Herbs & Spices · Men's hormones

Stinging Nettle: Benefits, Tea, Root vs. Leaf & Side Effects

What stinging nettle root and leaf each do, what the trials show for the prostate, allergies, joints and blood sugar, how to make nettle tea, how to cook fresh nettles, and who should skip it.

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Evidence-based45 sources citedUpdated October 16, 2026
Published Oct 16, 2026Last updated Oct 16, 2026Editorial policyMedical review policyFact-checking policy
A wooden bowl heaped with fresh stinging nettle leaves with jagged, toothed edges, on weathered gray wooden boards
Young stinging nettle leaves, the part eaten as a cooked green and brewed as tea.
The Dr. Axe Score™
7.3/10
Overall Dr. Axe Score · Stinging Nettle

Stinging nettle scores 7.3 for a medicinal record that runs from Greek physicians to today's European herbal monographs, placebo-controlled trials of the root for prostate symptoms, encouraging trials of the leaf for allergies, joints and blood sugar, and a gentle safety record.

Scientific Evidence
5.4/10
A 2025 review of 6 prostate trials with 1,210 men, a year-long trial of 246 men, two analyses of blood sugar trials, and trials of 27 to 98 people for allergies and joints.
Traditional Medicine
9.0/10
Described by physicians in ancient Greece, licensed as a standard herbal tea in Germany, and recognized as a traditional medicine in the EU for both root and leaf.
Clinical Effectiveness
7.0/10
Our judgment: a root extract that eased prostate symptoms over months, an allergy-season herb in Dr. Axe's plan, and a mineral-rich green you can cook or brew.
Safety
8.4/10
Mild stomach upset or skin reactions in a small share of users, and no serious side effects in nettle leaf studies of 10,368 people; deductions for the fresh plant's sting and the groups who should skip it.
Why this score?
Why Stinging Nettle scores 7.3 / 10

    Weighting: Evidence 30% · Traditional Medicine 25% · Clinical Effectiveness 25% · Safety 20% (5.4×0.30 + 9.0×0.25 + 7.0×0.25 + 8.4×0.20 = 1.62 + 2.25 + 1.75 + 1.68 = 7.30, shown as 7.3). How we score

    A transparent, weighted index built for supplements. See how it’s calculated →

    Interaction check: Moderate. I list nettle as a gentle diuretic, and I advise asking first if you take blood pressure, diabetes or lithium medicine.1

    Diabetes medicines: in a 3-month placebo-controlled trial of 92 adults on oral diabetes drugs, nettle leaf extract lowered blood sugar and HbA1c further, so check your blood sugar more often after you start, and have your prescriber adjust your doses as your numbers improve.15

    Warfarin and other blood thinners that work against vitamin K: a cup of cooked nettle carries 444 micrograms of vitamin K, so eat it in steady amounts from week to week and have your INR checked after any change; tea and capsules carry far less, though German labels still flag nettle leaf products for these drugs.510

    Lithium and water pills: nettle leaf increases urine flow,9 and a published case report tied a multi-herb diuretic blend to lithium toxicity, so take nettle with lithium only if the doctor who prescribes it agrees and checks your levels; with a water pill, nettle may add to its effect.45

    Blood pressure medicines: in pooled trials in type 2 diabetes, nettle lowered systolic pressure by about 5 points, so check your home readings after you start.38

    Interactions are rated separately and don't change the score.

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    Stinging nettle at a glance

    Stinging nettle is a wild green that works as two herbs in one: its root eased urinary symptoms of an enlarged prostate in placebo-controlled trials, and its leaf is a mineral-rich cooked green, a traditional tea and an allergy-season herb.123

    • Prostate: in a year-long placebo-controlled trial of 246 men, 459 mg of root extract a day lowered symptom scores from 18.7 to 13.0, against 18.5 to 13.8 on placebo3
    • Allergies: in a placebo-controlled trial of 98 people with allergic rhinitis (69 finished), freeze-dried leaf was rated better than placebo after a week4
    • Food: a cup of cooked nettle has 428 mg of calcium, a third of the daily value, for 37 calories5
    • Blood sugar: across 8 randomized trials in type 2 diabetes, fasting blood sugar fell 18 mg/dL6

    Brush a bare ankle against a patch of stinging nettle and you'll know it within seconds: a hot prickle, then a rash of small welts, with a sting that can last more than 12 hours. The fine hairs on the leaves and stems work like tiny needles, and each one carries about 6.1 nanograms of histamine, the same compound behind allergy symptoms.7 Cook the leaves or dry them, and the sting is gone.1

    In my field guide, I describe stinging nettle as two herbs in one. The root supports the prostate and pairs naturally with saw palmetto, and the leaf is one of the most mineral-rich greens there is, used for allergies and achy joints.1 European regulators draw the same line, with one herbal monograph for the root and a separate one for the leaf.89

    People have relied on this plant for a very long time. Physicians in ancient Greece were writing about nettle leaf nearly 2,000 years ago,10 and in many cultures the young shoots are still foraged and eaten as a vegetable.11

    Quercetin and stinging nettles act as natural mast cell stabilizers. You want to take quercetin and stinging nettles 3 times daily. These help reduce histamine release.Dr. Josh Axe, DC, DNM, CNSFrom Best Natural Alternatives for Common Prescription Drugs, The Dr. Josh Axe Show (2025), at 38:33

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    Achy joints are one of nettle leaf's classic uses, and calming inflammation runs through its allergy and blood sugar research too. This free 30-day protocol works on inflammation from the inside, starting with your plate. It lays out:

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    Free with your Dr. Axe account (email or Google), which also opens my field guide, Top 50 Healing Herbs & Essential Oils, with its full nettle entry. You'll also get the protocol's short email series and the Dr. Axe newsletter; unsubscribe anytime.

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    Did you know?

    • Dried nettle leaf is unusually rich in silicates: silica makes up 1% to 4% of the dried herb.10

    • In Germany, nettle herb is licensed as a standard herbal tea for its diuretic action, its ability to increase urine flow.10

    • USDA files its nutrient record for cooked stinging nettle in its American Indian and Alaska Native foods group, as a food of the Northern Plains Indians.5

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    What is stinging nettle?

