TONGKAT ALI DOSAGE

There is no European research-based information on the dosage of Tongkat Ali. In our blog article you can read about Indonesian experience and advice on Tongkat Ali dosage.

It is very important to use the optimal dosage of Tongkat Ali. Depending on the product, the standard dosage of Tongkat Ali can range from 200 to 600 mg per day.

Each organism may react differently to the preparation. It is important to consult a healthcare professional before starting and to monitor yourself and your body's reaction during use. Side effects may not only be caused by improper use of this product, as unintended side effects may occur even when taking the correct dosage, Raw Powders accepts no responsibility for any side effects caused by the supplements or practices mentioned in this article.

Read on to find out more about the recommended daily dose of Tongkat Ali, the maximum tolerated dose, how to maximise your intake, how to discontinue use...

How to dose Tongkat Ali?

There are no universal and approved dosage recommendations as the use of Tongkat Ali depends on many factors such as the user's age, medical condition, gender and other individual characteristics. However, many manufacturers and health experts generally recommend starting with a low dose and gradually increasing it, while monitoring your body's reaction.

Depending on the product, the standard dose of Tongkat Ali can range from 200 to 600 mg per day. In clinical trials  Tongkat Ali was taken once (after breakfast in studies where it was specified) or twice daily (after eating). Some Users say about insomnia symptoms, but up to now, this adverse effect has not been confirmed in clinical trials.

How to use Tomgkat Ali?

Some people prefer to follow a cycle when taking Tongkat Ali. This means that the supplement  can be taken for a certain period of time, e.g. 5 days a week, and then take a break for 2 days. That, in their opinion, can help to avoid the body adapting to the supplement, which can reduce its effectiveness.

It is also important to start with a lower dose and gradually increase it if you do not notice any side effects. It is recommended to start with 200 mg per day, which is the dosage that demonstrated efficiency in several studies, and, if your body responds well, you can increase the dose to 300-600 mg per day if needed.

Precautions

Tongkat Ali is recognized for its potential health benefits. However, like all active substances, it should be used with caution to ensure safety. It is generally considered safe for most healthy adults when taken in recommended amounts. Nevertheless, there are essential considerations and precautions one should adhere to.

Before incorporating Tongkat Ali into your regimen, it is critical to consult with a healthcare provider. This is especially important if you have preexisting medical conditions, are on medication, or if you are pregnant or breastfeeding. Interactions between Tongkat Ali and other medications or health conditions could occur, necessitating professional medical advice.

In the context of research, a meta-analysis in 2021 examining nine studies found minimal adverse effects associated with Tongkat Ali consumption. However, one clinical study did report side effects such as gastrointestinal symptoms and itching. Notably, another study observed adverse events in both the treated group and the placebo group, which implies that some reported side effects might not be directly attributable to Tongkat Ali [1]. 

Regarding regulatory perspectives within the European Union, the safety of Tongkat Ali as a novel food ingredient has yet to be conclusively established. Under Regulation (EU) 2015/2283, there is a potential concern for DNA damage associated with high doses of Tongkat Ali, particularly in tissues that are first points of contact [2]. 

Additionally, the issue of mercury contamination in Tongkat Ali has been documented. To address this, it is vital that suppliers conduct thorough testing of raw materials to ensure the absence of harmful contaminants. Consumers should seek products from reputable sources that certify the purity and safety of their ingredients [3]. 

Common side effects noted with Tongkat Ali supplementation may include insomnia, increased irritability, nausea, or an elevated pulse rate. If any of these or other adverse effects are experienced, discontinue use and seek medical attention promptly.

In summary, while Tongkat Ali can be a valuable addition to health and wellness routines, it should be used responsibly and under the guidance of a healthcare professional. Always ensure that you are informed of the source and quality of the product, and remain vigilant for any adverse reactions.

Effects of cessation

Tongkat Ali is traditionally used as a tonic, adaptogenic and aphrodisiac. Although there is growing interest in the potential benefits of Tongkat Ali, particularly as a testosterone booster and stress reliever, the effects of discontinuing its use have not been as thoroughly investigated as some other compounds. Here are some of the most important effects that may occur after taking Tongkat Ali for an extended period of time and then discontinuing its use:

- Potential loss of benefit: If Tongkat Ali has been an effective testosterone booster, libido enhancer or stress reliever, discontinuing its use may result in a return to baseline or baseline state of improvement. This means that any benefits experienced while taking this supplement may be reduced or disappear after discontinuation.

