longevitywatch

Does tongkat ali actually work for your testosterone?

Yes · Moderate evidence

Do not use it, even though it probably does raise your testosterone. The European food safety authority EFSA found signs that tongkat ali can damage your DNA, precisely at the common 200 mg per day, and it is not authorised in the EU and banned from sale.

What does workCan exercise really improve your hormone levels as you get older?

In terms of effect, tongkat ali has one of the better evidence bases among plant-based testosterone boosters: a meta-analysis of five randomised trials found a moderate rise in total testosterone in men, including men with an age-related low level. But that is not the whole story.

EFSA assessed tongkat ali root extract in 2021 and found signs of genotoxicity in a chromosome test: it can cause DNA damage, which is potentially carcinogenic. That risk applies precisely at the 200 mg per day dose that was proposed as a supplement.

Partly for that reason, tongkat ali is not authorised as a novel food in the EU and may not be sold. The Dutch food safety authority (NVWA) warned about it in 2024 and seized products from sellers. Even though it can raise testosterone: it is not worth the risk, and it is not legally available here.

The evidence
8 studies · 1 randomised trial

Efficacy from a meta-analysis of randomised trials; safety and legal status from the EFSA assessment (2021, genotoxicity) and EU novel-food rules, with NVWA enforcement (2024).

Last checked: October 2026 · how this was judged
Related answers

Is testosterone important for women?

Testosterone is a physiologically relevant hormone for women, with the strongest evidence for sexual desire and sexual function. If you have symptoms consistent with low testosterone levels, it is worth discussing this with your doctor, including the choice of skin-based delivery.

Does boron raise your testosterone?

The two randomised studies in men show no effect on testosterone; the only small study that did find a rise in men had no placebo group and just eight participants. If you want to improve your testosterone, boron currently has no reliable supporting evidence.

No · Preliminary evidence

Does an adrenal cocktail actually work?

An adrenal cocktail does not work, because the condition it is supposed to treat does not exist as a recognised diagnosis. If you genuinely suffer from persistent, extreme fatigue, have your adrenal glands medically evaluated.

No · Strong evidence

Does using testosterone help if you are over 50, and can it be dangerous?

Testosterone can be worthwhile for men over 50 with a medically confirmed testosterone deficiency, but it is not a treatment for everyone who is getting older: the benefits are real, the risks are too, and a doctor must establish the indication.

Yes · Strong evidence

Does testosterone decline in men with age, and should you do something about it?

Testosterone really does decline in men with age. TRT is well supported only in men with established hypogonadism and symptoms, primarily for sexual function. If you have symptoms, always have the underlying cause investigated first.

Yes · Strong evidence

Does excess weight really make your hormones worse?

Excess weight disrupts your hormones in multiple ways simultaneously, and this is not a coincidental association. In men, testosterone drops substantially, and losing weight partially reverses that.

All Tongkat ali answers on “What works” →
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