Evidence Level
Strong
16 Clinical Trials
9 Documented Benefits
4/5 Evidence Score

Ginger is a culinary spice with a long history of traditional use. Its pungent compounds are gingerols in the fresh root and shogaols in dried or heated root. A systematic review counted 109 randomized trials of ginger and rated only 43 of them high quality. The most studied use is nausea: in pooled trials of pregnant women, ginger eased nausea more than placebo but did not significantly reduce vomiting, and in a large trial of adults on chemotherapy it lowered day 1 nausea when added to standard anti-nausea medicine. Pooled trials also found small reductions in joint pain in people with osteoarthritis, lower CRP and TNF-alpha, and lower triglycerides and blood pressure, though a second joint review judged the evidence insufficient. Reviews of blood sugar reached opposite conclusions, and evidence for muscle soreness, digestion and menstrual cramps comes from a few small trials.

Studied Dose Nausea in pregnancy: about 1 g a day (a review favored under 1,500 mg). With chemotherapy: 0.5 to 1 g a day. Muscle soreness: 1.4 to 2 g a day. Menstrual cramps: 750 to 2,000 mg a day for the first 3 to 4 days. Digestion and knee comfort: 480 mg a day of a steamed extract (GGE03) for 12 weeks.
Active Compound Gingerols (6-gingerol is the main one in fresh root), shogaols (6-shogaol is the main one in dried or heated root) and zingerone; extract standardization varies by product.

Benefits

Nausea relief

In a meta-analysis of 12 randomized trials in 1,278 pregnant women, ginger improved nausea scores compared with placebo but did not significantly reduce vomiting episodes; subgroup results favored daily doses under 1,500 mg, and the authors rated the evidence low quality. In a 70-woman placebo-controlled trial, 1 g a day reduced both nausea and vomiting. Check with your prenatal care provider first.

Nausea severity alongside standard medical care

In a double-blind trial in adults receiving chemotherapy (576 analyzed), all on standard anti-nausea medicine, ginger at 0.5 to 1.5 g a day reduced acute nausea severity on chemotherapy day 1 versus placebo, with the largest reductions at 0.5 and 1 g. A meta-analysis of 10 surgical trials (918 patients) found lower severity of nausea and vomiting, but reductions in their incidence and in rescue medicine use were not significant.

Joint comfort and function

A meta-analysis of five placebo-controlled trials in 593 adults with osteoarthritis found small, statistically significant reductions in pain (SMD -0.30) and disability (SMD -0.22), while people taking ginger were more than twice as likely to stop treatment; the authors rated the evidence moderate quality. A later review of knee trials judged the evidence for oral ginger versus placebo insufficient, so the size of any benefit is uncertain.

Exercise muscle soreness (DOMS)

Evidence comes from small trials. In two placebo-controlled studies of 34 and 40 people, 2 g a day of raw or heat-treated ginger for 11 days lowered arm muscle pain 24 hours after eccentric exercise by about 25% and 23%. In 32 runners, 1.425 g a day for 5 days possibly gave a moderate reduction in soreness after downhill running, with little effect on recovery of performance.

Blood sugar and HbA1c

Findings so far are inconclusive. A meta-analysis of 10 trials in 490 people with type 2 diabetes or metabolic syndrome features reported lower HbA1c and fasting glucose with ginger, but a later meta-analysis of five trials using 1.2 to 2 g a day for 4 to 12 weeks found no significant effect on either. Anyone on glucose-lowering medicine should monitor blood sugar.

Inflammation markers (CRP and TNF-alpha)

A meta-analysis of 16 randomized trials (1,010 participants) found lower CRP, hs-CRP and TNF-alpha with ginger but no significant change in IL-6 or sICAM. Results varied widely between trials (very high heterogeneity), and the authors said bigger studies are needed before conclusions can be drawn about other inflammatory markers.

Digestive comfort and stomach emptying

In a 12-week placebo-controlled trial in 80 adults with mild to moderate functional dyspepsia, an industry-linked study, a steamed ginger extract (GGE03, 480 mg a day) improved digestive symptom scores more than placebo, including the indigestion and reflux subscores. In a small trial, a single 1.2 g dose sped stomach emptying but did not change symptoms. Ginger can also cause heartburn in some people (12.8% in one open-label study).

Menstrual cramp comfort

A meta-analysis of four placebo-controlled trials in women with primary dysmenorrhea found lower pain scores when ginger powder (750 to 2,000 mg a day) was taken during the first 3 to 4 days of the cycle; the authors described the evidence as suggestive, and the first author worked for a supplement manufacturer.

Blood lipids and blood pressure

A meta-analysis of 12 clinical trials (586 participants) found lower triglycerides; its reported LDL cholesterol drop has an interval that does not contain the estimate, and total and HDL cholesterol showed no significant overall change. A meta-analysis of six randomized trials (345 participants) found lower systolic and diastolic blood pressure. Both reviews reported high heterogeneity and called for further studies.

