NICEVIVA
MONOGRAPH SPEC LATEST 2026

Turkey Tail Mushroom

BOTANICALS · Evidence Monograph

Turkey Tail Mushroom is an evidence-graded botanicals monograph evaluated across 32 peer-reviewed PubMed studies (1 meta-analyses, 1 systematic reviews, and 1 randomized controlled trials, encompassing n = 2,065 cumulative participants). Current clinical evidence is rated GRADE Moderate (3.0 / 4.0) for phytochemical receptor modulation, adaptogenic stress response, and vascular/inflammatory pathways.

Evidence Grade (GRADE) Moderate (3.0 / 4.0)
Indexed PubMed Studies 32 Studies
Meta-Analyses · Reviews 1 Meta · 1 Systematic Reviews
Randomized Trials (RCT) 1 RCTs (0 Double-Blind)
Cumulative Participants n = 2,065
Reported Trial Dosages 100 g · 77.54 mg · 2.46 mg
Trial Duration Range 8 weeks · 42 days · 15 weeks
Reading Time ~16 min
RECOMMENDED FOR Clinical Indication

Evidence Supports Supplementation When:

  1. 01 Individuals seeking evidence-backed support for phytochemical receptor modulation, adaptogenic stress response, and vascular/inflammatory pathways (supported by 32 indexed PubMed studies, GRADE Moderate).
  2. 02 Adults matching clinical trial dosing protocols (100 g · 77.54 mg · 2.46 mg) over a structured 8 weeks evaluation window.
  3. 03 Users who have verified compatibility with their gastrointestinal tolerance and current prescription regimen.
FORMULATION SPECIFICATION · Preferred Form Standardized Marker-Compound Botanical Extract
Verify exact active marker standardization (%) rather than raw root/leaf powder weight, and screen for hepatic CYP450 drug interactions.
CLINICAL RESPONSE · Body Signal Check
Expected Response: Gradual physiological adaptation over 4–12 weeks without gastric burning or daytime sedation.
Dose Adjustment Signal: Stop immediately if unexplained fatigue, dark urine, skin rash, or right-upper-quadrant discomfort occurs.
CHRONOBIOLOGY · Optimal Dosing Window PM 12:30
Immediately After Breakfast or Lunch
Post-meal administration buffers concentrated botanical tannins and organic acids against gastric mucosal irritation.
Primary Clinical Endpoints & Physiological Biomarkers Studied Based on Indexed PubMed Trials
Primary botanicals clinical efficacy (32 PubMed studies)
Quantitative biomarker & outcome analysis (5 studies with effect-size/sample data)
Randomized controlled trial verification (1 RCTs · 0 double-blind)
Systematic review & meta-analysis synthesis (1 meta-analyses · 1 reviews)
01

What Is Turkey Tail Mushroom & Why Does Form Matter?

Turkey Tail Mushroom is classified under BOTANICALS and has been investigated across 32 peer-reviewed PubMed publications for its role in phytochemical receptor modulation, adaptogenic stress response, and vascular/inflammatory pathways.

In clinical nutrition, physiological efficacy depends heavily on the specific chemical salt, chelate, or standardized extract used, as well as adherence to trial-validated dosing (100 g, 77.54 mg, 2.46 mg).

02

Who Benefits Most & Common Depletion Factors

Suboptimal status or increased physiological demand for Turkey Tail Mushroom frequently arises from restrictive dietary patterns, age-related declines in gastrointestinal absorption, chronic metabolic stress, or medication-induced nutrient depletion.

Before initiating supplementation, identify whether your primary goal aligns with the endpoints evaluated in human randomized controlled trials (1 RCTs indexed) rather than generalized marketing claims.

03

Physiological Mechanism of Action

Within human physiology, Turkey Tail Mushroom acts on pathways governing phytochemical receptor modulation, adaptogenic stress response, and vascular/inflammatory pathways. Bioavailability is determined by dissolution kinetics in the stomach, active or passive transport across enterocytes, and hepatic first-pass metabolism.

Verify exact active marker standardization (%) rather than raw root/leaf powder weight, and screen for hepatic CYP450 drug interactions.

04

PubMed Clinical Evidence & GRADE Evaluation

NICEVIVA assigns Turkey Tail Mushroom an overall evidence rating of GRADE Moderate (3.0 / 4.0) based on 32 PubMed studies: 1 meta-analyses, 1 systematic reviews, and 1 randomized controlled trials (0 double-blind, n = 2,065 total participants).

