Mushroom supplement benefits and side effects: turkey tail, reishi, chaga and blends

What medicinal mushroom supplements such as turkey tail, reishi, chaga, maitake and shiitake have and have not shown in people, the rare liver and kidney reports, why mycelium on grain is not the same as the mushroom, and what is in LifeFrom's 14-mushroom blend.

Reviewed by LifeFrom’s medical AIPublished November 11, 2026 · 16 min read
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The distinctions
  1. 01
    The research is on single mushrooms in grams; a blend splits half a gram fourteen ways

    The human studies people cite used one mushroom at a time, usually in grams a day: 5 to 10 g of dried shiitake, 3 to 9 g of a turkey tail preparation, a purified turkey tail drug in Japanese cancer care. A 14-mushroom blend at 525 mg a capsule holds, on an even split, under 40 mg of each, and its label does not say the split. Results from single-mushroom studies do not transfer to a blend like this.

  2. 02
    Mycelium is not the mushroom, and mycelium on grain can be mostly grain

    Many mushroom supplements are grown as mycelium (the root-like threads) on grain such as rice or oats and then ground up whole. Lab analyses of chaga supplements made this way found they were rich in starch and lacked the marker compounds of the real chaga growth on birch trees. A label that says mycelia tells you which part was grown, not how much mushroom material, or beta-glucan, is in the capsule.

Medicinal mushroom supplements are powders or extracts of fungi such as turkey tail, reishi, chaga, maitake, shiitake, cordyceps and lion's mane, sold mainly for immune support. Their main shared ingredient is beta-glucans, long sugar chains that immune cells can recognize 1. Evidence in healthy people is early: single small studies of one mushroom at a time, such as more active immune cells and lower CRP (a blood marker of inflammation) after 4 weeks of eating dried shiitake 2. Most side effects are mild, but there are rare reports of liver injury with reishi and agaricus, and kidney failure from chaga at several grams a day 689. LifeFrom's Mushroom Immune is a 14-mushroom mycelium blend whose label does not give the amount of each mushroom.

What are medicinal mushrooms?

Medicinal mushrooms have been used for hundreds of years in Asia, and more than 100 kinds are used there in cancer care alone 1. For the basics, what it is and what it does in your body has its own page, and this guide covers mycelium vs fruiting body, the evidence, how much studies use, when and how to take them, side effects and interactions.

MushroomLatin nameWhat it is known forMain caution
Turkey tailTrametes versicolorSource of PSK, a purified extract approved in Japan as an add-on to cancer treatment 1Few side effects reported 1
Reishi (lingzhi)Ganoderma lucidumTraditional tonic for vitality in East Asia 1Rare liver injury; bleeding; immune-suppressing medicines 811
ChagaInonotus obliquusA black growth (canker) on birch trees, used in folk medicineVery high oxalate; kidney failure at grams a day 9
Maitake (hen of the woods)Grifola frondosaCulinary mushroom studied for blood sugarRaised INR on warfarin; lowers blood sugar 512
ShiitakeLentinula edodesCulinary mushroom; the best food study of immune effects 2Allergy
CordycepsCordyceps militaris, Ophiocordyceps sinensisStamina; see the cordyceps guideBleeding; blood sugar; avoid in myeloid cancers 13
Lion's maneHericium erinaceusMemory and mood; see the lion's mane guideAllergy; see its guide for rarer reports
Agaricus (himematsutake)Agaricus blazeiPopular in Japanese cancer careSevere liver injury reports in cancer patients 6

Mushroom Immune also contains poria, fomes, mesima, tremella, velvet foot (enoki's wild form) and zhu ling mycelia, each with little or no human research as a supplement.

Mycelium, fruiting body and mycelium on grain

A mushroom has two main parts. The fruiting body is what you see above ground or on the tree. The mycelium is the network of fine threads it grows from. Both contain beta-glucans and other compounds, but the amounts differ, and they swing widely with the strain, the growing material and the stage of growth 14.

