Comparing and Combining Tongkat Ali

FAQs: Comparing and Combining Tongkat Ali [Part 2]

This article provides a detailed comparison between Tongkat Ali and other natural supplements such as Shilajit, Sea Moss, Saw Palmetto, and Ashwagandha, along with performance enhancers like Creatine and HGH.

It explores their effects, safety, potential combinations, and practical guidance for enhancing testosterone, energy, vitality, and overall wellness—a comprehensive reference for safe and effective natural blends.

Before exploring further, please read the disclaimer located at the end of this webpage.

Comparison and Combination with Shilajit, Sea Moss, Saw Palmetto and Other Natural Blends

1. Which Is Better: Tongkat Ali or Shilajit?

Choosing between Tongkat Ali and Shilajit depends on your goals, as no direct comparisons exist and evidence for both is limited [24,26].

Tongkat Ali may support testosterone and erectile function per a 2015 meta-analysis of two RCTs showing positive trends (Srivatsav et al., 2020). Shilajit, a natural resin from the Himalayas, has traditionally been used to promote vitality.

Preclinical studies suggest it may have antioxidant properties by increasing the activity of enzymes such as superoxide dismutase (SOD) and catalase (CAT), which protect cells from oxidative stress [26]. However, evidence in humans remains limited and further research is needed.

Feature

Tongkat Ali

Shilajit

Origin

Southeast Asian root

Himalayan mineral resin

Key Compounds

Quassinoids, alkaloids

Fulvic/humic acids, 84+ minerals

Potential Benefits

Testosterone boost, libido support

Energy, cognitive health, stress adaptation

Evidence

Limited human studies; no side effects noted

Preliminary; weak for immunity/antioxidants

Opt for Tongkat Ali for hormone or performance focus; Shilajit for overall wellness. Consult a doctor before use.

2. Can I Take Tongkat Ali and Shilajit Together?

Tongkat Ali and Shilajit can be combined, potentially offering synergistic benefits, though no studies confirm their safety or interactions [31].

Tongkat Ali may boost testosterone and energy, while Shilajit enhances cellular energy, nutrient absorption, and hormonal balance [26]. Together, they may improve energy, stamina, libido, cognition, and stress resilience.

3. Can You Take Sea Moss and Tongkat Ali Together?

It might be safe to take Sea Moss and Tongkat Ali together. Sea Moss provides iodine and minerals, while Tongkat Ali boosts testosterone.

Risks include thyroid interference from Sea Moss or liver issues from Tongkat Ali in susceptible individuals. A feedback on Reddit suggests trying each separately first. Consult a doctor and choose high-quality products.*

4. Is It Safe to Combine Tongkat Ali with Shilajit, Ashwagandha, or Taurine?

Combining Tongkat Ali with Shilajit, Ashwagandha, or taurine lacks direct human studies on safety and interactions. Tongkat Ali is safe at high doses, boosting testosterone and energy.

Ashwagandha, an adaptogen, may reduce cortisol, complementing Tongkat Ali, but high doses risk insomnia. Shilajit may enhance vitality but has potential contamination risks. Taurine supports heart health, but its interaction with Tongkat Ali is unstudied [30].

5. Can You Take Tongkat Ali with Saw Palmetto?

Yes, Tongkat Ali and Saw Palmetto are often combined in supplements, but consult a healthcare provider first to check for safety and possible interactions with medications.

6. Is Tongkat Ali Good with Horny Goat Weed?

It might offer complementary effects, but research in humans is lacking. Tongkat Ali can elevate testosterone partly by reducing aromatase, while Horny Goat Weed’s icariin mildly increases aromatase and acts as a PDE5 inhibitor [30].

A Reddit user reports alternating days gives stronger results and fewer side effects than taking them together. Because quality and dosage vary, medical advice is still recommended.*

Combination with Creatine, HGH, and Other Sports Performance Enhancers

1. Can You Take Creatine and Tongkat Ali?

No specific research exists on combining creatine and Tongkat Ali in humans. Tongkat Ali, a Southeast Asian herb, boosted testosterone and muscle strength in a study where 400mg daily for 5 weeks showed no side effects and reduced creatine kinase (CK) levels, indicating less muscle damage [27].

