The tongkat ali and fadogia agrestis stack became one of the most talked-about supplement combinations after neuroscientist Andrew Huberman discussed it on his podcast in 2022. His personal claim — that this combination raised his testosterone from roughly 600 to the high 700s ng/dL — sent sales of both supplements soaring across the UK and US.
But here’s what most articles won’t tell you: the evidence behind these two ingredients is dramatically unequal. Tongkat ali (Eurycoma longifolia) has over 11 human clinical trials, a 2022 meta-analysis of 5 RCTs showing a statistically significant testosterone increase (SMD = 1.352, p = 0.001), and decades of traditional use across Southeast Asia. Fadogia agrestis has zero human clinical trials — only rat studies from a single research group, including one that found testicular toxicity at higher doses (Yakubu et al., 2008).
This guide separates what we know from what we’re guessing at. We’ll cover the clinical evidence for each compound, the real dosages from studies, safety concerns, and how to build a testosterone-supporting stack based on evidence rather than podcast hype.
- Tongkat ali has strong evidence: a 2022 meta-analysis of 5 RCTs found a significant testosterone increase (SMD = 1.352, p = 0.001) (Leisegang et al., 2022)
- One RCT found cortisol was reduced by 16% and measured testosterone was associated with a 37% change over 4 weeks (Talbott et al., 2013, n=63). This trial finding cannot be transferred to Blue Power as a label claim. Blue Power's Tongkat Ali dose is 50 mg, which is below the typical trial dose range of 200–400 mg/day. (Talbott et al., 2013)
- Fadogia agrestis has zero human clinical trials — all data comes from rat studies by a single research group
- A 28-day rat study found fadogia caused testicular biochemical alterations at all doses; only the lowest dose showed partial recovery (Yakubu et al., 2008)
- Blue Power contains Tongkat Ali alongside 7 other evidence-backed compounds, all at disclosed doses
What Is the Tongkat Ali and Fadogia Agrestis Stack?
The “stack” refers to taking tongkat ali and fadogia agrestis together, typically for testosterone support. The rationale — as popularised by Huberman — is that each compound works through a different mechanism:
- Tongkat ali may reduce sex hormone-binding globulin (SHBG), freeing more bound testosterone for use by the body, and modulate cortisol via the HPA axis
- Fadogia agrestis is proposed to increase luteinising hormone (LH), which signals Leydig cells in the testes to produce more testosterone
In theory, this creates a dual-pathway approach: more production (via LH stimulation) plus more bioavailability (via SHBG reduction). The problem? Only the tongkat ali half of this equation has human clinical data behind it. The fadogia mechanism is extrapolated entirely from rat studies.
Tongkat Ali: What Does the Clinical Evidence Show?
Tongkat ali (Eurycoma longifolia) is a flowering plant native to Malaysia, Indonesia, and Thailand. It has been used in traditional Southeast Asian medicine for centuries. Unlike most herbal supplements, it has a growing body of clinical evidence — including randomised controlled trials and a formal meta-analysis.
The 2022 Meta-Analysis Strongest Evidence
The most comprehensive analysis to date reviewed 9 studies (including 5 RCTs) on tongkat ali and testosterone. The pooled meta-analysis found a statistically significant increase in total testosterone with a standardised mean difference (SMD) of 1.352 (95% CI: 0.565–2.138, p = 0.001). This is classified as a “large” effect size in clinical research (Leisegang et al., Medicina, 2022).
Key Human Studies
Talbott et al. (2013) — A randomised, double-blind, placebo-controlled trial of 63 moderately stressed adults given 200 mg/day standardised hot-water extract for 4 weeks. Cortisol was reduced by 16% and measured testosterone was associated with a 37% change, with mood state scores also improving significantly (tension −11%, anger −12%, confusion −15%) (Talbott et al., JISSN, 2013). This trial finding cannot be transferred to Blue Power as a label claim. Blue Power's Tongkat Ali dose is 50 mg, which is below the typical trial dose range of 200–400 mg/day.