Mycelium is cheaper and faster to grow, often on sterilized grain such as rice or oats, and some products grind the mycelium and the grain together. A 2025 lab study of chaga supplements found that products made this way were rich in starch, and lacked the marker compounds (such as inotodiol and melanin) found in real chaga canker from birch trees 3.

Fruiting body or mycelium on grain: what the label word tells you

Fruiting body (or canker, for chaga)What most traditional use and many studies describe
The mushroom itself
What you getMushroom tissue only
StarchLittle; chaga canker had none on testing 3
Marker compoundsPresent, for example triterpenoids and melanin in chaga 3
Label clue"Fruiting body" with a stated beta-glucan percentage
Mycelium grown on grainCheaper; composition depends heavily on the process
Threads plus the grain they grew on
What you getMycelium and leftover grain, unless separated
StarchHigh in the chaga products tested 3
Marker compoundsOften low or missing in chaga products tested 3
Label clue"Mycelia", "myceliated", or a grain listed among ingredients
The Mushroom Immune label lists each mushroom as mycelia and names no grain among its other ingredients (only the pullulan capsule); it does not state a beta-glucan content, so the label alone cannot tell you how much is mushroom material.

What medicinal mushrooms are good for: the evidence, graded

Each use below gets a grade. Strong means several good randomized trials or a meta-analysis agree; Moderate means several randomized trials, mostly positive but small or short; Limited means few or small trials, or mixed results; Early means lab, animal or a single pilot study only; Not supported means good trials found no benefit. Our guide to how to read supplement evidence explains why a food study of one mushroom says little about a capsule blend.

UseWhat the research foundEvidenceSource
Immune cell activity in healthy adults52 young adults eating 5 or 10 g of dried shiitake a day for 4 weeks: about 60% more growth of one immune cell type and twice the growth of another, more salivary antibody; no placebo group.Early2
Low-level inflammation (CRP)CRP fell in the same shiitake study.Early2
Immune cells after breast cancer treatment9 women completed a phase 1 trial of 3 to 9 g a day of a turkey tail preparation for 6 weeks: well tolerated, trends toward more lymphocytes and natural killer cell activity.Early15
Mushroom extracts alongside cancer treatment39 mostly small, often non-randomized studies of 12 preparations, many of them drug-grade extracts such as PSK: some survival, quality-of-life and immune findings; evidence inconclusive for routine use. Not a cancer treatment.Limited16
Anxiety and stressIn one trial of 84 young women, a lion's mane and reishi blend lowered anxiety scores more than lion's mane alone; the difference from placebo was only exploratory, and placebo improved too.Early4

The table has no row for a blend like Mushroom Immune because there is nothing to grade: we found no published trial of a 14-mushroom mycelium blend. Every row is about single mushrooms or a two-mushroom mix, in amounts far larger than a blend capsule holds.

What do mushroom supplements do for the immune system?

The clearest human study is a food study. Fifty-two healthy adults aged 21 to 41 ate 5 or 10 g of whole dried shiitake every day for 4 weeks 2. Afterwards, two types of immune cells (gamma-delta T cells and natural killer T cells) multiplied about 60% and 2-fold more readily in the lab, salivary IgA (an antibody that guards the lining of the mouth and gut) rose, and CRP fell 2. There was no placebo group, both groups ate shiitake, and the outcomes were lab measurements, not fewer infections.

5 to 10 gdried shiitake eaten daily for 4 weeks in the best human immune studyFood amounts of a single mushroom, in 52 healthy young adults, with no placebo group. A 525 mg capsule split 14 ways is a different thing. 2

Shop pages, ours included, describe mushroom blends as supporting the normal work of immune cells. That is a structure/function statement. It is not a claim that a mushroom supplement prevents, shortens or treats any infection, and no blend has been tested for that.

What benefits does turkey tail mushroom have?