Mechanism of action

1

COX and 5-LOX inhibition in laboratory studies

Laboratory research summarized in a review found that ginger suppresses prostaglandin production by inhibiting cyclooxygenase-1 and -2 (COX-1 and COX-2), and suppresses leukotriene production by inhibiting 5-lipoxygenase (5-LOX). These are lab findings; the human trials cited here measured blood markers such as CRP, not these enzymes.

2

5-HT3 receptor inhibition in gut nerve cells

In laboratory tests, ginger extracts, 6-gingerol and 6-shogaol inhibited activation of human 5-HT3 (serotonin type 3) receptors, including those on nerve cells from human gut tissue, by acting at a site other than the serotonin binding site. 5-HT3 receptors help carry nausea signals; this is one proposed explanation for the nausea trial results, not something those trials measured.

3

Adiponectin signaling in fat cells

In mouse fat cells grown in the lab, 6-shogaol acted as a PPAR-gamma activator while 6-gingerol did not; both blocked the drop in adiponectin (a hormone released by fat tissue) caused by the inflammatory signal TNF-alpha, 6-gingerol through a different pathway. No human outcome is claimed from this work.

Clinical trials

1
Pregnancy Nausea: Meta-Analysis of 12 RCTs
PubMed

Systematic review and meta-analysis of 12 randomized trials; the side effects analyzed were heartburn and drowsiness (Viljoen et al. 2014, Nutr J).

1,278 pregnant women

Ginger improved nausea versus placebo (MD 1.20, 95% CI 0.56 to 1.84, p=0.0002, I²=0%). The reduction in vomiting episodes was not significant (MD 0.72, 95% CI -0.03 to 1.46, p=0.06). Subgroup analyses favored daily doses under 1,500 mg. Ginger did not significantly raise the risk of spontaneous abortion versus placebo, or of the two side effects analyzed; the authors noted few studies, variable outcome reporting and low-quality evidence.

2
Osteoarthritis: Meta-Analysis of 5 RCTs
PubMed

Meta-analysis of 5 placebo-controlled randomized trials (Bartels et al. 2015, Osteoarthritis Cartilage).

593 adults with osteoarthritis

Ginger reduced pain (SMD -0.30, 95% CI -0.50 to -0.09, P=0.005) and disability (SMD -0.22, 95% CI -0.39 to -0.04, P=0.01) versus placebo. People on ginger were more than twice as likely to discontinue (RR 2.33, 95% CI 1.04 to 5.22). The authors judged ginger modestly efficacious and reasonably safe, with moderate-quality evidence (small samples, inadequate intention-to-treat analyses).

3
Blood Sugar in Type 2 Diabetes: Meta-Analysis of 10 RCTs
PubMed

Systematic review and meta-analysis of 10 randomized trials; the review also reported improved lipid profiles (Zhu et al. 2018, Evid Based Complement Alternat Med).

490 participants with type 2 diabetes or metabolic syndrome components

HbA1c fell with ginger (WMD -1.00%, 95% CI -1.56 to -0.44, P<0.001), and fasting glucose fell in the type 2 diabetes subgroup (MD -21.24, 95% CI -33.21 to -9.26, P<0.001). Most analyses were not statistically heterogeneous.

4
Muscle Soreness in Distance Runners
PubMed

Randomized, double-blind, placebo-controlled trial, 1.425 g/day ginger root for 5 days with a 40-minute downhill run on day 3 (Wilson 2020, J Diet Suppl).

32 experienced recreational distance runners (10 women, 22 men)

Soreness while jogging likely rose less with ginger from baseline to immediately after the run (d=-0.69) and to day 5 (d=-0.72), with wide confidence limits. A possible small benefit on vertical jump, likely no meaningful effect on 1.5-mile run performance, and trivial or unclear effects on most other outcomes. No significant difference in adverse events.

5
Severe Pregnancy Nausea (Hyperemesis): Meta-Analysis of 10 Studies
PubMed

Systematic review and meta-analysis of 10 randomized and comparative studies (Gao et al. 2025, Am J Transl Res).

Pregnant women with hyperemesis gravidarum, pooled across 10 studies

Trials compared ginger (capsules, powders or biscuits) with controls such as placebo, vitamin B6 or metoclopramide. The pooled odds ratio for nausea and vomiting symptoms was 0.41 (95% CI 0.22 to 0.79, P=0.008), which the authors reported as a significant reduction. The authors reported minimal side effects and no significant harm to maternal or fetal health. The pooled studies included comparative studies as well as randomized trials, and some used vitamin B6 or metoclopramide rather than placebo as the control.

