Key Findings
- In a 12-week RCT (105 men aged 50–70 with baseline total testosterone below 300 ng/dL), tongkat ali extract 200 mg/day was associated with significantly increased total testosterone versus placebo.
- The trial used a standardized water-soluble root extract and reported the supplement was well tolerated.
- A separate meta-analysis of clinical trials also found Eurycoma longifolia was associated with higher serum total testosterone in men.
- Most evidence is in ageing men with low baseline testosterone and comes from relatively small, short trials, so it should not be generalized to younger men or those with normal levels.