- No documented withdrawal effects: Unlike some substances, there is no scientifically documented withdrawal syndrome after discontinuing Tongkat Ali. This means that for most people, discontinuing its use will not result in specific withdrawal symptoms.

- Individual differences: People may react differently to supplements and herbs. Many may not feel any noticeable effects when they stop taking Tongkat Ali, but others may notice a change, especially if they have become accustomed to the benefits they have experienced from taking it. For more information on the benefits of Tongkat Ali supplements, see the blog - Tongkat Ali benefits. 

- Lack of long-term research: Although research on Tongkat Ali is increasing, there is a lack of long-term studies that follow users after they stop taking Tongkat Ali. This means that our understanding of post-use effects is somewhat limited.

- Safety concerns with adulterated products: As with most herbal supplements, there is a risk of receiving adulterated products or products with unsuitable impurities. Taking an impure Tongkat Ali product and experiencing the effects associated with taking any other added compounds may result in some discontinuation of those other ingredients.

If you or someone you know is considering discontinuing the use of Tongkat Ali or any other supplement, it is a good idea to consult a health care professional to discuss any possible effects or concerns. They can make recommendations tailored to the individual.

At what speed does Tongkat Ali start working?

The effects of Tongkat Ali may vary depending on the individual body's reaction, the quality of the products and the dose used:

- Libido and Sexual Function: Some people find that their libido or sexual function improves within a few days or weeks after starting to take Tongkat Ali. 

Increased libido and improved sexual function are some of the reasons why women take Tongkat Ali. For more information on women's health when taking Tongkat Ali, the advantages and disadvantages, see the blog post Tongkat Ali and Women's Health.

Recent studies on Eurycoma longifolia demonstrate its potential benefits in improving sexual health and sperm quality among different male age groups. A 12-week randomized study on men aged 40-65 reported enhancements in sexual performance metrics such as the Sexual Intercourse Attempt diary and Erection Hardness Scale, with no serious adverse events or clinically significant abnormalities in liver and kidney function tests [4].

Another study with 109 male subjects taking 300 mg of Eurycoma longifolia extract daily for three months confirmed similar improvements in libido, sexual performance, and semen parameters, including volume and sperm motility, and found the treatment to be well-tolerated and safe [5].

Further research involving infertile patients with an average age of 32.7 years taking 200 mg of the extract daily resulted in significant improvements in all semen parameters and 11 spontaneous pregnancies [6].

Additionally, a six-month study involving a 200 mg supplement of Eurycoma longifolia combined with concurrent training indicated notable improvement in erectile function in men suffering from androgen deficiency [7].

- Testosterone Level: Tongkat Ali can increase testosterone levels, and the potential positive effects can take weeks or even months to appear. However, it should be noted that all people react differently to supplements, so not everyone will experience a noticeable increase in testosterone levels so quickly.

One observed a significant difference between healthy volunteers with testosterone lower than 300 ng/dL treated with E. longifolia (100 mg/daily or 200 mg/daily once daily after breakfast) or placebo for 12 weeks. It was shown that 200 mg was able to increase the serum total testosterone, reduce fatigue and improve the quality of life in aging men within 2 weeks' time [8].  

- Testosterone Level  can also enhance body composition

Thirteen physically active male and 12 physically active female seniors (57-72 years) were supplemented with 400-mg TA extract daily (200 mg taken twice a day) for 5 weeks. Treatment resulted in significant increases in total and free testosterone concentrations and muscular force in men and women. The increase in free testosterone in women is thought to be due to the significant decline in sex hormone-binding globulin concentrations. The study affirms the ergogenic benefit of TA through enhanced muscle strength [9]. 

Another study reported a significant intragroup increase in testosterone with 600 mg daily treatment of E. longifolia over 14 days, with no significant change in the placebo group. However, no intergroup statistical analysis was provided. In this study it was shown that consequently, the raised testosterone following Eurycoma longifolia supplementations could benefit muscle and strength gain in young adults [10].

- Anxiety and Stress Reduction: Tongkat Ali may also act as a stress-response modifier to help combat stress. These properties may take more time to develop, i.e. at least a few weeks of regular use.

