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Red ginseng has been shown to strengthen the body’s immune system by activating innate immune cells and modulating adaptive immunity. Studies have found that consuming red ginseng increases the activity of macrophages and natural killer (NK) cells, and promotes the release of immune-related cytokines such as interferon-γ, thereby enhancing resistance against external pathogens like viruses.
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In human studies, individuals who took red ginseng had a significantly lower incidence of acute respiratory infections (like the common cold) compared to those who took a placebo.
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In postoperative cancer patients, red ginseng supplementation increased the counts of immune cells (e.g. CD4+, CD8+ T cells, B cells) and elevated interleukin-2, while reducing anti-inflammatory cytokine IL-10, effectively improving weakened immune function after surgery.
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Additionally, long-term observations in HIV patients found that those taking red ginseng experienced a slower decline in CD4+ T cells, helping delay immune system deterioration.
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Red ginseng is known to reduce fatigue and help recover physical stamina, a benefit officially recognized as a functional health claim in Korea.
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Studies have shown that red ginseng can alleviate physical fatigue by reducing the buildup of lactic acid and promoting the recovery of muscle energy (creatine kinase) after exercise.
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It also helps lessen exercise-induced fatigue by mitigating oxidative stress in muscles through its antioxidant effects.
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Randomized controlled trials have demonstrated significantly lower fatigue and lethargy levels in groups taking red ginseng compared to placebo.
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Red ginseng improves blood flow by inhibiting platelet aggregation, a function officially approved by the Korean Ministry of Food and Drug Safety.
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The ginsenosides in red ginseng reduce the production of clot-promoting factors like thromboxane A2, while increasing the production of prostacyclin, which relaxes blood vessels and improves circulation.
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In an 8-week clinical trial, healthy adults who took 1.5 g or 3 g of red ginseng per day showed significantly reduced platelet aggregation, making their blood less “sticky.”
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These findings indicate red ginseng positively affects blood circulation markers.
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Red ginseng can enhance brain function and improve memory, an effect recognized as a functional benefit in health foods by Korean authorities.
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Red ginseng and its active compound ginsenosides activate the brain’s cholinergic system, promoting the release of acetylcholine, thereby improving learning and memory.
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In a clinical study, healthy adults who took 200 mg/day of red ginseng extract for 8 weeks experienced significant improvements in working memory and quality of life, although no changes were seen in general intelligence.
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In patients with mild to moderate Alzheimer’s disease, 12 weeks of high-dose red ginseng (9 g/day) significantly improved cognitive assessment scores (ADAS-cog and CDR) compared to placebo.
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Red ginseng has potent antioxidant effects that help protect cells in the body from oxidative damage.
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It boosts the activity of antioxidant enzymes such as superoxide dismutase (SOD), catalase, and glutathione peroxidase, and increases production of glutathione.
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In a study on smokers, 4 weeks of red ginseng supplementation (1.8 g or 3 g/day) significantly reduced markers of oxidative damage (e.g., 8-oxo-dG, oxidized LDL) and increased antioxidant enzyme activity.
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Another clinical trial showed that red ginseng reduced lymphocyte DNA damage and increased SOD activity after 8 weeks of supplementation.
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Red ginseng may help alleviate symptoms of menopause such as hot flashes, insomnia, and depression.
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In a randomized controlled trial, postmenopausal women who took 3 g/day of red ginseng for 12 weeks showed significant improvements in Kupperman Index and Menopause Rating Scale (MRS) scores compared to placebo.
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The same study reported decreased total cholesterol and LDL cholesterol without altering estrogen or other hormone levels, suggesting it can relieve symptoms without hormonal side effects.
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Red ginseng has also been shown to improve stress hormone balance, blood circulation, and sexual function in menopausal women.
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Red ginseng has been suggested to aid in blood sugar control and diabetes management.
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In one clinical trial, type 2 diabetic patients who took 6 g/day of red ginseng for 12 weeks showed improvements in blood glucose indicators and increased insulin sensitivity.
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In another study on people with prediabetes or mild diabetes, 5 g/day of red ginseng for 12 weeks led to decreased insulin and C-peptide levels, along with a lower postprandial blood glucose AUC.
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However, results across studies vary depending on dosage, study duration, and individual health conditions. More large-scale clinical trials are needed for confirmation.
Red ginseng has shown potential anticancer effects, both in prevention and as an adjunct to cancer therapy.
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In vitro and animal studies demonstrate that ginsenosides and ginseng polysaccharides can inhibit cancer cell growth, angiogenesis, and metastasis, and block pathways like NF-κB and COX-2.
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When combined with chemotherapy, red ginseng enhances apoptosis and tumor suppression.
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Epidemiological studies also show that long-term ginseng users have a lower risk of cancer, especially stomach, lung, ovarian, laryngeal, esophageal, and pancreatic cancer.
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In an 8-year follow-up study, patients with atrophic gastritis who took red ginseng weekly for 3 years had a significantly reduced cancer incidence, especially in men.
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Red ginseng has been found to support male sexual function and improve sperm health.
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Ginsenosides enhance nitric oxide (NO) production in penile tissues, promoting vasodilation and improving erectile function.
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In a meta-analysis of 7 randomized trials, men who took red ginseng showed significantly improved erectile performance and sexual satisfaction, particularly in cases of psychogenic erectile dysfunction.
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In men with varicocele-related infertility, taking 1.5 g/day of red ginseng for 12 weeks improved sperm count, motility, and morphology.