Tambi et al. (2012) — 76 men diagnosed with late-onset hypogonadism (LOH) received 200mg/day for one month. The proportion of men with normal testosterone rose from 35.5% to 90.8% (p<0.0001). Symptom improvement on the Aging Males’ Symptoms (AMS) scale went from 10.5% to 71.7% (Tambi et al., Andrologia, 2012). Important limitation: this was an open-label study without a placebo control.
Henkel et al. (2014) — A pilot study of 25 senior athletes aged 57–72, given 400mg/day for 5 weeks, found significant increases in both total and free testosterone plus improved muscular strength (Henkel et al., 2014).
“The pooled meta-analysis of five RCTs found a statistically significant testosterone increase with a standardised mean difference of 1.352 — classified as a large effect size. The effect was most pronounced in men with below-normal baseline testosterone, where the clinical relevance is greatest.”— Summarised from Leisegang K et al. (2022), Medicina — systematic review and meta-analysis of 9 studies including 5 RCTs on Eurycoma longifolia
Fadogia Agrestis: What Does the Evidence Show?
Fadogia agrestis is a shrub native to Nigeria, used in traditional West African medicine as an aphrodisiac. It gained mainstream attention almost entirely through Andrew Huberman’s podcast recommendations. Here is the honest picture:
The Evidence: Rat Studies Only
As of 2026, there are no published human clinical trials for fadogia agrestis. The entire evidence base comes from animal studies by a single Nigerian research group (Yakubu et al.):
Yakubu et al. (2005) — Male albino rats given fadogia agrestis at 18, 50, and 100 mg/kg body weight for 5 days showed dose-dependent increases in serum testosterone (p<0.05), increased mount frequency, and prolonged ejaculatory latency (Yakubu et al., Asian Journal of Andrology, 2005).
Why the 600mg Fadogia Dose Is Guesswork
The 600mg dose commonly recommended in supplement stacks and by Huberman is not derived from any human pharmacokinetic study. The rat studies used 18–100 mg/kg body weight. Simple allometric scaling from 18 mg/kg in rats yields roughly 200mg for a 70kg man — but this conversion is not validated by human data. The 600mg figure appears to be a rough extrapolation that has been repeated so often it sounds authoritative. It is not.
“Significant testicular biochemical alterations that may adversely affect the functional capacities of the testes were observed at all three tested doses after 28 days. Only the lowest dose group showed partial recovery after a 10-day washout period.”— Yakubu MT et al. (2008), Journal of Ethnopharmacology 116(3):505–13 — the only published extended-use safety data for fadogia agrestis
Should You Take Tongkat Ali and Fadogia Agrestis Together?
Short answer: Tongkat ali has legitimate clinical evidence supporting its use for testosterone support. Fadogia agrestis does not. Combining them means pairing an evidence-backed ingredient with an untested one that carries genuine safety concerns.
| Criterion | Tongkat Ali | Fadogia Agrestis |
|---|---|---|
| Human clinical trials | 11+ (including 5 RCTs) Strong | Zero |
| Meta-analysis | Yes — SMD 1.352, p = 0.001 | No |
| Testosterone effect | 37% change in measured T (RCT, 4 weeks); 90.8% normalisation (open-label). Trial doses (200–400 mg/day) are not transferable to Blue Power's 50 mg as a label claim. | Dose-dependent increase in rats only |
| Safety data | Well-tolerated across multiple trials Established | Testicular toxicity at all doses in 28-day rat study |
| Standardised extracts available | Yes (hot-water extract, 2% eurycomanone) | No standardisation; raw material quality varies widely |
| Proposed mechanism | SHBG reduction, cortisol modulation (HPA axis) | LH stimulation (proposed but unconfirmed in humans) |
Tongkat Ali Dosage: What the Studies Used
Clinical trials have consistently used standardised hot-water extract of Eurycoma longifolia:
- 200mg/day: The most commonly studied dose. Used in the Talbott 2013 RCT (cortisol −16%; measured testosterone associated with a 37% change) and the Tambi 2012 LOH study (90.8% normalisation). Recommended as a general starting dose. This trial finding cannot be transferred to Blue Power as a label claim. Blue Power's Tongkat Ali dose is 50 mg, which is below the typical trial dose range of 200–400 mg/day.