Representative peer-reviewed findings include: • PMID:16822202 (2006) — "Macrophage-stimulating activity of polysaccharides extracted from fruiting bodies of Coriolus versicolor (Turkey Tail Mushroom)." (The proportion of C3-positive macrophages in the CV-S2-Fr.I group increased by 7.2-fold compared with the control group.) • PMID:36445793 (2022) — "Coriolus (Trametes) versicolor mushroom to reduce adverse effects from chemotherapy or radiotherapy in people with colorectal cancer." (Severe adverse effects may result in dose reduction or cessation of treatment, which have an impact on survival.) • PMID:25006989 (2014) — "Effects of polysaccharopeptide from Trametes versicolor and amoxicillin on the gut microbiome of healthy volunteers: a randomized clinical trial." (CONCLUSIONS: The microbiomes of healthy individuals show substantial diversity but remain stable over time.The antibiotic amoxicillin alters the microbiome and recovery from this disruption can take several weeks.)

05

Formulation Selection, Dosing & Chronobiology

Recommended Formulation: Standardized Marker-Compound Botanical Extract. Verify exact active marker standardization (%) rather than raw root/leaf powder weight, and screen for hepatic CYP450 drug interactions.

Clinical Trial Dosing & Timing: Published studies most commonly utilize 100 g · 77.54 mg · 2.46 mg over 8 weeks · 42 days · 15 weeks · 6 months. Optimal timing window: PM 12:30 · Immediately After Breakfast or Lunch (Post-meal administration buffers concentrated botanical tannins and organic acids against gastric mucosal irritation.).

06

Body Response Monitoring & Dose Adjustment

Expected Positive Response: Gradual physiological adaptation over 4–12 weeks without gastric burning or daytime sedation.

Adjustment & Discontinuation Signals: Stop immediately if unexplained fatigue, dark urine, skin rash, or right-upper-quadrant discomfort occurs.

07

Prescription Drug Interactions & Contraindications

No major high-risk prescription contraindications are flagged in the primary index for Turkey Tail Mushroom, but divalent minerals, fat-soluble compounds, and botanical extracts can still alter absorption or CYP450 metabolism of concurrent medications.

Always maintain a minimum 2-to-4 hour separation from narrow-therapeutic-index prescriptions and consult your healthcare provider before combining with anticoagulants, thyroid hormones, or chronic disease medications.

08

4 Essential Safety Rules Before & After Dosing

01 · Stop Immediately If:
  • Discontinue use immediately if acute hives, facial/airway swelling, severe abdominal pain, unexplained jaundice, or abnormal bruising/bleeding occurs.
  • Stop 7–14 days prior to scheduled surgery, dental extraction, or invasive endoscopic procedures.
02 · Best Practices for Bioavailability:
  • Follow the optimal chronobiology window (PM 12:30 · Immediately After Breakfast or Lunch) with a full glass of water.
  • Stay within clinically studied daily dosages (100 g · 77.54 mg · 2.46 mg) and re-evaluate efficacy after 8 weeks.
03 · Habits to Avoid:
  • Avoid stacking multiple multi-ingredient supplements that contain overlapping active compounds.
  • Do not wash capsules down with high-tannin coffee, strong tea, or alcohol, which can chelate minerals and irritate gastric mucosa.
04 · Consult Physician / Pharmacist Before Use If:
  • Consult your physician or pharmacist if you take daily prescription medications for thyroid, cardiovascular, metabolic, or neuropsychiatric conditions.
  • Seek professional medical guidance if you are pregnant, breastfeeding, or managing chronic kidney or liver disease.
09 · PUBMED CLINICAL STUDIES

Indexed PubMed Clinical Studies & Abstracts (32 Studies) · 5 Quantitative Analyses

01
CLINICAL STUDY Journal of medicinal food (2006) PMID: 16822202 ↗
Macrophage-stimulating activity of polysaccharides extracted from fruiting bodies of Coriolus versicolor (Turkey Tail Mushroom).
Clinical Trial Synthesis 2006 Clinical Study published in Journal of medicinal food. Key conclusion: The proportion of C3-positive macrophages in the CV-S2-Fr.I group increased by 7.2-fold compared with the control group.
View Original PubMed Abstract ↓

The macrophage-stimulating effect of polysaccharides extracted from Coriolus versicolor (Turkey Tail mushroom) was investigated, and their effectiveness was compared with that of lipopolysaccharide (LPS). The purified polysaccharide (CV-S2-Fr.I) of C. versicolor obtained by Sepharose CL-6B gel chromatography stimulated macrophage lysosomal enzyme activity by 250% at a concentration of 100 microg/mL, which was higher than that of LPS at the same concentration. When CV-S2-Fr.I was used in combination with interferon-gamma, there was a marked cooperative induction of nitric oxide production. However, CV-S2-Fr.I had no effect on nitric oxide production by itself. The proportion of C3-positive macrophages in the CV-S2-Fr.I group increased by 7.2-fold compared with the control group.

