG mice through TNF pathway and prediction of active compounds.

    Liver TG in ORG higher than IO_H (p=0.035); IO_H not different from CON

    Weak journalSome bias concernsNo control group
    150 mg/kg/day (IO_H)12 weeksPMID 39234117
    Animal studyDAnimalpositive35% confidence2016

    Renal Protective Effects of Low Molecular Weight of Inonotus obliquus Polysaccharide (LIOP) on HFD/STZ-Induced Nephropathy in Mice.

    Triglycerides significantly reduced with LIOP 300 and 1000 mg/kg at 8 weeks (p<0.05 each); no significant effect at 4 weeks

    Weak journalSome bias concerns
    300 and 1000 mg/kg8 weeksPMID 27649140
    Open Triglyceride Level Reduction
    →
  7. Weight Management SupportCertaintyLowSourceAnimal researchanimal / in-vitro onlylong-termnot adult-relevantnot used for recommendations5 cited studies

    In animals, body-weight gain was significantly reduced with IO_L and IO_H compared with ORG (p=0.029 and p<0.001, respectively).

    What the sources found

    3 positive · 2 neutral · 0 negativeconfidence 30/100

    How big is the effect

    No study gave a number we could compare, so the size is not known.

    Why this rating

    Rests on: animal or lab studies only

    • Animal or lab studies only: low at most
    • Not eligible as a recommendation: low at most

    Who was studied

    • People with a condition
    • Diabetes Type 2
    • Obesity

    Where the evidence comes from

    • Article5

    Dose & course

    2 weeks

    Timing

    felt within days · sustained

    Who it applies to

    • Animal
    • Unspecified

    Why it isn't used for recommendations

    Animal or in-vitro evidence only

    Show studies (5)
    Animal studyDAnimalpositive25% confidence2022

    A polysaccharide from Inonotus obliquus ameliorates intestinal barrier dysfunction in mice with type 2 diabetes mellitus.

    Attenuated body weight loss (no numeric data in abstract)

    Top journal
    Animal studyDAnimalpositive35% confidence2021

    The difference of regulatory effect of two Inonotus obliquus extracts on high-fat diet mice in relation to the fatty acid elongation function of gut microbiota.

    IOE significantly lower accumulated BWG than IOP at week 2 (p = 0.0146); no effect size reported

    Top journalSome bias concerns
    500 mg/kg/day2 weeksPMID 33473306
    Animal studyDAnimalneutral30% confidence2020

    Cecal Butyrate (Not Propionate) Was Connected with Metabolism-Related Chemicals of Mice, Based on the Different Effects of the Two Inonotus obliquus Extracts on Obesity and Their Mechanisms.

    IOE group had less energy intake than IOP group, p = 0.078 (not significant)

    Top journalNo control group
    500 mg/kg/day14 weeksPMID 32685836
    Animal studyDAnimalpositive35% confidence2026

    Inonotus obliquus Polysaccharides Prevent High-Fat Diet-Induced Obesity in Mice Related to Reshaping Gut Microbiota.

    significant decline in body weight and weight gain rate vs HFD (no numeric values reported)

    Weak journalSome bias concerns
    0.2% w/w in diet (approx. 250 mg/kg/day)13 weeksPMID 42195973
    Animal studyDAnimalneutral25% confidence2018

    Structure Characterization and Hypoglycaemic Activities of Two Polysaccharides from Inonotus obliquus.

    No significant difference in body weight between sample groups and model group

    Weak journal
    125 mg/kg/dayweekly weighing over study period (21 days)PMID 30081555
    Open Weight Management Support
    →
Low probability(5)
  1. Liver Health SupportCertaintyLowSourceAnimal researchanimal / in-vitro onlylong-termnot adult-relevantnot used for recommendations4 cited studies

    In an animal model, the liver score was significantly lower versus the DB group (p<0.01), indicating reduced steatosis and fibrosis.

    What the sources found

    3 positive · 1 neutral · 0 negativeconfidence 29/100

    How big is the effect

    No study gave a number we could compare, so the size is not known.

    Why this rating

    Rests on: animal or lab studies only

    • Animal or lab studies only: low at most
    • Not eligible as a recommendation: low at most

    Who was studied

    • Diabetes Type 2
    • Dyslipidemia
    • Obesity

    Where the evidence comes from

    • Article4

    Dose & course

    13 weeks

    Who it applies to

    • Animal
    • Unspecified

    Why it isn't used for recommendations

    Animal or in-vitro evidence only

    Show studies (4)
    Animal studyDAnimalpositive35% confidence2024

    Study of active components and mechanisms mediating the hypolipidemic effect of Inonotus obliquus polysaccharides.

    Reduced area and severity of steatosis qualitatively; no quantification reported

    Top journalSome bias concerns
    450 mg/kg/day8 weeksPMID 38628208
    Animal studyDAnimalpositive35% confidence2026

    Inonotus obliquus Polysaccharides Prevent High-Fat Diet-Induced Obesity in Mice Related to Reshaping Gut Microbiota.

    reduced hepatic lipid droplets, gWAT lipid accumulation and adipocyte size vs HFD (qualitative histology; no numeric values reported)

    Weak journalSome bias concerns
    0.2% w/w in diet (approx. 250 mg/kg/day)13 weeksPMID 42195973
    Animal studyDAnimalneutral17% confidence2022

    Evaluation of Toxicity and Efficacy of Inotodiol as an Anti-Inflammatory Agent Using Animal Model.

    No elevations in AST, ALT or bilirubin versus vehicle; no significant liver damage on histology or Ishak score

    Weak journalSome bias concerns
    up to 20 mg/kg (INO95); up to 30 mg/kg (INO20)13 weeksin combinationPMID 35897881
    Animal studyDAnimalpositive30% confidence2022

    Methanol extract of Inonotus obliquus improves type 2 diabetes mellitus through modifying intestinal flora.

    Colonic score extremely significantly lower (p<0.001); liver score lower (p<0.01); renal score lower (p<0.05) vs DB

    Weak journalHigh risk of bias
    600 mg/kg/day8 weeksPMID 36686454
    Open Liver Health Support
    →
  2. Body Composition ImprovementCertaintyLowSourceAnimal researchanimal / in-vitro onlylong-termnot adult-relevantnot used for recommendations4 cited studies

    What the sources found

    3 positive · 1 neutral · 0 negativeconfidence 28/100

    How big is the effect

    No study gave a number we could compare, so the size is not known.

    Why this rating

    Rests on: animal or lab studies only

    • Animal or lab studies only: low at most
    • Not eligible as a recommendation: low at most

    Who was studied

    • Healthy people and patients
    • Diabetes Type 2

    Where the evidence comes from

    • Article4

    Dose & course

    12 weeks

    Who it applies to

    • Animal
    • Unspecified

    Why it isn't used for recommendations

    Animal or in-vitro evidence only

    Show studies (4)
    Animal studyDAnimalpositive35% confidence2024

    Effects of Inonotus obliquus on ameliorating podocyte injury in ORG mice through TNF pathway and prediction of active compounds.

    BWG significantly reduced in IO_H vs ORG (p<0.001); IO_L also reduced (p=0.029)

    Weak journalSome bias concernsNo control group
    150 mg/kg/day (IO_H)12 weeksPMID 39234117
    Animal studyDAnimalpositive30% confidence2022

    Effect of Inonotus obliquus Extract Supplementation on Endurance Exercise and Energy-Consuming Processes through Lipid Transport in Mice.

    IO-1× 241 ± 2, IO-2× 230 ± 2, IO-3× 227 ± 3 mm² vs vehicle 189 ± 3 mm²; group p-value not reported

    Weak journalSome bias concerns
    824-2472 mg/kg/day6 weeksPMID 36501037
    Animal studyDAnimalneutral17% confidence2022

    Evaluation of Toxicity and Efficacy of Inotodiol as an Anti-Inflammatory Agent Using Animal Model.

    No significant difference from vehicle at weeks 4, 8 and 13

    Weak journalSome bias concerns
    up to 20 mg/kg (INO95); up to 30 mg/kg (INO20)13 weeksin combinationPMID 35897881
    Animal studyDAnimalpositive30% confidence2022

    Methanol extract of Inonotus obliquus improves type 2 diabetes mellitus through modifying intestinal flora.

    IO mice lighter than DB at week 8; no effect size reported

    Weak journalHigh risk of bias
    600 mg/kg/day8 weeksPMID 36686454
    Open Body Composition Improvement
    →
  3. HDL Cholesterol IncreaseCertaintyLowSourceAnimal researchanimal / in-vitro onlynot adult-relevantnot used for recommendations2 cited studies

    In animal models, HDL was 0.77 ± 0.22 mmol/L with IOPH versus 0.35 ± 0.09 mmol/L in the model, while HIOP produced a 49.2% increase versus HFD (2.76 ± 0.37 vs 1.85 ± 0.14 mmol/L).

