Research suggests that sage, particularly Salvia officinalis and related species, may support memory and cognitive function through several proposed mechanisms, including inhibition of acetylcholinesterase (the enzyme that breaks down acetylcholine) and interactions with the cholinergic signaling system. Studies indicate that animal research — including mouse and rat models — consistently shows improvements in memory retention tasks with sage extracts, while human evidence, though more limited, is cautiously supportive: a randomized controlled crossover study in healthy older adults found that a standardized sage extract improved secondary memory performance, and a 2017 review of the broader Salvia genus concluded that multiple species contain bioactive compounds with promising cognitive-enhancing and neuroprotective properties. A small pilot trial testing a combined herbal formula containing sage in older adults produced mixed results overall, with benefits emerging only in a subgroup analysis, highlighting the need for larger and more rigorous human trials. The body of evidence tilts in a positive direction but remains preliminary, with most findings drawn from animal studies, small sample sizes, and short intervention periods, and several studies included in the linked materials were unrelated to sage or cognition and did not contribute meaningfully to evaluating this use.
Citations from PubMed and preprint sources. Match score (0-100) reflects automated search ranking, not clinical appraisal.
| Title | Type | Year | Direction | Match |
|---|---|---|---|---|
| Chronic Supplementation with a Mix of Salvia officinalis and Salvia lavandula... | Other | 2020 | Supports | 100 |
| Effects of sage extract on memory performance in mice and acetylcholinesteras... | Other | 2015 | Supports | 95 |
| Zuranolone - synthetic neurosteroid in treatment of mental disorders: narrati... | Review | 2023 | Neutral | 90 |
| Resolving ScRNA-Seq Signatures of Antigen-Specific CD4 <sup>+</sup> T Cells... | Other | 2025 | Neutral | 85 |
| Effects of Salvia officinalis L. (sage) leaves on memory retention and its in... | Other | 2006 | Supports | 85 |
| Multiplicative couplings facilitate rapid learning and information gating in ... | Other | 2025 | Neutral | 80 |
| A randomised double-blind placebo-controlled pilot trial of a combined extrac... | RCT | 2018 | Mixed | 80 |
| Traveling waves enhance hippocampal-parahippocampal couplings in human episod... | Other | 2024 | Neutral | 75 |
| An extract of Salvia (sage) with anticholinesterase properties improves memor... | RCT | 2008 | Supports | 75 |
| Fast and memory efficient searching of large-scale mass spectrometry data usi... | Other | 2025 | Neutral | 70 |
| Optimization and validation of multi-echo, multi-contrast SAGE acquisition in... | Other | 2024 | Neutral | 70 |
| Neural dynamics of reselecting visual and motor contents in working memory af... | Other | 2024 | Neutral | 65 |
| Salvia (Sage): A Review of its Potential Cognitive-Enhancing and Protective E... | Review | 2017 | Supports | 65 |
| pmultiqc: An open-source, lightweight, and metadata-oriented QC reporting lib... | Other | 2025 | Neutral | 60 |
| The Self-Administered Gerocognitive Examination (SAGE): Equivalence of Parall... | Other | 2025 | Neutral | 60 |
| Dynamic prioritisation of sensory and motor contents in working memory | Other | 2024 | Neutral | 55 |
| Natural Compounds of Salvia L. Genus and Molecular Mechanism of Their Biologi... | Review | 2023 | Supports | 55 |
| Functional connectivity reveals increased network segregation and sensorimoto... | Other | 2025 | Neutral | 50 |
| Brain Food for Alzheimer-Free Ageing: Focus on Herbal Medicines. | Review | 2015 | Supports | 50 |
| Effects of non-invasive brain stimulation on effective connectivity during wo... | Other | 2024 | Neutral | 45 |
| EEG-Validated Photobiomodulation Treatment of Dementia-Case Study. | Other | 2022 | Neutral | 45 |
| A systematic review of reminder and guidance systems for Alzheimer's Disease ... | Systematic review | 2024 | Neutral | 40 |
| A protective and broadly binding antibody class engages the influenza virus h... | Other | 2023 | Neutral | 40 |
| Amygdala circuit mechanisms underlying alcohol seeking | Other | 2024 | Neutral | 35 |
| Determinants of semantic and episodic memory decline among older adults in Gh... | Other | 2023 | Neutral | 35 |
| Neural dynamics of shifting attention between perception and working-memory c... | Other | 2024 | Neutral | 30 |
| A Focused Review on Cognitive Improvement by the Genus Salvia L. (Sage)-From ... | Review | 2023 | Supports | 30 |
| ibaqpy: A scalable Python package for baseline quantification in proteomics l... | Other | 2025 | Neutral | 25 |
| RECUR: Identifying recurrent amino acid substitutions from multiple sequence ... | Other | 2025 | Neutral | 20 |
| Flexible early prospection of potential behavior in working memory | Other | 2023 | Neutral | 15 |