6
Digestive Symptoms: Steamed Ginger Extract GGE03 for 12 Weeks
PubMed

Randomized, double-blind, placebo-controlled multicenter trial, 480 mg/day GGE03 for 12 weeks; several authors were from SD Biotechnologies and Daewon Pharmaceutical (Baek et al. 2025, Food Funct).

80 adults with mild to moderate functional dyspepsia (40 per group)

GSRS total score and the abdominal pain, constipation, indigestion and reflux subscores improved more with GGE03 than with placebo (p<0.001 for all), as did several SF-36 quality-of-life subscales. No clinically meaningful safety changes. Results apply to this specific steamed extract.

7
Stomach Emptying: Single 1.2 g Dose in Functional Dyspepsia
PubMed

Randomized, double-blind crossover, single 1.2 g dose of ginger or placebo 1 hour before a 500 mL soup meal (Hu et al. 2011, World J Gastroenterol).

11 adults with functional dyspepsia

Gastric half-emptying time was shorter after ginger (median 12.3 vs 16.1 min, P≤0.05), with a trend toward more antral contractions (P=0.06). Gastrointestinal symptoms, fundus dimensions and GLP-1, motilin and ghrelin levels did not differ from placebo.

8
Tolerability in Functional Dyspepsia: Open-Label 8-Week Study
PubMed

Open-label, single-arm study, 1,080 mg/day ginger in divided doses for 8 weeks; NCT06313814. Reported side effects: bloating 14.9%, heartburn 12.8%, diarrhea 10.6% (Aregawi and Zoltan 2025, Curr Ther Res Clin Exp).

50 adults with functional dyspepsia enrolled, 47 completed (78.7% women)

Adverse effects were mild and transient (types and rates in the study details). None led to stopping treatment and no severe adverse events occurred; 87.2% rated tolerability good or excellent. This report covered tolerability only and had no placebo group; the ClinicalTrials.gov registration lists symptom severity on the Nepean Dyspepsia Index as the primary outcome, which this paper does not report.

9
Muscle Pain After Eccentric Exercise: Raw and Heat-Treated Ginger
PubMed

Two identical randomized, double-blind, placebo-controlled studies, 2 g/day raw or heat-treated ginger for 11 days (Black et al. 2010, J Pain).

74 volunteers (34 in the raw-ginger study, 40 in the heat-treated study)

Twenty-four hours after 18 eccentric elbow-flexor actions, pain intensity was 25% lower with raw ginger (P=0.041) and 23% lower with heat-treated ginger (P=0.049) than with placebo. Effects on other measures were smaller, and heat treatment did not enhance the effect.

10
Type 2 Diabetes: Meta-Analysis of 5 Ginger Capsule Trials
PubMed

Systematic review and meta-analysis of 5 randomized trials, ginger powder capsules 1.2 to 2 g/day for 4 to 12 weeks; outcomes were fasting blood glucose and HbA1c (Schumacher et al. 2024, Clin Nutr ESPEN).

Adults with type 2 diabetes (5 trials)

No significant pooled effect on either outcome. Two of the individual studies reported significant reductions in the fasting measure. The authors called the published evidence limited.

11
Chemotherapy Nausea: 4-Arm Dose-Finding RCT
PubMed

Double-blind, placebo-controlled multicenter trial; 0.5, 1.0 or 1.5 g/day ginger or placebo for 6 days starting 3 days before chemotherapy, with all patients on a 5-HT3 antagonist antiemetic; NIH-supported, authors reported no conflicts (Ryan et al. 2012, Support Care Cancer).

744 adults with cancer randomized, 576 analyzed (91% women, mean age 53)

All ginger doses reduced acute nausea severity on chemotherapy day 1 compared with placebo (p=0.003); the largest reductions were with 0.5 g (p=0.017) and 1.0 g (p=0.036). Anticipatory nausea was a key predictor of acute nausea.

12
Inflammation Markers: Meta-Analysis of 16 RCTs
PubMed

Systematic review and meta-analysis of 16 randomized trials, random-effects model; authors declared no competing interests (Morvaridzadeh et al. 2020, Cytokine).

1,010 participants across 16 trials

Ginger lowered circulating CRP (SMD -5.11, 95% CI -7.91 to -2.30), hs-CRP (SMD -0.88) and TNF-alpha (SMD -0.85). IL-6 (SMD -0.45, 95% CI -1.29 to 0.38) and sICAM did not change significantly. Heterogeneity was very high (I² 89% to 98%) for every marker except sICAM.

13
Blood Lipids: Meta-Analysis of 12 Trials
PubMed

Systematic review and meta-analysis of 12 clinical trials in adults (Pourmasoumi et al. 2018, Phytomedicine).

586 adult participants

Ginger lowered triglycerides (-17.59 mg/dL, 95% CI -29.32 to -5.87) and LDL cholesterol (reported as -4.90 mg/dL, although the abstract's interval of -22.30 to -6.17 does not contain that estimate). Total cholesterol (P=0.089) and HDL cholesterol (P=0.059) did not change significantly. Heterogeneity was high; at 2 g/day or less, triglycerides and total cholesterol fell, while no dose subgroup showed significant LDL or HDL changes.