    Quick answer

    Stinging nettle, Urtica dioica, is a common leafy plant covered in fine stinging hairs, used as a cooked green, a tea and an herbal medicine.1210 Its root and its leaf are used for different jobs: the root for urinary symptoms of an enlarged prostate, and the leaf for allergies, achy joints and as food.1

    Nettle grows throughout the world and is often treated as a common weed.1210 Foragers and cooks usually call the plant simply nettle or nettles. Europe's herbal monographs cover Urtica dioica together with a close relative, Urtica urens, which is used the same way.89

    The stinging hairs carry small amounts of acetylcholine, serotonin and formic acid along with their histamine.107 The leaf itself holds 1% to 2% flavonoids, including forms of quercetin, kaempferol and isorhamnetin, plus about 2.7% chlorophyll and beta-sitosterol, a plant sterol.10 The root carries lignans, compounds researchers have studied for how they interact with hormones in the prostate.13

    Nettle root vs. nettle leaf: two herbs in one

    The root and the leaf are studied, sold and used separately. Here's how they compare:

    Nettle rootNettle leaf

    Main uses

    Urinary symptoms of an enlarged prostate8

    Seasonal allergies, achy joints, minor urinary complaints, and as food19

    Forms

    Dry or liquid extracts, capsules and tablets, root tea8

    Freeze-dried capsules, tea, extracts and the cooked green19

    Key compounds studied

    Lignans that bind SHBG, a hormone-carrying protein13

    Flavonoids, silica and minerals105

    Strongest human evidence

    Placebo-controlled prostate trials of up to a year3

    Placebo-controlled trials for allergies, joint pain and blood sugar41415

    If a label says only "stinging nettle," it doesn't tell you which part you're getting. The dosage section below matches each part to its amount.

    A short history of stinging nettle

    The Greek physicians Dioscorides, in the first century, and Galen, who lived from about 130 to 200, described nettle leaf as a diuretic and a laxative and considered it useful for asthma and pleurisy, while the Roman naturalist Pliny the Elder recorded its use to stop bleeding.10 In North America, the Hesquiat, Sanpoil and Shuswap peoples have used the plant for rheumatism, and India's Ayurvedic Pharmacopoeia lists the herb, in combination with other herbs, for skin eruptions, eczema and nosebleeds.10 The root's prostate use is more recent: in 1986, Germany's Commission E, the country's expert panel on herbal medicines, listed nettle root for urination problems in the early stages of an enlarged prostate.16

    A plant that is both food and medicine is a good picture of what the psalmist praised: "He causeth the grass to grow for the cattle, and herb for the service of man: that he may bring forth food out of the earth" (Psalm 104:14).

    In the language of Western herbal energetics, here's nettle's profile:1

    Traditional Energetic Profile
    Taste
    Bitter · Salty
    In Western herbal tradition
    Temperature
    Cooling
    For people with heat and swelling
    Actions
    Gentle diuretic
    Increases urine flow
    Organs
    Kidneys · Bladder
    Where its action is focused
    Best for
    Heat and swelling
    Allergies, puffiness, achy joints, sluggish urination
    Classic pairing
    Saw palmetto
    For prostate support

    Stinging nettle nutrition facts

    Quick answer

    A cup of cooked stinging nettle (89 grams) has 37 calories, 428 milligrams of calcium, a third of the daily value, 444 micrograms of vitamin K and 6.1 grams of fiber.5

    Values from USDA FoodData Central, FDC ID 169819 (stinging nettles, blanched). Per-cup amounts are calculated from the per-100-gram values; % Daily Value uses FDA label reference values.5

    Nutrient1 cup cooked (89 g)Per 100 g

    Calories

    37

    42

    Protein

    2.4 g (5% DV)

    2.71 g

    Fiber

    6.1 g (22% DV)

    6.9 g

    Calcium

    428 mg (33% DV)

    481 mg

    Vitamin K

    444 µg (370% DV)

    499 µg

    Manganese

    0.69 mg (30% DV)

    0.779 mg

    Magnesium

    51 mg (12% DV)

    57 mg

    Riboflavin (vitamin B2)

    0.14 mg (11% DV)

    0.16 mg

    Vitamin A

    90 µg RAE (10% DV)

    101 µg RAE

    Iron

    1.46 mg (8% DV)

    1.64 mg

    Potassium

    297 mg (6% DV)

    334 mg

    Lutein + zeaxanthin

    3,720 µg

    4,180 µg

    What a cup of cooked stinging nettle supplies, as a share of the daily value

    What a cup of cooked stinging nettle supplies, as a share of the daily valueUSDA analysis of blanched stinging nettle · 1 cup (89 g) · 37 calories. Calcium: 33 % Daily Value per cup; Manganese: 30 % Daily Value per cup; Fiber: 22 % Daily Value per cup; Magnesium: 12 % Daily Value per cup; Riboflavin: 11 % Daily Value per cup; Vitamin A: 10 % Daily Value per cup; Iron: 8 % Daily Value per cup; Potassium: 6 % Daily Value per cupUSDA analysis of blanched stinging nettle · 1 cup (89 g) ·37 caloriesCalcium33 % Daily Value per cupManganese30 % Daily Value per cupFiber22 % Daily Value per cupMagnesium12 % Daily Value per cupRiboflavin11 % Daily Value per cupVitamin A10 % Daily Value per cupIron8 % Daily Value per cupPotassium6 % Daily Value per cup
    Source: USDA FoodData Central, FDC ID 169819 [5]Vitamin K isn't drawn: at 370% of the daily value in a cup, it would dwarf the other bars.

    For 37 calories, a cup of cooked nettle gives you a third of a day's calcium, nearly a third of your manganese and more than three times the daily value for vitamin K, along with fiber, magnesium, vitamin A and 3,720 micrograms of lutein and zeaxanthin, pigments concentrated in your eyes.5 That's why it earns a place beside the other leafy greens on your plate.

    Is stinging nettle high in iron?

    A cup of cooked nettle carries 1.46 milligrams of iron, 8% of the daily value.5 When I buy an iron supplement, I look for one with herbs like dong quai and nettle, which help build and support the blood.17 For the foods that carry the most iron, see iron-rich foods, and for the signs to watch for, iron deficiency.

    What is stinging nettle good for?

