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Eleutherococcus, also known as eleuthero or Siberian ginseng, grows in mountain forests and is native to eastern Asia including China, Japan, and Russia. Traditional Chinese Medicine has used eleutherococcus for reducing lethargy, fatigue, and low stamina as well as increasing endurance and resilience to environmental stresses. Eleutherococcus is considered an "adaptogen," a term that describes herbs or other substances that, when ingested, appears to help an organism increase resistance to stress. There is strong evidence Eleutherococcus senticosus increases endurance and mental performance in patients with mild fatigue and weakness.