- 400mg/day: Used in the Henkel 2014 pilot study of senior athletes (aged 57–72). Produced significant testosterone and strength improvements. This is the dose Huberman reportedly uses daily.
- 50mg in a multi-ingredient formula: When tongkat ali is combined with synergistic compounds — zinc, shilajit, L-arginine, maca root extract — a supportive dose contributes to the overall formula alongside the other ingredients targeting complementary pathways.
Study Quality and Funding Transparency
| Study | Sample | Design | Status |
|---|---|---|---|
| Talbott 2013 (cortisol/testosterone) | n=63, stressed adults | RCT, double-blind | Independent |
| Tambi 2012 (LOH normalisation) | n=76, LOH men | Open-label (no placebo) | Industry |
| Leisegang 2022 (meta-analysis) | 9 studies, 5 RCTs | Systematic review + meta-analysis | Independent |
| Henkel 2014 (senior athletes) | n=25, age 57–72 | Pilot study | Independent |
| Yakubu 2005 (fadogia, testosterone) | Rats | Animal study | Animal Only |
| Yakubu 2008 (fadogia, toxicity) | Rats, 28 days | Animal study | Animal Only |
Safety: Side Effects and Who Should Avoid This Stack
Tongkat Ali Safety Profile
Tongkat ali is generally well-tolerated across clinical trials lasting 4–12 weeks. A 2017 systematic review of 11 human clinical trials reported no significant adverse events (Thu et al., 2017). Minor side effects reported include mild insomnia, restlessness, and increased body heat — likely related to stimulatory effects. Taking tongkat ali earlier in the day may reduce any sleep-related effects.
Fadogia Agrestis Safety Concerns
The safety picture for fadogia is genuinely concerning. The only extended-use study (Yakubu 2008) found testicular biochemical changes at every dose tested after 28 days. At the two higher doses (50 and 100 mg/kg), damage persisted even after a 10-day washout period. This is animal data and may not translate directly to humans — but it is all the data available, and it warrants serious caution.
- Men on hormone therapy or TRT: Tongkat ali may alter hormone levels unpredictably alongside exogenous testosterone
- Men with hormone-sensitive conditions: Prostate conditions, hormone-dependent cancers
- Men taking blood pressure or diabetes medication: Tongkat ali may interact with blood sugar and blood pressure regulation
- Anyone considering fadogia agrestis: Given the absence of human safety data and the animal toxicity findings, medical guidance is strongly advised
- Under-25s: Natural testosterone optimisation through sleep, diet, and exercise should be prioritised first
A Better Approach: Evidence-Based Testosterone Support
Rather than pairing a proven ingredient with an unproven one, consider building your stack entirely from compounds with human clinical evidence. Tongkat ali works best alongside:
- Zinc: EFSA-approved claim (EU Regulation 432/2012) — “Zinc contributes to the maintenance of normal testosterone levels in the blood.” Direct regulatory backing, not just observational data.
- Shilajit: In a 90-day double-blind RCT, purified shilajit (250 mg twice daily) was associated with a 20.45% change in measured total testosterone in men aged 45–55 (Pandit et al., 2016, n=75). This trial finding cannot be transferred to Blue Power as a label claim. The trial used 250 mg purified shilajit twice daily (500 mg/day), a higher dose than the amount in the Blue Power formula. Works through a different mechanism (mitochondrial support and mineral transport) to tongkat ali.
- L-Arginine: The direct precursor to nitric oxide, supporting blood flow. Synergistic with zinc and shilajit for overall daily wellbeing for men.