    Quick answer

    Stinging nettle root is best studied for urinary symptoms of an enlarged prostate, where placebo-controlled trials and a 2025 review found symptom scores improved, and the leaf has encouraging trials for seasonal allergies, joint pain and blood sugar in type 2 diabetes.234146 The cooked leaf is also a mineral-rich food.5

    Where the research stands

    The deepest research is on nettle root for an enlarged prostate: a 2025 review pooled 6 randomized trials with 1,210 men, and the European Medicines Agency counts 8 placebo-controlled trials of the root on its own.216 The allergy, joint and blood sugar findings come from smaller trials, each listed below with the part of the plant it tested.

    Stinging nettle benefits, graded by evidence (updated October 2026). Evidence labels are editorial judgments that compare these uses with each other; they aren't formal certainty ratings.
    UseEvidencePart studiedWhat the research shows

    Prostate and urinary symptoms

    Moderate

    Root extract

    Lowered symptom scores more than placebo over a year32

    Seasonal allergies

    Emerging

    Freeze-dried leaf

    Rated better than placebo after a week4

    Joint pain

    Emerging

    Fresh leaf on the skin; stewed leaf

    Less pain and disability; stewed nettle with a quarter dose of diclofenac matched the full dose1418

    Blood sugar in type 2 diabetes

    Moderate

    Leaf extracts and dried leaf

    Fasting blood sugar 18 mg/dL lower615

    Free testosterone

    Preclinical

    Root lignans and extracts

    Bind SHBG, which may leave more testosterone free1319

    Minerals

    Strong

    Cooked leaf

    428 mg of calcium and 444 µg of vitamin K per cup5

    Stinging nettle benefits

    I rank nettle's uses with the prostate first, then allergies and joints.1 Blood sugar is a newer area of research, and the testosterone findings so far come from lab work.

    1

    Prostate and urinary support

    Moderate evidenceHuman studyReview of 6 RCTs · 1,210 men; placebo-controlled trials of 246 and 41 men

    Nettle root extract lowered urinary symptom scores more than placebo in a year-long placebo-controlled trial of 246 men with an enlarged prostate, and a 2025 review of 6 randomized trials with 1,210 men found the same direction.32 The prostate section covers the full set of trials and how to use it.

    Study takeaway: nettle root lowered prostate symptom scores more than placebo over a full year.

    2

    Seasonal allergy relief

    Emerging evidenceHuman studyPlacebo-controlled trial · 98 adults with allergic rhinitis, 69 finished

    In a week-long placebo-controlled trial of 98 people with allergic rhinitis, freeze-dried nettle leaf was rated better than placebo by the 69 who finished, and in lab tests nettle extract blocked the histamine-1 receptor and enzymes behind allergy symptoms.420 The allergy section has the details and how I use it in allergy season.

    Study takeaway: freeze-dried nettle leaf was rated better than placebo for allergic rhinitis after a week.

    3

    Joint pain relief

    Emerging evidenceHuman studyPlacebo-controlled trial · 27 adults who each tried both; open randomized trial · 40 adults with arthritis, 37 finished

    In a placebo-controlled trial of 27 adults with osteoarthritis of the thumb or finger, pressing fresh nettle leaf onto the sore joint eased pain and disability more than a non-stinging look-alike leaf, and in a randomized trial of 40 adults with an arthritis flare (37 finished), stewed nettle with a quarter dose of diclofenac matched the full dose.1418 The joint section explains both.

    Study takeaway: fresh nettle leaf on a sore joint eased pain more than a placebo leaf in a week.

    4

    Blood sugar support in type 2 diabetes

    Moderate evidenceHuman studyPooled analyses of 8 and 13 trials · type 2 diabetes; placebo-controlled trial · 92 adults

    Across 8 randomized trials with 401 adults with type 2 diabetes, nettle lowered fasting blood sugar by 18 mg/dL, and in a 3-month placebo-controlled trial of 92 adults, a leaf extract added to oral diabetes drugs lowered HbA1c.615 The blood sugar section covers how to fit it into a plan.

    Study takeaway: nettle lowered fasting blood sugar by 18 mg/dL across 8 trials in type 2 diabetes.

    5

    Free testosterone potential

    PreclinicalIn vitro (lab)Lab studies of root lignans and root extracts

    In lab tests, lignans from nettle root bound to SHBG, the protein that carries testosterone in the blood, which may leave more testosterone free.13 Total testosterone held steady in a 6-month placebo-controlled trial of 620 men (558 finished),21 and a water extract of the root kept SHBG from docking on human prostate tissue in the lab.19

    Study takeaway: root lignans bind SHBG in lab tests, which may free up more testosterone.

    Does stinging nettle root help an enlarged prostate?

    Quick answer

    Yes. In a year-long placebo-controlled trial of 246 men with an enlarged prostate, 459 mg of nettle root extract a day lowered urinary symptom scores from 18.7 to 13.0, against 18.5 to 13.8 on placebo, with fewer side effects and urinary infections.3 A 2025 review of 6 randomized trials with 1,210 men found symptom scores and PSA improved.2

    As men get older, the prostate often grows, a condition called benign prostatic hyperplasia (BPH). The urinary symptoms that come with it, such as getting up at night to urinate, frequent urination, difficult urination and trouble emptying the bladder, are what nettle root is used for.16 Trials track them with the International Prostate Symptom Score, a questionnaire in which a lower score means fewer symptoms.

    A 2025 review gathered the randomized trials of nettle for BPH: 6 trials with 1,210 men. Symptom scores improved more than in the comparison groups, PSA fell by 0.37 ng/mL across the 4 trials that measured it, and the reviewers found no harmful effects reported for nettle. The reviewers rated the certainty of the evidence very low and described it as promising.2

    The longest trial of nettle root on its own ran a full year in Germany. In a placebo-controlled trial of 246 men with an enlarged prostate, in which neither the men nor the researchers knew who got what, 459 mg of a dry root extract once a day for 12 months lowered symptom scores from 18.7 to 13.0, while placebo lowered them from 18.5 to 13.8, a modest edge for nettle that was unlikely to be chance. Urine flow and leftover urine improved about the same in both groups, and the nettle group had fewer side effects, 29 against 38, and fewer urinary infections and similar events, 3 against 10.3

    Prostate symptom scores over a year: nettle root vs. placebo

    Prostate symptom scores over a year: nettle root vs. placebo246 men with an enlarged prostate · 459 mg of root extract a day · 12 months. Start: Nettle root extract 18.7 symptom score, Placebo 18.5 symptom score; 12 months: Nettle root extract 13 symptom score, Placebo 13.8 symptom score246 men with an enlarged prostate · 459 mg of root extract aday · 12 months18.713Nettle root extract (symptom score)18.513.8Placebo (symptom score)Start12 months
    Source: Schneider & Rübben · Der Urologe, 2004 [3]Average International Prostate Symptom Score at the start and after 12 months; a lower score means fewer symptoms. Both groups improved, and the nettle group's score fell further.

