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Women who are pregnant, because ashwagandha may have effects that cause abortions, and its safety during pregnancy has not been well proven. ย 

Breastfeeding moms, because it's not clear if ashwagandha gets into breast milk and could affect the baby that's being fed.

If you have autoimmune diseases like rheumatoid arthritis, lupus, or multiple sclerosis then you should not take ashwagandha because it may make symptoms worse and cause more inflammation.

People who have thyroid problems, because ashwagandha may affect the production of thyroid hormones and medications.

If you have diabetes or take diabetes medicines then you should not take ashwagandha because it may lower blood sugar levels and raise the risk of hypoglycemia.

Ashwagandha may make stomach ulcers or acid reflux worse because it can make the stomach make more acid.

People who are going to have surgery, because ashwagandha may change blood sugar levels during and after surgery and combine with anesthesia.

People who are taking sedatives, because ashwagandha may make the effects of the sedatives stronger and make people sleepier.

Children and teens, because it is not well known if ashwagandha is good for them or how much they should take.