- Korean Ginseng (Panax ginseng): Multiple RCTs support its role in energy, cognitive function, and male sexual health.
This is the approach behind formulas that combine multiple evidence-backed compounds rather than relying on untested single-ingredient protocols. For a broader view of what works for men over 40, see our guide to the best supplements for men over 40.
Blue Power: Tongkat Ali + 7 Evidence-Backed Ingredients
Blue Power includes Tongkat Ali as part of an 8-ingredient formula — GMP certified, UK manufactured, with fully transparent dosing (no proprietary blends). The formula pairs tongkat ali with compounds that have their own clinical evidence:
- Tongkat Ali + Zinc: Two distinct nutritional pathways — tongkat ali via SHBG/cortisol modulation; zinc with an EFSA-approved claim: “Zinc contributes to the maintenance of normal testosterone levels in the blood.”
- Tongkat Ali + Shilajit: Complementary pathways — tongkat ali for hormone signalling, shilajit for mitochondrial energy and mineral transport
- Tongkat Ali + L-Arginine: Nutritional support plus nitric oxide-driven blood flow — contributing to men's daily energy and wellbeing
Full formula: Shilajit · Tongkat Ali · Maca Root Extract · Korean Ginseng 5:1 · L-Arginine · Zinc 10mg · Horny Goat Weed · Vitamin C 80mg
Try Blue Power — Contains Tongkat Ali
One daily tablet. 8 evidence-backed ingredients including Tongkat Ali, Shilajit, and Zinc. GMP certified, UK made. No proprietary blends.
Get Blue Power — Free UK DeliveryNo subscription required · 30-day supply · Free standard UK delivery
Frequently Asked Questions
Should you take tongkat ali and fadogia agrestis together?
Tongkat ali has strong clinical evidence (meta-analysis of 5 RCTs, SMD = 1.352, p = 0.001). Fadogia agrestis has zero human trials — only rat studies, including one showing testicular toxicity at all doses tested. You can take them together if you choose, but understand that only the tongkat ali half has human evidence. Many men would be better served by pairing tongkat ali with zinc (“Zinc contributes to the maintenance of normal testosterone levels in the blood.” — EFSA-approved claim) and shilajit (measured testosterone was associated with a 20.45% change in an RCT, Pandit et al. 2016, n=75). This shilajit trial finding cannot be transferred to Blue Power as a label claim. The trial used 250 mg purified shilajit twice daily (500 mg/day), a higher dose than the amount in the Blue Power formula.
What dosage of tongkat ali should I take?
Clinical trials used 200–400mg/day of standardised hot-water extract. The most commonly studied dose is 200mg/day; in a 4-week RCT (Talbott 2013), cortisol was reduced by 16% and measured testosterone was associated with a 37% change. This trial finding cannot be transferred to Blue Power as a label claim. Blue Power's Tongkat Ali dose is 50 mg, which is below the typical trial dose range of 200–400 mg/day. Andrew Huberman takes 400mg/day. In a multi-ingredient formula with synergistic compounds, a lower dose is a supportive contribution. Look for standardised extracts with verified eurycomanone content (typically 2%).
Is fadogia agrestis safe?
We genuinely do not know, because there are no human safety studies. The only extended-use data comes from a 28-day rat study (Yakubu 2008) that found testicular biochemical alterations at all three doses tested — and persistent damage at the two higher doses even after a 10-day washout. If you choose to use fadogia, cycling (8–12 weeks on, then off) is a prudent precaution, but this protocol has not been tested in humans either.
What is the Andrew Huberman tongkat ali and fadogia protocol?
Huberman has publicly discussed taking 400mg tongkat ali daily (no cycling) alongside 600mg fadogia agrestis daily (cycled 8–12 weeks on, then off). He reported his testosterone rose from ∼600 to the high 700s/low 800s ng/dL. This is self-reported anecdotal data, not a clinical study. Notably, when asked to choose only two supplements, Huberman chose tongkat ali and omega-3s, not fadogia.