    What the sources found

    2 positive · 0 neutral · 0 negativeconfidence 35/100

    How big is the effect

    No study gave a number we could compare, so the size is not known.

    Why this rating

    Rests on: animal or lab studies only

    • Animal or lab studies only: low at most
    • Not eligible as a recommendation: low at most

    Who was studied

    • People with a condition
    • Dyslipidemia
    • Kidney Disease (General)

    Where the evidence comes from

    • Article2

    Dose & course

    8 weeks

    Who it applies to

    • Animal
    • Unspecified

    Why it isn't used for recommendations

    Animal or in-vitro evidence only

    Show studies (2)
    Animal studyDAnimalpositive35% confidence2024

    Study of active components and mechanisms mediating the hypolipidemic effect of Inonotus obliquus polysaccharides.

    HDL-C significantly higher than MG (p<0.05); no numeric values reported

    Top journalSome bias concerns
    450 mg/kg/day8 weeksPMID 38628208
    Animal studyDAnimalpositive35% confidence2016

    Renal Protective Effects of Low Molecular Weight of Inonotus obliquus Polysaccharide (LIOP) on HFD/STZ-Induced Nephropathy in Mice.

    HDL/LDL ratio significantly elevated with LIOP 300 and 1000 mg/kg at 8 weeks (p<0.05 and p<0.01)

    Weak journalSome bias concerns
    300 and 1000 mg/kg8 weeksPMID 27649140
    Open HDL Cholesterol Increase
    →
  4. Neuroprotective EffectCertaintyLowSourceAnimal researchanimal / in-vitro onlynot adult-relevantnot used for recommendations2 cited studies

    What the sources found

    2 positive · 0 neutral · 0 negativeconfidence 30/100

    How big is the effect

    No study gave a number we could compare, so the size is not known.

    Why this rating

    Rests on: animal or lab studies only

    • Animal or lab studies only: low at most
    • Not eligible as a recommendation: low at most

    Who was studied

    • People with a condition
    • Alzheimers Disease

    Where the evidence comes from

    • Article2

    Dose & course

    15 days

    Who it applies to

    • Animal
    • In vitro
    • Unspecified

    Why it isn't used for recommendations

    Animal or in-vitro evidence only

    Show studies (2)
    Animal studyDAnimalpositive35% confidence2023

    Raw Inonotus obliquus polysaccharide counteracts Alzheimer's disease in a transgenic mouse model by activating the ubiquitin-proteosome system.

    Positive Aβ42 staining lighter and sparser in IOP group vs Ctrl; metformin showed a similar reduction (P < 0.001)

    Some bias concerns
    6.8 g/kg/day15 daysPMID 38053824
    Open Neuroprotective Effect
    →
  5. Inflammation ReductionCertaintyLowSourceTheoreticalnot used for recommendations1 cited study · 2 other sources

    In animal models, TNF-α decreased with IO_L and IO_H versus ORG, with a dose-dependent effect (p<0.05); it also significantly decreased versus DB (p<0.01).

    What the sources found

    2 positive · 0 neutral · 1 negativeconfidence 42/100

    How big is the effect

    No study gave a number we could compare, so the size is not known.

    Why this rating

    Rests on: reports and reference sources, no studies

    • No studies: low at most
    • Not eligible as a recommendation: low at most

    Who was studied

    • Diabetes Type 2

    Where the evidence comes from

    • Article1
    • Community reports1
    • Reference knowledge1

    Dose & course

    1-2 g daily · 8 weeks

    Timing

    short-lived

    Who it applies to

    • Adults
    • Unspecified

    Why it isn't used for recommendations

    The result was negative

    Show studies (3)
    Animal studyDAnimalnegative30% confidence2022

    Methanol extract of Inonotus obliquus improves type 2 diabetes mellitus through modifying intestinal flora.

    TNF-α and IL-1β considerably decreased vs DB (p<0.01); IL-6 decreased (p<0.05); IL-10 increased (p<0.001)

    Weak journalHigh risk of bias
    600 mg/kg/day8 weeksPMID 36686454
    Reference knowledgepositive60% confidence

    Chaga's triterpenoids and polysaccharides inhibit pro-inflammatory cytokines and COX-2, providing anti-inflammatory effects.

    1-2 g dailyWeeksEstablished pharmacology
    Community reportsmoderate effectpositive35% confidence

    This effect was mentioned in 4 of 229 Reddit reports discussing it.

    4 mentionsReddit 4sustained
    Open Inflammation Reduction
    →
Very low probability(7)
  1. DNA Damage ProtectionCertaintyVery lowSourceReference knowledgelong-termnot used for recommendations1 other source

    What the sources found

    1 positive · 0 neutral · 0 negativeconfidence 65/100

    How big is the effect

    No study gave a number we could compare, so the size is not known.

    Why this rating

    Rests on: reports and reference sources, no studies

    • No studies: low at most
    • Not eligible as a recommendation: low at most

    Where the evidence comes from

    • Reference knowledge1

    Who it applies to

    • Adults

    Why it isn't used for recommendations

    Very little evidence on file

    Show studies (1)
    Reference knowledgepositive65% confidence

    Chaga's high content of betulinic acid and polysaccharides has demonstrated radioprotective and DNA-stabilizing effects in vitro and in animal models, reducing oxidative DNA strand breaks.

    Established pharmacology
    Open DNA Damage Protection
    →
  2. Immune System SupportCertaintyVery lowSourceAnimal researchnot used for recommendations1 cited study · 2 other sources

    Chaga contains beta-glucans and polysaccharides described as modulating immune cell activity and cytokine production. It is also described as an immunomodulatory medicinal mushroom with beta-glucans that enhance immune function.

    What the sources found

    3 positive · 0 neutral · 0 negativeconfidence 52/100

    How big is the effect

    No study gave a number we could compare, so the size is not known.

    Why this rating

    Rests on: animal or lab studies only

    • Animal or lab studies only: low at most
    • Not eligible as a recommendation: low at most

    Who was studied

    • Healthy people

    Where the evidence comes from

    • Article1
    • Community reports1
    • Reference knowledge1

    Dose & course

    1–2 g daily · Temporal monitoring 0 to 35 days post-inoculation

    Timing

    short-lived

    Who it applies to

    • Adults
    • Animal
    • Unspecified

    Why it isn't used for recommendations

    Very little evidence on file

    Show studies (3)
    Animal studyDAnimalpositive35% confidence2018

    Immunopotentiating effect of Inonotus obliquus fermentation products administered at vaccination in chickens.

    Significantly enhanced vs control group; superior to APS (0.2% diet) positive control; numeric values not reported in abstract

    Weak journal
    0.8% of diet for 7 days before each immunizationTemporal monitoring 0 to 35 days post-inoculationPMID 30227259
    Reference knowledgepositive70% confidence

    Beta-glucans in Chaga, especially (1→3)-β-D-glucans, are established immunomodulators that enhance macrophage and natural killer (NK) cell activity via dectin-1 and complement receptor pathways.

    1–2 g dailychronic useEstablished pharmacology
    Community reportsmoderate effectpositive50% confidence

    This effect was mentioned in 17 of 313 community reports discussing it (Reddit 12, YouTube 3, Bluesky 2).

    17 mentionsReddit 12 · Youtube 3 · Bluesky 2felt within weekssustained
    Open Immune System Support
    →
  3. Cognitive Function ImprovementCertaintyVery lowSourceAnimal researchnot used for recommendations1 cited study · 2 other sources

    What the sources found

    3 positive · 0 neutral · 0 negativeconfidence 28/100

    How big is the effect

    No study gave a number we could compare, so the size is not known.

    Why this rating

    Rests on: animal or lab studies only

    • Animal or lab studies only: low at most
    • Not eligible as a recommendation: low at most

    Where the evidence comes from

    • Community reports2
    • Article1

    Dose & course

    not-reported

    Timing

    short-lived

    Who it applies to

    • Adults
    • Animal
    • Isolated
    • Unspecified

    Why it isn't used for recommendations

    Very little evidence on file

    Show studies (3)
    Animal studyDAnimalpositive25% confidence2025

    Triterpenoids from the edible mushroom Inonotus obliquus attenuates cognitive impairment in vitro and in vivo.

    Marked amelioration of cognitive impairment (no numeric values reported in abstract)

    not-reportedNot ReportedPMID 40935198
    Community reportsmoderate effectpositive35% confidence

    This effect was mentioned in 4 of 229 Reddit reports discussing it.

    4 mentionsReddit 4felt within weeksbuilds up over time
    Community reportsmoderate effectpositive25% confidence

    This effect was mentioned in 2 of 229 Reddit reports discussing it.

