Submitted:
26 August 2025
Posted:
27 August 2025
You are already at the latest version
Abstract

Keywords:
1. Introduction
2. Materials and Methods
2.1. Participants
2.2. Inclusion Criteria
2.3. Exclusion Criteria
2.4. Dietary Ingredient Supplementation
2.5. Organic Mushroom Blend:
2.6. Allocation Concealment
2.7. Assessments
2.8. Physical Assessments
2.9. Hematology Assessment
2.10. Liver Integrity and Function Assessment
2.11. Statistical Assessment
3. Results
3.1. DASS-21 Score (Mood)
3.2. Sleep Quality – PSQI
3.3. Salivary Cortisol
3.4. Oral Temperature, Heart Rate and Blood Pressure Measures.
3.5. Hematology & Serum Enzymes and Creatinine
4. Discussion
4.1. Mood Improvements
4.2. Sleep Quality Enhancements
4.3. Salivary Cortisol Reductions
4.4. Safety and Tolerability
4.5. Study Strengths
4.6. Limitations and Future Directions
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
Abbreviations
| MB | Mushroom Blend |
| PLA | Placebo |
| CAP | Capsule |
| BAR | Nutritional Snack Bar |
| HPA | hypothalamic–pituitary–adrenal |
| DASS-21 | Depression, Anxiety, and Stress Scales |
| PSQI | Pittsburgh Sleep Quality Index |
| ANCOVA | Analysis of Covariance |
| CRO | Contract Research Organization |
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| PLA-CAP | MB-CAP | PLA-BAR | MB-BAR | |
|---|---|---|---|---|
|
Gender (Female/Male) |
11│9 | 7│13 | 9│11 | 14│6 |
|
Age (years) |
28.10 ± 6.67 | 28.05 ± 5.89 | 28.25 ± 5.51 | 27.10 ± 5.79 |
|
Height (cm) |
159.7 ± 3.85 | 162.9 ± 4.09 | 160.8 ± 6.12 | 159.9 ± 3.64 |
|
Weight (kg) |
59.55 ± 11.27 | 62.95 ± 11.61 | 61.50 ± 8.45 | 61.68 ± 8.45 |
| PLA-CAP | MB-CAP | PLA-BAR | MB-BAR | |
|---|---|---|---|---|
| Serving Size | 300 mg | 300 mg | 25 g | 25 g |
| Energy (calories) | 0 | 0 | 85 | 85 |
| Protein (g) | 0 | 0 | 2 | 2 |
| Fat (g) | 0 | 0 | 1.5 | 1.5 |
| Carbohydrates (g) | 0 | 0 | 17 | 17 |
| Total Sugar (g) | 0 | 0 | 7.5 | 7.5 |
| Flavor | unflavored | unflavored | vanilla | vanilla |
| Active Ingredient (%) | 0% (0 mg) | 41.7% (125 mg) | 0% (0 mg) | 0.5% (125 mg) |
|
Other Ingredient(s) |
100% (230 mg) tapioca maltodextrin |
58% (175 mg) tapioca maltodextrin |
date paste, rolled oats (gluten free), tapioca syrup, rice crisps (rice flour, sugar, sea salt), pea protein, vegetable glycerin, sunflower oil, natural flavor, salt, sunflower lecithin | date paste, rolled oats (gluten free), tapioca syrup, rice crisps (rice flour, sugar, sea salt), pea protein, vegetable glycerin, sunflower oil, natural flavor, salt, sunflower lecithin, cocoa |
| PLA-CAP | MB-CAP | PLA-BAR | MB-BAR | |
|---|---|---|---|---|
| DAY 0 | 27.80 ± 6.51 n=20 |
34.80 ± 7.98 n=20 |
24.80 ± 4.15 n=20 |
27.15 ± 6.54 n=20 |
| DAY 13 | 26.80 ± 6.51 n=20 |
29.70 ± 7.39* n=20 |
24.00 ± 4.26 n=19 |
23.82 ± 6.66* n=17 |