14
Blood Pressure: Meta-Analysis of 6 RCTs
PubMed

Systematic review and meta-analysis of six randomized clinical trials, random-effects model (Hasani et al. 2019, Phytother Res).

345 participants

Systolic blood pressure fell by 6.36 mmHg (95% CI -11.27 to -1.46) and diastolic by 2.12 mmHg (95% CI -3.92 to -0.31) with ginger. Heterogeneity was high (I² 89.8% and 73.4%). In subgroups, reductions were significant only in studies with mean age 50 or under, 8 weeks or less, and doses of 3 g/day or more.

15
Oral Ginger Versus Placebo: 2020 Systematic Review
PubMed

Systematic review of 7 trials with meta-analysis of 4, in patients with knee osteoarthritis; outcomes were pain and knee function, and the topical comparisons are outside this site's oral scope (Araya-Quintanilla et al. 2020, Pain Physician).

Patients in 4 pooled trials (7 reviewed)

For oral capsules versus placebo, the pain difference was -7.88 mm (reported as P=0.00, but the abstract prints the confidence interval as 11.92 to 3.85) and the function difference was not significant (P=0.24). The authors judged the evidence insufficient to support oral ginger over placebo, citing heterogeneous trials of poor methodological quality.

16
Knee Comfort: Steamed Ginger Extract GGE03 for 12 Weeks
PubMed

Randomized, double-blind, placebo-controlled trial, 1.6 g/day of product supplying 0.48 g GGE03 for 12 weeks; authors included staff of Healthcare Claims & Management Inc. and Genencell Co., Ltd (Baek et al. 2024, Food Funct).

100 adults with mild knee osteoarthritis (randomized 1:1)

Pain VAS, K-WOMAC total and subscores, and patient global assessment fell significantly more with GGE03 than with placebo. No significant changes were seen in any safety endpoint. Results apply to this specific steamed extract.

Side effects and drug interactions

Common Potential side effects

Digestive upset: NCCIH lists abdominal discomfort, heartburn, diarrhea and mouth and throat irritation as possible side effects of oral ginger. In an open-label study of 1,080 mg a day, taken in divided doses for 8 weeks by 47 adults with functional dyspepsia, 14.9% reported bloating, 12.8% heartburn and 10.6% diarrhea, all mild and transient, and none stopped taking it.
Possible effect on bleeding: in a systematic review of eight clinical trials, four found reduced platelet aggregation and four found no effect, so the evidence is equivocal. In 12 healthy men taking ginger for about 2 weeks, clotting time (INR) and platelet aggregation did not change, alone or with a single warfarin dose; regular warfarin users were not studied. As a precaution, tell your clinician about ginger supplements before surgery or if you take blood thinners.
Blood pressure: a meta-analysis of six trials (345 participants) found drops of about 6 mmHg systolic and 2 mmHg diastolic, with high heterogeneity between trials, so people with low blood pressure or on blood pressure medicine may want to monitor.
Ginger as a spice is listed by FDA as generally recognized as safe for its intended use in food (21 CFR 182.10); that listing covers food use, not concentrated supplement doses.

Important Drug interactions

Anticoagulant and antiplatelet drugs (such as warfarin or aspirin): possible additive effect on bleeding. Human platelet studies are split, and a study in 12 healthy men found no change in warfarin's effect on clotting after a single dose; ask your clinician and follow their monitoring advice.
Glucose-lowering medicines: possible additive effect on blood sugar; monitor blood sugar.
Blood pressure medicines: possible additive lowering effect; monitor blood pressure.
Chemotherapy: ginger has been studied as an add-on to standard anti-nausea medicine; NCCIH advises anyone taking medicine to talk with a health care provider before using ginger, so discuss it with your oncology team first.

Frequently asked questions about Ginger (Zingiber officinale)

What is the recommended dosage of Ginger?

Studied amounts vary by use: about 1 g a day in pregnancy nausea trials (one review favored under 1,500 mg), 0.5 to 1 g a day alongside chemotherapy anti-nausea medicine, about 1.4 to 2 g a day for exercise soreness, and 480 mg a day of one steamed extract in 12-week digestion and knee trials. Ginger can cause heartburn in some people.

Does ginger help with nausea?

Ginger has been tested for nausea in several groups. Pooled trials in pregnancy found less nausea than placebo but no significant drop in vomiting, a large trial in adults on chemotherapy found less day 1 nausea when ginger was added to standard medicine, and pooled surgical trials found lower nausea and vomiting severity but no significant drop in how often it occurred. Around 1 gram per day is a commonly studied amount; pregnant women should check with their doctor first.