    2 mentionsReddit 2felt immediatelyshort-lived
    Open Cognitive Function Improvement
    →
  4. Physical Endurance IncreaseCertaintyVery lowSourceAnimal researchanimal / in-vitro onlynot adult-relevantnot used for recommendations1 cited study

    What the sources found

    1 positive · 0 neutral · 0 negativeconfidence 35/100

    How big is the effect

    No study gave a number we could compare, so the size is not known.

    Why this rating

    Rests on: animal or lab studies only

    • Animal or lab studies only: low at most
    • Not eligible as a recommendation: low at most

    Who was studied

    • Healthy people

    Where the evidence comes from

    • Article1

    Dose & course

    6 weeks

    Who it applies to

    • Animal
    • Unspecified

    Why it isn't used for recommendations

    Very little evidence on file

    Show studies (1)
    Animal studyDAnimalpositive35% confidence2022

    Effect of Inonotus obliquus Extract Supplementation on Endurance Exercise and Energy-Consuming Processes through Lipid Transport in Mice.

    43.0 ± 19.2 min vs 10.4 ± 3.7 min; 4.12-fold, p=0.0005; dose trend p<0.0001

    MD 32.6Weak journalSome bias concerns
    2472 mg/kg/day6 weeksPMID 36501037
    Open Physical Endurance Increase
    →
  5. Fatty Liver PreventionCertaintyVery lowSourceAnimal researchanimal / in-vitro onlynot adult-relevantnot used for recommendations1 cited study

    An animal model showed markedly reduced steatosis, with fewer and smaller fat vacuoles and less hepatocyte swelling than in the model group.

    What the sources found

    1 positive · 0 neutral · 0 negativeconfidence 35/100

    How big is the effect

    No study gave a number we could compare, so the size is not known.

    Why this rating

    Rests on: animal or lab studies only

    • Animal or lab studies only: low at most
    • Not eligible as a recommendation: low at most

    Who was studied

    • Fatty Liver Nafld

    Where the evidence comes from

    • Article1

    Who it applies to

    • Animal
    • Unspecified

    Why it isn't used for recommendations

    Very little evidence on file

    Show studies (1)
    Animal studyDAnimalpositive35% confidence2022

    Inonotus obliquus and its bioactive compounds alleviate non-alcoholic fatty liver disease via regulating FXR/SHP/SREBP-1c axis.

    Remarkable amelioration of lipid accumulation (no numeric values in abstract)

    Top journalNo control group
    Open Fatty Liver Prevention
    →
  6. Physical Strength IncreaseCertaintyVery lowSourceAnimal researchanimal / in-vitro onlynot adult-relevantnot used for recommendations1 cited study

    What the sources found

    1 positive · 0 neutral · 0 negativeconfidence 30/100

    How big is the effect

    No study gave a number we could compare, so the size is not known.

    Why this rating

    Rests on: animal or lab studies only

    • Animal or lab studies only: low at most
    • Not eligible as a recommendation: low at most

    Who was studied

    • Healthy people

    Where the evidence comes from

    • Article1

    Dose & course

    6 weeks

    Who it applies to

    • Animal
    • Unspecified

    Why it isn't used for recommendations

    Very little evidence on file

    Show studies (1)
    Animal studyDAnimalpositive30% confidence2022

    Effect of Inonotus obliquus Extract Supplementation on Endurance Exercise and Energy-Consuming Processes through Lipid Transport in Mice.

    288.3 ± 80.4 g vs 206.9 ± 69.5 g; 1.39-fold, p=0.0029; dose trend p=0.0067

    MD 81.4Weak journalSome bias concerns
    2472 mg/kg/day6 weeksPMID 36501037
    Open Physical Strength Increase
    →
  7. Gut Microbiome Health SupportCertaintyVery lowSourceAnimal researchanimal / in-vitro onlynot adult-relevantnot used for recommendations1 cited study

    What the sources found

    1 positive · 0 neutral · 0 negativeconfidence 25/100

    How big is the effect

    No study gave a number we could compare, so the size is not known.

    Why this rating

    Rests on: animal or lab studies only

    • Animal or lab studies only: low at most
    • Not eligible as a recommendation: low at most

    Who was studied

    • Diabetes Type 2

    Where the evidence comes from

    • Article1

    Dose & course

    8 weeks

    Who it applies to

    • Animal
    • Unspecified

    Why it isn't used for recommendations

    Very little evidence on file

    Show studies (1)
    Animal studyDAnimalpositive25% confidence2022

    Methanol extract of Inonotus obliquus improves type 2 diabetes mellitus through modifying intestinal flora.

    Concentrations increased vs DB; no effect size reported

    Weak journalHigh risk of bias
    600 mg/kg/day8 weeksPMID 36686454
    Open Gut Microbiome Health Support
    →

17 more mentioned only by users

Conditions it's used for

Complaints and diagnoses people take it for8 listed

The best we have, but the evidence is still weak

  1. Kidney Disease (General)CertaintyLowSourceAnimal researchnot used for recommendations3 cited studies

    In animal studies of diabetes-related kidney injury, Chaga reduced renal tubular damage scores and the area of collagen deposition. Biochemical, ultrasound, and tissue findings suggested effects that may delay progression of diabetic kidney disease.

    How big is the effect

    No study gave a number we could compare, so the size is not known.

    Why this rating

    Rests on: animal or lab studies only

    • Animal or lab studies only: low at most

    Who was studied

    • People with a condition

    Why it isn't used for recommendations

    Animal or in-vitro evidence only

    Subsumes: chronic_kidney_disease

    Show studies (3)
    Animal studyDAnimal35% confidence2024

    Inonotus obliquus (Chaga) against HFD/STZ-induced glucolipid metabolism disorders and abnormal renal functions by regulating NOS-cGMP-PDE5 signaling pathway.

    This research supports the potential application of Chaga in the clinical prevention and treatment of T2DM and diabetic nephropathy (DN)

    No control group
    Animal studyDAnimal35% confidence2025

    Inonotus obliquus (chaga) ameliorates folic acid-induced renal fibrosis in mice: the crosstalk analysis among PT cells, macrophages and T cells based on single-cell sequencing.

    Our findings suggest that Chaga may represent a promising candidate for renal fibrosis treatment, though further experimental validation is needed

    Weak journal
    Animal studyDAnimal35% confidence2021

    Renal Protective Effects of Inonotus obliquus on High-Fat Diet/Streptozotocin-Induced Diabetic Kidney Disease Rats: Biochemical, Color Doppler Ultrasound and Histopathological Evidence.

    we confirmed that chaga had pharmacodynamic effects on diabetes-induced kidney injury

    Weak journal
    Open Kidney Disease (General)
    →
Very low probability(7)
  1. GastritisCertaintyVery lowSourceReference knowledgenot used for recommendations1 other source

    How big is the effect

    No study gave a number we could compare, so the size is not known.

    Why this rating

    Rests on: reports and reference sources, no studies

    • No studies: low at most

    Where the evidence comes from

    • Reference knowledge

    Why it isn't used for recommendations

    Too little evidence to judge

    Show studies (1)
    Reference knowledge50% confidence

    Traditionally used to soothe gastric mucosa and reduce inflammation in gastritis; preclinical data support gastroprotective effects.

    Open Gastritis
    →
  2. Breast CancerCertaintyVery lowSourceAnimal researchnot used for recommendations1 cited study

    How big is the effect

    No study gave a number we could compare, so the size is not known.

    Why this rating

    Rests on: animal or lab studies only

    • Animal or lab studies only: low at most

    Who was studied

    • People with a condition

    Why it isn't used for recommendations

    Very little evidence on file

    Show studies (1)
    Animal studyDAnimal35% confidence2024

    [Anti-tumor effect of Inonotus obliquus extract on 4T1 tumor-bearing mice].

    Inonotus obliquus extract can inhibit tumor growth to some extent, and the mechanism may be related to the inhibition of cyclin expression.

    Open Breast Cancer
    →
  3. Cancer (General)CertaintyVery lowSourceAnimal researchnot used for recommendations1 cited study

    How big is the effect

    No study gave a number we could compare, so the size is not known.

    Why this rating

    Rests on: animal or lab studies only

    • Animal or lab studies only: low at most

    Why it isn't used for recommendations

    Very little evidence on file

    Show studies (1)
    Animal studyDAnimal30% confidence2025

    Mitigation of experimental hepatocellular Carcinoma by Inonotus obliquus Mushroom extract in association with oxidative stress and inflammation signaling.

    This study investigated the effect of an aqueous extract of Inonotus obliquus (IOAE) against diethyl-nitrosamine/carbon tetrachloride (DEN/CCl 4 ) induced HCC in mice

    No control group
    Open Cancer (General)
    →
  4. COVID-19CertaintyVery lowSourceAnimal researchnot used for recommendations1 cited study

    How big is the effect

    No study gave a number we could compare, so the size is not known.

