Youngest reported case of liver injury related to Ashwagandha

20 y/o male with history of Hodgkin’s lymphoma in remission, anxiety, and depression, presented with chills, fatigue, nausea, pruritus, greasy stools, and dark urine.He had started Ashwagandha supplemntation based on recommendations by his psychiatric provider. After discontinuation, his symptoms resolved illustrating the herbs potential to cause cholestatic jaundice.