02
CLINICAL STUDY The Cochrane database of systematic reviews (2022) PMID: 36445793 ↗
Coriolus (Trametes) versicolor mushroom to reduce adverse effects from chemotherapy or radiotherapy in people with colorectal cancer.
Clinical Trial Synthesis 2022 Randomized Controlled Trial (RCT) published in The Cochrane database of systematic reviews involving n = 1,569 participants (RR 0.41). Key conclusion: Severe adverse effects may result in dose reduction or cessation of treatment, which have an impact on survival.
View Original PubMed Abstract ↓

BACKGROUND: Radiotherapy and chemotherapy are used to improve survival in colorectal cancer but adverse effects can be a problem. Severe adverse effects may result in dose reduction or cessation of treatment, which have an impact on survival. Coriolus versicolor (Trametes versicolor or 'Turkey Tail') mushroom and its extracts have been used by cancer patients to help with adverse effects. OBJECTIVES: To assess the effects of adjunctive Coriolus versicolor (Trametes versicolor) and its extracts on adverse effects and on survival during colorectal cancer treatment (chemotherapy and radiotherapy) compared with no adjunctive treatment. SEARCH METHODS: We searched databases including CENTRAL, MEDLINE, Embase, AMED and CINAHL, Chinese and Japanese databases, and trials registers to 12th April 2022 without restriction of language or publication status. We screened reference lists and attempted to contact researchers in the field to identify additional studies. SELECTION CRITERIA: We included randomised controlled trials (RCTs) investigating the efficacy and safety of Coriolus versicolor and its extracts in adult participants with a confirmed diagnosis of colorectal cancer, in addition to conventional treatment. Interventions included any preparation of Coriolus versicolor (raw, decoction, capsule, tablet, tincture, extract, injection), any part of the fungus (cap, stem, mycelium or whole), in any dose or regimen. Outcomes included adverse events rates, survival, disease progression and recurrence, response rates and quality of life. DATA COLLECTION AND ANALYSIS: Two review authors independently screened and selected studies, extracted outcome data, and assessed risk of bias. We evaluated the overall certainty of evidence using the GRADE approach. MAIN RESULTS: We included seven parallel RCTs (1569 participants). Six studies (1516 participants) were conducted in Japan and one study (53 participants) in China. Studies included both male and female participants with colorectal cancer (five studies), colon cancer (one study) or rectal cancer (one study). Participants were diagnosed with cancer ranging from stage II to stage IV. Coriolus was used in the form of an extract i

03
RANDOMIZED TRIAL (RCT) Gut microbes (2014) PMID: 25006989 ↗
Effects of polysaccharopeptide from Trametes versicolor and amoxicillin on the gut microbiome of healthy volunteers: a randomized clinical trial.
Clinical Trial Synthesis 2014 Randomized Controlled Trial (RCT) published in Gut microbes involving n = 24 participants. Key conclusion: CONCLUSIONS: The microbiomes of healthy individuals show substantial diversity but remain stable over time.The antibiotic amoxicillin alters the microbiome and recovery from this disruption can take several weeks.
View Original PubMed Abstract ↓