    A second German trial found a wider gap. In 41 men with an enlarged prostate, a water-based root extract, two 3 mL doses a day for 3 months, improved symptom scores by 9.5 points, or 52%, against 4.7 points, or 27%, on placebo, and leftover urine and urine flow improved more as well, according to the European Medicines Agency's summary of the trial.16

    Prostate symptom scores improved 9.5 points on nettle root vs. 4.7 on placebo

    Prostate symptom scores improved 9.5 points on nettle root vs. 4.7 on placebo41 men with an enlarged prostate · water-based root extract · 3 months. Nettle root extract: 9.5 points of improvement; Placebo: 4.7 points of improvement41 men with an enlarged prostate · water-based root extract· 3 months
    9.5 points of improvement
    NETTLE ROOT EXTRACT
    4.7 points of improvement
    PLACEBO
    Source: Engelmann et al., 1996, as summarized by the European Medicines Agency, 2025 [16]Average improvement in the International Prostate Symptom Score after 3 months: 52% on nettle root and 27% on placebo. A taller bar means more relief.

    The largest single trial was a 6-month placebo-controlled trial of 620 men in Iran, 558 of whom finished. On 120 mg of a nettle root fluid extract three times a day, 81% of the men had improved urinary symptoms, against 16% on placebo; scores fell from 19.8 to 11.8, against 19.2 to 17.7; and prostate size shrank from 40.1 to 36.3 cc, with no side effects identified and PSA and testosterone steady.2116 In a 12-week placebo-controlled trial of 60 men in Iran, 56 of whom finished, 450 mg of root extract a day also improved symptom scores more than placebo, with no side effects reported; the extract's maker supplied the product and the placebo.22

    European regulators recognize nettle root as a traditional herbal medicine for urinary symptoms of an enlarged prostate, for use after a doctor has ruled out serious conditions, and they allow long-term use.8 So if your urinary symptoms are new, get checked first, including a PSA test and a prostate exam, and then make nettle root part of your plan. The safety section lists the urinary signs that call for a doctor promptly.

    How nettle root works

    Researchers propose that nettle root works partly through SHBG, sex hormone-binding globulin, the protein that carries testosterone and estrogen in your blood. Here's the research, step by step:

    1Root lignans bind SHBG

    In lab tests, all but one of six lignans found in nettle root bound to human SHBG.13

    2SHBG docks less on prostate tissue

    A water extract of the root blocked SHBG from binding its receptor on human prostate membranes, starting at about 0.6 mg per mL and completely at 10 mg per mL.19

    3Less overgrowth in mice

    In a mouse model of an enlarged prostate, a root extract cut the induced overgrowth by 51.4%.23

    4Fewer symptoms in men

    Men taking the root extract in the year-long placebo-controlled trial above ended with lower symptom scores than the men on placebo.3

    Nettle root and saw palmetto

    Much of the combination research tests nettle root and saw palmetto together in one capsule: 160 mg of saw palmetto extract with 120 mg of nettle root extract, taken twice a day. In a 24-week placebo-controlled trial of 257 men, symptom scores fell 6 points on the combination against 4 on placebo,24 and in the follow-up, in which every man took the combination and knew it, scores ended 53% lower than at the start after 96 weeks.25

    The combination has also been compared with standard prescription drugs. In a 60-week trial of 140 men in which neither the men nor the researchers knew who got what, symptom scores fell by a median of 9 points both on the combination and on tamsulosin, a standard prescription drug for an enlarged prostate, and 32.4% of men on the herbs reached the trial's mild-symptom target, against 27.9% on the drug.26 In an analysis of 431 men from a 543-man randomized trial against finasteride, another common prostate drug, urine flow and symptom scores improved about equally over 24 weeks, with fewer side effects reported on the herbs.27 Scientists from the capsule's maker coauthored the placebo and tamsulosin trials.2426 Our guides to pygeum and pumpkin seed oil cover other options for prostate support.

    Does stinging nettle help seasonal allergies?

    Quick answer

    It can: in a placebo-controlled trial of 98 people with allergic rhinitis, freeze-dried nettle leaf was rated better than placebo after a week by the 69 who finished.4 Stinging nettle is first on my list of remedies for allergies.28

    Hay fever symptoms start when pollen sets off mast cells, immune cells that release histamine and other inflammatory compounds. In lab tests, a freeze-dried nettle extract blocked the histamine-1 receptor, the target of common antihistamines, and inhibited mast cell tryptase, an enzyme that helps mast cells release their contents. It also inhibited COX-1, COX-2 and the enzyme that makes prostaglandin D2, compounds that drive allergy and inflammation.20

    The human trial ran at a naturopathic college in Oregon. Ninety-eight adults with allergic rhinitis took capsules of freeze-dried nettle leaf or a placebo for a week, and neither they nor the researchers knew who got what. Among the 69 who finished, nettle was rated better than placebo in the overall assessments and slightly better in the daily symptom diaries.4

    A 2017 trial in Iran tested nettle root, a different part of the plant, in 74 adults with year-round allergic rhinitis, 40 of whom finished. Symptoms improved in both groups over a month with no significant difference between them, and eosinophils, allergy-driving white blood cells in the nose, fell within the nettle group.29 For allergies, the leaf is the part to use.1

    Going into allergy season, I step up quercetin and stinging nettle, on top of higher-dose probiotics.30 Year-round, I recommend 1 teaspoon to 1 tablespoon of raw local honey a day,31 together with local bee pollen.30 If you have asthma, or you've ever had hives, swelling or trouble breathing from pollen, bee stings or bee products, skip bee pollen, and don't assume honey is safe for you either.32 If you have hay fever, you're the person most likely to react to bee pollen, and there's no proven safe way to start it at home, so make that decision with a practitioner who knows your allergy history.3334 Everyone else can start with a few granules with food, then eat food amounts. Our guides to seasonal allergy symptoms and natural allergy relief cover the rest of the plan.

