Skip to main content
Enhanced Health AIv0.6.0
QuizMy PlanCalendarEvidenceSources
Session check

© 2026 Enhanced Health AI

MD-Designed No Data Sold
QuizSearchEvidenceSourcesHow We ScorePricingTermsPrivacy
Back to Database

Supplement

Tongkat Ali

Adaptogenic root extract with possible androgen-axis effects.[3298,3918,4565, etc.]

Superscript reference numbers link to the Sources bibliography.

Moderate Evidence
Hormone HealthEnergyPerformancealias: eurycoma longifolia

Composite Rating

2.4/5

Blends evidence depth, community direction, safety friction, and completeness.

Evidence Intensity

37/100

Early depth from human/RCT/meta counts

Community Direction

24

Positive Lean • confidence Low

Safety Friction

71/100

Moderate signal from adverse/interaction markers

Data Completeness

100%

Studies 5 • mentions 14 • links 16

Not medical advice. This product is for educational and informational purposes only. It does not diagnose, treat, cure, or prevent any disease and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of a qualified healthcare provider with any questions regarding a medical condition.

FDA disclaimer: These statements have not been evaluated by the Food and Drug Administration. Dietary supplements are not intended to diagnose, treat, cure, or prevent any disease. Results may vary. Not intended for use by pregnant or nursing women, individuals under 18, or those with known medical conditions without physician consultation.

If you are experiencing a medical emergency, call 911 or your local emergency number immediately.

Implementation Blueprint

Goal alignment: Hormone Health, Energy, Performance.[61,272,366, etc.]

Dose guide: Human-study daily dose: 200 mg/day (early-confidence extraction from PubMed abstracts)..[61,272,366, etc.]

Category: botanical.[61,272,366, etc.]

Category

Botanical

Evidence Tier

MEDIUM

Daily Guide

Human-study daily dose: 200 mg/day (early-confidence extraction from PubMed abstracts).

Dosing Guide

Human-study daily dose: 200 mg/day (early-confidence extraction from PubMed abstracts).[3298,, etc.]

At-A-Glance Evidence Architecture[3298,3918,4565, etc.]

Clinical Depth

Humans: 8 • RCTs: 1 • Meta: 0

Cohort / Real-World

Cohort signals: 0

Safety Markers

Adverse signals: 12 • Interactions: 3

Evidence Tracking

Freshness, trend, and study timeline for this item

Evidence Tracking

Status

Updated

Trend

→ Stable evidence base

Depth

24 total studies

Timeline

20192023

Top Signal Metrics[3298,3918,4565, etc.]

Total indexed

24

Animal-only studies

15

Safety adverse signals

12

In vitro / tissue

10

Human studies

8

Interaction signals

3

Community Direction Mix[61,272,366, etc.]

Weighted direction score: 24 (Positive Lean)

Benefit

Evidence Quality Summary[3298,3918,4565, etc.]

Medium when human evidence exists but is limited, or when animal evidence volume is substantial.

Total indexed

24

Animal-only studies

15

Safety adverse signals

12

In vitro / tissue

10

Human studies

8

Interaction signals

3

Randomized trials

1

Meta-analyses

0

Study Type Breakdown

Distribution of evidence by study design strength

Randomized TrialsLevel 1b1
Human Studies (other)Level 3-47
All IndexedAll levels24
37

Evidence Strength: Early

Composite of study volume, RCTs, and meta-analyses

Top Human Studies[3298,3918,4565, etc.]

PMID 33541567 • 2021 Mar

A 6-month, double-blind, placebo-controlled, randomized trial to evaluate the effect of Eurycoma longifolia (Tongkat Ali) and concurrent training on erectile function and testosterone levels in androgen deficiency of aging males (ADAM).

Maturitas

Open PubMed

PMID 36013514 • 2022 Aug 4

Eurycoma longifolia (Jack) Improves Serum Total Testosterone in Men: A Systematic Review and Meta-Analysis of Clinical Trials.