How long does tongkat ali take to work?
Clinical trials measured significant effects from 4 weeks (Talbott 2013) to 12 weeks. The fastest-acting study found significant testosterone and cortisol changes at just 4 weeks with 200mg/day. Most experts recommend giving it 4–8 weeks of consistent daily use before evaluating results. The 2022 meta-analysis included studies ranging from 2–12 weeks in duration.
What does the evidence show about tongkat ali and testosterone?
The clinical trial evidence is substantial. A 2022 meta-analysis of 5 RCTs found that supplementation was associated with a statistically significant change in measured testosterone (SMD = 1.352, p = 0.001). In one RCT, cortisol was reduced by 16% and measured testosterone was associated with a 37% change over 4 weeks (Talbott et al., 2013, n=63); testosterone was normalised in 90.8% of men with late-onset hypogonadism in a separate open-label study (Tambi 2012). The effect appears most pronounced in men with low baseline testosterone. These trial findings cannot be transferred to Blue Power as label claims. Blue Power's Tongkat Ali dose is 50 mg, which is below the typical trial dose range of 200–400 mg/day. For our full tongkat ali guide, see our Tongkat Ali UK guide.
The Bottom Line
Tongkat ali is one of the most well-evidenced herbal compounds in the men's nutrition literature. The 2022 meta-analysis, multiple RCTs, and a consistent safety profile across 11+ human trials make it a credible choice for men over 40 looking for nutritional support as part of a balanced diet.
Fadogia agrestis is a different story. Zero human trials, testicular toxicity concerns from the only extended animal study, and a dosage protocol based on extrapolation rather than evidence. The popularity of this compound is almost entirely driven by one podcast recommendation, not by clinical data.
If you want to build an evidence-based testosterone support stack, start with tongkat ali — and pair it with compounds that have their own human clinical evidence: zinc, shilajit, and L-arginine. That’s a stack built on science, not hype.
Related Reading
References & Sources (expand)
- Leisegang K et al. (2022). Eurycoma longifolia (Jack) Improves Serum Total Testosterone in Men: A Systematic Review and Meta-Analysis of Clinical Trials. Medicina. PubMed 36013514
- Talbott SM et al. (2013). Effect of Tongkat Ali on stress hormones and psychological mood state in moderately stressed subjects. Journal of the International Society of Sports Nutrition. PubMed 23705671
- Tambi MI et al. (2012). Standardised water-soluble extract of Eurycoma longifolia on men’s health. Andrologia. PubMed 21671978
- Henkel RR et al. (2014). Tongkat Ali as a Potential Herbal Supplement for Physically Active Male and Female Seniors. PubMed 23754792
- George A & Henkel R (2014). Phytoandrogenic properties of Eurycoma longifolia as natural alternative to testosterone replacement therapy. Andrologia. PubMed 24386995
- Thu HE et al. (2017). Eurycoma longifolia as a potential adoptogen of male sexual health: a systematic review on clinical studies. Chinese Journal of Natural Medicines. PubMed 28259255
- Firdaus R et al. (2021). Eurycoma longifolia Jack and concurrent training: Effects on testosterone profile in aging males. Maturitas. PubMed 33541567
- Yakubu MT et al. (2005). Aphrodisiac potentials of the aqueous extract of Fadogia agrestis stem in male albino rats. Asian Journal of Andrology. PubMed 16281088
- Yakubu MT et al. (2008). Effect of aqueous extract of Fadogia agrestis stem on some testicular function indices of male rats. Journal of Ethnopharmacology. PubMed 18023305
- Pandit S et al. (2016). Clinical evaluation of purified Shilajit on testosterone levels in healthy volunteers. Andrologia. PubMed 26395129
- EFSA Scientific Opinion on Zinc and Testosterone (2010). EU Regulation 432/2012. EFSA Journal 1819
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