What is ginger used for besides nausea?

Beyond nausea, ginger is studied for digestive comfort, inflammation markers, blood lipids and blood pressure, joint comfort, muscle soreness after exercise and menstrual cramps. Pooled analyses found lower CRP and TNF-alpha, lower triglycerides and lower blood pressure, and small reductions in joint pain, while two reviews of blood sugar reached opposite conclusions and the other uses rest on a few small trials. Its gingerols and shogaols are thought to account for much of its activity.

Does ginger thin the blood?

Possibly. Clinical trials on ginger and platelet clumping are split, with four of eight showing an effect and four showing none, and a small study in healthy men found no change in warfarin's effect after a single dose. If you take blood thinners or are having surgery, mention ginger supplements to your doctor. Ginger can also cause heartburn or digestive upset in some people.

What is Ginger?

Ginger is a culinary spice with a long history of traditional use. Its pungent compounds are gingerols in the fresh root and shogaols in dried or heated root. A systematic review counted 109 randomized trials of ginger and rated only 43 of them high quality.

What is Ginger used for?

Ginger is researched primarily for Metabolic Health, Muscle & Recovery, and Gut Health. In a meta-analysis of 12 randomized trials in 1,278 pregnant women, ginger improved nausea scores compared with placebo but did not significantly reduce vomiting episodes; subgroup results favored daily doses under 1,500 mg, and the authors…

Is Ginger safe, and does it have side effects?

Side effects and cautions reported for Ginger include: Digestive upset: NCCIH lists abdominal discomfort, heartburn, diarrhea and mouth and throat irritation as possible side effects of oral ginger. In an open-label study of 1,080 mg a day, taken in divided doses for 8 weeks by 47 adults with functional dyspepsia, 14. It may also interact with some medications. Ginger is not right for everyone, so check with a healthcare provider first if you are pregnant or breastfeeding, have a medical condition, or take prescription medication.

Does Ginger interact with any medications?

Possible interactions include: Anticoagulant and antiplatelet drugs (such as warfarin or aspirin): possible additive effect on bleeding. Human platelet studies are split, and a study in 12 healthy men found no change in warfarin's effect on clotting after a single dose; ask your clinician and follow their moni… If you take prescription medication, check with a pharmacist or doctor before using it.

How strong is the scientific evidence for Ginger?

NutraSmarts rates the evidence for Ginger as Strong (4 out of 5). It is backed by 16 study summaries and 27 cited references summarized on this page. A higher rating reflects more, larger, and better-designed human studies.

References(27 citations)

Evidence ratings on NutraSmarts are based on the totality of human clinical research, with emphasis on randomized controlled trials, meta-analyses, and systematic reviews. The references below directly support claims made throughout this page.