    Why this rating

    Rests on: animal or lab studies only

    • Animal or lab studies only: low at most

    Why it isn't used for recommendations

    Very little evidence on file

    Show studies (1)
    Animal studyDAnimal35% confidence2023

    [Antiviral activity of basidial fungus Inonotus obliquus aqueous extract against SARS-CоV-2 virus (Coronaviridae: Betacoronavirus: Sarbecovirus) in vivo in BALB/c mice model].

    The results obtained indicate the possibility of using basidial fungus Inonotus obliquus aqueous extract as a preventive agent against circulating variants of SARS-CoV-2 virus.

    No control group
    Open COVID-19
    →
  5. Diabetes Type 2CertaintyVery lowSourceAnimal researchnot used for recommendations1 cited study

    In animal research, Chaga showed blood-sugar- and blood-lipid-lowering effects alongside anti-inflammatory activity and improved the structure of some organs and cells. These findings indicate potential relevance to type 2 diabetes, but they do not establish the same effects in people.

    How big is the effect

    No study gave a number we could compare, so the size is not known.

    Why this rating

    Rests on: animal or lab studies only

    • Animal or lab studies only: low at most

    Who was studied

    • People with a condition

    Why it isn't used for recommendations

    Very little evidence on file

    Show studies (1)
    Animal studyDAnimal35% confidence2024

    Inonotus obliquus (Chaga) against HFD/STZ-induced glucolipid metabolism disorders and abnormal renal functions by regulating NOS-cGMP-PDE5 signaling pathway.

    This research supports the potential application of Chaga in the clinical prevention and treatment of T2DM and diabetic nephropathy (DN)

    No control group
    Open Diabetes Type 2
    →
  6. Lung CancerCertaintyVery lowSourceAnimal researchnot used for recommendations1 cited study

    How big is the effect

    No study gave a number we could compare, so the size is not known.

    Why this rating

    Rests on: animal or lab studies only

    • Animal or lab studies only: low at most

    Why it isn't used for recommendations

    Very little evidence on file

    Show studies (1)
    Animal studyDAnimal30% confidence2026

    Anti-NSCLC mechanism of Inonotus obliquus polysaccharides revealed by combined metabolomics and proteomics.

    explore the potential anti-tumor mechanisms of Inonotus obliquus polysaccharides (IOPs) against non-small cell lung cancer (NSCLC)

    Top journal
    Open Lung Cancer
    →
  7. ObesityCertaintyVery lowSourceAnimal researchnot used for recommendations1 cited study

    In high-fat-diet mice, Inonotus obliquus extracts improved body-weight growth rate, accumulated body-weight gain, and accumulated energy intake within 14 weeks. Its polysaccharide reduced body weight, systemic lipid accumulation, and obesity-related liver injury in mice.

    How big is the effect

    No study gave a number we could compare, so the size is not known.

    Why this rating

    Rests on: animal or lab studies only

    • Animal or lab studies only: low at most

    Who was studied

    • People with a condition

    Why it isn't used for recommendations

    Very little evidence on file

    Show studies (1)
    Animal studyDAnimal30% confidence2021

    The difference of regulatory effect of two Inonotus obliquus extracts on high-fat diet mice in relation to the fatty acid elongation function of gut microbiota.

    Both Inonotus obliquus extracts significantly improved the body weight growth rate, accumulated BWG, and accumulated EI of HFD mice within 14 weeks.

    Top journal
    Open Obesity
    →

Side effects

9 listed

Highest probability

  1. Kidney Function DecreaseCertaintyMediumSourceClinical3 cited studies · 2 other sources

    An acute case of oxalate nephropathy with nephrotic syndrome has been reported after Chaga use.

    What the sources found

    0 not observed · 0 unclear · 5 reportedconfidence 42/100

    How big is the effect

    No study gave a number we could compare, so the size is not known.

    Who was studied

    • People with a condition
    • Acute Kidney Injury
    • Chronic Kidney Disease

    Where the evidence comes from

    • Article3
    • Community reports1
    • Reference knowledge1

    Dose & course

    16 weeks

    Show studies (5)
    Case reportDnegativen=145% confidence2022

    Chaga mushroom-induced oxalate nephropathy that clinically manifested as nephrotic syndrome: A case report.

    Acute kidney injury with calcium oxalate crystal deposition and nephrotic syndrome features

    No control group
    Case reportDnegativen=145% confidence2020

    Development of End Stage Renal Disease after Long-Term Ingestion of Chaga Mushroom: Case Report and Review of Literature.

    End-stage renal disease with oxalate nephropathy

    No control group
    Animal studyDAnimalnegative35% confidence2026

    Kidney Injury Induced by High-Dose Chaga Mushroom Consumption: Experimental Evidence in a Rat Model.

    Significantly higher in HD group than other groups

    Some bias concernsNo control group
    3844.8 mg/kg16 weeksPMID 41555803
    Reference knowledgenegative65% confidence

    Chaga accumulates high levels of oxalates; chronic use may lead to oxalate nephropathy and progressive decline in glomerular filtration rate.

    Community reportsnegative20% confidence

    This effect was mentioned in 2 of 51 YouTube videos discussing it.

    Youtube 2
    Open Kidney Function Decrease
    →
Low probability(8)
  1. Heavy Metal AccumulationCertaintyLowSourceReference knowledge1 other source

    Chaga mushrooms can bioaccumulate cadmium, lead, and mercury from birch tree substrate, so long-term use of wild-harvested Chaga may lead to toxic metal exposure.

    What the sources found

    0 not observed · 0 unclear · 1 reportedconfidence 60/100

    How big is the effect

    No study gave a number we could compare, so the size is not known.

    Where the evidence comes from

    • Reference knowledge1
    Show studies (1)
    Reference knowledgenegative60% confidence

    Chaga grows on birch trees that absorb environmental toxins; wild-harvested specimens may contain elevated levels of cesium, strontium, or other heavy metals, posing risk with long-term use.

    Open Heavy Metal Accumulation
    →
  2. Kidney Stone Formation RiskCertaintyLowSourceReference knowledge1 other source

    Some Chaga preparations contain very high oxalate levels, which can increase urinary oxalate and promote calcium oxalate crystallization, kidney stones, or oxalate nephropathy.

    What the sources found

    0 not observed · 0 unclear · 1 reportedconfidence 60/100

    How big is the effect

    No study gave a number we could compare, so the size is not known.

    Where the evidence comes from

    • Reference knowledge1
    Show studies (1)
    Reference knowledgenegative60% confidence

    Chaga's high oxalate content can promote calcium oxalate kidney stone formation, especially with prolonged high-dose use.

    Open Kidney Stone Formation Risk
    →
  3. Allergic ReactionCertaintyLowSourceReference knowledge1 other source

    As a mushroom product, Chaga can trigger allergic reactions in people with mushroom allergies.

    What the sources found

    0 not observed · 0 unclear · 1 reportedconfidence 55/100

    How big is the effect

    No study gave a number we could compare, so the size is not known.

    Where the evidence comes from

    • Reference knowledge1
    Show studies (1)
    Reference knowledgenegative55% confidence

    As a fungus, Chaga may trigger allergic reactions in individuals sensitive to mushrooms or molds, ranging from mild to severe.

    Open Allergic Reaction
    →
  4. Blood Sugar DecreaseCertaintyLowSourceReference knowledge1 other source

    Chaga may lower blood glucose levels, potentially causing hypoglycemic symptoms in susceptible individuals.

    What the sources found

    0 not observed · 0 unclear · 1 reportedconfidence 55/100

    How big is the effect

    No study gave a number we could compare, so the size is not known.

    Where the evidence comes from

    • Reference knowledge1
    Show studies (1)
    Reference knowledgenegative55% confidence

    Chaga may lower blood glucose levels, potentially causing hypoglycemia, especially at high doses or with fasting.

    Open Blood Sugar Decrease
    →
  5. Blood ThinningCertaintyLowSourceReference knowledge1 other source

    Chaga has anticoagulant properties that may increase the tendency to bleed and bruise.

    What the sources found

    0 not observed · 0 unclear · 1 reportedconfidence 55/100

    How big is the effect

    No study gave a number we could compare, so the size is not known.

    Where the evidence comes from

    • Reference knowledge1
    Show studies (1)
    Reference knowledgenegative55% confidence

    Chaga exhibits antiplatelet activity, which may prolong bleeding time and increase bruising.

    Open Blood Thinning
    →
  6. Nutrient MalabsorptionCertaintyLowSourceReference knowledge1 other source

    At high or prolonged powder doses, Chaga’s oxalate content can bind calcium and other divalent minerals in the gut. Clinically meaningful depletion at typical tea doses has not been demonstrated.