    Can stinging nettle ease joint pain?

    Nettle has helped sore joints in two very different ways in trials: pressed onto the skin as a fresh leaf, and eaten as a stewed green. In a UK trial of 27 adults with osteoarthritis pain at the base of the thumb or index finger, each person tried both treatments for a week, with a five-week break between. Once a day, they pressed the underside of a fresh leaf onto the sore joint for about 30 seconds, and pain and disability scores fell more after the nettle week than after a week with white deadnettle, a non-stinging plant used as the placebo. The brief rash and itching were acceptable to 23 of the 27.1410 In interviews with 18 people who used nettle stings on their own aches, with no comparison group, 17 reported relief after the first course.35

    The stewed green has its own trial. In Germany, 40 adults with an arthritis flare were randomly assigned to 50 grams of stewed nettle leaf a day plus 50 mg of diclofenac, a common anti-inflammatory drug, or to 200 mg of diclofenac, for 14 days, and people knew which treatment they got; 37 finished. Both groups improved by about 70% on CRP, a blood marker of inflammation, and on joint scores, so the nettle group did as well on a quarter of the drug.1810 By weight, 50 grams is a little over half a cup of cooked nettle.5

    Nettle leaf extract has a long record in Germany for aching joints. In a study of 8,955 people with osteoarthritis or rheumatoid arthritis who knowingly took a nettle leaf extract, two 335 mg capsules twice a day for 3 weeks, with no comparison group, resting pain fell about 55%, and of the roughly half who were already taking an anti-inflammatory drug, 26.2% stopped it and another 37.8% cut the dose about in half.10 In a 2026 records analysis from a German pain registry, which matched 1,073 adults with osteoarthritis on a nettle leaf extract with 1,073 on over-the-counter anti-inflammatory drugs, 96.2% on nettle got meaningful pain relief without stopping for a side effect, against 73.2% on the drugs, and 13.1% on nettle had side effects, against 46.8%; it wasn't a randomized trial, and its lead author has been paid by the extract's maker.36

    Lab work suggests part of the reason: in tests on cells, a nettle leaf extract blocked NF-κB, a master switch for inflammation.37 At home, add cooked nettle to your meals or drink the tea, and pair it with the anti-inflammatory foods in the free Anti-Inflammatory Reset. If you try the traditional sting, follow the trial's method on unbroken skin, and skip it if nettle has given you hives before. Our guides to natural remedies for joint pain and natural treatments for arthritis cover more options.

    Can stinging nettle lower blood sugar?

    In people with type 2 diabetes, it can. A 2020 analysis of 8 randomized trials with 401 adults found that nettle lowered fasting blood sugar by 18 mg/dL; insulin and HbA1c didn't change significantly in that analysis.6 A 2022 analysis of 13 clinical trials found fasting blood sugar 17 mg/dL lower, HbA1c 0.93 points lower and systolic blood pressure 5.03 points lower, and triglycerides and CRP were lower too.38

    In a 3-month placebo-controlled trial of 92 adults in Iran whose type 2 diabetes had advanced to the point of needing insulin, a 500 mg capsule of nettle leaf extract every 8 hours, added to their oral diabetes drugs, lowered fasting blood sugar, blood sugar 2 hours after meals and HbA1c compared with placebo, with no change in kidney or liver tests or blood pressure.15 In an 8-week placebo-controlled trial of 50 adults with type 2 diabetes, a nettle extract lowered IL-6 and hs-CRP, two blood markers of inflammation.39 The leaf works as food, too: in a randomized trial of 40 men with type 2 diabetes split into four groups, 10 grams of dried nettle leaf stirred into yogurt before breakfast for 8 weeks lowered fasting blood sugar, with or without aerobic exercise.40

    Type 2 diabetes can be reversed in many cases with diet, exercise and lifestyle: in a year-long UK trial of 306 adults, in which people knew which program they were on, 46% of those on a structured weight-loss diet were in remission, against 4% on standard care.41 Nettle is one support inside that kind of plan, alongside whole foods, walking and building muscle. My free Type 2 Diabetes protocol lays it out, and our guide to normal blood sugar shows the numbers to aim for. To use the dried leaf the way the yogurt trial did, stir it into goat's milk or coconut yogurt. If you take diabetes medicine, read the interaction check in the safety section first.

    Three markers that show where you stand

    These markers track the same things the nettle trials measured and give you a baseline to retest against. None of them measures nettle itself. Review your numbers with your practitioner.

    • HbA1c: Your average blood sugar over about three months. It fell when nettle leaf extract was added to oral diabetes drugs in a placebo-controlled trial of 92 adults.15
    • hs-CRP: A sensitive blood measure of inflammation. It fell on a nettle extract in a placebo-controlled trial of 50 adults with type 2 diabetes.39
    • PSA: A blood test for prostate health, worth having on file before you start nettle root.8

    See the cellular bloodwork panel

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    Nettle tea: benefits and how to make it

    Quick answer

    Nettle tea is brewed from the dried leaf, and European regulators recognize it as a traditional remedy for minor joint pain and for flushing the urinary tract in minor urinary complaints.9 For a strong infusion, steep 1 to 2 tablespoons of dried leaf for 4 hours or overnight.1

    You can take stinging nettle as a tea or in capsule form.42 The tea increases urine flow, which is why nettle is on our list of natural diuretics,9 and it's a simple way to keep the leaf in your routine through allergy season. Our guide to herbal teas covers others worth brewing.

    Here are three ways to make it:

    1. Overnight infusion. Pour hot water over 1 to 2 tablespoons of dried nettle leaf, cover it, and let it steep 4 hours or overnight. Strain it and drink it through the day. This is the strong infusion I recommend.1

    2. A quick cup. The European herbal monograph uses 2 to 4 grams of dried leaf for each cup of tea, 3 to 6 times a day, for 8 to 12 grams a day in all.9

    3. A three-herb blend. My Breast Cancer Support Protocol pairs nettle leaf with dandelion root and rooibos: simmer the dandelion root for 10 minutes, then steep the nettle and rooibos for 8, for 2 to 3 cups a day.43

    To sweeten a cup, stir in a teaspoon of raw local honey or Manuka honey.

