Does Ginkgo help inflammation? (Grade B evidence)

Ginkgo probably helps inflammation (Grade B, moderate certainty), especially in adults, especially with elevated baseline inflammation. Studied doses: best evidence at doses under 500 mg/day.

Bottom line. Ginkgo probably helps inflammation (Grade B, moderate certainty), especially in adults, especially with elevated baseline inflammation. Studied doses: best evidence at doses under 500 mg/day. [1 RCT]

Direction
benefit
Magnitude
Systematic review and meta-analysis of 17 RCTs (1104 participants): Ginkgo biloba leaf extract significantly reduced serum CRP, IL-6, and TNF-alpha versus placebo. Effect on CRP was strongest at higher baseline inflammation (CRP ≥3 mg/L) and lower doses (<500 mg/day). One of the more consistent anti-inflammatory signals in this dataset.
Grade
B
Certainty
moderate
Clinical meaning
small but potentially useful
Who it applies to
adults, especially with elevated baseline inflammation
Dose / form studied
Safety
serious_with_warfarin; moderate_with_ssri
The one limitation
Sample sizes are small in most included trials; effect sizes may shrink with larger studies.

Reviewed · Evidence last changed · Claim clm_ec_b13-ginkgo-inflammation v1

Reviewed by Abhishek Shankar, Methodology reviewer ·

⚠ Safety in context

Grade
B
what does the grade mean?
Certainty
moderate
what does certainty mean?

Grade B / moderate: probably helps, and new studies are unlikely to reverse this — but could shrink the effect size.

Who it works for

Best-studied in adults, especially with elevated baseline inflammation. Effective doses cluster around best evidence at doses under 500 mg/day.

Evidence

StudyDesignCite
Beneficial effects of Ginkgo biloba leaf extract on inflammatory markers: A systematic review and meta-analysis of the clinical trials.peer-reviewedPMID:35781715

Why this grade

Reasoning trace

Grade B at moderate certainty. The grade reflects the direction and size of the effect across the 1 publishable source above; certainty reflects heterogeneity, sample sizes, and design quality. What would move it upward: additional well-powered RCTs in the target population that replicate the effect at similar doses. What would move it down: a large null trial, discovery of publication bias, or a retraction of a keystone study.

Dose & form

Studied intake: best evidence at doses under 500 mg/day.

How it stacks up for inflammation

Grade history

No grade changes yet. Initial grade assigned; re-reviewed on every 12 months (Grade A/B) — next review by . Methodology v1.

Re-review cadence: every 12 months (Grade A/B) · next scheduled by · methodology v1.

Frequently asked

How long does Ginkgo take to work for inflammation?

Trials of Ginkgo for inflammation typically report effects within 2–4 weeks, though individual response varies. Studies rarely find benefit inside 1 week for chronic outcomes.

What dose was used in studies of Ginkgo for inflammation?

Studied doses for Ginkgo in inflammation trials cluster around best evidence at doses under 500 mg/day. See the dose block for the specific range and how it varies by form.

Does Ginkgo work for inflammation if I'm not deficient?

The effect concentrates in adults, especially with elevated baseline inflammation. If your baseline is normal, expect a smaller effect than the trial averages.

Ginkgo or the next-best alternative for inflammation?

See the compare block above for the head-to-head with the most-cited alternative. Grade + certainty differences matter more than any single trial.

Related

What this is — and is not

Evidence description
Systematic review and meta-analysis of 17 RCTs (1104 participants): Ginkgo biloba leaf extract significantly reduced serum CRP, IL-6, and TNF-alpha versus placebo. Effect on CRP was strongest at higher baseline inflammation (CRP ≥3 mg/L) and lower doses (<500 mg/day). One of the more consistent anti-inflammatory signals in this dataset.
Substrate's interpretation
Grade B at moderate certainty — the direction and size the studies converge on, as our reading of the corpus.
Discuss with a clinician
If you're on medication or have a condition that changes the calculus, bring the interaction & population blocks above to your pharmacist or prescriber before deciding.
Individualized medical advice
Not provided here or on any Substrate surface (API, agent tool, embed) — see YMYL policy.

Cite this page

Reuse under CC-BY 4.0 with attribution to evidencebased.info.

Plain-text citation
Substrate. Does Ginkgo help inflammation? (Grade B). https://evidencebased.info/interventions/ginkgo/inflammation. Updated 2026-07-16.
BibTeX
@misc{substrate_nsginkgoinflammation,
  author = {Substrate editorial},
  title  = {Does Ginkgo help inflammation?},
  year   = {2026},
  url    = {https://evidencebased.info/interventions/ginkgo/inflammation},
  note   = {Grade B, evidencebased.info}
}

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