  1. Viljoen E, Visser J, Koen N, Musekiwa A. A systematic review and meta-analysis of the effect and safety of ginger in the treatment of pregnancy-associated nausea and vomiting. Nutr J. 2014;13:20. doi: 10.1186/1475-2891-13-20.PubMedUsed to support: Primary support for the pregnancy-nausea claim. Meta-analysis found ginger significantly improved nausea symptoms in pregnancy versus placebo without a significant rise in spontaneous abortion, heartburn or drowsiness, but did not significantly reduce vomiting episodes; authors note limited trials and low-quality evidence.
  2. Vutyavanich T, Kraisarin T, Ruangsri R. Ginger for nausea and vomiting in pregnancy: randomized, double-masked, placebo-controlled trial. Obstet Gynecol. 2001;97(4):577-82. doi: 10.1016/s0029-7844(00)01228-x.PubMedUsed to support: Randomized trial supporting the pregnancy-nausea claim. In 70 women with nausea of pregnancy, ginger 1 g/day significantly reduced nausea and vomiting versus placebo, with no observed adverse effect on pregnancy outcome.
  3. Ryan JL, Heckler CE, Roscoe JA, Dakhil SR, Kirshner J, Flynn PJ, Hickok JT, Morrow GR. Ginger (Zingiber officinale) reduces acute chemotherapy-induced nausea: a URCC CCOP study of 576 patients. Support Care Cancer. 2012;20(7):1479-89. doi: 10.1007/s00520-011-1236-3.PubMedUsed to support: Backs the chemotherapy nausea claim. In this double-blind trial (576 analyzed), ginger 0.5, 1.0 or 1.5 g/day added to a 5-HT3 antagonist antiemetic significantly reduced acute nausea severity on day 1 versus placebo, with the largest reductions at 0.5 g and 1.0 g.
  4. Bartels EM, Folmer VN, Bliddal H, Altman RD, Juhl C, Tarp S, Zhang W, Christensen R. Efficacy and safety of ginger in osteoarthritis patients: a meta-analysis of randomized placebo-controlled trials. Osteoarthritis Cartilage. 2015;23(1):13-21. doi: 10.1016/j.joca.2014.09.024.PubMedUsed to support: Backs the joint comfort claim. Meta-analysis of 5 placebo-controlled RCTs (593 patients) found small significant reductions in pain (SMD -0.30) and disability (SMD -0.22); people on ginger were more than twice as likely to discontinue (RR 2.33). Evidence rated moderate quality.
  5. Zhu J, Chen H, Song Z, Wang X, Sun Z. Effects of Ginger (Zingiber officinale Roscoe) on Type 2 Diabetes Mellitus and Components of the Metabolic Syndrome: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. Evid Based Complement Alternat Med. 2018;2018:5692962. doi: 10.1155/2018/5692962.PubMedUsed to support: Meta-analysis of 10 RCTs (490 participants) reporting ginger lowered HbA1c (pooled WMD -1.00%, 95% CI -1.56 to -0.44, P<0.001) and fasting glucose in type 2 diabetes and improved lipid profiles; most analyses were not statistically heterogeneous. A later review of five trials using 1.2 to 2 g a day found no significant glycemic effect.
  6. Wilson PB. A Randomized Double-Blind Trial of Ginger Root for Reducing Muscle Soreness and Improving Physical Performance Recovery Among Experienced Recreational Distance Runners. J Diet Suppl. 2020;17(2):121-132. doi: 10.1080/19390211.2018.1492484.PubMedUsed to support: Randomized double-blind trial in 32 recreational distance runners; 1.425 g/day ginger for 5 days, with a 40-minute downhill run on day 3, possibly gave a moderate reduction in running-induced soreness but likely no meaningful effect on recovery of physical performance. Single small trial.
  7. Gao P, Chen B, Wang L. Effectiveness of ginger supplementation in alleviating hyperemesis gravidarum: a systematic review and meta-analysis. Am J Transl Res. 2025;17(3):1568-1579. doi: 10.62347/TXKV6669.PubMedUsed to support: Meta-analysis of 10 randomized and comparative studies of ginger for hyperemesis gravidarum; trials used controls such as placebo, vitamin B6 and metoclopramide. A pooled odds ratio of 0.41 (95% CI 0.22 to 0.79, P=0.008) indicated reduced nausea and vomiting symptoms; the authors reported minimal side effects. Controls included placebo and active drugs, and the pooled studies included comparative studies as well as randomized trials.
  8. Baek HI, Ha NR, Kim C, Im TJ, Kim YY, Hwang SH, Bae JW. Efficacy and safety of steamed ginger extract for gastric health: a randomized, double-blind, placebo-controlled multi-center clinical trial. Food Funct. 2025;16(18):7316-7329. doi: 10.1039/d5fo01172h.PubMedUsed to support: 12-week randomized, double-blind, placebo-controlled multicenter trial in 80 adults with mild to moderate functional dyspepsia: steamed ginger extract GGE03 480 mg/day improved GSRS total and abdominal pain, constipation, indigestion and reflux subscores versus placebo (p<0.001). Several authors from SD Biotechnologies and Daewon Pharmaceutical (industry-linked); evidence for this extract only.