    How to cook fresh nettles (and take the sting out)

    Cooking or drying removes the sting entirely, and you can use the cooked leaves anywhere you'd use cooked spinach.1 Researchers who studied nettle as a vegetable in Virginia harvested the shoots in spring and fall, and found that blanching or boiling kept a significant share of the leaf's minerals and vitamins.11 Here's how to prepare them:

    1. Wear gloves to handle nettles fresh.1

    2. Pick young shoots before the plant flowers. The researchers cut shoots about 20 cm (8 inches) long.11

    3. Strip the leaves and tender tips. The stem turns woody about 4 cm (1½ inches) below the growing tip, so leave it behind.11

    4. Blanch or boil them. Drop the leaves into boiling water for 1 minute to blanch them, or boil them for 7 minutes, then drain and cool.11

    5. Squeeze them dry and use or freeze them. Blanched or cooked nettles kept a significant share of their nutrients through frozen storage.11

    Stir it into soup. Add blanched nettles to a pot of bone broth with leeks, or finish a green soup with coconut milk. Find more spring soups to start from.
    Blend a pesto. Swap blanched nettles for half the basil in a vegan basil pesto, with olive oil and garlic.1
    Sauté it with garlic in olive oil and finish it with a squeeze of lemon.
    Fold it into eggs. In Spain's Basque region, cooks add young nettle shoots to omelets.11
    Dry it for tea. Dried leaves lose their sting and steep into the overnight infusion above.1
    Mix it with other greens. Toss cooked nettle with sautéed kale or Swiss chard for a mineral-rich side.

    Find more ideas in our soup recipes.

    How much stinging nettle should you take?

    Quick answer

    For prostate support, I recommend 120 to 300 mg of nettle root extract twice a day; for allergies, 300 to 600 mg of freeze-dried leaf; and as a tea, 1 to 2 tablespoons of dried leaf steeped 4 hours or overnight.1 In placebo-controlled trials, men took 459 mg of root extract a day for a year and 450 mg a day for 12 weeks.322

    FormPartDr. Axe's amountAmount studied or in the EU monograph

    Extract (capsules or tablets)

    Root

    120 to 300 mg, twice a day1

    459 mg once a day for a year; the EU range runs about 300 to 720 mg a day, depending on the extract38

    Freeze-dried capsules

    Leaf

    300 to 600 mg, for allergies1

    Freeze-dried capsules for a week in the allergy trial4

    Infusion

    Dried leaf

    1 to 2 tablespoons, steeped 4 hours or overnight1

    2 to 4 g per cup, 3 to 6 times a day, 8 to 12 g a day in all9

    Extract

    Leaf

    Not listed

    500 mg every 8 hours in the blood sugar trial15

    Cooked greens

    Leaf

    In soups and pesto1

    50 g of stewed leaf a day in the arthritis trial18

    For allergies, I've recommended 300 to 500 mg twice a day,28 and on my show, quercetin and stinging nettle 3 times a day.44 European rules allow long-term use of nettle root.8 For licensed leaf products, the EU label sets 4 weeks for joint pain and 2 to 4 weeks as a urinary flush; those limits belong to the licensed traditional uses, while cooked nettle is a vegetable.911

    How to choose a stinging nettle supplement

    Nettle products vary a lot by part and form, so check the label for these:

    • The part of the plant: root for prostate support, leaf for allergies and joints.89

    • Milligrams of extract per capsule, so you can match the amounts in the table above.

    • Freeze-dried leaf for allergies, the form used in the allergy trial.4

    • Both amounts in a combination: the saw palmetto and nettle root trials used 160 mg and 120 mg per capsule.24

    • Third-party testing for purity, with results the maker will share.

    Want help fitting stinging nettle into your routine?

    Ask Dr. Axe AI. Answers are grounded in this library, with sources shown.

    Stinging nettle side effects and who should skip it

    Quick answer

    Stinging nettle is well tolerated: across five studies in which 10,368 people took a nettle leaf extract for 3 weeks to a year, no serious side effects were reported, and minor stomach upset or allergic reactions affected 1.2% to 2.7%.10 The fresh plant stings, so wear gloves, and read the cautions below before you start.

    The root has a long safety record too: more than 17,000 men have taken nettle root preparations in clinical studies, and the side effects reported were mainly stomach complaints such as nausea, heartburn and diarrhea.16 Both root and leaf products can occasionally cause itching, a rash or hives.89 In one documented case, a 30-year-old woman who was also using echinacea and a hormonal implant developed breast milk discharge after a month of 500 mg of nettle a day, and it cleared within a week of stopping.12

    Skip nettle tea, extracts and capsules during pregnancy and while breastfeeding. European regulators say nettle leaf's safety hasn't been established for those times and don't recommend it.9

    Good to know before you use stinging nettle
    • Children: the EU leaf monograph doesn't recommend nettle leaf products for children under 12, and root products are for adult men.98

    • Fluid limits: skip nettle tea if a doctor has told you to limit fluids for severe heart or kidney disease.9

    • Urinary warning signs: see a doctor promptly for fever, spasms, blood in the urine, painful urination or trouble passing urine.8

    • Joint warning signs: see a doctor if joint pain comes with swelling, redness or fever.9

    • Allergic reactions: call 911 for trouble breathing or swelling of the face, lips or throat after any use.

    The bottom line

    Is stinging nettle worth taking?

    For most adults, yes. Nettle root eased urinary symptoms of an enlarged prostate in placebo-controlled trials, and the leaf works as a mineral-rich food, a traditional tea and an allergy-season herb. Its long record as food and medicine carries weight with me, because it reflects generations of people noticing what helped them. The prostate results are the best established, and the allergy, joint and blood sugar findings are promising.

    Take the root for prostate support, the freeze-dried leaf through allergy season, and the tea or the cooked greens as everyday food, and read the interaction check if you take medicine. Used that way, nettle gives a body designed to heal steady, gentle support.

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    Stinging nettle: frequently asked questions

    What is stinging nettle good for?

