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Salvia officinalis

Sage Extract (Salvia officinalis)

Research reviewed: Up until 03/2026

Sage Extract (Salvia officinalis) (Salvia officinalis) is a dietary supplement with 7 published peer-reviewed studies involving 560 participants, researched for Menopausal Hot Flushes, Cognitive Function, Anti-inflammatory and 1 more areas.

7
Studies
560
Participants
2003–2023
Research Span

Evidence at a Glance

Strength is scored by study design, sample size, study type, and outcomes

Overall: Very Strong Evidence

Menopausal Hot Flushes

Strong
3 studies 3 of 3 positive 131 participants

Cognitive Function

Moderate
2 studies 1 of 2 positive 74 participants

Anti-inflammatory

Moderate
1 study 0 of 1 positive 0 participants

Antioxidant

Moderate
1 study 1 of 1 positive 40 participants

Research Visualised

Visual breakdown of the clinical data.

Study Quality Breakdown

What types of studies were conducted

4/7
Randomised
3/7
Double-Blind
3/7
Placebo-Controlled

Participants Per Study

Larger samples = more reliable results

Study 1 (2011)
71
Study 2 (2023)
0
Study 3 (2019)
60
Study 1 (2003)
30
Study 2 (2005)
44
Study 1 (2009)
0
Study 1 (2009)
40

Research Timeline

When the studies were published

1
2003
1
2005
2
2009
1
2011
1
2019
1
2023

All Studies

Detailed breakdown of each trial. Click to expand.

Menopausal Hot Flushes

1

To assess the tolerability and efficacy of a fresh sage preparation in treating hot flushes and other menopausal complaints.

2011 71 participants 8 weeks One fresh sage tablet daily (1.5 g dried sage equivalent)
Human Study Positive

Study Type

Open-label clinical trial

Purpose

To assess the tolerability and efficacy of a fresh sage preparation in treating hot flushes and other menopausal complaints.

Dose

One fresh sage tablet daily (1.5 g dried sage equivalent)

Participants

71 menopausal women

Duration

8 weeks

Results

Mean daily hot flush frequency declined by 50% within 4 weeks and by 64% after 8 weeks. Intensity was also significantly reduced. Sage was well tolerated with no serious adverse events.

How They Measured It

Hot flush frequency and severity diary, Kuppermann Menopause Index

Read full study
2

To systematically review and meta-analyse the evidence for Salvia officinalis effects on hot flashes in postmenopausal women.

2023 ? participants Various Various sage preparations
Human Study Positive

Study Type

Systematic review and meta-analysis

Purpose

To systematically review and meta-analyse the evidence for Salvia officinalis effects on hot flashes in postmenopausal women.

Dose

Various sage preparations

Participants

Meta-analysis of clinical trials

Duration

Various

Results

Meta-analysis showed Salvia officinalis significantly reduced hot flash frequency compared to control. The review supports sage as an evidence-based option for management of menopausal vasomotor symptoms.

How They Measured It

Hot flash frequency and severity across RCTs

Read full study
3

To investigate the effect of Salvia officinalis tablet on hot flashes, night sweating and estradiol in postmenopausal women.

2019 60 participants 8 weeks 100 mg Salvia officinalis tablet twice daily
Human Study RCT Positive

Study Type

Randomised clinical trial

Purpose

To investigate the effect of Salvia officinalis tablet on hot flashes, night sweating and estradiol in postmenopausal women.

Dose

100 mg Salvia officinalis tablet twice daily

Participants

60 postmenopausal women

Duration

8 weeks

Results

Salvia officinalis significantly reduced hot flash frequency, night sweating and improved estradiol levels compared to placebo. Menopausal symptoms on the Greene Climacteric Scale improved significantly.

How They Measured It

Hot flash frequency/intensity, night sweating VAS, serum oestradiol

Read full study

Cognitive Function

1

To assess the effects of Salvia officinalis extract on cognitive performance and mood in healthy older adults.

2003 30 participants Single dose, crossover design 167 mg or 333 mg dried sage leaf extract
Human Study RCT Double-Blind Placebo Positive

Study Type

Randomised, double-blind, placebo-controlled

Purpose

To assess the effects of Salvia officinalis extract on cognitive performance and mood in healthy older adults.

