Full profile

Also known asSalvia officinalis, Salvia lavandulaefolia, Sibelius: Sage, Cognivia
Best forAcute working-memory and word-recall support · Attention on deep-work days · Stimulant-free cholinergic support
Evidence gradeGrade C — Limited — early or small human trials
Studied dose range~150–333 mg of a branded standardized extract (studied acute range 150–1332 mg; one chronic trial used 600 mg/day).
Time to effectPredominantly acute — roughly 1–4 hours post-dose; limited cumulative evidence.
Best formBranded standardized aqueous leaf extract (e.g. Sibelius: Sage at ~2.5% rosmarinic acid, or Cognivia).
Food sourcesCulinary sage and sage tea (far below studied cognitive doses)

Evidence, honestly graded

Tildesley 2003 (sage oil) improved immediate recall in healthy young adults and Scholey 2008 improved memory/attention in older adults via cholinesterase inhibition; a 2021 branded trial showed acute and some chronic gains but was sponsor-funded. Samples are small and chronic data thin — honestly C.

See the full grading rubric — study type, replication, population match, and dose adequacy — in The Evidence Standard.

Side effects

  • Generally well tolerated
  • Possible GI upset

Who should avoid it or check first

  • Pregnant or breastfeeding
  • Epilepsy or seizure disorders (thujone is a proconvulsant)

Interactions

  • May add to the effects of cholinergic drugs; use caution with anticonvulsants and sedatives — discuss with a clinician

Stacks well with

  • Citicoline
  • L-Theanine
  • Bacopa Monnieri

Use caution stacking with

  • Stacking multiple cholinergic/anticholinesterase agents without rationale

What to look for on a label

  • Position as an acute focus/memory ingredient — no memory-loss or dementia implications.
  • The Health Canada sage monograph covers traditional digestive/throat uses, not cognition, and sets a thujone limit — plan for a certificate of analysis rather than presenting testing as done.

References

Grades and studied doses are our conservative reading of the human research, shown for education. They are not product claims, and a studied dose is not a recommended dose.

See how Sage compares on grade, dose, and goal in the Evidence Explorer.