Evidence supporting the use of: Sage
For the health condition: Perspiration (excessive)

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Synopsis

Source of validity: Scientific
Rating (out of 5): 3

Sage (Salvia officinalis) has been traditionally used to manage excessive perspiration, particularly in Europe. In recent years, some scientific studies have investigated its efficacy for this condition. The main active constituents thought to be responsible for its anhidrotic (sweat-reducing) effects are thujone, rosmarinic acid, and various flavonoids. Several small clinical trials and observational studies have reported that sage, administered as tea, liquid extract, or tablet, can significantly reduce abnormal sweating, such as that seen in hyperhidrosis or menopausal hot flashes. For example, a randomized controlled trial published in "Advances in Therapy" (2011) found sage tablets reduced the frequency and severity of hot flashes and night sweats in menopausal women compared to placebo. The proposed mechanism involves sage’s anticholinergic properties, which can inhibit stimulation of sweat glands. However, most studies are small, heterogeneous in methodology, and sometimes lack rigorous blinding. Meta-analyses suggest a moderate effect, but emphasize the need for more robust trials. Overall, while there is a solid basis in traditional use and emerging scientific support, the evidence is not yet strong enough for unequivocal clinical recommendations. Consumers should also note that excessive doses of sage (due to thujone content) can be toxic. Consult a healthcare provider before using sage for excessive perspiration.

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