Benefits
Cognition and memory
The evidence here is for EGb761, a standardized ginkgo extract, at 240 mg a day for 22 to 26 weeks in people already diagnosed with cognitive impairment or dementia. A 2015 meta-analysis of 9 trials and 2,561 such patients found it helped stabilize or slow decline in cognition and in everyday activities. It has not been shown to sharpen memory or attention in healthy adults, and cognitive impairment and dementia are medical diagnoses that require a doctor's care.
Circulation
Improving blood flow to the brain and limbs is ginkgo's traditional reputation, but none of the research cited on this page measured circulation or any heart or blood-vessel outcome. Treat this as historical use rather than a demonstrated effect.
Antioxidant support
Ginkgo flavonoids act as antioxidants in laboratory testing. No study cited here measured antioxidant activity, brain tissue or blood vessels in people, so this is a proposed explanation rather than a proven benefit.
Mechanism of action
Microcirculation support
Ginkgo's flavone glycosides and terpene lactones are thought to affect blood-vessel function and blood flow. This is a proposed mechanism from laboratory work, not something the human research cited on this page measured.
Antioxidant neuroprotection
Ginkgo antioxidants are proposed to protect nerve cells and blood vessels from oxidative stress. This is a theory about how the extract might work and was not tested in the human evidence cited here.
Clinical trials
Systematic review and meta-analysis of 9 randomized trials in 2,561 patients, testing the standardized extract EGb761 at 240 mg a day for 22 to 26 weeks. (Tan et al. 2015, Journal of Alzheimer's Disease)
2,561 patients diagnosed with cognitive impairment or dementia. No healthy adults were studied.
Pooled results favoured EGb761 for cognition (weighted mean difference -2.86), activities of daily living (standardized mean difference -0.36) and clinicians' global impression of change (Peto odds ratio 1.88). The authors concluded the extract is able to stabilize or slow decline in these patients rather than reverse it. The included trials revealed no important safety concerns, though they were not designed to detect rare bleeding events.