Turkey tail grows on dead logs worldwide and is named for its brown and tan rings 1. Its best-known compound, polysaccharide K (PSK), is an approved product in Japan used alongside surgery and chemotherapy, and a 2007 analysis of 8 randomized trials in 8,009 people having surgery for stomach cancer found longer survival when PSK was added to chemotherapy 1. In the US, a phase 1 trial (an early safety study) gave women who had finished breast cancer treatment 3, 6 or 9 g a day of a turkey tail preparation for 6 weeks; it was well tolerated, with trends toward more lymphocytes and natural killer cell activity 15.

The FDA has not approved turkey tail or PSK as a treatment for cancer or any other medical condition 1. Cancer is diagnosed and treated by an oncology team; a mushroom supplement is not a cancer treatment and is never a swap for one.

Nevertheless, the evidence is inconclusive to recommend the routine use of mushrooms for cancer patients.Narayanan S and colleagues, systematic review of medicinal mushroom supplements in cancer, Current Oncology Reports, 2023 16

Reishi: what the research shows

Reishi (lingzhi) is a large, reddish-brown, fan-shaped mushroom that grows on living trees and has been used in East Asia for centuries to promote long life and energy 18. Human research on reishi alone is thin and mostly in people with cancer 1. Its mix with lion's mane lowered anxiety scores more than lion's mane alone in one 2026 trial of young women, though not clearly more than placebo, a single result for a specific product 4. Reishi is the mushroom in this group with the longest list of cautions: liver injury reports, bleeding, and immune-suppressing medicines 811.

How much do studies use?

There is no recommended intake and no official upper limit for any of these mushrooms. The amounts below are what studies gave or what case reports describe, as history, not a dose for anyone reading.

Mushroom and settingAmount used or reportedFormHow longSource
Shiitake, healthy young adults5 or 10 g a dayWhole dried mushroom, eaten4 weeks2
Turkey tail, after breast cancer treatment3, 6 or 9 g a dayTurkey tail preparation6 weeks15
Lion's mane with reishi, young women1.8 g a dayPowder blend4 weeks4
Chaga, case of kidney failure3 g a day for 4 years, then 9 g a day for 1 yearChaga powder5 years9
Chaga, case of acute kidney injury10 to 15 g a day, with 500 mg vitamin CChaga powder3 months10

One Mushroom Immune capsule holds a 525 mg proprietary blend of 14 mushroom mycelia. The label does not give the amount of each. Split evenly, that would be about 37 mg of each mushroom; the split could also be very uneven. Either way, it is a small fraction of the grams used in the single-mushroom studies above 215.

For chaga, the arithmetic is reassuring, with one unknown. The chaga powder in the Korean kidney case held about 0.14 g of oxalate per gram 9. Even if a whole 525 mg capsule were that powder, it would hold about 74 mg of oxalate; at an even split, about 5 mg. Typical diets contain 200 to 300 mg of oxalate a day 9. The oxalate content of chaga mycelium, as opposed to the canker, is not known.

When and how to take mushroom supplements

How mushroom supplements were used in studies

With foodWith or without food; studies did not test this (shiitake was eaten as food)
How oftenDaily, for 4 to 6 weeks in the human studies
Space ~2h fromAlcohol (reishi liver case)
No study compared times of day. Immune measurements changed after 4 weeks of daily shiitake 2. A liver injury case involved reishi powder taken with alcohol 7. People on blood thinners, diabetes or immune-suppressing medicines should ask first.

No study tested timing or meals with a mushroom capsule; the shiitake study used mushrooms as food 2. One reported case of acute liver injury followed reishi powder taken together with alcohol, in a 47-year-old man who recovered within two weeks 7, which is a reason to keep heavy drinking and reishi apart.

How long does a mushroom supplement take to work? The human studies measured changes after 4 to 6 weeks 215. Most people will not feel a difference, and no study has tested how long a blend like Mushroom Immune might take, because no study has tested it at all.