One study assessed stress hormones and mood state in 63 subjects (32 men and 31 women) screened for moderate stress and supplemented with a standardized hot-water extract of TA root (TA) or Placebo (PL) for 4 weeks.

These results indicate that daily supplementation with tongkat ali root extract improves stress hormone profile and certain mood state parameters, suggesting that this "ancient" remedy may be an effective approach to shielding the body from the detrimental effects of "modern" chronic stress, which may include general day-to-day stress, as well as the stress of dieting, sleep deprivation, and exercise training [11]. 

For best results, it is important to choose a high quality product and follow the recommended dosage. It is also worth remembering that, as with any other dietary supplement or medicine, the effects can vary from person to person.

How often should I take Tongkat Ali?

The frequency and dosage of Tongkat Ali depends on the form of the product, its strength, the reason for taking it, and the individual's reactions. Here are general recommendations:

- Depends on the Product: Different Tongkat Ali products may have different dosages and recommendations. For example, standardised extracts may be more potent than plain powders, so a lower dose should be taken.

- Individual Responsiveness: It's crucial to recognize that reactions to Tongkat Ali can vary from person to person. While some may experience the intended effects at a standard dose, others may find that a lesser amount is adequate for their needs.

- Consult a Doctor: It is always recommended that you consult a doctor before taking any supplements, especially if you are already taking other medications or have a long-term health condition.

Please note that it is very important to follow the manufacturer's instructions on the label and not to exceed the recommended dose.

How long can I take Tongkat Ali?

As mentioned above, the duration of use of Tongkat Ali may depend on a number of factors, including individual tolerance, the strength of the product, and the reason for use. Each person's reaction may vary, so some may prefer cyclical long-term use, while others may be satisfied with a shorter continuous period, such as a few months.

Although there are many studies on the safety and efficacy of Tongkat Ali, there is a lack of long-term studies that clearly establish exactly how long it is safe to take. The maximum period of during which Tongkat Ali was taken in clinical trials was 6 months.  And typical duration of clinical trials was below 12 weeks.

As with any other supplement or medicine, long-term use can increase the risk of side effects. Although most people do not experience problems when taking Tongkat Ali, some may experience unpleasant symptoms such as insomnia, high blood pressure or irritability. Read more about the side effects you may experience when taking Tongkat Ali in the post - Tongkat Ali side effects.

In general, as with any consideration of the duration of use of any supplement or medication, it is best to act responsibly, monitor your body's reactions, and seek advice from healthcare professionals.

If you are wondering what Tongkat Ali really is, what it is called, where it is found, and under what conditions it grows, read the post - What is Tongkat Ali?.

Medical Disclaimer:

The information provided in our articles is solely for educational purposes and should not be considered medical advice or instruction. No action or inaction should be taken based solely on the contents of this information. Readers should consult their health care professional on any matter related to their health and well-being. The information and opinions provided here are believed to be accurate and sound, based on the best judgment available to the authors, but readers who fail to consult with appropriate health authorities assume the risk of any injuries. The publisher is not responsible for errors or omissions.

Please be aware that different countries may have specific regulations and that this disclaimer does not replace the need for consultation with a healthcare provider before beginning or changing a treatment or supplement regimen. The information contained in this article is not intended to diagnose, treat, cure, or prevent any disease. Individual results may vary.

References

1. Kristian Leisegang, Renata Finelli, Suresh C Sikka, Manesh Kumar Panner Selvam. Eurycoma longifolia (Jack) Improves Serum Total Testosterone in Men: A Systematic Review and Meta-Analysis of Clinical Trials. Review: Medicina (Kaunas). 2022 Aug 4;58(8):1047. doi: 10.3390/medicina58081047. PMID: 36013514 PMCID: PMC9415500. https://pubmed.ncbi.nlm.nih.gov/36013514/

2. The European Food Safety Authority (EFSA). Safety of Eurycoma longifolia (Tongkat Ali) root extract as a novel food pursuant to Regulation (EU) 2015/2283. EFSA Journal 2021;19(12):6937. https://doi.org/10.2903/j.efsa.2021.6937. Question number: EFSA-Q-2018-00106. https://www.efsa.europa.eu/en/efsajournal/pub/6937#meta-data