    Stinging nettle root is best studied for urinary symptoms of an enlarged prostate: in a year-long placebo-controlled trial of 246 men, root extract lowered symptom scores more than placebo.3 Freeze-dried nettle leaf was rated better than placebo for allergies in a placebo-controlled trial of 98 people (69 finished),4 fresh leaf eased joint pain in a placebo-controlled trial of 27 adults who each tried both,14 and nettle lowered fasting blood sugar across 8 randomized trials in type 2 diabetes.6 The cooked leaf is also a mineral-rich green.5

    Should you use nettle root or nettle leaf?

    Use the root for prostate support and the leaf for allergies, joints, tea and food.1 They're sold as separate products, so check the label for the part before you buy.

    Does stinging nettle help an enlarged prostate?

    Yes: in a year-long placebo-controlled trial of 246 men with an enlarged prostate, 459 mg of nettle root extract a day lowered symptom scores from 18.7 to 13.0, against 18.5 to 13.8 on placebo.3

    Does stinging nettle help with allergies?

    It can: in a placebo-controlled trial of 98 people with allergic rhinitis, freeze-dried nettle leaf was rated better than placebo after a week by the 69 who finished.4 I step up stinging nettle and quercetin going into allergy season.30

    Can you drink nettle tea every day?

    Yes, for most adults: the dandelion, nettle and rooibos tea in my Breast Cancer Support Protocol is 2 to 3 cups a day.43 If you take medicine or have been told to limit fluids, read the safety section first.

    How do you make nettle tea?

    Steep 1 to 2 tablespoons of dried nettle leaf in hot water for 4 hours or overnight, then strain it.1 For a quicker cup, the European herbal monograph uses 2 to 4 grams of dried leaf per cup.9

    How much stinging nettle should I take a day?

    I recommend 120 to 300 mg of root extract twice a day for prostate support and 300 to 600 mg of freeze-dried leaf for allergies.1 In placebo-controlled trials, men took 459 mg of root extract a day for a year and 450 mg a day for 12 weeks.322

    Is stinging nettle a good source of iron?

    It supplies some: a cup of cooked nettle has 1.46 milligrams of iron, 8% of the daily value, along with a third of the daily value for calcium.5 When I buy an iron supplement, I look for herbs like nettle in it, because they help build and support the blood.17

    Does stinging nettle raise testosterone?

    In lab tests, lignans from nettle root bind SHBG, the protein that carries testosterone in the blood, which may leave more testosterone free.13 In a 6-month placebo-controlled trial of 620 men (558 finished), total testosterone levels held steady.21 Our guide to increasing testosterone naturally covers the rest of the plan.

    Does stinging nettle help hair growth?

    Nettle root has a traditional use in European herbal medicine as a hair wash against hair loss and dandruff, though no human trial has tested nettle for hair growth yet.16 Our guides to hair loss remedies and DHT cover the rest of a natural approach.

    Is nettle tea good for your kidneys?

    Nettle leaf tea is a traditional flush for the kidneys and bladder: European regulators recognize it for increasing urine flow in minor urinary complaints.9 Skip it if a doctor has told you to limit fluids for severe heart or kidney disease.

    Does nettle tea help eczema?

    Nettle has a traditional skin use: India's Ayurvedic Pharmacopoeia lists the herb, combined with other herbs, for eczema and skin eruptions.10 No human trial has tested nettle tea for eczema yet; our eczema guide covers the rest of a natural approach.

    What happens if stinging nettle stings you?

    You get a burning prickle and small welts, a contact rash from the histamine and serotonin the plant's hairs deliver into your skin, and the stinging can last more than 12 hours.7 Wear gloves the next time you handle nettles fresh,1 and see the safety section for the signs of a serious allergic reaction.

    Can you take stinging nettle with saw palmetto?

    Yes: nettle root pairs naturally with saw palmetto, and in a 24-week placebo-controlled trial of 257 men, a capsule of the two together lowered prostate symptom scores 6 points, against 4 on placebo.124

    Does stinging nettle lower blood pressure?

    It did in people with type 2 diabetes: a 2022 analysis of 13 clinical trials found systolic blood pressure 5.03 points lower on nettle.38 If you take blood pressure medicine, read the interaction check in the safety section before you start.

    Is stinging nettle safe during pregnancy?

    Skip nettle tea, extracts and capsules during pregnancy and while breastfeeding: European regulators say nettle leaf's safety hasn't been established for those times and don't recommend it.9

    What are the side effects of stinging nettle?

    Side effects are uncommon and mild: across five studies in which 10,368 people took a nettle leaf extract, minor stomach upset or allergic reactions affected 1.2% to 2.7%, and no serious side effects were reported.10 Nettle can interact with diabetes, blood pressure and lithium medicines and with warfarin, as the safety section explains.

    Freshness & update log

    October 16, 2026 — Rewrote the page in full. The previous version listed six benefits and a list of 15 other uses without numbered references; compared nettle to a prostate drug on the basis of a rat study; described cell research as slowing prostate cancer; listed urinary and bladder infections, a blood pressure benefit, a branded multi-herb product for bleeding and eczema treatment as uses; called nettle a great source of vitamin C; said there was no recommended dose; warned of sedative and NSAID interactions; and said nettle stimulates contractions in pregnancy. This version drops the rat-study drug comparison, the cancer, infection, bleeding-product, vitamin C and pregnancy-contraction claims and the sedative and NSAID interactions, none of which we could support with a human study of nettle or a verifiable source; describes blood pressure through its pooled trial result in type 2 diabetes and as an effect to watch with medication, and eczema as a traditional use; explains nettle root and leaf as two herbs; adds a Dr. Axe Score (7.3) with an interaction check (Moderate); reports the human trials for the prostate, allergies, joints and blood sugar with their designs and numbers, including the year-long prostate trial and the 2025 review; adds Dr. Axe's doses, his overnight infusion and his allergy-season plan, a USDA nutrition table, how to cook fresh nettles, three charts and a step diagram; and gathers the safety guidance, including pregnancy, children and medication interactions, in one section, with 45 references.

    December 11, 2024 — Previous version published.