    What the sources found

    0 not observed · 0 unclear · 1 reportedconfidence 50/100

    How big is the effect

    No study gave a number we could compare, so the size is not known.

    Where the evidence comes from

    • Reference knowledge1
    Show studies (1)
    Reference knowledgenegative50% confidence

    High tannin content in Chaga may bind dietary minerals (iron, zinc, calcium), reducing gastrointestinal absorption and potentially contributing to deficiencies with chronic use.

    Open Nutrient Malabsorption
    →
  7. Inflammation IncreaseCertaintyLowSourceAnimal research1 cited study · 1 other source

    What the sources found

    0 not observed · 0 unclear · 2 reportedconfidence 40/100

    How big is the effect

    No study gave a number we could compare, so the size is not known.

    Where the evidence comes from

    • Article1
    • Community reports1

    Dose & course

    16 weeks

    Show studies (2)
    Animal studyDAnimalnegative35% confidence2026

    Kidney Injury Induced by High-Dose Chaga Mushroom Consumption: Experimental Evidence in a Rat Model.

    Significantly elevated in HD group vs other groups

    Some bias concernsNo control group
    3844.8 mg/kg16 weeksPMID 41555803
    Community reportsnegative45% confidence

    Paradoxical increase in joint pain and systemic inflammation reported by some users at high doses, possibly due to overstimulation of immune cytokines (e.g., TNF-α, IL-6).

    Open Inflammation Increase
    →
  8. Injury Risk IncreaseCertaintyLowSourceAnimal research1 cited study

    What the sources found

    0 not observed · 0 unclear · 1 reportedconfidence 30/100

    How big is the effect

    No study gave a number we could compare, so the size is not known.

    Where the evidence comes from

    • Article1

    Dose & course

    16 weeks

    Show studies (1)
    Animal studyDAnimalnegative30% confidence2026

    Kidney Injury Induced by High-Dose Chaga Mushroom Consumption: Experimental Evidence in a Rat Model.

    TUNEL 43.7 ± 3.5 vs 8.4 ± 1.6 mm2/10^4 (control); Bcl-2 25.6% vs 48.6% (control)

    Some bias concernsNo control group
    3844.8 mg/kg16 weeksPMID 41555803
    Open Injury Risk Increase
    →

17 more mentioned only by users

Don't take it if

Conditions and states that rule it out10 listed

Highest probability

  1. Bleeding DisordersCertaintyLowSourceReference knowledgeTheoretical

    Chaga's anticoagulant effects may increase hemorrhage risk in people with bleeding disorders.

    Where the evidence comes from

    • Reference knowledge

    Confidence

    confidence 75/100

    Rationale

    Due to Chaga’s potential anticoagulant and antiplatelet effects from triterpenoids and polyphenols, it may exacerbate bleeding in individuals with coagulopathies such as hemophilia or von Willebrand disease.

    Open Bleeding Disorders
    →
  2. Chronic Kidney DiseaseCertaintyLowSourceReference knowledgeTheoretical

    Chaga can contain very high oxalate concentrations, and prolonged or high-dose intake has caused oxalate nephropathy. Reduced renal clearance increases this risk.

    Where the evidence comes from

    • Reference knowledge

    Confidence

    confidence 75/100

    Rationale

    High oxalate content may worsen kidney function and increase stone risk.

    Open Chronic Kidney Disease
    →
  3. Kidney StonesCertaintyLowSourceReference knowledgeTheoretical

    Where the evidence comes from

    • Reference knowledge

    Confidence

    confidence 75/100

    Rationale

    High oxalate content increases the risk of calcium oxalate stone formation; contraindicated in those with a history of kidney stones.

    Open Kidney Stones
    →
  4. Organ Transplant RecipientCertaintyLowSourceReference knowledgeTheoretical

    Immune-stimulating constituents may oppose anti-rejection therapy. Clinical relevance is uncertain, but graft rejection is a high-consequence potential harm.

    Where the evidence comes from

    • Reference knowledge

    Confidence

    confidence 75/100

    Rationale

    Chaga’s immune-stimulating beta-glucans may counteract immunosuppressive therapy and increase risk of graft rejection in organ transplant recipients.

    Open Organ Transplant Recipient
    →
  5. Pre-SurgeryCertaintyLowSourceReference knowledgeTheoretical

    Chaga should be discontinued before surgery because of bleeding risk; typically 2 weeks prior is recommended.

    Where the evidence comes from

    • Reference knowledge

    Confidence

    confidence 75/100

    Rationale

    Antiplatelet effects may increase bleeding risk during surgery.

    Open Pre-Surgery
    →
  6. Autoimmune Disease (General)CertaintyLowSourceReference knowledgeTheoretical

    Chaga's immune-stimulating properties may exacerbate autoimmune conditions by increasing immune activity.

    Where the evidence comes from

    • Reference knowledge

    Confidence

    confidence 70/100

    Rationale

    Chaga’s immune-stimulating beta-glucans may exacerbate conditions like lupus, rheumatoid arthritis, or multiple sclerosis by enhancing Th1 and macrophage activity.

    Open Autoimmune Disease (General)
    →
  7. BreastfeedingCertaintyLowSourceReference knowledgeTheoretical

    Safety data for Chaga use during breastfeeding are insufficient, and compounds may transfer to the infant.

    Where the evidence comes from

    • Reference knowledge

    Confidence

    confidence 70/100

    Rationale

    No safety data in lactation; potential transfer of bioactive compounds to the infant warrants avoidance.

    Open Breastfeeding
    →
Low probability(3)
  1. PediatricCertaintyLowSourceReference knowledgeTheoretical

    No safety data are available for children. Immature metabolic and renal systems may be more susceptible to oxalate accumulation and immune modulation effects.

    Where the evidence comes from

    • Reference knowledge

    Confidence

    confidence 70/100

    Rationale

    Safety not established; risk of oxalate nephropathy in developing kidneys.

    Open Pediatric
    →
  2. PregnancyCertaintyLowSourceReference knowledgeTheoretical

    Safety data for Chaga use during pregnancy are insufficient, and its immunomodulatory effects pose a theoretical risk.

    Where the evidence comes from

    • Reference knowledge

    Confidence

    confidence 70/100

    Rationale

    Safety during pregnancy has not been established; due to lack of data and potential immunomodulatory effects, use should be avoided.

    Open Pregnancy
    →
  3. Acute Kidney InjuryCertaintyLowSourceTheoretical1 cited study

    Chaga mushroom-induced oxalate nephropathy has clinically manifested as nephrotic syndrome.

    How big is the effect

    No study gave a number we could compare, so the size is not known.

    Who was studied

    • People with a condition

    Rationale

    ingesting high doses of Chaga mushroom can cause acute oxalate nephropathy

    Show studies (1)
    Case reportDn=125% confidence2022

    Chaga mushroom-induced oxalate nephropathy that clinically manifested as nephrotic syndrome: A case report.

    ingesting high doses of Chaga mushroom can cause acute oxalate nephropathy

    No control group
    Open Acute Kidney Injury
    →

Pregnancy, breastfeeding and children

What is known for each group. Ask a doctor before using it in any of them.

  • PregnancyNot enough data

    Too little research to say anything. This is not a clearance.

    Safety during pregnancy has not been established; due to lack of data and potential immunomodulatory effects, use should be avoided.

  • BreastfeedingAvoid

    Studies or guidelines say to avoid it in this group.

    No safety data in lactation; potential transfer of bioactive compounds to the infant warrants avoidance.

  • ChildrenAvoid

    Studies or guidelines say to avoid it in this group.

    Safety not established; risk of oxalate nephropathy in developing kidneys.

Interactions

Combine with caution

Highest severity first

  1. SulfonylureasTheoreticalModerate

    Chaga may lower blood glucose, so combining it with sulfonylureas could produce an additive effect and increase the risk of hypoglycemia.

    Where the evidence comes from

    • Reference knowledge

    Confidence

    confidence 70/100

    Open Sulfonylureas
    →
  2. WarfarinTheoreticalCaution

    Chaga may theoretically increase bleeding risk with warfarin, but a specific CYP2C9 interaction and clinically documented elevation in INR have not been established.

    Where the evidence comes from

    • Reference knowledge

    Confidence

    confidence 80/100

    Open Warfarin
    →
  3. InsulinTheoreticalCaution

    Chaga may be a potentially dangerous combination with insulin; consult a healthcare provider before combining them.

    Where the evidence comes from

    • Reference knowledge

    Confidence

    confidence 75/100

    Open Insulin
    →
  4. Antiplatelet AgentsTheoreticalCaution

    Chaga inhibits platelet aggregation, so combining it with antiplatelet agents may increase bleeding risk.

    Where the evidence comes from

    • Reference knowledge

    Confidence

    confidence 65/100

    Open Antiplatelet Agents
    →
  5. PhenytoinTheoreticalCaution

    Theoretical concern that Chaga may increase phenytoin levels and risk of toxicity; clinically significant interaction is not established.