3. H H Ang, K L Lee. Contamination of mercury in tongkat Ali hitam herbal preparations. Food Chem Toxicol. 2006 Aug;44(8):1245-50. doi: 10.1016/j.fct.2006.01.014. Epub 2006 Mar 29. PMID: 16567029. https://pubmed.ncbi.nlm.nih.gov/16567029/

4. Jay K Udani, Annie A George, Mufiza Musthapa, Michael N Pakdaman, Azreena Abas. Effects of a Proprietary Freeze-Dried Water Extract of Eurycoma longifolia (Physta) and Polygonum minus on Sexual Performance and Well-Being in Men: A Randomized, Double-Blind, Placebo-Controlled Study. Evid Based Complement Alternat Med. 2014:2014:179529. doi: 10.1155/2014/179529. Epub 2014 Jan 12. PMID: 24550993 PMCID: PMC3914427. https://pubmed.ncbi.nlm.nih.gov/24550993/

5. Shaiful Bahari Ismail, Wan Mohd Zahiruddin Wan Mohammad, Annie George, Nik Hazlina Nik Hussain, Zatul Mufiza Musthapa Kamal, Eckehard Liske. Randomized Clinical Trial: on the Use of PHYSTA Freeze-Dried Water Extract of Eurycoma longifolia for the Improvement of Quality of Life and Sexual Well-Being in Men. Evid Based Complement Alternat Med. 2012:2012:429268. doi: 10.1155/2012/429268. Epub 2012 Nov 1. PMID: 23243445 PMCID: PMC3518798. https://pubmed.ncbi.nlm.nih.gov/23243445/

6. Mohd Ismail Bin Mohd Tambi, M Kamarul Imran. Eurycoma longifolia Jack in managing idiopathic male infertility. Asian J Androl. 2010 May;12(3):376-80. doi: 10.1038/aja.2010.7. Epub 2010 Mar 29. PMID: 20348942 PMCID: PMC3739276. https://pubmed.ncbi.nlm.nih.gov/20348942/

7. Alice Erwig Leitão, Melissa Carvalho de Souza Vieira, Andreia Pelegrini, Edson Luiz da Silva, Adriana Coutinho de Azevedo Guimarães. 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). Randomized Controlled Trial: Maturitas. 2021 Mar:145:78-85. doi: 10.1016/j.maturitas.2020.12.002. Epub 2020 Dec 10. PMID: 33541567. https://pubmed.ncbi.nlm.nih.gov/33541567/

8. Sasikala M Chinnappan, Annie George, Pragya Pandey, Govinda Narke, Yogendra Kumar Choudhary. Effect of Eurycoma longifolia standardized aqueous root extract-Physta® on testosterone levels and quality of life in aging male subjects: a randomized, double-blind, placebo-controlled multicentre study. Food Nutr Res. 2021 May 19:65. doi: 10.29219/fnr.v65.5647. eCollection 2021. PMID: 34262417 PMCID: PMC8254464. https://pubmed.ncbi.nlm.nih.gov/34262417/

9. Ralf R Henkel, Ruxiang Wang, Susan H Bassett, Tao Chen, Na Liu, Ying Zhu, Mohd Ismail Tambi. Tongkat Ali as a potential herbal supplement for physically active male and female seniors--a pilot study. Phytother Res. 2014 Apr;28(4):544-50. doi: 10.1002/ptr.5017. Epub 2013 Jun 11. PMID: 23754792. https://pubmed.ncbi.nlm.nih.gov/23754792/

10. Kai Quin Chan, Claire Stewart, Neil Chester, Sareena H Hamzah, Ashril Yusof. The effect of Eurycoma Longifolia on the regulation of reproductive hormones in young males. Randomized Controlled Trial: Andrologia. 2021 May;53(4):e14001. doi: 10.1111/and.14001. Epub 2021 Feb 9. PMID: 33559971. https://pubmed.ncbi.nlm.nih.gov/33559971/

11. Shawn M Talbott, Julie A Talbott, Annie George, Mike Pugh. Effect of Tongkat Ali on stress hormones and psychological mood state in moderately stressed subjects. J Int Soc Sports Nutr. 2013 May 26;10(1):28. doi: 10.1186/1550-2783-10-28. PMID: 23705671 PMCID: PMC3669033. https://pubmed.ncbi.nlm.nih.gov/23705671/

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