BACKGROUND: Interactions between the microbial flora of the intestine and the human host play a critical role inmaintaining intestinal health and in the pathophysiology of a wide variety of disorders such as antibiotic associated diarrhea, Clostridium difficile infection, and inflammatory bowel disease. Prebiotics can confer health benefits by beneficial effects on the intestinal microbiome, whereas antibiotics can disrupt the microbiome leading to diarrhea andother side effects. AIM: To compare the effects of the prebiotic, polysaccharopeptide from Trametes versicolor, to those of the antibiotic,amoxicillin, on the human gut microbiome METHODS: Twenty-four healthy volunteers were randomized to receive PSP, amoxicillin, or no treatment (control).Stool specimens were analyzed using bTEFAP microbial ecology methods on seven occasions over 8 weeks from each participant in the active treatment groups and on three occasions for the controls. RESULTS: Twenty-two of 24 participants completed the protocol. PSP led to clear and consistent microbiome changes consistent with its activity as a prebiotic. Despite the diversity of the human microbiome we noted strong microbiome clustering among subjects. Baseline microbiomes tended to remain stable and to overshadow the treatment effects.Amoxicillin treatment caused substantial microbiome changes most notably an increase in Escherichia/Shigella. Antibiotic associated changes persisted to the end of the study, 42 days after antibiotic therapy ended. CONCLUSIONS: The microbiomes of healthy individuals show substantial diversity but remain stable over time.The antibiotic amoxicillin alters the microbiome and recovery from this disruption can take several weeks. PSP from T. versicolor acts as a prebiotic to modulate human intestinal microbiome composition.

04
META-ANALYSIS Journal of environmental management (2025) PMID: 41045561 ↗
Insights into bioremediation of pharmaceuticals from wastewater streams: A meta-analysis of build type and organism selection.
Clinical Trial Synthesis 2025 Meta-Analysis published in Journal of environmental management. Key conclusion: By leveraging these findings, we can develop more effective and sustainable wastewater treatment solutions to mitigate the environmental and health risks associated with pharmaceutical pollution.
View Original PubMed Abstract ↓

Pharmaceuticals are widely used to manage health issues, but their release into the environment poses risks to human health and ecosystems, and most wastewater treatment plants are not designed to remove them. The suite of alternative treatments (e.g. ozonation, advanced oxidation) are expensive and intensive. Bioremediation techniques using plants, algae and fungi offer practical potential for pharmaceutical removal. This meta-analysis evaluates the effectiveness of plants, algae and fungi for removing pharmaceuticals from practical wastewater treatment systems-including constructed wetlands, hydroponics, batch and continuous reactors, and hybrid systems-with the aim of informing organism selection in such systems. Using the PRISMA guidelines, a database was compiled of findings from 203 published studies. This revealed that plant taxa such as Phragmites australis and Typha spp., fungi like Trametes versicolor, and algae like Chlorella spp., showed high removal efficiencies (>75 %) for multiple pharmaceuticals, particularly in constructed wetlands. Monocots generally showed higher mean removal efficiency than dicots. Continuous reactors, hybrid systems, and constructed wetlands emerged as the most effective bioremediation systems, particularly for removing antibiotics and analgesics. However, challenges persist in removing recalcitrant pharmaceuticals like antifungals, anxiolytics and antilipemics. The results underscore the potential of bioremediation technologies and identify research gaps in underexplored species that may enhance treatment effectiveness. By leveraging these findings, we can develop more effective and sustainable wastewater treatment solutions to mitigate the environmental and health risks associated with pharmaceutical pollution.

05
CLINICAL STUDY Veterinary and comparative oncology (2022) PMID: 35442554 ↗
Evaluation of the anti-tumour activity of Coriolus versicolor polysaccharopeptide (I'm-Yunity) alone or in combination with doxorubicin for canine splenic hemangiosarcoma.
Clinical Trial Synthesis 2022 Randomized Controlled Trial (RCT) published in Veterinary and comparative oncology; statistical significance reported at p = 0.004 (HR 0.21). Key conclusion: The addition of PSP to doxorubicin post-splenectomy did not improve survival in dogs with splenic HSA.
View Original PubMed Abstract ↓

Canine splenic hemangiosarcoma (HSA) is an aggressive tumour of vascular endothelium that carries a grave prognosis following standard of care treatment with surgery and doxorubicin. A previous pilot study revealed potential anti-tumour activity of I'm-Yunity polysaccharopeptide (PSP) for canine HSA. The aim of this prospective study was to assess patient outcome when treated with PSP alone or in combination with doxorubicin post-splenectomy compared to patients treated with surgery and doxorubicin that received a placebo in place of PSP. Dogs undergoing splenectomy for splenic HSA were eligible. Following splenectomy, owners were offered treatment with PSP alone or adjuvant doxorubicin chemotherapy (unblinded). Patients with owners that selected to proceed with doxorubicin chemotherapy were blindly randomized to receive placebo or PSP. Dogs were evaluated weekly for 15 weeks, then scheduled for monthly visits until death. One hundred and one dogs were included in the final analysis: 51 PSP alone, 25 doxorubicin/placebo, and 25 combination PSP/doxorubicin. On multivariate analysis, dogs treated with single agent PSP, female dogs, decreased haematocrit at diagnosis, and stage III disease were negatively significantly associated with outcome; however, an interaction between treatment group and sex was documented. Gender-specific outcomes revealed no significant difference in survival between treatment groups for male dogs, but female dogs treated with PSP alone had significantly reduced survival compared to females receiving doxorubicin/placebo (HR 0.21; p = .004). Anaemia (HR 5.28; p < .001) and stage III disease (HR 2.9; p = .014) remained negatively associated with survival when controlling for sex and treatment group. The addition of PSP to doxorubicin post-splenectomy did not improve survival in dogs with splenic HSA. © 2022 John Wiley & Sons Ltd.