  9. Hu ML, Rayner CK, Wu KL, Chuah SK, Tai WC, Chou YP, Chiu YC, Chiu KW, Hu TH. Effect of ginger on gastric motility and symptoms of functional dyspepsia. World J Gastroenterol. 2011;17(1):105-10. doi: 10.3748/wjg.v17.i1.105.PubMedUsed to support: Randomized double-blind crossover in 11 functional dyspepsia patients: a single 1.2 g ginger dose sped gastric emptying versus placebo but did not change gastrointestinal symptoms or gut peptides.
  10. Aregawi LG, Zoltan C. Evaluation of Adverse Effects and Tolerability of Dietary Ginger Supplementation in Patients With Functional Dyspepsia. Curr Ther Res Clin Exp. 2025;102:100792. doi: 10.1016/j.curtheres.2025.100792.PubMedUsed to support: Open-label, single-arm study, 1,080 mg/day ginger for 8 weeks in functional dyspepsia (47 completers): mild, transient bloating (14.9%), heartburn (12.8%) and diarrhea (10.6%); no discontinuations or severe adverse events. No control group, and the registered primary outcome (dyspepsia symptom severity) is not reported. Supports the heartburn caution.
  11. Black CD, Herring MP, Hurley DJ, O'Connor PJ. Ginger (Zingiber officinale) reduces muscle pain caused by eccentric exercise. J Pain. 2010;11(9):894-903. doi: 10.1016/j.jpain.2009.12.013.PubMedUsed to support: Two randomized, double-blind, placebo-controlled studies (34 and 40 volunteers): 2 g/day raw or heat-treated ginger for 11 days reduced muscle pain 24 hours after eccentric exercise by 25% and 23% versus placebo; heat treatment did not enhance the effect.
  12. Daily JW, Zhang X, Kim DS, Park S. Efficacy of Ginger for Alleviating the Symptoms of Primary Dysmenorrhea: A Systematic Review and Meta-analysis of Randomized Clinical Trials. Pain Med. 2015;16(12):2243-55. doi: 10.1111/pme.12853.PubMedUsed to support: Meta-analysis of four placebo-controlled RCTs found ginger reduced pain scores in primary dysmenorrhea; the authors call the evidence suggestive for 750 to 2000 mg ginger powder during the first 3 to 4 days of the cycle. The first author was affiliated with Daily Manufacturing Inc., a supplement manufacturer.
  13. Morvaridzadeh M, Fazelian S, Agah S, Khazdouz M, Rahimlou M, Agh F, Potter E, Heshmati S, Heshmati J. Effect of ginger (Zingiber officinale) on inflammatory markers: A systematic review and meta-analysis of randomized controlled trials. Cytokine. 2020;135:155224. doi: 10.1016/j.cyto.2020.155224.PubMedUsed to support: Meta-analysis of 16 RCTs (1,010 participants): ginger lowered circulating CRP, hs-CRP and TNF-alpha, with no significant effect on IL-6 or sICAM; heterogeneity was high.
  14. Pourmasoumi M, Hadi A, Rafie N, Najafgholizadeh A, Mohammadi H, Rouhani MH. The effect of ginger supplementation on lipid profile: A systematic review and meta-analysis of clinical trials. Phytomedicine. 2018;43:28-36. doi: 10.1016/j.phymed.2018.03.043.PubMedUsed to support: Meta-analysis of 12 trials (586 participants): ginger reduced triglycerides and LDL cholesterol (the abstract's LDL interval does not contain its point estimate); no significant overall effect on total cholesterol (P=0.089) or HDL cholesterol (P=0.059).
  15. Tóth B, Lantos T, Hegyi P, Viola R, Vasas A, Benkő R, Gyöngyi Z, Vincze Á, Csécsei P, Mikó A, Hegyi D, Szentesi A, Matuz M, Csupor D. Ginger (Zingiber officinale): An alternative for the prevention of postoperative nausea and vomiting. A meta-analysis. Phytomedicine. 2018;50:8-18. doi: 10.1016/j.phymed.2018.09.007.PubMedUsed to support: Meta-analysis of 10 placebo-controlled RCTs (918 surgical patients): ginger reduced postoperative nausea and vomiting severity (SMD -0.247, p=0.019); reductions in incidence and antiemetic drug demand were not statistically significant.
  16. Schumacher JC, Mueller V, Sousa C, Peres KK, da Mata IR, Menezes RCR, Dal Bosco SM. The effect of oral supplementation of ginger on glycemic control of patients with type 2 diabetes mellitus - A systematic review and meta-analysis. Clin Nutr ESPEN. 2024;63:615-622. doi: 10.1016/j.clnesp.2024.07.011.PubMedUsed to support: Meta-analysis of 5 RCTs in type 2 diabetes (ginger powder 1.2-2 g/day, 4-12 weeks) found no significant effect on fasting blood glucose or HbA1c; two individual studies reported fasting glucose reductions.
  17. Hasani H, Arab A, Hadi A, Pourmasoumi M, Ghavami A, Miraghajani M. Does ginger supplementation lower blood pressure? A systematic review and meta-analysis of clinical trials. Phytother Res. 2019;33(6):1639-1647. doi: 10.1002/ptr.6362.PubMedUsed to support: Meta-analysis of six RCTs (345 participants): ginger reduced systolic (MD -6.36 mmHg) and diastolic (MD -2.12 mmHg) blood pressure, with high heterogeneity; authors call for further study.
  18. Marx W, McKavanagh D, McCarthy AL, Bird R, Ried K, Chan A, Isenring L. The Effect of Ginger (Zingiber officinale) on Platelet Aggregation: A Systematic Literature Review. PLoS One. 2015;10(10):e0141119. doi: 10.1371/journal.pone.0141119.PubMedUsed to support: Systematic review: of eight clinical trials, four reported reduced platelet aggregation and four no effect; evidence on platelets and coagulation is equivocal.
