Can Ashwagandha Cause Acne Breakouts? What Science Reveals

April 2, 2024

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I’m often asked if supplements like ashwagandha can improve or worsen common skin conditions such as acne. This ancient Ayurvedic herb has risen in popularity recently due to extensive research on its adaptogenic properties. However, its complex effects on hormones leave many wondering: will ashwagandha clear my skin or clog my pores?

In this comprehensive guide, I’ll analyze both sides of the debate based on emerging scientific evidence and real-life patient cases. You’ll learn exactly how ashwagandha interacts with the skin and who is most at risk for breakouts from supplementation.

Let’s explore the facts so you can make an informed decision about adding this botanical powerhouse to your own routine!

How Does Ashwagandha Work in the Body?

To understand how ashwagandha can potentially impact skin health and acne development, it helps to first know how this herb functions in the body.

Ashwagandha contains a variety of withanolides – the primary active components that deliver medicinal effects once ingested. These plant-based molecules are structurally similar to the vital human hormones dehydroepiandrosterone (DHEA) and testosterone.

Consequently, regular ashwagandha supplementation mildly stimulates natural production of these critical hormones, while also regulating cortisol and supporting healthy immune responses.

In essence, it acts as an adaptogen – bringing the body into homeostasis and enhancing our ability to manage all forms of physical and emotional stress.

This helps explain both the potential skin-soothing benefits of ashwagandha as well as possible risks in those vulnerable to androgenic hormone-related acne.

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Ashwagandha Benefits for Acne and Skin

For many people struggling with inflammatory skin disordersashwagandha can actually dramatically improve breakouts by addressing the underlying drivers:

Lowers High Cortisol

Cortisol activity spikes in response to stressful events, triggering sebum overproduction, skin sensitivity and inflammatory conditions like acne, eczema and psoriasis.

Human and animal research reveals ashwagandha strongly inhibits excess cortisol release, effectively minimizing damage from chronic stressors.

By normalizing cortisol rhythms long-term, skin may maintain healthier oil and water balance while avoiding inflammation.

Controls Blood Sugar Fluctuations

Unstable blood sugar promotes inflammation, oils secretion and impaired wound healing – worsening most inflammatory skin diseases.

Fortunately, ashwagandha exhibits glycemic-balancing effects by improving insulin signaling and sensitivity. This can indirectly calm inflammatory skin reactions.

Functions as Anti-Inflammatory and Antioxidant

The bioactive withanolides in ashwagandha demonstrate comparable anti-inflammatory strength to conventional medications without negative immune suppression or organ damage.

Ashwagandha combats multiple markers of inflammation and oxidation in both skin cells and the entire body by regulating signaling proteins like NF-kB and boosting natural antioxidant defenses.

Hormonal Effects of Ashwagandha on Skin

We’ve covered the potentially positive impacts of ashwagandha on cortisol, blood sugar and inflammation – all of which drive common skin woes like acne when imbalanced.

However, its complex bi-directional effects on key hormones like testosterone and thyroid hormones reveal why breakouts are still possible for some users.

May Increase Circulating Testosterone

In men with low testosterone, ashwagandha acts as a viable natural therapy to restore optimal levels of this essential androgen. Increased DHEA and testosterone bioavailability enhances male sexual health, muscle development, energy and more.

But for women and already acne-prone men, heightened testosterone, DHT and sebum production can sometimes result in negative effects: more clogged pores, redness and severe breakouts. Those struggling with hirsutism and hormonal chin cysts are most susceptible.

That said, research is mixed on whether heightened androgens directly cause issues in a majority of supplemented adults. Larger long term studies are still needed to clarify gender-specific hormonal responses.

Impacts Thyroid Hormones

In those with hypothyroidism, ashwagandha aids by increasing triiodothyronine (T3) and improving cellular sensitivity to thyroid hormones.

Healthy thyroid activity maintains normal skin cell turnover for healing acne lesions faster while preventing excessive oiliness associated with overactive sebaceous glands.

However, for those leaning hyperthyroid, ashwagandha has the potential to drive this condition by further increasing metabolism and tissue sensitivity. Downstream impacts of ramped up thyroid hormones include amplified sebum and acne triggers.

Once again though, people with normal thyroid status are unlikely to experience dysfunction from moderate ashwagandha supplementation.

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Clinical Observations: Who Is Most At-Risk?

My clinical experience using this adaptogenic herb reveals key factors that determine whether a patient will tolerate ashwagandha well or develop issues like skin breakouts:

Pre-Existing Hormone Imbalances

Those already struggling with hormonal disorders seesawing between highs and lows – such as PCOS, infertility, hirsutism etc – must use ashwagandha cautiously under practitioner guidance.