Medicina (Kaunas)

Open PubMed

PMID 31036522 • 2019 Jun

An Analysis of Popular Online Erectile Dysfunction Supplements.

Community Report Frequency[61,272,366, etc.]

Benefit reports: 8

Adverse reports: 4

No-effect reports: 0

Mixed reports: 2

Unclear reports: 0

Signal confidence: 0.36

Top Reported Effects[61,272,366, etc.]

Benefits

  • improvement: 2
  • effective: 2
  • better: 1
  • helped: 1
  • recovery: 1
  • benefit: 1

Adverse

  • bloating: 1
  • anxiety: 1

No Effect

  • placebo: 2

High responder variability in anecdotal reports. | Step2: Moderate positive empirical signal; apply a light priority boost.

Reddit evidence: 5 mentions (confidence 0.36) across Biohackers, Supplements.

Amazon signal: 0 products scanned (confidence 0.00).

GNC signal: 0 products scanned (confidence 0.00) [BLOCKED].

Community Evidence Examples[61,272,366, etc.]

post • r/Biohackers • mixed

Tongkat Ali is a Double-Sided Sword Even though it boosts Testosterone, it boosts estradiol just as much. Estradiol for weight gain is bad especially around the abdomen. It also causes fluid retention and bloating. From the study - “Result…

Open mention

post • r/Supplements • unclear

Tongkat Ali Dosage Question I'm super confused by dosage for Tongkat Ali. The bottle I have says 1200mg root powder and 48mg of the extract. Advise is around 200-600mg with 600 being potentially toxic to the liver. They must be talking abo…

Open mention

post • r/Supplements • benefit

Tracking Improvements and Effects of Lithium Carbonate and Tongkat Ali Thanks to everyone in the community for the replies on my previous post. Initially, I consulted a doctor about my symptoms, but they dismissed it, saying it was all in …

Retail Signal Examples

amazon

Amazon search for Tongkat Ali

Rating: n/a | Reviews: n/a

Open product

Primary Source Links

Evidence Sources

  • https://eutils.ncbi.nlm.nih.gov/entrez/eutils/esearch.fcgi?db=pubmed&term=(%22tongkat%20ali%22)%20AND%20(supplement*%5BTitle%2FAbstract%5D%20OR%20supplementation%5BTitle%2FAbstract%5D%20OR%20intake%5BTitle%2FAbstract%5D%20OR%20dietary%20supplements%5BMeSH%20Terms%5D)
  • https://eutils.ncbi.nlm.nih.gov/entrez/eutils/esearch.fcgi?db=pubmed&term=(%22tongkat%20ali%22)%20AND%20humans%5BMeSH%20Terms%5D%20AND%20(supplement*%5BTitle%2FAbstract%5D%20OR%20supplementation%5BTitle%2FAbstract%5D%20OR%20intake%5BTitle%2FAbstract%5D%20OR%20dietary%20supplements%5BMeSH%20Terms%5D)
  • https://eutils.ncbi.nlm.nih.gov/entrez/eutils/esearch.fcgi?db=pubmed&term=(%22tongkat%20ali%22)%20AND%20animals%5BMeSH%20Terms%5D%20NOT%20humans%5BMeSH%20Terms%5D

Scientific Evidence Notes[3298,3918,4565, etc.]

1. Tongkat and stress/testosterone markers

RCT • 2021 • Adults

Small male-focused studies.

Outcome: Some signal for libido and stress marker changes.[3298,3918,4565, etc.]

2. PubMed evidence summary: Tongkat Ali

PUBMED • Humans + preclinical triage

Counts aggregated from automated literature sweep and tiering rules.

Outcome: Tier MEDIUM; humans 8, RCTs 1, meta-analyses 0.[3298,3918,4565, etc.]