However, this refers to CK as a biomarker, not creatine supplementation. Without human studies on this mix, potential benefits like enhanced strength or recovery remain unproven. Consult a healthcare professional before use, especially with pre-existing conditions.

2. Can I Safely Take Tongkat Ali Alongside Creatine or Other Performance Supplements?

Current literature provides no human studies on combining Tongkat Ali with creatine or other performance enhancers.

A 5-week trial of 400 mg/day Tongkat Ali in adults aged 57–72 showed increased testosterone, greater muscle strength, and a drop in creatine kinase, indicating reduced exercise-related muscle damage, but it did not test co-supplementation.

Because supplement products may vary in purity and can be adulterated after the 1994 DSHEA, professional medical advice is recommended before stacking [27].

3. Is It Okay to Use Tongkat Ali If I’ve Had Bad Reactions to Creatine?

It’s likely safe to use Tongkat Ali if you’ve had bad reactions to creatine, as they work differently. Creatine boosts ATP, causing water retention or digestive issues like diarrhea or bloating in some [28,9].

Tongkat Ali, an herbal supplement, raises testosterone with minimal side effects like restlessness or mild digestive upset [27]. Consult a doctor, start with a low dose, and choose a reputable brand [24,27].

4. Is Taking Tongkat Ali and HGH Together Safe?

Maybe combining Tongkat Ali with HGH is risky, because no human research has evaluated their joint use.

Tongkat Ali primarily affects testosterone, whereas HGH influences growth and metabolism through separate pathways. Using both could lead to unpredictable hormonal responses.

Additionally, HGH without prescription poses serious health risks, and Tongkat Ali supplements may have variable purity (Dunkin, 2010). Medical supervision is strongly recommended.

5. Is Taking Tongkat Ali and HGH Together the Same?

There is no research evaluating the combined use of Tongkat Ali and HGH, nor evidence suggesting their effects overlap.

Tongkat Ali has been shown in human studies to increase free testosterone, lower cortisol, and support libido, energy, and muscle mass without notable side effects [31].

No data exist on how it interacts with HGH, which is not covered in the sources. Consult a healthcare professional before combining them.

6. Which Is Better for Athletic Performance: Creatine, Ashwagandha, or Tongkat Ali?

Creatine is the top choice for explosive power and sprint strength, boosting ATP production and delivering about 1–15 % gains in high-intensity performance [28,29].

Ashwagandha, at 300–600 mg daily, supports endurance and faster recovery by improving cardiorespiratory fitness [30].

Tongkat Ali, in the 600–1000 mg range, may help balance hormones and enhance running or sprint endurance [31]. The best option depends on your training goals, and it’s wise to consult a healthcare professional before combining any of these supplements.

7. How Does Tongkat Ali Compare to Creatine or Ashwagandha for Physical Performance?

Tongkat Ali boosts testosterone and reduces cortisol, enhancing strength and endurance [8]. Creatine increases ATP for immediate power in high-intensity exercise [27].

Ashwagandha lowers cortisol, aiding recovery and stress management [30]. They complement each other; choose based on goals.

8. How Does Tongkat Ali Compare to Turkesterone or Tribulus for Testosterone and Performance?

Tongkat Ali has stronger evidence for boosting testosterone, especially in low-testosterone men, via SHBG and cortisol reduction.

Turkesterone lacks robust human studies, with benefits mostly from animal data. Tribulus mainly enhances libido, not testosterone. Tongkat Ali is more reliable.

9.Can Tongkat Ali Be Stacked with Creatine, Ashwagandha, or Other Supplements?

Tongkat Ali stacks well with creatine for strength and ashwagandha for stress reduction and hormonal balance. It also pairs with boron, ZMA, or Panax Ginseng for energy and libido [31]. Start with low doses, monitor effects, and consult a doctor to avoid interactions.

10. Can You Take Tongkat Ali While on TRT?

No studies directly address taking Tongkat Ali with TRT [31]. Tongkat Ali boosts free testosterone by reducing SHBG and cortisol, improving libido and muscle mass, with no adverse effects reported at 50-600 mg/day [31].

Its safety with TRT, which directly increases testosterone, is unknown due to potential hormonal imbalances or interactions [31]. Ensure safety, especially given TRT’s medical supervision requirements.