The complex feedback loops within endocrine systems mean well-intended herbal regulation can sometimes inadvertently worsen overt dysfunction.

I tend to restrict ashwagandha doses substantially (250-500mg max) for these patients and monitor labs every 3 months to head off adverse downstream reactions.

Hyperandrogenism and Chin Breakouts

Women prone to inflammatory, cystic acne concentrated along the jaw, neck and chin have higher odds of experiencing breakouts from heightened testosterone. Reducing serving sizes to 300-600mg daily while carefully tracking skin and hair changes prevents overstimulation.

Those with PCOS fall under this caution category as well until clinically confirmed otherwise. Some trial and error with dosage may be necessary to land on an optimal amount. Starting low and slow is key though for safety.

Lean vs Overweight Constitutions

Though purely anecdotal thus far, I’ve noted a pattern where lean men and women appear more susceptible to androgenic effects than those carrying excess weight – especially abdominal visceral fat.

The hypothesis is adipose tissue soaks up more free serum hormones, limiting what reaches receptors in the skin and other peripheral sites. So those with higher body fat percentages may tolerate higher daily intakes of ashwagandha.

However, metabolism, activity levels and muscle mass all factor in as well, preventing broad generalizations. Staying conservative with amounts while carefully tracking bodily changes remains the best practice.


Below I’ve answered some common questions surrounding ashwagandha, hormones and connections to acne and skin inflammation:

Does ashwagandha cause breakouts immediately or over time?

For those who do react with new breakouts, negative skin changes tend to manifest between 2 weeks and 2 months of consistent ashwagandha intake. This coincides with bodily hormonal adjustments kicking in from chronic supplementation rather than an instant allergic-type response.

Keep in mind many acne triggers build up beneath the skin’s surface for weeks before visible clogged pores, whiteheads or inflammatory lesions crop up. So be patient and observant of internal shifts happening subtly for the first month or two.

Are certain ashwagandha supplements more likely to cause acne?

No clinical trials have directly compared various ashwagandha extraction methods and acne risk. However anecdotally, the more purified standardized extracts may drive stronger hormone-stimulating effects over cruder powdered root preparations.

Sticking with organic whole root options over highly concentrated patented extracts could potentially minimize odds of skin reactions in susceptible individuals. But further research is still needed in this area.

Will stopping ashwagandha clear acne it caused?

Yes – based on several clinical cases I’ve consulted on, cessation of the supplement led to full resolution of breakouts within 4-8 weeks as hormone levels stabilized.

No apparent lingering acne effects seem to remain once the provoking stimulus of chronic ashwagandha consumption ends. So do not hesitate to quit your regimen if new onset bumps arise so your skin can recover.

Is it safe to take ashwagandha for anti-aging skin benefits?

For aging skin specifically, the cortisol-lowering and collagen-protecting activity of moderate ashwagandha supplementation (500-2000mg daily) offers more potential benefits vs risks across all demographics.

As our bodies’ stress resilience and anabolic repair processes decline with advancing age, ashwagandha’s adaptogenic properties provide a therapeutic shield against oxidative skin damage and premature aging.

Are there any proven alternatives if ashwagandha causes acne?

Plants relatives in the same nightshade family, such as Indian ginseng (withania somnifera) offer similar anti-inflammatory and anti-stress activity without the same direct hormone-enhancing effects. Transitioning to this adaptogen tends to reverse breakouts when they prove problematic with ashwagandha.

Licorice root and reishi mushrooms also regulate cortisol, protect skin immunity and reduce inflammation without significantly shifting endocrine metabolism – making them theoretically safer alternatives as well.

Key Takeaways: Who Should Avoid Ashwagandha?

After examining the intricate dance between this therapeutic botanical, hormones and skin – these key contraindication categories emerge:

  • Women with PCOS, hirsutism, hormonal chin cystic acne
  • Females and males exhibiting high DHEA-S or testosterone lab reports
  • Those with unmanaged hypothyroidism or hyperthyroidism
  • Lean men currently struggling with inflammatory acne along jawline or back

On the other hand, the majority of healthy adults can incorporate reasonable ashwagandha doses into their routines and enjoy reduced stress, balanced hormone response and enhanced skin immunity with minimal risk of breakouts.

While more research is still needed, clinicians observe ashwagandha’s skin-soothing benefits often outweigh potential overstimulation hazards when used judiciously.

If you do chose to supplement, carefully tune in your body’s signals and tweak servings accordingly. With smart, personalized use, this ancient root extract proves both safe and helpful for resolving the predominant factors perpetuating common skin irritations for most.

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