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Nootropics: What the Evidence Actually Supports

📅 July 31, 2018 ⏱️ 10 min read
Home Supplements Nootropics: What the Evidence Actually Supports

Nootropics are one of the fastest-growing supplement categories and one of the least well understood. Here is what the term actually covers, which ingredients have research behind them, and which do not.

Key points

  • Not a regulated category. The word means very little on a label.
  • Caffeine is the best evidenced. By a distance.
  • Caffeine plus L-theanine is the pairing most people notice.
  • Sleep beats all of them. Not close.
  • Effects are subtle. Anything dramatic is a stimulant.

What is a nootropic?

Broadly, any compound taken with the intention of supporting cognitive function: focus, memory, clarity, mental energy.

The important thing to understand is that "nootropic" is a marketing category rather than a regulated one. Putting the word on a label says nothing about what is inside or whether it has been tested. That makes reading the ingredients considerably more useful than reading the front of the tub.

Which ingredients have evidence?

Reasonable evidence

  • Caffeine. By far the best evidenced. Improves alertness, reaction time and perceived effort. Everything else in this category is being compared against it, usually unfavourably.
  • L-theanine. An amino acid found in green tea, associated with a calm state without sedation. The pairing with caffeine is the one most people actually notice: the alertness without as much of the edge.
  • Creatine. Better known for muscle, with a growing body of research on cognition, particularly under sleep deprivation or in vegetarians. Genuinely interesting, and it is the cheapest thing on this list.
  • Omega-3s. Established roles in brain structure. Effects on cognition in healthy adults are less clear.

Mixed or early

  • Bacopa monnieri. Some memory findings, generally over 12 weeks or more. Slow, if it works.
  • Rhodiola rosea. Studied for fatigue, with inconsistent results.
  • Alpha-GPC and citicoline. Choline sources with some supporting research.
  • Lion's mane. Popular, and the human evidence is thin.

Weak

Most proprietary blends, particularly those listing a dozen ingredients without disclosing doses. A long list at token amounts is the most common pattern in this category.

Can I take creatine with L-theanine?

Yes. No known interaction, and they are frequently combined. Creatine is not a stimulant, so it does not compound the effects of caffeine either.

What should I not combine?

  • Multiple stimulant sources at once. The most common mistake. A nootropic with caffeine, plus a pre-workout, plus coffee, adds up quickly.
  • Stimulants late in the day, if you value sleeping.
  • Anything, if you take prescription medication for mood, ADHD or blood pressure, without asking your GP or pharmacist first. Several herbal compounds affect the liver enzymes that metabolise medication.

Does L-theanine raise cortisol? No. If anything the research points the other way, toward a calming effect, though the evidence is modest.

What actually improves cognitive performance

The honest ranking, from a page that sells supplements:

  1. Sleep. Nothing in this category comes close, and the gap is not small.
  2. Regular exercise. Consistently associated with cognitive function.
  3. Managing stress, which occupies working memory directly.
  4. Caffeine, used deliberately rather than continuously.
  5. Correcting deficiencies, particularly B12, iron and vitamin D.
  6. Everything else in this article.

If you are sleeping six hours and looking for a supplement to fix your focus, the supplement is not the intervention available to you.

Setting expectations

Effects in this category are subtle. Anything that feels dramatic is almost certainly a stimulant, and stimulants come with tolerance.

If you try something, give it a defined trial. Caffeine and theanine are noticeable within an hour. Bacopa and similar compounds need 8 to 12 weeks. If nothing has changed after a fair trial, stop buying it.

The nootropic and cognitive function range has the options.

Where to go next

How do I evaluate a nootropic product?

Four checks, in order of how much they tell you:

  1. Are the doses disclosed? A proprietary blend hides how much of anything you are getting, and is the clearest signal that the amounts will not stand scrutiny.
  2. Do the doses match the research? Bacopa trials generally use around 300 mg of a standardised extract. L-theanine research typically uses 100 to 200 mg. A product listing them at 50 mg is listing them for the label.
  3. How many ingredients? Fifteen ingredients in one scoop means most are present in token amounts. Fewer, properly dosed, beats a long list.
  4. What is it actually claiming? "Supports focus" is a reasonable claim. Anything promising measurable IQ or memory improvement is well past the evidence.

Is caffeine plus L-theanine worth it on its own?

For most people, yes, and it is the cheapest thing in this category by a wide margin.

The pairing is the best-supported combination here: caffeine provides the alertness, theanine takes off some of the edge without sedating. Typical research doses are roughly 100 mg caffeine to 200 mg theanine, or a 1:2 ratio.

You can buy both separately for very little. A branded nootropic blend built around the same pairing at similar doses is selling you convenience, which is fine as long as you know that is the transaction.

Do nootropics work if you are sleep deprived?

They mask it, which is not the same thing.

Caffeine genuinely restores some alertness after poor sleep, and that is useful on the day. What it does not do is restore the cognitive functions sleep deprivation degrades most, particularly working memory, decision quality and emotional regulation.

Creatine is the interesting exception here. Some of the more promising cognitive research on it is specifically in sleep-deprived subjects, which is unusual for this category and worth knowing given how cheap it is.

The honest advice remains: if you are chronically short of sleep, no product in this category is the intervention available to you.