Cognitive Performance

Evidence-Based Nootropics: What Actually Works

A rigorous review of cognitive enhancers, from caffeine and L-theanine to newer compounds, graded by strength of scientific evidence.

OHP Research Team
February 2026
10 min read

The nootropics market is projected to exceed $30 billion by 2028, driven by a growing demand for cognitive enhancement. Unfortunately, the gap between marketing claims and scientific evidence is vast. Most nootropic supplements have little to no rigorous clinical evidence supporting their use. Here, we grade the most popular cognitive enhancers by the strength of their scientific support.

Tier 1: Strong Evidence

Caffeine remains the world's most widely used and best-studied cognitive enhancer. It blocks adenosine receptors, reducing drowsiness and increasing alertness, attention, and reaction time. The optimal dose for cognitive enhancement is 100-200mg (roughly 1-2 cups of coffee), with diminishing returns and increased side effects at higher doses. Timing matters: caffeine has a half-life of 5-6 hours, so consumption after 2 PM can impair sleep — which ultimately harms cognition more than caffeine helps it.

L-theanine, an amino acid found in tea, produces a calm, focused alertness by increasing alpha brain wave activity. When combined with caffeine (the combination found naturally in green tea), L-theanine smooths caffeine's stimulatory effects, reducing jitteriness while preserving the cognitive benefits. Multiple controlled trials support this combination at a 2:1 ratio (200mg L-theanine to 100mg caffeine).

Creatine, best known for its role in athletic performance, has emerging evidence as a cognitive enhancer. It serves as an energy buffer in the brain, and supplementation (3-5g daily) has been shown to improve working memory and processing speed, particularly under conditions of sleep deprivation or cognitive stress.

Tier 2: Moderate Evidence

Omega-3 fatty acids (particularly DHA) are structural components of brain cell membranes and are essential for neural function. While supplementation shows modest cognitive benefits in healthy adults, the evidence is stronger for preventing cognitive decline in aging populations. A dose of 1-2g of combined EPA/DHA daily is generally recommended.

Bacopa monnieri has several controlled trials showing improvements in memory and attention, though effects typically require 8-12 weeks of consistent use. The mechanism appears to involve enhanced synaptic communication and antioxidant protection.

Lion's Mane mushroom (Hericium erinaceus) stimulates nerve growth factor (NGF) production, which supports neuroplasticity. Preliminary human trials show improvements in mild cognitive impairment, but evidence in healthy young adults is limited.

Tier 3: Weak or Insufficient Evidence

Many popular nootropics fall into this category. Racetams (piracetam, aniracetam) have inconsistent results in healthy adults despite decades of research. Modafinil improves wakefulness and is effective for sleep disorders but shows limited cognitive enhancement in well-rested individuals (and carries legal and safety considerations). Most 'nootropic stacks' sold commercially contain proprietary blends with inadequate dosing of individual ingredients.

The uncomfortable truth is that the most powerful cognitive enhancers are not supplements — they are lifestyle factors. Adequate sleep improves cognitive performance more than any nootropic. Regular exercise increases BDNF more effectively than any supplement. Stress management preserves prefrontal function better than any pill. The best nootropic stack is: 8 hours of sleep, 30 minutes of exercise, a nutrient-dense diet, and a meditation practice.

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