Mushroom supplement side effects

In studies of mushroom supplements in cancer care, most side effects were mild (grade 2 or lower), mainly nausea, vomiting, diarrhea and muscle pain 16. Reishi can cause nausea and insomnia, and has also been linked to dry mouth, constipation, itching and dizziness 11. Maitake was associated with a raised white blood cell count and a symptom-free rise in eosinophils (a type of white blood cell) 12. The serious problems are rare and specific to certain mushrooms.

ProblemWhich mushroomWhat was reportedWhat to do
Liver injuryReishiRare single cases of acute liver injury, one fatal, often with other causes not fully excluded; one after reishi with alcohol 7811Stop and get same-day care for yellow skin or eyes, dark urine or pain under the right ribs
Severe liver injuryAgaricusThree people with advanced cancer had severe liver damage; two died of fulminant hepatitis 6Anyone in cancer care should clear any mushroom with the oncology team
Kidney failure (oxalate nephropathy, crystal damage in the kidneys)ChagaEnd-stage kidney disease after 5 years at 3 to 9 g a day; acute kidney injury after 3 months at 10 to 15 g a day 910A sharp drop in urine, swelling or new tiredness needs prompt care
BleedingReishi, maitake, cordycepsHigher bleeding risk; heavy bleeding after a tooth extraction on daily cordyceps 111213Tell your dentist or surgeon; unusual bleeding needs prompt care
AllergyAny mushroomPossible with any fungusSwelling of the lips, tongue or throat, or trouble breathing, needs emergency care

Who should avoid mushroom supplements or ask first

  • Pregnancy and breastfeeding: there are no safety studies for these supplements in pregnancy or breastfeeding, so this is one to raise with your obstetric clinician or midwife.
  • Children: no studies; ask a pediatrician.
  • Mushroom or mold allergy: avoid them.
  • Kidney disease or kidney stones: chaga's oxalate is the concern 910; ask your kidney clinician first.
  • Liver disease or heavy drinking: reishi and agaricus have rare liver injury reports 678.
  • Autoimmune disease or a transplant: reishi can enhance the immune response and may not be safe with immune-suppressing medicines 11.
  • Myeloid blood cancers: Memorial Sloan Kettering advises against cordyceps, which Mushroom Immune contains 13.
  • Cancer treatment: mushrooms are popular during cancer care, but reishi may interact with some chemotherapy in theory and agaricus has caused severe liver injury in patients 611; clear any mushroom with the oncology team.
  • Bleeding disorders, surgery or dental work: reishi, maitake and cordyceps may raise bleeding risk 111213.
  • Diabetes: maitake and cordyceps may lower blood sugar 1213; ask your clinician and keep checking your blood sugar as you usually do. Shakiness, sweating, confusion or a pounding heartbeat on diabetes medicine can be low blood sugar and needs prompt care.

Mushroom supplement interactions

MedicineWhat can happenWhyWhat to do
WarfarinINR (the clotting number warfarin is dosed by) can riseA reported case with maitake extract 5; reishi may prolong INR, PT and APTT 11Ask the prescriber first; expect closer INR checks if you start or stop
Other blood thinners and antiplatelet medicines (apixaban, clopidogrel, aspirin)More bleeding or bruisingReishi, maitake and cordyceps may raise bleeding risk 111213Ask the prescriber or pharmacist; tell your dentist and surgeon
Insulin and other diabetes medicinesA further drop in blood sugarMaitake and cordyceps may add to their effect 1213Talk to the prescriber; keep usual glucose checks
Immune-suppressing medicines (tacrolimus, cyclosporine, mycophenolate, steroids, biologics)Could work against themReishi can enhance the immune response 11Avoid adding it without the transplant or specialist team
ChemotherapyUncertainReishi raises antioxidant capacity, which in theory could affect some chemotherapy 11Clear it with the oncology team first
Medicines broken down by liver enzymes (CYP1A2, CYP2E1, CYP3A)Unknown in peopleReishi polysaccharides inhibited these enzymes in the lab 11Ask your pharmacist if you take many medicines
AlcoholPossible added liver strainAcute liver injury after reishi powder with alcohol 7Keep heavy drinking and reishi apart