| Day 25 | 25.45 ± 6.57* n=20 |
25.25 ± 6.26* n=20 |
23.22 ± 4.18* n=18 |
20.06 ± 5.62* n=17 |
| PLA-CAP | MB-CAP | PLA-BAR | MB-BAR | |
|---|---|---|---|---|
| Day 0 | 9.40 ± 1.82 n=20 | 13.00 ± 2.00 n=20 | 8.85 ± 1.73 n=20 | 10.85 ± 2.37 n=20 |
| Day 13 | 8.45 ± 1.76 n=20 | 10.55 ± 1.90* n=20 | 8.00 ± 1.73 n=19 | 9.24 ± 2.44* n=17 |
| Day 25 | 7.80 ± 1.67* n=20 | 8.15 ± 1.35* n=20 | 7.22 ± 1.63* n=18 | 7.35 ± 1.93* n=17 |
| PLA-CAP | MB-CAP | PLA-BAR | MB-BAR | |
|---|---|---|---|---|
| DAY 0 MORNING | 5.70 ± 2.07 n=20 | 6.87 ± 1.73 n=20 | 4.91 ± 1.48 n=20 | 5.65 ± 1.96 n=20 |
| DAY 0 EVENING | 5.29 ± 2.04 n=20 | 6.43 ± 1.71 n=20 | 4.53 ± 1.48 n=20 | 5.19 ± 1.93 n=20 |
| DAY 25 MORNING | 5.63 ± 2.07* n=20 | 5.73 ± 1.47* n=20 | 4.87 ± 1.52* n=18 | 4.68 ± 1.40* n=17 |
| DAY 25 EVENING | 5.23 ± 2.05* n=20 | 5.21 ± 1.48* n=20 | 4.53 ± 1.51* n=18 | 4.26 ± 1.31* n=17 |
| PLA-CAP | MB-CAP | PLA-BAR | MB-BAR | ||
|---|---|---|---|---|---|
| Oral Temperature (⁰C) | Day 0 | 37.01 ± 0.04 n=20 | 36.99 ± 0.28 n=20 | 37.11 ± 0.31 n=20 | 37.08 ± 0.21 n=20 |
| Day 25 | 37.06 ± 0.23 n=20 | 37.02 ± 0.32 n=20 | 37.14 ± 0.44 n=19 | 36.94 ± 0.24 n=17 | |
| Heart Rate (beats per minute) | Day 0 | 76.40 ± 4.60 n=20 | 76.40 ± 4.50 n=20 | 77.75 ± 4.13 n=20 | 77.45 ± 4.74 n=20 |
| Day 25 | 76.80 ± 5.40 n=20 | 77.15 ± 4.20 n=20 | 77.26 ± 4.17 n=19 | 77.18 ± 7.77 n=17 | |
| Systolic Blood Pressure (mm Hg) | Day 0 | 116.9 ± 7.85 n=20 | 121.0 ± 7.12 n=20 | 115.6 ± 6.30 n=20 | 117.2 ± 8.03 n=20 |
| Day 25 | 118.3 ± 5.45 n=20 | 119.5 ± 7.59 n=20 | 117.0 ± 5.71 n=19 | 114.4 ± 6.59 n=17 | |
| Diastolic Blood Pressure (mm Hg) | Day 0 | 77.50 ± 7.52 n=20 | 77.05 ± 7.17 n=20 | 76.65 ± 6.70 n=20 | 77.35 ± 8.32 n=20 |
| Day 25 | 76.80 ± 6.96 n=20 | 74.75 ± 5.50 n=20 | 78.33 ± 6.86 n=19 | 77.35 ± 7.93 n=17 | |
| Mean ± SD PLA-CAP – Placebo Capsule│ PLA-BAR - Placebo Bar MB-CAP – Mushroom Blend Capsule │ MB-BAR - Mushroom Blend Bar | |||||
| PLA-CAP | MB-CAP | PLA-BAR | MB-BAR | ||
|---|---|---|---|---|---|
| Basophils (%) | Day 0 | 0.55 ± 0.51 n=20 | 0.45 ± 0.51 n=20 | 0.35 ± 0.49 n=20 | 0.30 ± 0.47 n=20 |
| Day 25 | 0.35 ± 0.49 n=20 | 0.35 ± 0.49 n=20 | 0.44 ± 0.51 n=18 | 0.35 ± 0.49 n=17 | |
| Eosinophils (%) | Day 0 | 3.70 ± 1.42 n=20 | 3.40±1.23 n=20 | 3.65 ± 1.46 n=20 | 3.85 ± 1.42 n=20 |
| Day 25 | 3.80 ± 1.32 n=20 | 3.35 ± 1.50 n=20 | 3.39 ± 1.58 n=18 | 3.71 ± 1.53 n=17 | |
| Hemoglobin (gms/dl) | Day 0 | 14.15 ± 1.40 n=20 | 14.62 ± 1.44 n=20 | 14.57 ± 1.34 n=20 | 14.14 ± 1.33 n=20 |
| Day 25 | 14.26 ± 1.23 n=20 | 14.67 ± 1.49 n=20 | 14.67 ± 1.01 n=18 | 14.09 ± 1.48 n=17 | |
| Lymphocytes (%) | Day 0 | 25.35 ± 3.15 n=20 | 27.25 ± 5.09 n=20 | 26.45 ± 5.17 n=20 | 28.35 ± 7.04 n=20 |
| Day 25 | 27.20 ± 5.19 n=20 | 28.25 ± 5.65 n=20 | 27.28 ± 5.10 n=18 | 26.06 ± 4.46 n=17 | |