11. What Supplements Stack Well with Tongkat Ali for Energy, Testosterone, or Body Recomposition?

For testosterone: boron, ZMA, ashwagandha.

For energy: creatine, Cordyceps, Panax Ginseng.

For recomposition: creatine with Tongkat Ali’s hormonal support. Maca or Tribulus aids libido. Use trusted products, low doses, and consult a physician.

Combination with Boron, ZMA, Zinc, Magnesium, Niacin, and Fenugreek

1. Is Combining Tongkat Ali with Boron Effective for Boosting Testosterone?

Combining Tongkat Ali and boron may boost testosterone. Tongkat Ali increases testosterone and cGMP, with a 5-week study showing 15.1% and 61.1% rises in total and free testosterone in men [30].

Boron supports hormone stability and mineral metabolism [30]. Their combined impact is unstudied, so consult a doctor and use quality supplements to avoid risks like variable potency.

2. What Dosage of Boron and Tongkat Ali Is Considered Safe and Effective?

A daily intake of Boron in the range of 3–10 mg is generally considered safe and may support bone health and hormonal balance (Naghii et al., 2011).

For Tongkat Ali, clinical studies most commonly support a dosage of 200–400 mg per day of standardized water-extracted root, which has been associated with improvements in testosterone, muscle strength, and sperm quality (Akar Pasak Bumi).

When using these supplements, it is important to choose high-quality, verified products and seek guidance from a healthcare professional to ensure safe and effective use.

3. Can Tongkat Ali Be Taken with Other Supplements?

It’s likely safe to take Tongkat Ali with other supplements, as a study showed no side effects when combined with medications in older adults. However, no specific research confirms its safety with supplements like Ashwagandha, boron, or creatine.

Tongkat Ali, often paired with ginseng or zinc in ED products, may pose risks in multi-ingredient supplements due to untested interactions [27]. Consult a doctor and choose third-party tested products

4. What Other Supplements Pair Well with Tongkat Ali for Energy and Hormone Balance?

Based on user experiences from forums, Tongkat Ali can be taken with other supplements like Vitamin B2 (riboflavin) to support estrogen metabolism in the liver, potentially balancing hormones as Tongkat Ali boosts testosterone and may lower estrogen in some.*

Other suggestions include B6, B12, magnesium for hormone exchange, and adaptogens like ashwagandha for overall balance. Cycling is recommended: 4-5 days on/2 off to limit tolerance.*

No clinical studies confirm these combinations' safety or efficacy; they're anecdotal. Consult a doctor, use lab-tested products, and monitor for side effects like skin issues or estrogen crashes.

5. What Other Supplements Pair Well with Tongkat Ali for Mood, Energy, or Libido?

Maybe Tongkat Ali can complement other supplements for mood, energy, or libido. Users report pairing it with adaptogens like Ashwagandha or Rhodiola for stress and mental clarity, Shilajit for cognitive support, and blood-flow enhancers like Horny Goat Weed, Maca, or L-Arginine for libido.*

Minerals such as zinc, magnesium, and vitamin D may support hormonal balance. Effects and optimal dosages remain anecdotal; start low, cycle usage, and monitor your response.

6. Is It Okay to Take Tongkat Ali with Niacin?

No studies specifically examine combining Tongkat Ali and niacin, so their safety together is unconfirmed. Tongkat Ali may lower blood glucose and, in rare cases, affect liver function, while niacin can raise blood sugar and cause liver issues at high doses.

Combining them could lead to unpredictable blood sugar fluctuations or increased liver stress. Side effects like flushing (niacin) or insomnia (Tongkat Ali) may also worsen.

7. Can You Take Tongkat Ali and Fenugreek Together?

It’s possible to take Tongkat Ali and Fenugreek together, as they’re often combined in supplements for boosting testosterone and libido.

Tongkat Ali increases testosterone and muscle strength, while Fenugreek may enhance libido without affecting testosterone. Risks include potential interactions with medications or side effects like digestive issues [1]. Consult a doctor and start with one herb to assess tolerance.

8. Is It Safe to Combine Tongkat Ali with Other Supplements Like Zinc, Magnesium, or Ashwagandha?

Combining Tongkat Ali with zinc, magnesium, or ashwagandha is generally safe for healthy adults at recommended doses, with no major interactions reported.