Supplements to pair or keep apart

SupplementTogether or apartWhy
Lion's maneTogether is fine, but it doubles upThe blend already contains lion's mane mycelia; the separate capsule holds 500 mg
CordycepsTogether is fine, but it doubles upThe blend already contains cordyceps mycelia, so its bleeding and blood sugar cautions stack
ElderberryTogether, with careBoth are taken for immune support, so the autoimmune and immune-suppressing-medicine cautions double up
Vitamin CTogether is fine at usual amountsThe person in one chaga kidney case also took 500 mg of vitamin C a day with 10 to 15 g of chaga 10; at blend amounts this is a note, not a rule
Vitamin DTogether is fineNo known interaction
Omega-3 or nattokinaseTogether, with care if you take a blood thinnerEach carries its own bleeding caution
Berberine or chromiumAsk first on diabetes medicineSeveral blood-sugar-lowering supplements stack up 12

Blood tests worth knowing about

No blood test measures a mushroom supplement or shows whether it is working. The markers below are the ones a mushroom could move in a study, the safety checks that matter for the rare liver and kidney problems, and the tests a mushroom can interfere with.

MarkerWhy it matters with mushroom supplementsWhen it is usually checked
White blood cells and lymphocytesImmune cell activity changed in mushroom studies 215, and maitake was linked to a higher white count 12; see the complete blood count guideRoutine blood count
hs-CRPFell in the shiitake food study 2; see inflammation markers explainedAsk your clinician whether it fits your heart risk checks
ALTThe first liver check if reishi or agaricus liver injury is a worry 8; see liver enzymes explainedRoutine metabolic panel; promptly if liver warning signs appear
CreatinineThe kidney check given chaga's oxalate 9; the eGFR calculator turns it into filtering functionRoutine metabolic panel; see kidney function explained
INRRose with maitake on warfarin; reishi may prolong clotting tests 511; see clotting tests explainedRegularly on warfarin; ask your clinician whether to check sooner after a change
Fasting glucose and HbA1cMaitake and cordyceps may lower blood sugar 1213; the A1c calculator converts HbA1c to average glucoseHome checks and every 3 to 6 months on diabetes treatment
Tumor marker CA72-4Raised by reishi spore powder in one report 11; see tumor markers explainedOnly if your oncology team orders it; tell them you take reishi

A raised ALT, a high creatinine or falling eGFR, an INR out of range or an abnormal blood count goes to your clinician first, not to a supplement. If you have chronic kidney disease or fatty liver disease, a mushroom supplement is not a treatment for either, and those conditions are reasons to ask before taking one.

Mushroom Immune in the LifeFrom pouch

In the LifeFrom pouch
ProductMushroom Immune
What one serving holds1 capsule: Proprietary Blend 525 mg of Maitake Mycelia, Reishi Mushroom Mycelia, Turkey Tail Mycelia, Chaga Mycelia, Cordyceps Mycelia, Shiitake Mycelia, Lions Mane Mycelia, Poria cocos Mycelia, Fomes fomentarius Mycelia, Agaricus Blazei Mycelia, Mesima Mycelia, Tremella Mycelia, Velvet Foot Mycelia and Zhu Ling Mycelia (Polyporus umbellatus); the label gives no amount for each
FormCapsule, pullulan vegan capsule
How it is packedOne serving in each of your 30 daily pouches, with up to 8 supplements per pouch
Price$10.20 a month, plus the fixed $28.50 a month packing, handling and US delivery line for the whole pouch, not per supplement (prices as of November 2026, the shop shows the current price)
Curated packs that include itNone

One capsule holds 525 mg shared across 14 mushrooms with no per-mushroom amounts on the label, so every mushroom is present at far less than the grams used in the single-mushroom studies, and the exact amount of chaga, reishi or agaricus cannot be known from the label 215. The blend contains cordyceps and lion's mane, which LifeFrom also sells as separate capsules, and everything in a pouch is taken at once, so a pouch with Mushroom Immune plus Cordyceps doubles the cordyceps cautions. You can see the shop and its packs.

