Tongkat Ali

Tongkat Ali is a Southeast Asian herb traditionally used as an aphrodisiac and adaptogen. B-grade evidence for erectile function (small effect). C-grade evidence for cortisol reduction. IMPORTANT: Despite heavy marketing as a 'testosterone booster', evidence for testosterone increases in healthy men with normal testosterone is weak and inconsistent. Effects on testosterone appear limited to men with clinically low levels. Most studies have small sample sizes and methodological limitations. May have genuine adaptogenic effects on stress/cortisol.

Quick Answer

What it is

Tongkat Ali is a Southeast Asian herb traditionally used as an aphrodisiac and adaptogen. B-grade evidence for erectile function (small effect).

Key findings

  • Grade B: Erections (Sexual Health)
  • Grade C: Body Fat (Low Testosterone)
  • Grade C: Cortisol (Mood Improvement)

Safety

No specific caution or interaction language was detected in the current summary/outcome notes.

ℹ️ Quick Facts: Tongkat Ali

Quick Facts: Tongkat Ali

  • Best Evidence:Grade B
  • Conditions Studied:12
  • Research Outcomes:112
  • Grade B Findings:1
  • Key Effect:Sexual Health
Outcomes by grade:
A0
B1
C5
D4
12 conditions · 112 outcomes

Detailed Outcomes

Grade:
Effect:
Size:
Sort:
|
B
Erections
Small Increase
small↑Improves
?
IGF-1
1 study
↑Improves
?
Libido
1 study
↑Improves
?
Seminal Motility
1 study
↑Improves
?
Serum DHEA
1 study
↑Improves
?
Sex Hormone Binding Globulin
1 study
↑Improves
?
Sperm Quality
↑Improves
?
Subjective Well-Being
1 study
↑Improves
?
Testosterone
↑Improves
?
Weight
1 study
↑Worsens
C
Body Fat
Small Increase
1 study
small↓Improves
?
Testosterone
↑Improves
?
Free Testosterone
2 studies
↑Improves
?
Sex Hormone Binding Globulin
2 studies
↑Improves
?
Strength
↑Improves
?
Aerobic Exercise Metrics
Small Detriment
1 study
small
?
Cortisol
1 study
↓Improves
?
DHEAS
1 study
↑Improves
?
Estrogen
1 study
↑Worsens
?
Fatigue Symptoms
1 study
↓Improves
?
Follicle-Stimulating Hormone
1 study
↑Improves
?
HbA1c
1 study
↓Improves
?
High-density lipoprotein (HDL)
1 study
↑Improves
?
IGF-1
1 study
↑Improves
?
Low-density lipoprotein (LDL)
1 study
↓Improves
?
Luteinizing Hormone
1 study
↑Improves
?
Thyroid-Stimulating Hormone
1 study
↑Improves
?
Triglycerides
1 study
↓Improves
?
Waist circumference
1 study
↓Improves
C
Cortisol
Small Decrease
1 study
small↓Improves
?
Stress Signs and Symptoms
1 study
↑Worsens
?
Testosterone
↑Improves
C
Cortisol
Small Decrease
1 study
small↓Improves
?
Stress Signs and Symptoms
1 study
↑Worsens
?
Testosterone
↑Improves
C
Cortisol
Small Decrease
1 study
small↓Improves
?
DHEAS
1 study
↑Improves
?
Fatigue Symptoms
1 study
↑Worsens
?
Free Testosterone
1 study
↑Improves
?
HbA1c
1 study
↑Worsens
?
IGF-1
1 study
↑Improves
?
Sex Hormone Binding Globulin
1 study
↑Improves
?
Strength
↑Improves
?
Testosterone
↑Improves
?
Thyroid-Stimulating Hormone
1 study
↑Improves
C
Power Output
Small Improvement
1 study
small↑Improves
?
Strength
↑Improves
D
Blood Urea Nitrogen
No effect
1 study
none
?
Free Testosterone
2 studies
↑Improves
?
Sex Hormone Binding Globulin
2 studies
↑Improves
?
Testosterone
↑Improves
?
Blood Urea Nitrogen (BUN)
1 study
↑Improves
?
Cortisol
1 study
↑Worsens
?
Creatine Kinase
1 study
↑Worsens
?
DHEAS
1 study
↑Improves
?
Estrogen
1 study
↑Worsens
?
Follicle-Stimulating Hormone
1 study
↑Improves
?
Hematocrit
1 study
↑Improves
?
Hemoglobin
1 study
↑Improves
?
Luteinizing Hormone
1 study
↑Improves
?
Strength
↑Improves
D
Bilirubin
No effect
1 study
none
D
B Cell Count
No effect
1 study
none
?
CD4 Lymphocytes
1 study
↑Improves
?
CD8 Lymphocytes
1 study
↑Improves
?
Lymphocyte Count
1 study
↑Improves
?
Mood
1 study
↑Improves
?
Natural Killer Cell Content
1 study
↑Improves
?
Neutrophil Count
↑Improves
?
T Cell Count
1 study
↑Improves
D
Bilirubin
No effect
1 study
none
?
Blood Urea Nitrogen
1 study
↑Improves
?
Creatinine
1 study
↑Improves
?
Gamma-Glutamyltransferase
1 study
↑Improves
?
Kidney Function
1 study
↑Improves
?
Liver Enzymes
1 study
↑Worsens
?
Power Output
1 study
↑Improves
?
Strength
↑Improves
?
Urea
1 study
↑Improves
?
Uric Acid
↑Worsens
?
Urinary Albumin
1 study
↑Improves
?
Strength
↑Improves
?
Aerobic Exercise Metrics
Small Detriment
1 study
small
?
Bilirubin
1 study
↑Worsens
?
Blood Urea Nitrogen
1 study
↑Improves
?
Body Fat
1 study
↑Worsens
?
Cortisol
1 study
↑Worsens
?
Creatinine
1 study
↑Improves
?
DHEAS
1 study
↑Improves
?
Fatigue Symptoms
1 study
↑Worsens
?
Free Testosterone
1 study
↑Improves
?
Gamma-Glutamyltransferase
1 study
↑Improves
?
HbA1c
1 study
↑Worsens
?
High-density lipoprotein (HDL)
1 study
↑Improves
?
IGF-1
1 study
↑Improves
?
Kidney Function
1 study
↑Improves
?
Liver Enzymes
1 study
↑Worsens
?
Low-density lipoprotein (LDL)
1 study
↑Worsens
?
Power Output
1 study
↑Improves
?
Sex Hormone Binding Globulin
1 study
↑Improves
?
Testosterone
↑Improves
?
Thyroid-Stimulating Hormone
1 study
↑Improves
?
Triglycerides
1 study
↑Worsens
?
Urea
1 study
↑Improves
?
Uric Acid
↑Worsens
?
Urinary Albumin
1 study
↑Improves
?
Waist circumference
1 study
↑Worsens
?
Erections
↑Improves
?
Aerobic Exercise Metrics
Small Detriment
1 study
small
?
Body Fat
1 study
↑Worsens
?
Strength
↑Improves
?
Waist circumference
1 study
↑Worsens

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