Open source
3918,
4565

Safety and Pitfalls

  • May increase irritability or insomnia[61,272,366, etc.]
  • Potential side effect: restlessness[61,272,366, etc.]
  • Potential side effect: sleep disturbance[61,272,366, etc.]
  • Use caution with condition: hormone-sensitive cancers[61,272,366, etc.]
  • Use caution with condition: severe anxiety[61,272,366, etc.]
  • Interaction check: hormonal therapies[61,272,366, etc.]
  • Legacy caution group: Women with hormone-sensitive conditions[61,272,366, etc.]
  • Legacy caution group: Those with heart conditions[61,272,366, etc.]
  • Legacy caution group: Pregnancy[61,272,366, etc.]
8 (57%)
Adverse4 (29%)
No Effect0 (0%)
Mixed2 (14%)

J Sex Med

Open PubMed

PMID 37914304 • 2023 Nov 1

Effects of Eurycoma longifolia Jack standardised water extract (Physta) on well-being of perimenopausal and postmenopausal women: protocol for a randomised, double-blinded, placebo-controlled, parallel group study.

BMJ Open

Open PubMed

PMID 36231154 • 2022 Sep 20

How Internet Websites Portray Herbal Vitality Products Containing Eurycoma longifolia Jack: An Evaluation of the Quality and Risks of Online Information.

Int J Environ Res Public Health

Open PubMed

PerimeterX / captcha block encountered.

Use adverse/interactions PubMed signal counts for screening; perform clinician review before high-dose or multi-drug stack use.

Human-study daily dose signal: 200 mg/day (confidence LOW).

Extracted from 1 dosing mentions across 1 PubMed studies (mg/day).

Imported legacy community score: 8.0/10 (heuristic mapping confidence 1.00).

Imported legacy monthly cost signal: ~$22.00.

Legacy community note: Extremely popular in men's health communities. Users frequently report improved libido, better mood, and strength gains. Some skeptics, but many devoted users with bloodwork showing improved hormone panels.

Open mention

post • r/Supplements • benefit

Best Libido supplement? Tongkat Ali? Hello guys which supp helped you with Libido?

Open mention

post • r/Biohackers • mixed

If you were building a “sexual performance stack” from scratch, what’s in it? I’m curious how this sub would architect this from first principles. Not “take Viagra and call it a day.” I mean if you were optimizing the entire sexual respons…

Open mention

post • r/Supplements • unclear

Measuring tongkat Ali from bulk supplements Never taken this before and bought from bulk supplements on Amazon. It says take half a teaspoon which is 1g but I’ve heard that 400mg is what I should be taking so I have no idea what to do. I f…

Open mention

post • r/Biohackers • benefit

Men, what’s been your most effective supplement for increasing confidence, drive, and libido? I know all sorts of behavioral stuff are important. Compound lifts, sunlight, etc. I’ve tried LJ100 tongkat ali (recently 200-300mg most days) an…

Open mention

post • r/Supplements • unclear

Is this tongkat ali supplement legit, is the brand good? Thanks

Open mention

comment • r/Biohackers • unclear

Solid info to be aware of but seconding that nearly any action that elevates T will correlate to modest rise in estrogen. Have experienced this with Tongkat ali, Boron, shilajit.. *Low dose daily cialis supports balance with T and keeping …

