What it's actually good for
Lion's Mane (Hericium erinaceus) is a culinary and medicinal mushroom that has generated substantial interest for its potential to support brain health through nerve growth factor (NGF) stimulation. The animal and in vitro data is genuinely compelling: compounds called hericenones (from the fruiting body) and erinacines (from the mycelium) consistently promote NGF synthesis in cell culture and rodent models. The problem is the leap from petri dish to human brain. Only one well-designed RCT exists for cognition: a 2009 Japanese trial in 30 older adults with mild cognitive impairment found significant improvements over 16 weeks of supplementation at 2250 mg/day, but cognitive gains reversed after subjects stopped taking it. This earns a C because while the biological rationale is strong and the preclinical data is promising, the human evidence base is simply too small to make confident claims. More and larger RCTs are needed before Lion's Mane can be recommended with the same confidence as better-studied nootropics.