Positives

• One patient experiencing Long COVID reported a “moderate energy increase” after incorporating gotu kola into their regimen, alongside other supplements and therapies Reddit.
  
  
• One individual included gotu kola as part of a comprehensive supplement plan and noted that while they are “still struggling,” the combination of treatments has been beneficial Reddit.
  
  

Negatives

• Patients on Centella asiatica have developed acute liver injury with jaundice in as little as 3-8 weeks, with full recovery only after stopping the supplement NIH LiverTox.
• Patients on gotu kola for cognitive benefit commonly see no meaningful improvement, with one randomized comparison showing it added nothing over multicomponent exercise alone in older adults with mild cognitive impairment PMC.
• Patients commonly describe headache, stomach upset, nausea, dizziness, and drowsiness at higher doses, and most monographs warn against use beyond 6 weeks WebMD.
• The bioactive triterpenoids (asiaticoside) belong to the same hepatotoxic saponoside family found in germander and Chinese skullcap, both of which have stronger liver injury signals Cognitive Vitality.

Hurdles & Side Effects

• Some users noted challenges in finding consistent relief, even with the use of supplements like gotu kola, indicating a need for personalized treatment approaches Reddit.