| MCH (Pg) | Day 0 | 31.34 ± 5.61 n=20 | 32.01 ± 3.05 n=20 | 33.35 ± 3.24 n=20 | 32.72 ± 3.06 n=20 |
| Day 25 | 32.75 ± 4.51 n=20 | 32.55 ± 3.04 n=20 | 32.17 ± 4.53 n=18 | 32.90 ± 3.15 n=17 | |
| MCHC (Pg) | Day 0 | 34.14 ± 2.47 n=20 | 34.40 ± 2.24 n=20 | 33.67 ± 1.77 n=20 | 34.30 ± 1.68 n=20 |
| Day 25 | 33.92±1.62 n=20 | 34.28±1.72 n=20 | 33.97±1.76 n=18 | 34.32±2.40 n=17 | |
| MCV (fL) | Day 0 | 81.80±6.49 n=20 | 83.99±6.47 n=20 | 83.67±4.54 n=20 | 84.13±4.82 n=20 |
| Day 25 | 82.83±5.70 n=20 | 83.45±4.99 n=20 | 83.95±4.87 n=18 | 84.42±5.69 n=17 | |
| Monocytes (%) | Day 0 | 5.75±1.68 n=20 | 5.75±1.89 n=20 | 6.15±1.63 n=20 | 5.90±1.52 n=20 |
| Day 25 | 5.75±1.59 n=20 | 5.75±1.80 n=20 | 6.28±1.78 n=18 | 6.12±1.54 n=17 | |
| Neutrophils (%) | Day 0 | 64.65±3.60 n=20 | 63.15±4.79 n=20 | 63.35±4.84 n=20 | 61.95±6.43 n=20 |
| Day 25 | 62.90±4.40 n=20 | 62.30±5.15 n=20 | 62.61±5.47 n=18 | 63.76±4.53 n=17 | |
| PCV (%) | Day 0 | 44.98±5.29 n=20 | 45.76±5.89 n=20 | 45.92±5.36 n=20 | 44.97±6.47 n=20 |
| Day 25 | 45.72 ± 5.14 n=20 | 44.96 ± 5.75 n=20 | 45.61 ± 5.41 n=18 | 44.71 ± 6.02 n=17 | |
| Platelet Count (103/mm3) | Day 0 | 271.5 ± 48.5 n=20 | 298.7 ± 65.6 n=20 | 291.7 ± 52.8 n=20 | 273.7 ± 55.4 n=20 |
| Day 25 | 285.6 ± 43.9 n=20 | 311.4 ± 68.54 n=20 | 291.5 ± 55.2 n=18 | 276.1 ± 43.8 n=17 | |
| R.B.C Count (109/mm3) | Day 0 | 5.27±0.70 n=20 | 5.24±0.82 n=20 | 5.22±0.69 n=20 | 5.07±0.76 n=20 |
| Day 25 | 5.07 ± 0.68 n=20 | 5.10 ± 0.78 n=20 | 5.48 ± 0.70 n=18 | 5.03 ± 0.52 n=17 | |
| RDW-CV (%) | Day 0 | 13.58 ± 1.62 n=20 | 13.94 ± 1.25 n=20 | 14.09 ± 1.42 n=20 | 13.87 ± 1.50 n=20 |
| Day 25 | 14.05 ± 1.50 n=20 | 13.99 ± 1.37 n=20 | 14.27 ± 1.31 n=18 | 13.89 ± 1.67 n=17 | |
| WBC Count 103/mm3 | Day 0 | 7.66 ± 1.12 n=20 | 7.94 ± 1.72 n=20 | 7.59 ± 1.59 n=20 | 7.59 ± 1.29 n=20 |
| Day 25 | 7.84 ± 1.09 n=20 | 7.85 ± 1.59 n=20 | 7.51 ± 1.37 n=18 | 7.79 ± 1.51 n=17 | |
| Mean ± SD PLA-CAP – Placebo Capsule│ PLA-BAR - Placebo Bar | |||||
| MB-CAP – Mushroom Blend Capsule │ MB-BAR - Mushroom Blend Bar | |||||
| PLA-CAP | MB-CAP | PLA-BAR | MB-BAR | ||
|---|---|---|---|---|---|
|
Alanine Transaminase (ALT/SGPT) (IU/I) |
Day 0 | 33.80 ± 7.05 n=20 | 32.80 ± 6.14 n=20 | 33.95 ± 7.22 n=20 | 30.90±8.16 n=20 |
| Day 25 | 33.50±5.67 n=20 | 33.80±7.26 n=20 | 33.17±6.21 n=18 | 32.35±8.43 n=17 | |
|
Aspartate Aminotransferase (AST/SGOT) (IU/I) |
Day 0 | 35.60±7.49 n=20 |
39.80±3.79 n=20 | 35.35±8.96 n=20 | 34.95±8.18 n=20 |
| Day 25 | 36.10±6.50 n=20 | 39.60±4.86 n=20 | 35.28±6.96 n=18 | 37.00±6.02 n=17 | |
|
Serum Creatinine (mg/dl) |
Day 0 | 0.94±0.26 n=20 | 0.98±0.30 n=20 |
0.91±0.26 n=20 |
0.88±0.25 n=20 |
| Day 25 | 0.94±0.25 n=20 | 0.95±0.21 n=20 | 0.93±0.22 n=18 | 0.99±0.25 n=17 |
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