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Sage

Sage is a culinary herb whose leaves hold plant compounds such as rosmarinic acid, carnosic acid and carnosol, which show antioxidant activity in lab work. People mostly look at it for menopausal hot flashes, and several human studies found that sage extract made them less frequent and less intense, though the evidence is limited to moderate. Those studies were small, and the memory findings, which suggested modest gains in memory and attention, come from small, short studies too.

Sources: PMID 21716802

Best evidence
Grade B
Conditions studied
2
Outcomes
4
Graded outcomes
0112

Evidence by condition

  • Strong
  • Moderate
  • Limited
  • Very limited

2 conditions, plus general outcomes

General

General: outcomes studied for Sage
GradeOutcomeEffectSizeStudiesPeopleStudies list
Menopausal Hot Flashes

Several human studies consistently show sage extract reduces hot flash frequency and intensity in menopausal women. Mechanism may involve mild estrogenic activity or direct effects on thermoregulation.

Changes; see studiesModerate effect200 people
Blood Glucose

Limited human data suggests sage may modestly reduce blood glucose levels, but evidence is inconsistent across studies. Mechanism is not well established.

Improves (the measure goes down)Small effect80 people
Age-Associated Memory Impairment and Cognitive Decline (AAMCD): outcomes studied for Sage
GradeOutcomeEffectSizeStudiesPeopleStudies list
Cognitive Function

Small acute human studies suggest sage extract modestly improves memory and attention, likely via cholinesterase inhibition. Related species S. lavandulaefolia may have stronger cognitive evidence; a review of plant extracts highlights sage among candidates for Alzheimer's disease intervention.

Improves (the measure goes up)Small effect1 study120 people

Studies that measured cognitive function

Antioxidant Status: outcomes studied for Sage
GradeOutcomeEffectSizeStudiesPeopleStudies list
Antioxidant Status

Preclinical research demonstrates significant antioxidant potential across lipophilic and hydrophilic fractions of Salvia officinalis. Contains rosmarinic acid, carnosic acid, and carnosol, but human clinical data on antioxidant outcomes is lacking.

Improves (the measure goes up)Small effect2 studies

Key findings

  • Menopausal Hot FlashesChanges; see studies
  • Cognitive FunctionAge-Associated Memory Impairment and Cognitive Decline (AAMCD)Improves (the measure goes up)
  • Antioxidant StatusAntioxidant StatusImproves (the measure goes up)

Shop the evidence-backed picks

Third-party tested Sage products, in the forms the graded studies used where we can match them.

  • Grade B

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Studies cited

3 studies from PubMed

  1. SmERF6 promotes the expression of terpenoid pathway in Salvia officinalis and improves the production of high-value abietane diterpenes, carnosol and carnosic acid.Plant & cell physiology, 2025 · PMID 39820705
  2. Comprehensive Evaluation of Antioxidant Potential of 10 Salvia Species Using High Pressure Methods for the Isolation of Lipophilic and Hydrophilic Plant Fractions.Plant foods for human nutrition (Dordrecht, Netherlands), 2016 · PMID 26781308
  3. Effect of plant extracts on Alzheimer's disease: An insight into therapeutic avenues.Journal of neurosciences in rural practice, 2011 · PMID 21716802