    References

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    2. Posadzki P, Kongkaew C, Ernst E. Urtica dioica for benign prostatic hyperplasia. J Herb Med. 2025;50:100996. doi:10.1016/j.hermed.2025.100996
    3. Schneider T, Rübben H. [Stinging nettle root extract (Bazoton-uno) in long term treatment of benign prostatic syndrome (BPS). Results of a randomized, double-blind, placebo controlled multicenter study after 12 months]. Urologe A. 2004;43(3):302-306. doi:10.1007/s00120-004-0532-7
    4. Mittman P. Randomized, double-blind study of freeze-dried Urtica dioica in the treatment of allergic rhinitis. Planta Med. 1990;56(1):44-47. doi:10.1055/s-2006-960881
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    7. Oliver F, Amon EU, Breathnach A, et al. Contact urticaria due to the common stinging nettle (Urtica dioica)--histological, ultrastructural and pharmacological studies. Clin Exp Dermatol. 1991;16(1):1-7. doi:10.1111/j.1365-2230.1991.tb00282.x
    8. Committee on Herbal Medicinal Products. European Union herbal monograph on Urtica dioica L.; Urtica urens L., radix. Revision 1. EMA/HMPC/322646/2023. European Medicines Agency; January 22, 2025 (last updated March 12, 2025). Accessed October 12, 2026.
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    17. Axe J. 10 Signs You Have an Iron Deficiency (How to Boost Iron Naturally). The Dr. Josh Axe Show. October 8, 2024 (herbs that help build and support the blood, at 27:25).
    18. Chrubasik S, Enderlein W, Bauer R, Grabner W. Evidence for antirheumatic effectiveness of Herba Urticae dioicae in acute arthritis: A pilot study. Phytomedicine. 1997;4(2):105-108. doi:10.1016/S0944-7113(97)80052-9
    19. Hryb DJ, Khan MS, Romas NA, Rosner W. The effect of extracts of the roots of the stinging nettle (Urtica dioica) on the interaction of SHBG with its receptor on human prostatic membranes. Planta Med. 1995;61(1):31-32. doi:10.1055/s-2006-957993
    20. Roschek B Jr, Fink RC, McMichael M, Alberte RS. Nettle extract (Urtica dioica) affects key receptors and enzymes associated with allergic rhinitis. Phytother Res. 2009;23(7):920-926. doi:10.1002/ptr.2763
    21. Safarinejad MR. Urtica dioica for treatment of benign prostatic hyperplasia: a prospective, randomized, double-blind, placebo-controlled, crossover study. J Herb Pharmacother. 2005;5(4):1-11.
    22. Akbar Karami A, Sheikhsoleimani M, Reza Memarzadeh M, et al. Urtica Dioica Root Extract on Clinical and Biochemical Parameters in Patients with Benign Prostatic Hyperplasia, Randomized Controlled Trial. Pak J Biol Sci. 2020;23(10):1338-1344. doi:10.3923/pjbs.2020.1338.1344
    23. Lichius JJ, Muth C. The inhibiting effects of Urtica dioica root extracts on experimentally induced prostatic hyperplasia in the mouse. Planta Med. 1997;63(4):307-310. doi:10.1055/s-2006-957688
    24. Lopatkin N, Sivkov A, Walther C, et al. Long-term efficacy and safety of a combination of sabal and urtica extract for lower urinary tract symptoms--a placebo-controlled, double-blind, multicenter trial. World J Urol. 2005;23(2):139-146. doi:10.1007/s00345-005-0501-9
    25. Lopatkin N, Sivkov A, Schläfke S, et al. Efficacy and safety of a combination of Sabal and Urtica extract in lower urinary tract symptoms--long-term follow-up of a placebo-controlled, double-blind, multicenter trial. Int Urol Nephrol. 2007;39(4):1137-1146. doi:10.1007/s11255-006-9173-7
    26. Engelmann U, Walther C, Bondarenko B, et al. Efficacy and safety of a combination of sabal and urtica extract in lower urinary tract symptoms. A randomized, double-blind study versus tamsulosin. Arzneimittelforschung. 2006;56(3):222-229. doi:10.1055/s-0031-1296714
    27. Sökeland J. Combined sabal and urtica extract compared with finasteride in men with benign prostatic hyperplasia: analysis of prostate volume and therapeutic outcome. BJU Int. 2000;86(4):439-442. doi:10.1046/j.1464-410x.2000.00776.x
    28. Axe J. Ancient Remedies: Secrets to Healing with Herbs, Essential Oils, CBD, and the Most Powerful Natural Medicine in History. Little, Brown Spark; 2021 ("Prescriptions for 70+ Conditions": Allergies, top 5 remedies, entry beginning p. 215).
    29. Bakhshaee M, Mohammad Pour AH, Esmaeili M, et al. Efficacy of Supportive Therapy of Allergic Rhinitis by Stinging Nettle (Urtica dioica) root extract: a Randomized, Double-Blind, Placebo- Controlled, Clinical Trial. Iran J Pharm Res. 2017;16(Suppl):112-118.
    30. Axe J. Natural Sunscreens, EMF Exposure, & the Best Dairy Alternatives | Q&A. The Dr. Josh Axe Show. May 29, 2024 (local honey and bee pollen at 12:32; quercetin and stinging nettle going into allergy season at 13:13).
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    36. Überall MA, Küster MA, Müller-Schwefe PCG, Müller-Schwefe GHH. Safety, Tolerability, and Efficacy of Hox Alpha, a Dry Extract from Stinging Nettle Leaves versus OTC NSAIDs in Osteoarthritis: A Retrospective, Propensity-Matched 12-Week Analysis from the German Pain e-Registry (SIPHARO Study). J Pain Res. 2026;19:546747. doi:10.2147/JPR.S546747
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    39. Namazi N, Esfanjani AT, Heshmati J, Bahrami A. The effect of hydro alcoholic Nettle (Urtica dioica) extracts on insulin sensitivity and some inflammatory indicators in patients with type 2 diabetes: a randomized double-blind control trial. Pak J Biol Sci. 2011;14(15):775-779. doi:10.3923/pjbs.2011.775.779
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    Dr. Josh Axe

    Dr. Josh Axe, DC, DNM, CNS

    Doctor of Natural Medicine · Founder, DrAxe.com

    Dr. Axe is a certified doctor of natural medicine, clinical nutritionist, and multiple New York Times bestselling author. He has spent 20+ years in clinical practice helping people heal at the root cause and founded one of the most-visited natural-health platforms in the world.

    Read the full bio →

    This article is for educational purposes. See our medical disclaimer.