    Where the evidence comes from

    • Reference knowledge

    Confidence

    confidence 50/100

    Open Phenytoin
    →
  6. Statins (HMG-CoA Reductase Inhibitors)TheoreticalCaution

    Theoretical concern that Chaga may increase statin levels and risk of myopathy; clinically significant interaction is not established.

    Where the evidence comes from

    • Reference knowledge

    Confidence

    confidence 50/100

    Open Statins (HMG-CoA Reductase Inhibitors)
    →

Okay to combine with

Highest probability of useful synergy

  1. SupplementsQuercetinCertaintyMediumSourceReference knowledgePotentiating

    Quercetin enhances bioavailability of fungal polyphenols via inhibition of COMT and glucuronidation; may increase plasma concentration and half-life of Chaga’s active constituents.

    Where the evidence comes from

    • Reference knowledge

    Confidence

    confidence 65/100

    Open Quercetin
    →
  2. SupplementsVitamin DCertaintyMediumSourceReference knowledgeComplementary

    Vitamin D and Chaga both support innate immunity via modulation of dendritic cells and T-reg differentiation; their effects on immune homeostasis are complementary.

    Where the evidence comes from

    • Reference knowledge

    Confidence

    confidence 65/100

    Open Vitamin D
    →
  3. SupplementsMaitakeCertaintyMediumSourceReference knowledgeComplementary

    Both Chaga and Maitake are medicinal mushrooms rich in beta-glucans, and their complementary polysaccharide profiles may enhance immune function together.

    Where the evidence comes from

    • Reference knowledge

    Confidence

    confidence 60/100

    Open Maitake
    →
  4. SupplementsShiitakeCertaintyMediumSourceReference knowledgeComplementary

    Shiitake's lentinan and Chaga's polysaccharides may synergistically stimulate innate immune responses.

    Where the evidence comes from

    • Reference knowledge

    Confidence

    confidence 60/100

    Open Shiitake
    →
  5. SupplementsTurkey TailCertaintyMediumSourceReference knowledgeComplementary

    Turkey tail's PSK/PSP and Chaga's beta-glucans may provide additive immunomodulatory and antioxidant effects.

    Where the evidence comes from

    • Reference knowledge

    Confidence

    confidence 60/100

    Open Turkey Tail
    →
  6. SupplementsVitamin C (Ascorbic Acid)CertaintyMediumSourceReference knowledgeComplementary

    Vitamin C may regenerate oxidized antioxidants, potentially strengthening Chaga’s free-radical-scavenging capacity.

    Where the evidence comes from

    • Reference knowledge

    Confidence

    confidence 60/100

    Open Vitamin C (Ascorbic Acid)
    →
  7. SupplementsReishiCertaintyMediumSourceReference knowledgeAdditive

    Both contain immunomodulatory polysaccharides; combined use may enhance immune support.

    Where the evidence comes from

    • Reference knowledge

    Confidence

    confidence 55/100

    Open Reishi
    →
Medium probability(2)
  1. SupplementsZincCertaintyMediumSourceReference knowledgeAdditive

    Zinc is a cofactor for superoxide dismutase and supports immune cell signaling; synergizes with Chaga’s beta-glucan-mediated immune modulation to enhance NK cell activity and cytokine balance.

    Where the evidence comes from

    • Reference knowledge

    Confidence

    confidence 55/100

    Open Zinc
    →
  2. SupplementsOmega-3CertaintyMediumSourceTheoreticalAdditive

    Omega-3s and Chaga both reduce pro-inflammatory cytokines (e.g., IL-6, TNF-α); their combined use may have additive anti-inflammatory effects, particularly in chronic inflammatory states.

    Where the evidence comes from

    • Expert opinion

    Confidence

    confidence 50/100

    Open Omega-3
    →

Weakens or is weakened by

Highest probability

  1. SupplementsActivated CharcoalCertaintyMediumSourceReference knowledgeCompetitive

    Activated charcoal adsorbs large-molecule beta-glucans and polyphenols in the gut, reducing intestinal absorption and bioavailability of Chaga’s active constituents.

    Where the evidence comes from

    • Reference knowledge

    Confidence

    confidence 60/100

    Open Activated Charcoal
    →
  2. Immunosuppressants (Anti-Rejection)CertaintyMediumSourceReference knowledgeCompetitive

    Chaga's immune-stimulating properties may reduce the intended immunosuppressive effect, potentially compromising treatment efficacy.

    Where the evidence comes from

    • Reference knowledge

    Confidence

    confidence 60/100

    Open Immunosuppressants (Anti-Rejection)
    →
  3. SupplementsIronCertaintyMediumSourceReference knowledgeRatio-dependent

    Chaga contains oxalates which can bind to iron, reducing its absorption.

    Where the evidence comes from

    • Reference knowledge

    Confidence

    confidence 60/100

    Open Iron
    →
  4. SupplementsMagnesiumCertaintyMediumSourceReference knowledgeRatio-dependent

    Chaga contains oxalates which can bind to magnesium, reducing its absorption.

    Where the evidence comes from

    • Reference knowledge

    Confidence

    confidence 60/100

    Open Magnesium
    →
  5. SupplementsDietary Fiber (Prebiotics)CertaintyMediumSourceReference knowledgeCompetitive

    Psyllium forms a viscous gel in the GI tract that may physically impede absorption of Chaga’s high-molecular-weight polysaccharides, reducing immunomodulatory efficacy.

    Where the evidence comes from

    • Reference knowledge

    Confidence

    confidence 55/100

    Open Dietary Fiber (Prebiotics)
    →
Unrated(2)
  1. CyclosporineCompetitive

    Theoretical concern that Chaga's immunostimulant effects may reduce cyclosporine efficacy; clinically significant interaction is not established.

    Where the evidence comes from

    • Reference knowledge

    Confidence

    confidence 60/100

    Open Cyclosporine
    →
  2. TacrolimusCompetitive

    Theoretical concern that Chaga's immunostimulant effects may reduce tacrolimus efficacy; clinically significant interaction is not established.

    Where the evidence comes from

    • Reference knowledge

    Confidence

    confidence 60/100

    Open Tacrolimus
    →

Forms & dosage

Chaga

Oral5/10
Bioavailability
Low
Availability
Health & supplement stores
Rating
5/10 · Minimal

Traditional form with minimal processing; requires hot-water extraction to release beta-glucans, so raw powder has poor bioavailability of key polysaccharides.

May contain chitin, which can be hard to digest for some individuals.

Chaga Hot Water Extract

Oral7/10

This form has a milder taste than dual extracts and may suit people who avoid alcohol-based tinctures.

Bioavailability
Moderate
Availability
Health & supplement stores
Rating
7/10 · Moderate

The most studied and widely used form; hot-water extraction solubilizes immunomodulating beta-glucans, making them bioavailable, unlike raw powder.

Well-tolerated; the standard form for immune support.

Chaga Dual Extract (Water + Alcohol)

Oral8/10

This form may have a strong, bitter taste. Liquid extracts can be added to hot water or taken directly.

Bioavailability
High
Availability
Health & supplement stores
Rating
8/10 · Minimal

Captures both polysaccharides (water-soluble) and triterpenoids like betulinic acid (alcohol-soluble), offering a broader phytochemical profile than water-only extracts.

Alcohol-based tinctures may not suit everyone; glycerite alternatives exist.

Chaga Fermented Extract

Oral6/10
Bioavailability
High
Availability
Health & supplement stores
Rating
6/10 · Minimal

Fermentation may pre-digest chitin and enhance bioavailability of secondary metabolites, but research is sparse compared to hot-water extracts.

May offer additional probiotic benefits; taste can be strong.

Chaga Tea Bags

Oral4/10
Bioavailability
Low
Availability
Health & supplement stores
Rating
4/10 · Minimal

Convenient but typically a short steep, yielding lower polysaccharide extraction than a prolonged decoction of chunks or powder.

Mild, earthy taste; a gentle introduction to chaga.

Chaga Chunks (Dried Sclerotium)

Oral5/10
Bioavailability
Low
Availability
Health & supplement stores
Rating
5/10 · Minimal

Requires long simmering (1-4 hours) to extract beneficial compounds; more labor-intensive but yields a traditional full-spectrum decoction.

Can be re-used for multiple brews until color fades.

Research & prescription forms (1)

Forms used in research or medicine — not everyday consumer products.

Inonotus obliquus Polysaccharide Extract (Parenteral)

IntravenousClinical (injected)

prescription · research only

Investigational IV formulation used in a few clinical studies for cancer and immune modulation; not available as a consumer product.

High-molecular-weight polysaccharides isolated for injection; studied in oncology settings.