This guide is general education, not medical advice. Supplements, mushroom blends included, are not FDA-approved for safety or effectiveness, and the clinician who knows your history and medicines is the right person to decide whether a mushroom supplement makes sense for you. For more on how we write about health, see our medical disclaimer.

Free in LifeFromAdd the lab results you already have, and LifeFrom reads each marker next to the others it moves with, in plain language, with the sources it used. Free, on the web or in the app.
Citations
  1. National Cancer Institute. Medicinal mushrooms (PDQ), patient version. NIH.
  2. Dai X, Stanilka JM, Rowe CA, et al. Consuming Lentinula edodes (shiitake) mushrooms daily improves human immunity: a randomized dietary intervention in healthy young adults. J Am Coll Nutr. 2015;34(6):478-487.
  3. Windsor C, Kreynes AE, Chilton JS, et al. Comparative study of chaga (Inonotus obliquus) dietary supplements using complementary analytical techniques. Int J Mol Sci. 2025;26(7):2970.
  4. Smith EF, Docherty S. The effects of four-week supplementation of Lion's mane and a Lion's mane and Reishi blend on prioritised mood and wellbeing measures in young women. Front Nutr. 2026.
  5. Hanselin MR, Vande Griend JP, Linnebur SA. INR elevation with maitake extract in combination with warfarin. Ann Pharmacother. 2010;44(1):223-224.
  6. Mukai H, Watanabe T, Ando M, Katsumata N. An alternative medicine, Agaricus blazei, may have induced severe hepatic dysfunction in cancer patients. Jpn J Clin Oncol. 2006;36(12):808-810.
  7. Guedikian R, Kim B, Singh G, Alexander R. Ganoderma lingzhi (reishi mushroom)-induced acute liver injury in the setting of alcohol use: a case report and review of the literature. Cureus. 2023;15(9):e45953.
  8. LiverTox: Clinical and Research Information on Drug-Induced Liver Injury. Lingzhi, reishi. National Institute of Diabetes and Digestive and Kidney Diseases; NCBI Bookshelf.
  9. Lee S, Lee HY, Park Y, et al. Development of end stage renal disease after long-term ingestion of chaga mushroom: case report and review of literature. J Korean Med Sci. 2020;35(19):e122.
  10. Kwon O, Kim Y, Paek JH, et al. Chaga mushroom-induced oxalate nephropathy that clinically manifested as nephrotic syndrome: a case report. Medicine (Baltimore). 2022;101(11):e28997.
  11. Memorial Sloan Kettering Cancer Center, About Herbs. Reishi mushroom.
  12. Memorial Sloan Kettering Cancer Center, About Herbs. Maitake.
  13. Memorial Sloan Kettering Cancer Center, About Herbs. Cordyceps.
  14. Berger RG, Bordewick S, Krahe NK, Ersoy F. Mycelium vs. fruiting bodies of edible fungi: a comparison of metabolites. Microorganisms. 2022;10(7):1379.
  15. Torkelson CJ, Sweet E, Martzen MR, et al. Phase 1 clinical trial of Trametes versicolor in women with breast cancer. ISRN Oncol. 2012;2012:251632.
  16. Narayanan S, de Mores AR, Cohen L, et al. Medicinal mushroom supplements in cancer: a systematic review of clinical studies. Curr Oncol Rep. 2023;25(6):569-587.

Educational context only, not medical advice or a diagnosis. Always discuss your results with a clinician.