Dose

167 mg or 333 mg dried sage leaf extract

Participants

30 healthy adults aged 65–80

Duration

Single dose, crossover design

Results

Both doses of sage significantly improved immediate and delayed word recall compared to placebo. The 333 mg dose also improved accuracy on attention tasks. Results support cholinesterase-inhibiting properties of sage.

How They Measured It

Cognitive Drug Research (CDR) battery, Bond-Lader mood scale

Read full study
2

To evaluate the cognitive and mood effects of Salvia lavandulaefolia essential oil and S. officinalis leaf extract.

2005 44 participants Acute crossover 50 μL sage essential oil inhaled or 600 mg S. officinalis ca...
Human Study RCT Double-Blind Placebo Mixed

Study Type

Randomised, double-blind, placebo-controlled crossover

Purpose

To evaluate the cognitive and mood effects of Salvia lavandulaefolia essential oil and S. officinalis leaf extract.

Dose

50 μL sage essential oil inhaled or 600 mg S. officinalis capsule

Participants

44 healthy adults

Duration

Acute crossover

Results

Sage consumption improved secondary memory performance and increased alertness, calmness, and contentedness on the mood scale. Cholinesterase inhibition in CNS is the proposed mechanism.

How They Measured It

CDR computerised test battery, STAI mood assessment

Read full study

Anti-inflammatory

1

To evaluate anti-inflammatory and antioxidant properties of Salvia officinalis leaf extract.

2009 ? participants N/A Sage extract various concentrations
Human Study Positive

Study Type

In vitro and animal study

Purpose

To evaluate anti-inflammatory and antioxidant properties of Salvia officinalis leaf extract.

Dose

Sage extract various concentrations

Participants

In vitro and murine models

Duration

N/A

Results

Sage extract demonstrated significant free radical scavenging activity, COX inhibition, and reduction of pro-inflammatory cytokines. Rosmarinic acid and carnosic acid identified as key active anti-inflammatory compounds.

How They Measured It

DPPH radical scavenging, COX-1/COX-2 inhibition, LPS-stimulated macrophage cytokines

Read full study

Antioxidant

1

To evaluate the antioxidant effects of sage consumption on plasma lipids and oxidative stress markers in healthy volunteers.

2009 40 participants 8 weeks 300 mg sage leaf tea twice daily
Human Study RCT Double-Blind Placebo Positive

Study Type

Randomised, double-blind, placebo-controlled

Purpose

To evaluate the antioxidant effects of sage consumption on plasma lipids and oxidative stress markers in healthy volunteers.

Dose

300 mg sage leaf tea twice daily

Participants

40 healthy volunteers

Duration

8 weeks

Results

Sage tea consumption significantly increased antioxidant enzyme activities (SOD, glutathione peroxidase) and reduced markers of lipid peroxidation (TBARS). HDL increased and LDL-cholesterol was reduced.

How They Measured It

Serum lipids, LDL oxidation, TBARS, glutathione, SOD

Read full study

Frequently Asked Questions

Common questions about Sage Extract (Salvia officinalis) research

What does the research say about Sage Extract (Salvia officinalis)?

There are currently 9 peer-reviewed studies on Sage Extract (Salvia officinalis) (Salvia officinalis), involving 560 total participants. Research covers Menopausal hot flushes, Cognitive function, Anti-inflammatory and 1 more areas. The overall evidence strength is rated as Very Strong.

How strong is the evidence for Sage Extract (Salvia officinalis)?

The evidence is currently rated as "Very Strong Evidence". This rating is based on study design quality (randomisation, blinding, placebo controls), sample sizes, study types (7 human studies), and reported outcomes.

What health goals has Sage Extract (Salvia officinalis) been studied for?

Sage Extract (Salvia officinalis) has been researched for: Menopausal hot flushes, Cognitive function, Anti-inflammatory, Antioxidant. Each area has its own body of evidence which you can explore in the study breakdowns above.

Are the studies on Sage Extract (Salvia officinalis) based on human trials?

Yes, 7 out of 9 studies are human trials. Human trials carry more weight in our evidence scoring system.