Community experience

Based on 318 public posts from Reddit, YouTube, Bluesky, Longecity, and Hacker News.

Signal found9 signals5 platforms
Reddit 229YouTube 51Bluesky 33Longecity 4Hacker News 1

What users report (not studied)

No study backs these. They come only from public posts and videos.

12 outcomes mentioned across 318 public reports. A report often mentions several, so these counts do not add up to the total.

Reported benefits7

Reported side effects5

What people report taking

dose read from 42 of 318 reports
Median
250 mg
Common range
100-500 mg
Reported range
50–2,000 mg

Forms taken

Powder43Capsule37Tea8Tincture8

How often

Daily100As needed6Twice a day5Cycling3

Self-reported from public posts and videos. Not evidence of effect, and not a recommendation.

More

Write-up

For self-tracking, record Body Weight in kg under consistent conditions and compare it again after 4 weeks. Its movement is conflicting, so a change in either direction should not be treated as a clear sign of success or failure. An unchanged result is still information rather than a verdict.

The other markers require clinical testing. After 4 weeks, Fasting Glucose is expected to decrease. After 8 weeks, HDL Cholesterol is expected to increase, while Total Cholesterol, Triglycerides, and LDL Cholesterol are expected to decrease. After 5 weeks, Creatinine, Aspartate Aminotransferase, and Albumin-to-Creatinine Ratio are expected to decrease. After 2 weeks, Blood Urea Nitrogen is expected to remain unchanged; this is not a sign of success or failure.

Annual Checkup Basic can provide several of these measurements in one fasting assessment, including Aspartate Aminotransferase, Creatinine, Fasting Glucose, HDL Cholesterol, LDL Cholesterol, Total Cholesterol, and Triglycerides. It does not replace separate consideration of the other markers.

These directions should be interpreted cautiously because the best study design listed for the markers is a study in animals. An unchanged marker is information, not a diagnosis or a reason by itself to conclude that Chaga has or has not worked. Any abnormal result should be discussed with a clinician.

References

90 screened · 79 analysed · 88 listed below

Studies and sources cited on this page. Evidence quality varies — check the grade on each.