Open mention

comment • r/Biohackers • unclear

i think i recall seeing one, just google tongkat ali women nih

Open mention
https://eutils.ncbi.nlm.nih.gov/entrez/eutils/esearch.fcgi?db=pubmed&term=(%22tongkat%20ali%22)%20AND%20humans%5BMeSH%20Terms%5D%20AND%20(supplement*%5BTitle%2FAbstract%5D%20OR%20supplementation%5BTitle%2FAbstract%5D%20OR%20intake%5BTitle%2FAbstract%5D%20OR%20dietary%20supplements%5BMeSH%20Terms%5D)%20AND%20randomized%20controlled%20trial%5BPublication%20Type%5D
  • https://eutils.ncbi.nlm.nih.gov/entrez/eutils/esearch.fcgi?db=pubmed&term=(%22tongkat%20ali%22)%20AND%20humans%5BMeSH%20Terms%5D%20AND%20(supplement*%5BTitle%2FAbstract%5D%20OR%20supplementation%5BTitle%2FAbstract%5D%20OR%20intake%5BTitle%2FAbstract%5D%20OR%20dietary%20supplements%5BMeSH%20Terms%5D)%20AND%20meta-analysis%5BPublication%20Type%5D
  • https://pubmed.ncbi.nlm.nih.gov/33541567/
  • https://pubmed.ncbi.nlm.nih.gov/36013514/
  • https://pubmed.ncbi.nlm.nih.gov/31036522/
  • https://pubmed.ncbi.nlm.nih.gov/37914304/
  • https://pubmed.ncbi.nlm.nih.gov/36231154/
  • https://pubmed.ncbi.nlm.nih.gov/?term=Tongkat%20Ali
  • Community Sources

    • https://old.reddit.com/search.json?raw_json=1&sort=relevance&t=year&limit=12&q=%22tongkat%20ali%22%20(supplement%20OR%20dosage%20OR%20stack%20OR%20side%20effects%20OR%20review)%20(subreddit%3ASupplements%20OR%20subreddit%3ANootropics%20OR%20subreddit%3ABiohackers%20OR%20subreddit%3Alongevity%20OR%20subreddit%3ANutrition%20OR%20subreddit%3AHubermanLab%20OR%20subreddit%3ASleep%20OR%20subreddit%3AFitness%20OR%20subreddit%3Aketoscience%20OR%20subreddit%3AStackAdvice)
    • https://old.reddit.com/r/Biohackers/comments/1nlbcfo/tongkat_ali_is_a_doublesided_sword/.json?raw_json=1&sort=top&limit=25
    • https://old.reddit.com/r/Supplements/comments/1r5w210/tongkat_ali_dosage_question/.json?raw_json=1&sort=top&limit=25
    • https://old.reddit.com/r/Supplements/comments/1o91de7/tracking_improvements_and_effects_of_lithium/.json?raw_json=1&sort=top&limit=25
    • https://www.reddit.com/search/?q=Tongkat%20Ali
    3. A 6-month, double-blind, placebo-controlled, randomized trial to evaluate the effect of Eurycoma longifolia (Tongkat Ali) and concurrent training on erectile function and testosterone levels in androgen deficiency of aging males (ADAM).

    PUBMED • 2021 • Human evidence curation set

    PMID 33541567 from Maturitas.

    Outcome: See linked PubMed abstract for methods and outcomes.[3298,3918,4565, etc.]

    Open source
    4. Eurycoma longifolia (Jack) Improves Serum Total Testosterone in Men: A Systematic Review and Meta-Analysis of Clinical Trials.

    PUBMED • 2022 • Human evidence curation set

    PMID 36013514 from Medicina (Kaunas).

    Outcome: See linked PubMed abstract for methods and outcomes.[3298,3918,4565, etc.]

    Open source
    5. An Analysis of Popular Online Erectile Dysfunction Supplements.

    PUBMED • 2019 • Human evidence curation set

    PMID 31036522 from J Sex Med.

    Outcome: See linked PubMed abstract for methods and outcomes.[3298,3918,4565, etc.]

    Open source
    6. Effects of Eurycoma longifolia Jack standardised water extract (Physta) on well-being of perimenopausal and postmenopausal women: protocol for a randomised, double-blinded, placebo-controlled, parallel group study.

    PUBMED • 2023 • Human evidence curation set

    PMID 37914304 from BMJ Open.

    Outcome: See linked PubMed abstract for methods and outcomes.[3298,3918,4565, etc.]

    Open source
    7. How Internet Websites Portray Herbal Vitality Products Containing Eurycoma longifolia Jack: An Evaluation of the Quality and Risks of Online Information.

    PUBMED • 2022 • Human evidence curation set

    PMID 36231154 from Int J Environ Res Public Health.

    Outcome: See linked PubMed abstract for methods and outcomes.[3298,3918,4565, etc.]

    Open source