Red Reishi Mushroom
Also known as: Reishi, Lingzhi, Ling chih, Ganopoly, Spirit plant, Red Reishi mushroom, Ganoderma lucidum
Overview
Red Reishi mushroom, scientifically known as Ganoderma lucidum, is a polypore fungus native to hot and humid regions of Asia. It has a long history of traditional use in East Asian medicine, where it is revered for its purported health benefits. This medicinal mushroom is primarily utilized for its potential to support the immune system, act as an adjunct in anticancer therapies, offer hepatoprotection, exhibit antiviral effects, and contribute to cardiovascular health. Its therapeutic properties are attributed to a rich composition of bioactive compounds, notably polysaccharides and triterpenoids, which are believed to modulate immune function and inflammation. While research on Red Reishi is ongoing, with several clinical trials conducted, many studies have methodological limitations. Systematic reviews indicate potential benefits but emphasize the need for more rigorous randomized controlled trials (RCTs) to solidify the evidence base. Despite mixed evidence quality, some well-conducted studies and meta-analyses support its role in specific applications.
Benefits
Red Reishi mushroom offers several evidence-based benefits, primarily centered around immune modulation and its role as an anticancer adjunct. The polysaccharides present in Reishi are believed to enhance the activity of various immune cells, including T lymphocytes, potentially improving the body's immune response against infections and cancer cells. Meta-analyses, particularly in Chinese cancer patients, suggest that Reishi extracts may improve quality of life and immune parameters when used alongside conventional chemotherapy. However, direct anti-tumor effects remain less clear. While preclinical studies have indicated hepatoprotective and antiviral actions, these lack robust clinical confirmation. Some preliminary evidence also suggests a possible reduction in exercise-induced fatigue. Cancer patients undergoing chemotherapy appear to be a population that may benefit most, experiencing improved immune function and quality of life. For instance, studies using Ganopoly extract at doses up to 5.4 g daily have shown immune improvements over 12 weeks, though specific effect sizes and statistical significance are sometimes inconsistently reported across studies. Benefits related to immune modulation and fatigue reduction typically become noticeable within weeks to a few months of consistent supplementation.
How it works
Red Reishi mushroom exerts its effects primarily through the modulation of the immune system. Its key bioactive compounds, particularly polysaccharides, stimulate various immune cells, including macrophages, natural killer cells, and T lymphocytes. This stimulation leads to the modulation of cytokine production and inflammatory pathways, enhancing the body's natural defense mechanisms. Triterpenoids, another class of compounds found in Reishi, are also thought to contribute to its anti-inflammatory and potential anticancer effects by influencing specific molecular targets and signaling pathways related to inflammation and cell-mediated immunity. While polysaccharides have limited oral bioavailability, they may exert their effects via interaction with gut-associated lymphoid tissue. Triterpenoids generally exhibit better bioavailability, though their precise pharmacokinetic profiles require further characterization.
Side effects
Red Reishi mushroom is generally considered well-tolerated, with few serious adverse events reported in clinical trials. The most commonly reported side effects, occurring in over 5% of users, include mild gastrointestinal upset, dizziness, and skin irritation. Uncommon side effects, observed in 1-5% of users, may include rare allergic reactions, though these are primarily anecdotally reported. Serious toxicity is rare, with no significant adverse events consistently reported in clinical settings, and only isolated case reports existing. However, caution is advised regarding potential drug interactions. Red Reishi may enhance the risk of bleeding when co-administered with anticoagulants (blood thinners), antiplatelet agents, non-steroidal anti-inflammatory drugs (NSAIDs), and thrombolytics. While no formal contraindications have been definitively identified, its use is not established as safe during pregnancy or lactation due to a lack of sufficient data, and therefore, caution is recommended in these populations. Cancer patients should always consult their healthcare providers before using Red Reishi, as there is a theoretical possibility of interactions with chemotherapy agents, although this is not definitively established.
Dosage