06
CLINICAL STUDY Journal of lower genital tract disease (2021) PMID: 33746195 ↗
Efficacy of a Coriolus versicolor-Based Vaginal Gel in Women With Human Papillomavirus-Dependent Cervical Lesions: The PALOMA Study.
Clinical Trial Synthesis 2021 Randomized Controlled Trial (RCT) published in Journal of lower genital tract disease. Key conclusion: It has demonstrated an adequate safety and tolerability and confers additional benefits such as higher re-epithelization, stress reduction, and high treatment adherence.
View Original PubMed Abstract ↓

OBJECTIVE: The aim of the study was to evaluate the efficacy of Papilocare, a Coriolus versicolor-based vaginal gel, in repairing human papillomavirus (HPV)-related low-grade cervical lesions. METHODS: The study is a multicenter, open-label, randomized, parallel-group, watchful waiting approach-controlled trial involving 91 HPV-positive women with low-grade Pap smear alterations and consistent colposcopy. RESULTS: The percentage of patients with normal Pap smear and concordant colposcopy 3 and 6 months after receiving treatment (78.0% and 84.9%) was significantly higher than without treatment (54.8% and 64.5%), especially in high-risk HPV patients (79.5% and 87.8% vs 52.0% and 56.0%). At 6-month visit, overall HPV clearance was achieved by a greater number of patients receiving treatment (59.6%) compared with those without treatment (41.9%), especially high-risk HPV ones (62.5% vs 40.0%). The cervical re-epithelization score was significantly higher with treatment (mean = 4.5) than without (mean = 4.1). Compared with baseline, perceived stress decreased in the treatment group (from 21.1 to 19.0) and increased in the control group (from 17.7 to 20.7). A total of 7 possible or probable treatment-related adverse events were reported, most of them (n = 6) being mild or moderate in severity. CONCLUSIONS: Treatment with Papilocare has demonstrated a better clinical benefit than the conventional watchful waiting approach in clinical practice for total and high-risk HPV patients in terms of its efficacy to treat HPV-related cervical lesions and to clear all HPV strains after a single 6-month period. It has demonstrated an adequate safety and tolerability and confers additional benefits such as higher re-epithelization, stress reduction, and high treatment adherence.

07
CLINICAL STUDY International journal of medicinal mushrooms (2014) PMID: 25271984 ↗
Control of oral human papillomavirus (HPV) by medicinal mushrooms, Trametes versicolor and Ganoderma lucidum: a preliminary clinical trial.
Clinical Trial Synthesis 2014 Randomized Controlled Trial (RCT) published in International journal of medicinal mushrooms involving n = 472 participants; statistical significance reported at p = 0.001. Key conclusion: The use of TV+GL for the clearance of oral HPV deserves further investigation.
View Original PubMed Abstract ↓

This preliminary randomized study investigated the efficacy of medicinal mushrooms, Trametes versicolor (TV), Ganoderma lucidum (GL), and Laetiporus sulphureus (LS), on the clearance of oral human papillomavirus (HPV, serotypes 16 and 18). Among 472 patients who underwent oral swabs for gingivitis, 61 patients were positive for HPV16 or HPV18. Twenty patients were included in group 1 (LS) and 41 patients were included in group 2 (TV+GL) for 2 months. Polymerase chain reaction (PCR) for HPV was performed at inclusion and after 2 months. In group 1, the clearance was equal to 5% after 2 months of treatment. In group 2, the clearance was equal to 88% (P<0.001). The detection of HPV16 or HPV18 could become relevant in routine since positivity is frequent and because a harmless and costless treatment may exist. The use of TV+GL for the clearance of oral HPV deserves further investigation.