  19. Anh NH, Kim SJ, Long NP, Min JE, Yoon YC, Lee EG, Kim M, Kim TJ, Yang YY, Son EY, Yoon SJ, Diem NC, Kim HM, Kwon SW. Ginger on Human Health: A Comprehensive Systematic Review of 109 Randomized Controlled Trials. Nutrients. 2020;12(1):157. doi: 10.3390/nu12010157.PubMedUsed to support: Systematic review of 109 RCTs: the authors judged trials on nausea and vomiting in pregnancy, inflammation, metabolic syndromes, digestive function and colorectal cancer markers to be supportive, other uses relatively controversial, and only 43 trials (39.4%) met their high-quality criterion.
  20. U.S. Food and Drug Administration. 21 CFR 182.10 Spices and other natural seasonings and flavorings. Electronic Code of Federal Regulations. 2026;Title 21, Part 182, Section 182.10 (current eCFR, accessed 2026-10-24)..SourceUsed to support: Not PubMed-indexed (federal regulation). Lists ginger (Zingiber officinale Rosc.) among spices and natural seasonings generally recognized as safe for their intended use in food.
  21. Araya-Quintanilla F, Gutierrez-Espinoza H, Munoz-Yanez MJ, Sanchez-Montoya U, Lopez-Jeldes J. Effectiveness of Ginger on Pain and Function in Knee Osteoarthritis: A PRISMA Systematic Review and Meta-Analysis. Pain Physician. 2020;23(2):E151-E161.PubMedUsed to support: Systematic review of 7 trials with meta-analysis of 4 in knee osteoarthritis: for oral ginger capsules versus placebo the authors judged the evidence insufficient to support use for pain relief or function, citing heterogeneous trials of poor methodological quality; topical comparisons (outside this site's oral scope) also showed no significant differences.
  22. Baek HI, Shen L, Ha KC, Park YK, Kim CS, Kwon JE, Park SJ. Effectiveness and safety of steamed ginger extract on mild osteoarthritis: a randomized, double-blind, placebo-controlled clinical trial. Food Funct. 2024;15(18):9512-9523. doi: 10.1039/d4fo01640h.PubMedUsed to support: 12-week randomized, double-blind, placebo-controlled trial in 100 adults with mild knee osteoarthritis: steamed ginger extract GGE03 (0.48 g/day) reduced pain VAS, K-WOMAC and patient global assessment more than placebo, with no significant safety changes. Authors included staff of Healthcare Claims & Management Inc. and Genencell Co., Ltd.
  23. Jiang X, Williams KM, Liauw WS, Ammit AJ, Roufogalis BD, Duke CC, Day RO, McLachlan AJ. Effect of ginkgo and ginger on the pharmacokinetics and pharmacodynamics of warfarin in healthy subjects. Br J Clin Pharmacol. 2005;59(4):425-32. doi: 10.1111/j.1365-2125.2005.02322.x.PubMedUsed to support: Open-label, randomized three-way crossover in 12 healthy men: ginger taken for 7 days before and 7 days after a single 25 mg warfarin dose did not change INR, platelet aggregation or warfarin pharmacokinetics, and ginger alone did not affect clotting status.
  24. Walstab J, Krüger D, Stark T, Hofmann T, Demir IE, Ceyhan GO, Feistel B, Schemann M, Niesler B. Ginger and its pungent constituents non-competitively inhibit activation of human recombinant and native 5-HT3 receptors of enteric neurons. Neurogastroenterol Motil. 2013;25(5):439-47, e302. doi: 10.1111/nmo.12107.PubMedUsed to support: Laboratory study: ginger extracts, 6-gingerol and 6-shogaol inhibited activation of human 5-HT3 receptors (recombinant and on enteric neurons in human submucous plexus tissue) non-competitively, without displacing a ligand from the serotonin binding site.
  25. Isa Y, Miyakawa Y, Yanagisawa M, Goto T, Kang MS, Kawada T, Morimitsu Y, Kubota K, Tsuda T. 6-Shogaol and 6-gingerol, the pungent of ginger, inhibit TNF-alpha mediated downregulation of adiponectin expression via different mechanisms in 3T3-L1 adipocytes. Biochem Biophys Res Commun. 2008;373(3):429-34. doi: 10.1016/j.bbrc.2008.06.046.PubMedUsed to support: Cell study in 3T3-L1 mouse adipocytes: 6-shogaol acted as a PPAR-gamma agonist, 6-gingerol did not; both inhibited TNF-alpha mediated downregulation of adiponectin, 6-gingerol via inhibition of JNK signaling.
  26. Grzanna R, Lindmark L, Frondoza CG. Ginger--an herbal medicinal product with broad anti-inflammatory actions. J Med Food. 2005;8(2):125-32. doi: 10.1089/jmf.2005.8.125.PubMedUsed to support: Review of laboratory research (authors from RMG Biosciences): ginger suppresses prostaglandin synthesis by inhibiting cyclooxygenase-1 and -2 and suppresses leukotriene biosynthesis by inhibiting 5-lipoxygenase.
  27. National Center for Complementary and Integrative Health. Ginger NCCIH Herbs at a Glance. 2025;Last updated February 2025 (accessed 2026-10-24)..SourceUsed to support: Not PubMed-indexed (US government fact sheet). Lists abdominal discomfort, heartburn, diarrhea and mouth and throat irritation as possible side effects of oral ginger, and advises anyone taking medicine to talk with a health care provider before using ginger. It does not address bleeding risk.