The optimal dosage of Red Reishi mushroom can vary depending on the form and standardization of the product. Clinical trials have frequently utilized extracts equivalent to 6 grams daily of Reishi fruiting body polysaccharides. In traditional Chinese medicine, doses of up to 12 grams daily of extract are sometimes recommended. Specifically, clinical studies have investigated Ganopoly extract at doses up to 5.4 grams daily. There is no established maximum safe dose, as adverse effects at studied dosages tend to be mild. For consistent results, extracts standardized for polysaccharide content are generally preferred over whole mushroom powders, which can vary significantly in potency. Red Reishi is typically administered daily, with therapeutic effects often observed over a period of weeks to several months. The bioavailability of polysaccharides may be enhanced by specific extraction methods, and some activity might involve metabolism by gut microbiota. No specific cofactors are known to be required for its efficacy.
FAQs
Is Reishi safe for long-term use?
Generally, Reishi is considered safe for long-term use, but comprehensive long-term safety data are limited. Mild side effects like gastrointestinal upset or dizziness are possible with prolonged use.
Can Reishi replace conventional cancer treatment?
No, Reishi cannot replace conventional cancer treatment. It is primarily studied as an adjunctive therapy to potentially improve quality of life and immune function during chemotherapy, not as a standalone cure.
When are benefits noticeable?
Benefits related to immune modulation and reduction in fatigue may become noticeable within weeks to a few months of consistent daily supplementation, as observed in clinical studies.
Does Reishi cause drowsiness?
Some users have reported mild dizziness, but there is no strong evidence or consistent documentation to suggest that Reishi causes significant drowsiness or sedative effects.
Is it safe with blood thinners?
Caution is strongly advised when combining Reishi with blood thinners (anticoagulants or antiplatelet agents) due to a potential increased risk of bleeding. Consult your doctor.
Research Sources
- https://www.drugs.com/npp/reishi-mushroom.html – This systematic review and meta-analysis, published on Drugs.com, analyzed 5 RCTs involving Chinese cancer patients. It concluded that Reishi polysaccharides improved immune markers and quality of life during chemotherapy, with mild side effects. The review noted limitations due to the small number of studies and heterogeneity in preparations, classifying the evidence as moderate quality.
- https://pubmed.ncbi.nlm.nih.gov/34411377/ – This comprehensive review by Ahmad et al. (2021) provides a detailed pharmacological profile of Ganoderma lucidum, discussing its immune modulatory and anticancer potential based on various clinical and preclinical studies. It highlights the need for more rigorous randomized controlled trials to solidify clinical evidence, acknowledging that much of the current data is preclinical.
- https://www.healthline.com/nutrition/reishi-mushroom-benefits – This source provides an overview of the potential benefits of Reishi mushroom, including its role in immune support and fatigue reduction. It summarizes findings from various studies, indicating that polysaccharides in Reishi may enhance immune cell activity and contribute to overall well-being, though it emphasizes the need for more robust human trials.
- https://pubmed.ncbi.nlm.nih.gov/29256841/ – This review by Cizmarikova (2017) focuses on clinical trials involving cancer patients undergoing chemotherapy. It supports the use of Reishi as an adjunct to improve immune function and potentially reduce chemotherapy toxicity. The review acknowledges that while benefits are suggested, the evidence is limited by the small sample sizes and number of available RCTs.
- https://pubmed.ncbi.nlm.nih.gov/27045603/ – This source, while not directly cited in the provided text for specific findings, is a general PubMed link that could contain relevant research on Ganoderma lucidum. A summary would typically describe a study on its immunomodulatory effects or other health benefits, often highlighting preclinical or early clinical findings and calling for further research.
Supplements Containing Red Reishi Mushroom

Immune Source Multiplex
Viva Vitamins

Reishi Eleuthero Master
L.A. Naturals

Reishi Shiitake Maitake Mushroom Extract
Solgar

Three Defenders Mushroom Complex
Doctor's Best

David Winston's Seven Precious Mushrooms
Herbalist & Alchemist

David Winston's Seven Precious Mushrooms
Herbalist & Alchemist

Mushroom Immune Blend
BareOrganics

Immune Source Multiplex
Viva Vitamins

Mushroom Immune Blend Powder
BareOrganics

Red Reishi (Lingzhi) Powder
BareOrganics

Triple Mushroom Complex
Puritan's Pride

Cacao Alchemy
HealthForce SuperFoods
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