  1. Chaga Mushroom (Inonotus obliquus) Attenuates DNCB-Induced Atopic Dermatitis by Modulating Oxidative Stress and Cytokine Expression.J Microbiol Biotechnol2026Animal studyD
  2. Inonotus obliquus Polysaccharides Prevent High-Fat Diet-Induced Obesity in Mice Related to Reshaping Gut Microbiota.Foods2026Animal studyD
  3. Kidney Injury Induced by High-Dose Chaga Mushroom Consumption: Experimental Evidence in a Rat Model.J Korean Med Sci2026Animal studyD
  4. Inonotus obliquus Crude Melanin Ameliorates DSS-Induced Colitis with Modulation of Gut Microbiota and Neutrophil pro-NETotic Activation.Nutrients2026Animal studyD
  5. The effects of polysaccharides from Inonotus obliquus, artemisinin, and dihydroartemisinin on the reproductive system of male mice infected with Neospora caninum.Front Vet Sci2026Animal studyD
  6. Neutral Inonotus obliquus polysaccharide (IOP-W): Structural characterization and p53/MAPK-mediated apoptotic activity against pancreatic Cancer unveiled through multi-omics.Int J Biol Macromol2026Animal studyD
  7. Anti-NSCLC mechanism of Inonotus obliquus polysaccharides revealed by combined metabolomics and proteomics.Int J Biol Macromol2026Animal studyD
  8. Inonotus obliquus (Ach. ex Pers.) Pilát aqueous extract alleviates acute cold exposure/rewarming-induced myocardial injury by regulating mitochondrial dynamics via liver kinase B1/adenosine monophosphate-activated protein kinase/peroxisome proliferator-activated receptor gamma coactivator-1 alpha signaling pathway activation.J Ethnopharmacol2026Animal studyD
  9. Effects of dietary Inonotus obliquus fermentation product supplementation on growth performance, immune function, blood glucose level, and gut microbiota in cats.Front Vet Sci2026Animal studyD
  10. Dietary 3,4-Dihydroxybenzalacetone alleviates LPS-induced intestinal injury in Leizhou black ducks by improving mitochondrial function and suppressing apoptosis.Poult Sci2026Animal studyD
Show all 88 references
  1. Supernatant of Water Extraction-Ethanol Precipitation of Chaga mushroom Improves Hyperglycemia in Type 2 Diabetes Mellitus and Is Accompanied by Changes in Gut Microbiota Composition.2026Animal studyD
  2. A Novel Acidic Polysaccharide from Inonotus obliquus (IOP-1) Suppresses Growth and Induces Apoptosis in Non-Small Cell Lung Cancer both In Vitro and In Vivo.2026Animal studyD
  3. Green Extraction and Liposomal Encapsulation of Inonotus obliquus (Chaga) Extracts: Comparative Phytochemical and Antioxidant Analysis.2026In vitroD
  4. Elucidating the Anti-Diabetic Mechanisms of Mushroom Chaga (Inonotus obliquus) by Integrating LC-MS, Network Pharmacology, Molecular Docking, and Bioinformatics.2025OtherD
  5. Integrating Network Pharmacology and Experimental Validation to Explore the Effect and Mechanism of Inonotus obliquus Polysaccharide in the Treatment of Rheumatoid Arthritis.2025Animal studyD
  6. Inonotus obliquus fermentation product improves growth performance and meat quality probably through intestine and antioxidant capacity enhanced by gut microbes and metabolites regulation in rabbits.2025Animal studyD
  7. Inonotus obliquus (chaga) ameliorates folic acid-induced renal fibrosis in mice: the crosstalk analysis among PT cells, macrophages and T cells based on single-cell sequencing.2025Animal studyD
  8. INO10, a Chaga Mushroom Extract, Alleviates Alzheimer's Disease-Related Pathology and Cognitive Deficits in 3xTg-AD Mice.2025Animal studyD
  9. Triterpenoids from the edible mushroom Inonotus obliquus attenuates cognitive impairment in vitro and in vivo.2025Animal studyD
  10. Mitigation of experimental hepatocellular Carcinoma by Inonotus obliquus Mushroom extract in association with oxidative stress and inflammation signaling.2025Animal studyD
  11. Effects of dietary Inonotus obliquus fermentation products supplementation on meat quality and antioxidant capacity of finishing pigs2025Animal studyD
  12. Design and Evaluation of a Inonotus obliquus-AgNP-Maltodextrin Delivery System: Antioxidant, Antimicrobial, Acetylcholinesterase Inhibitory and Cytotoxic Potential.2025In vitroD
  13. Betulinic acid from Inonotus obliquus ameliorates T2DM by modulating short-chain fatty acids producing bacteria and amino acids metabolism in db/db mice.2025Animal studyD
  14. The aqueous extracts of Inonotus obliquus (Chaga) augment host defense against Listeria monocytogenes infection.2025Animal studyD
  15. Effects of Inonotus obliquus on ameliorating podocyte injury in ORG mice through TNF pathway and prediction of active compounds.2024Animal studyD
  16. Chaga mushroom extract suppresses oral cancer cell growth via inhibition of energy metabolism.2024In vitroD
  17. Study of active components and mechanisms mediating the hypolipidemic effect of Inonotus obliquus polysaccharides.2024Animal studyD
  18. Antidiabetic activity of Inonotus obliquus water extract in alloxan-induced diabetic mice.2024Animal studyD
  19. [Anti-tumor effect of Inonotus obliquus extract on 4T1 tumor-bearing mice].2024Animal studyD
  20. Inonotus obliquus (Chaga) against HFD/STZ-induced glucolipid metabolism disorders and abnormal renal functions by regulating NOS-cGMP-PDE5 signaling pathway.2024Animal studyD
  21. Protective effect of Inonotus obliquus polysaccharide on mice infected with Neospora caninum.2024Animal studyD
  22. Structural analysis of polysaccharide from Inonotus obliquus and investigate combined impact on the sex hormones, intestinal microbiota and metabolism in SPF male mice.2024Animal studyD
  23. Liver-X receptor β-selective agonist CE9A215 regulates Alzheimer’s disease- associated pathology in a 3xTg-AD mouse model2024Animal studyD
  24. Anti-cancer activity of Chaga mushroom (Inonotus obliquus) against dog bladder cancer organoids.2023Animal studyD
  25. Inonotus obliquus polysaccharide are linear molecules that alter the abundance and composition of intestinal microbiota in Sprague Dawley rats.2023Animal studyD
  26. Renoprotective Impacts of Inonotus obliquus Ethanol-Ethyl Acetate Extract on Combined Streptozotocin and Unilateral Nephrectomy-Induced Diabetic Nephropathy in Mice.2023Animal studyD
  27. Raw Inonotus obliquus polysaccharide counteracts Alzheimer's disease in a transgenic mouse model by activating the ubiquitin-proteosome system.2023Animal studyD
  28. [Antiviral activity of basidial fungus Inonotus obliquus aqueous extract against SARS-CоV-2 virus (Coronaviridae: Betacoronavirus: Sarbecovirus) in vivo in BALB/c mice model].2023Animal studyD
  29. Polysaccharide from fermented mycelium of Inonotus obliquus attenuates the ulcerative colitis and adjusts the gut microbiota in mice.2023Animal studyD
  30. Study on the hypolipidemic effect of Inonotus obliquus polysaccharide in hyperlipidemia rats based on the regulation of intestinal flora.2023Animal studyD
  31. Inonotus obliquus upregulates muscle regeneration and augments function through muscle oxidative metabolism2023Animal studyD
  32. In Vitro Immunomodulatory Effects of Inonotus obliquus Extracts on Resting M0 Macrophages and LPS-Induced M1 Macrophages.2022In vitroD
  33. Inonotus obliquus aqueous extract prevents histopathological alterations in liver induced by environmental toxicant Microcystin.2022Animal studyD
  34. Methanol extract of Inonotus obliquus improves type 2 diabetes mellitus through modifying intestinal flora.2022Animal studyD
  35. Chaga mushroom-induced oxalate nephropathy that clinically manifested as nephrotic syndrome: A case report.2022Case reportDn=1
  36. Effect of Inonotus obliquus Extract Supplementation on Endurance Exercise and Energy-Consuming Processes through Lipid Transport in Mice.2022Animal studyD
  37. Anti-diabetic effects of Inonotus obliquus extract in high fat diet combined streptozotocin-induced type 2 diabetic mice.2022Animal studyD
  38. Polysaccharide derived from Inonotus obliquus inhibits lipopolysaccharide-induced acute endometritis in mice.2022Animal studyD
  39. Triterpenoid acids from medicinal mushroom Inonotus obliquus (Chaga) alleviate hyperuricemia and inflammation in hyperuricemic mice: Possible inhibitory effects on xanthine oxidase activity2022Animal studyD
  40. Evaluation of Toxicity and Efficacy of Inotodiol as an Anti-Inflammatory Agent Using Animal Model.2022Animal studyD
  41. A polysaccharide from Inonotus obliquus ameliorates intestinal barrier dysfunction in mice with type 2 diabetes mellitus.2022Animal studyD
  42. Inonotus obliquus and its bioactive compounds alleviate non-alcoholic fatty liver disease via regulating FXR/SHP/SREBP-1c axis.2022Animal studyD
  43. Triterpenoid acids from medicinal mushroom Inonotus obliquus (Chaga) alleviate hyperuricemia and inflammation in hyperuricemic mice: Possible inhibitory effects on xanthine oxidase activity.2022Animal studyD
  44. Inonotus obliquus polysaccharide ameliorates serum profiling in STZ-induced diabetic mice model.2021Animal studyD
  45. Lipid-Lowering Effects of Inonotus obliquus Polysaccharide In Vivo and In Vitro.2021Animal studyD
  46. Renal Protective Effects of Inonotus obliquus on High-Fat Diet/Streptozotocin-Induced Diabetic Kidney Disease Rats: Biochemical, Color Doppler Ultrasound and Histopathological Evidence.2021Animal studyD
  47. The difference of regulatory effect of two Inonotus obliquus extracts on high-fat diet mice in relation to the fatty acid elongation function of gut microbiota.2021Animal studyD
  48. Chaga mushroom (Inonotus obliquus) polysaccharides exhibit genoprotective effects in UVB-exposed embryonic zebrafish (Danio rerio) through coordinated expression of DNA repair genes.2021Animal studyD
  49. Protective Effects of Chaga Medicinal Mushroom, Inonotus obliquus (Agaricomycetes), Extract on β-Amyloid-Induced Neurotoxicity in PC12 Cells and Aging Rats: In Vitro and In Vivo Studies.2021In vitroD
  50. Effect of Inonotus obliquus (Fr.) Pilat extract on the regulation of glycolipid metabolism via PI3K/Akt and AMPK/ACC pathways in mice.2021Animal studyD
  51. Effect of Inonotus obliquus polysaccharide on composition of the intestinal flora in mice with acute endometritis.2021Animal studyD
  52. Molecular insights and cell cycle assessment upon exposure to Chaga (Inonotus obliquus) mushroom polysaccharides in zebrafish (Danio rerio).2020Animal studyD
  53. Genoprotective effects of Chaga mushroom ( Inonotus obliquus ) polysaccharides in UVB-exposed embryonic zebrafish ( Danio rerio ) through coordinated expression of DNA repair genes2020Animal studyD
  54. Anti-allergic effect of inotodiol, a lanostane triterpenoid from Chaga mushroom, via selective inhibition of mast cell function.2020Animal studyD
  55. Inonotus obliquus polysaccharide protects against adverse pregnancy caused by Toxoplasma gondii infection through regulating Th17/Treg balance via TLR4/NF-κB pathway.2020Animal studyD
  56. Spatial structure and anti-fatigue of polysaccharide from Inonotus obliquus.2020Animal studyD
  57. Inonotus obliquus polysaccharide ameliorates impaired reproductive function caused by Toxoplasma gondii infection in male mice via regulating Nrf2-PI3K/AKT pathway.2020Animal studyD
  58. Inonotus obliquus Polysaccharide Ameliorates Azoxymethane/Dextran Sulfate Sodium-Induced Colitis-Associated Cancer in Mice via Activation of the NLRP3 Inflammasome.2020Animal studyD
  59. Cecal Butyrate (Not Propionate) Was Connected with Metabolism-Related Chemicals of Mice, Based on the Different Effects of the Two Inonotus obliquus Extracts on Obesity and Their Mechanisms.2020Animal studyD
  60. Development of End Stage Renal Disease after Long-Term Ingestion of Chaga Mushroom: Case Report and Review of Literature.2020Case StudyDn=1
  61. Inonotus obliquus attenuates histamine-induced microvascular inflammation.2019Animal studyD
  62. Assessment of the Gastroprotective Effect of the Chaga Medicinal Mushroom, Inonotus obliquus (Agaricomycetes), Against the Gastric Mucosal Ulceration Induced by Ethanol in Experimental Rats.2019Animal studyD
  63. Inonotus obliquus polysaccharide ameliorates dextran sulphate sodium induced colitis involving modulation of Th1/Th2 and Th17/Treg balance.2019Animal studyD
  64. The polysaccharide from Inonotus obliquus protects mice from Toxoplasma gondii-induced liver injury.2019Animal studyD
  65. Structure Characterization and Hypoglycaemic Activities of Two Polysaccharides from Inonotus obliquus.2018Animal studyD
  66. Immunopotentiating effect of Inonotus obliquus fermentation products administered at vaccination in chickens.2018Animal studyD
  67. Actions of Inonotus obliquus against Hyperuricemia through XOD and Bioactives Screened by Molecular Modeling.2018Animal studyD
  68. Inonotus obliquus polysaccharide regulates gut microbiota of chronic pancreatitis in mice.2017Animal studyD
  69. Antidiabetic activities of polysaccharides separated from Inonotus obliquus via the modulation of oxidative stress in mice with streptozotocin-induced diabetes.2017Animal studyD
  70. Anti-diabetic effects of Inonotus obliquus polysaccharides in streptozotocin-induced type 2 diabetic mice and potential mechanism via PI3K-Akt signal pathway.2017Animal studyD
  71. Continuous intake of the Chaga mushroom (Inonotus obliquus) aqueous extract suppresses cancer progression and maintains body temperature in mice.2016Animal studyD
  72. Antioxidant activity of Inonotus obliquus polysaccharide and its amelioration for chronic pancreatitis in mice.2016Animal studyD
  73. Renal Protective Effects of Low Molecular Weight of Inonotus obliquus Polysaccharide (LIOP) on HFD/STZ-Induced Nephropathy in Mice.2016Animal studyD
  74. Purification, characterization and biological activity of a novel polysaccharide from Inonotus obliquus.2015Animal studyD
  75. Protective Effect of Polysaccharides from Inonotus obliquus on Streptozotocin-Induced Diabetic Symptoms and Their Potential Mechanisms in Rats.2014Animal studyD
  76. Anticancer activity of subfractions containing pure compounds of Chaga mushroom (Inonotus obliquus) extract in human cancer cells and in Balbc/c mice bearing Sarcoma-180 cells.2010Animal studyD
  77. Anti-inflammatory effects of Inonotus obliquus in colitis induced by dextran sodium sulfate.2010Animal studyD
  78. Established pharmacology

Diatelos provides general wellness information based on published research. It is not medical advice. Talk to a clinician before starting any new supplement or practice, especially if you have a health condition, are pregnant, or take medication.