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Shiitake contains proteins, fats, carbohydrates, soluble fiber, vitamins, and minerals. In addition, shiitake’s key ingredient—found in the fruiting body—is a polysaccharide called lentinan. Commercial preparations employ the powdered mycelium of the mushroom before the cap and stem grow. This preparation is called lentinus edodes mycelium extract (LEM). LEM is rich in polysaccharides and lignans.
One preliminary trial suggested that oral shiitake may be useful for people with hepatitis B.4 A highly purified, intravenous form of lentinan is used in Japan and has been reported to increase survival in people with recurrent stomach cancer, particularly when used in combination with chemotherapy.5 Similar findings have been found in one small clinical trial with people suffering from pancreatic cancer.6 Case reports from Japan suggest that intravenous lentinan may be helpful in treating people with HIV infection.7 However, large-scale clinical trials to confirm this action have not yet been performed.
Oral supplementation of lentinan from shiitake has been shown to significantly reduce the recurrence rate of genital warts (condyloma acuminata). A preliminary trial involving a group of men and women with genital warts found that those who took 12.5 mg of lentinan twice a day for two months after laser surgery had significantly fewer recurrences (10.53% recurrence rate) compared to those who only had the laser surgery (47.06% recurrence rate).8
The traditional intake of the whole, dried shiitake mushroom is 6–16 grams per day.9 The mushroom is typically eaten in soups or taken as a decoction (i.e., boiled for 10–20 minutes, cooled, strained, and drunk). Recommended intake of LEM is 1–3 grams two to three times per day. Purified lentinan is considered a drug in Japan and is not currently available as an herbal supplement in North America.
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The information presented in Aisle7 is for informational purposes only. It is based on scientific studies (human, animal, or in vitro), clinical experience, or traditional usage as cited in each article. The results reported may not necessarily occur in all individuals. Self-treatment is not recommended for life-threatening conditions that require medical treatment under a doctor's care. For many of the conditions discussed, treatment with prescription or over the counter medication is also available. Consult your doctor, practitioner, and/or pharmacist for any health problem and before using any supplements or before making any changes in prescribed medications. Information expires June 2016.