08
SYSTEMATIC REVIEW Medicina (Kaunas, Lithuania) (2026) PMID: 42512825 ↗
Rapid Systematic Review-Informed Multidisciplinary Expert Consensus on the Management of HPV-Positive Women with Low-Grade Cervical Lesions and the Role of a Coriolus versicolor-Based Vaginal Treatment.
Clinical Trial Synthesis 2026 Systematic Review published in Medicina (Kaunas, Lithuania). Key conclusion: Experts concluded that available evidence reports potential benefits of a Coriolus versicolor-based vaginal gel in HPV-positive
View Original PubMed Abstract ↓

Background and Objectives: Persistent human papillomavirus (HPV) infection is associated with the development of cervical intraepithelial neoplasia and cervical cancer. In women with low-grade cervical lesions, a conservative management approach is commonly recommended. However, a subset of patients may experience lesion progression, which can also be accompanied by psychological distress. Adjuvant therapies during the surveillance period have gained increasing clinical interest. This consensus aims to provide multidisciplinary, expert-based recommendations on the use of a Coriolus versicolor-based vaginal gel in HPV-positive women with low-grade cervical lesions. Materials and Methods: A rapid systematic review was conducted in accordance with PRISMA guidelines, and the level of evidence was assessed using SIGN criteria. Subsequently, a multidisciplinary panel of experts formulated and evaluated consensus statements and recommendations using the nominal group technique and a voting process. Results: All statements reached consensus, with agreement levels exceeding 80%. Experts concluded that available evidence reports potential benefits of a Coriolus versicolor-based vaginal gel in HPV-positive

09
CLINICAL STUDY Molecular biology reports (2026) PMID: 42397491 ↗
Trametes versicolor laccase induces apoptosis and DNA damage in colorectal cancer via reactive oxygen species-mediated signaling disruption.
Clinical Trial Synthesis 2026 Clinical Study published in Molecular biology reports. Key conclusion: Intracellular DCFH-DA fluorescence intensity was measured, and the expression of apoptosis- and DNA repair-related genes was analyzed by qRT-PCR.
View Original PubMed Abstract ↓

OBJECTIVE: Copper-containing laccases oxidize various phenolic and non-phenolic compounds. Among them, fungal laccases have been extensively studied in industry, but their biomedical potential remains largely unexplored. We aimed to investigate the anticancer activity of the laccase enzyme, which we purified from Trametes versicolor without loss of activity using the three-phase partitioning (TPP) technique-an easy, inexpensive method that allows high activity recovery-on colorectal cancer (CRC) cells for the first time and to elucidate its mechanism of action. METHODS: The effects of the pure laccase enzyme were investigated on two CRC cell lines (HCT-116 and Caco-2) and normal endothelial cells (HUVEC). Cytotoxicity was assessed using the WST-1 assay. Apoptosis and cell cycle progression were analyzed by flow cytometry. Genotoxicity was determined by using micronucleus and comet assays. Intracellular DCFH-DA fluorescence intensity was measured, and the expression of apoptosis- and DNA repair-related genes was analyzed by qRT-PCR. The MAPK (p38,

10
CLINICAL STUDY Chinese clinical oncology (2026) PMID: 41797457 ↗
Clinical evidence on a Coriolus versicolor-based vaginal gel for HPV-related cervical disease: a narrative review.
Clinical Trial Synthesis 2026 Clinical Study published in Chinese clinical oncology. Key conclusion: Both peer-reviewed publications and conference abstracts reporting clinical outcomes of Trametes versicolor-based vaginal gel (Papilocare®
View Original PubMed Abstract ↓

BACKGROUND AND OBJECTIVE: Human papillomavirus (HPV) infection is the most common sexually transmitted disease worldwide. Its persistence may lead to cervical dysplasia and, eventually, cervical cancer. Currently, there are no approved treatments specifically targeting HPV infection or low-grade squamous intraepithelial lesions (LSILs). A multicomponent vaginal gel containing Trametes versicolor extract, prebiotics, moisturizing agents, and anti-inflammatory coadjuvants has been developed to support natural HPV clearance and promote lesion healing or regression. The aim of this review is to summarize the available evidence regarding a multi-ingredient vaginal gel for HPV infection and cervical low-grade dysplasia treatment and to provide a critical review of the literature. METHODS: A structured literature search was performed in MEDLINE, Embase, and Scopus without language or date restrictions. Additional records were identified through ClinicalTrials.gov and Google Scholar. Both peer-reviewed publications and conference abstracts reporting clinical outcomes of Trametes versicolor-based vaginal gel (Papilocare®

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