The mushroom's chemistry is well described: one compound calms nerve activity, another stimulates it, and drying or heating shifts the balance. No controlled human study of small repeated doses exists. Reported gains in sleep, mood and pain rest on user surveys; harms come from emergency admissions, undisclosed ingredients and measurable cadmium and lead. Confidence in claimed benefits is low. (Full Review)
| Marker | Target | Why |
|---|---|---|
| ALT and AST | 10–26 U/L (men); 9–22 U/L (women) | Detects hepatic stress from repeated exposure to unstandardised fungal material and from alcohol-based tinctures |
| Creatinine and eGFR | eGFR above 90 mL/min/1.73 m² | Both active compounds are cleared renally; reduced filtration prolongs exposure and impairs handling of a cadmium load |
| Whole-blood cadmium | Below 0.5 µg/L | This species concentrates cadmium from soil, and dried preparations carry the highest levels |
| Blood lead | Below 1 µg/dL | Lead is concentrated by the same soil-uptake mechanism and was highest of seven preparation methods in alcohol tinctures made from raw caps |
| Prolactin | Men 3–13 ng/mL; non-pregnant women 3–20 ng/mL | Oral muscimol raises prolactin dose-dependently, so a rise is the only available signal that a dose is systemically active rather than inert |
| CBC with differential | Within reference; eosinophils below 3% | Screens for hypersensitivity reactions to fungal material and for marrow effects of chronic metal exposure |
Cadence: Liver enzymes and prolactin at 4 weeks; full panel including both metals at 3 months; every 6 months thereafter for as long as any regimen continues