Tongkat Ali boosts testosterone and reduces cortisol, complementing zinc and magnesium’s support for immune function and metabolism, and ashwagandha’s stress-reducing effects [30,31].

Side effects like digestive issues or drowsiness (from ashwagandha) may occur (Ajagandha). Choose high-quality, third-party tested supplements to avoid contamination risks.

9. Can Tongkat Ali Be Paired with Boron or ZMA for Better Testosterone Support?

Tongkat Ali pairs well with boron or ZMA to support testosterone. Boron helps improve calcium, phosphorus, and magnesium metabolism, maintaining hormone integrity and managing rapid breakdown, complementing Tongkat Ali’s effects [30].

ZMA (zinc, magnesium, vitamin B6) aids testosterone production, especially in those with zinc deficiency [30,31]. Start with low doses, monitor effects, and ensure safety with medical advice.


Combination with Medications and Physiological Compounds

1. Can You Take Cialis and Tongkat Ali Together?

There is no clinical evidence on the combined use of Cialis (tadalafil) and Tongkat Ali [24,27]. Cialis works as a PDE5 inhibitor, improving erectile function by enhancing nitric-oxide–mediated blood flow [24]. Tongkat Ali may modestly raise testosterone [27].

Because herbal products can be contaminated with hidden PDE5 drugs, the mix could amplify side effects such as low blood pressure or heart rhythm changes.

2. Does Tongkat Ali Work Like Viagra?

Tongkat Ali doesn’t work like Viagra. Viagra, a PDE5 inhibitor, directly boosts blood flow for erections, while Tongkat Ali gradually increases testosterone and cGMP, enhancing libido and energy over time.

Limited studies suggest it may improve erectile function, but it’s less effective and slower than Viagra [24]. Unlike Viagra, Tongkat Ali isn’t FDA-approved for ED and requires more research to confirm its benefits for sexual function [24,31].

3. Can You Take Tongkat Ali with Viagra?

Not sure if it’s safe to combine Tongkat Ali and Viagra. Combining them is not generally recommended without medical supervision due to potential risks and interactions.

Tongkat Ali may modestly increase cGMP levels, while Viagra inhibits PDE5, potentially amplifying blood pressure-lowering effects [24].

Reputable Tongkat Ali supplements that are tested and certified do not contain illegal sildenafil. However, low-quality or uncertified products from unregulated sources may be adulterated with it, posing a risk of overdose.

It is best to choose verified products and consult a healthcare professional for guidance, especially given the limited clinical data available.

4. Does Tongkat Ali Still Work If I’m Taking Finasteride?

Not sure. Tongkat Ali may still boost testosterone [31] while you’re taking finasteride, which blocks DHT conversion and can raise circulating testosterone (Dr. Hasnain S, 2025).

No direct drug interaction is known, but hormone changes could increase the risk of side effects such as gynecomastia.

Comprehensive Stacking and Side Effect Management

1. What to Stack with Tongkat Ali?

Tongkat Ali may be stacked with supplements like Ashwagandha to reduce cortisol and support testosterone [30,31], or zinc and L-arginine for hormone and libido benefits [24].

Other common pairings include ginseng for energy or Fadogia Agrestis for vitality, though human studies on these combinations are lacking [31].

Multi-ingredient supplements risk adverse effects due to untested interactions. Consult a doctor and use lab-tested products to ensure safety.

2. Do You Need a PCT for Tongkat Ali?

You don’t need PCT (Post Cycle Therapy) for Tongkat Ali, as it naturally stimulates testosterone production without suppressing the body’s hormonal system, unlike anabolic steroids.

It boosts free testosterone and reduces cortisol, with no adverse effects reported at 600 mg/day [31]. No studies confirm the need for PCT, but data is limited. Consult a doctor and use lab-tested products to ensure safety and monitor for side effects.

3. What Is Better Than Tongkat Ali?

No supplement is definitively "better" than Tongkat Ali, but alternatives may suit specific goals. For ED, L-Arginine and PDE5 inhibitors like Viagra offer stronger evidence than Tongkat Ali.

Ginseng shows promise for sexual performance, while ashwagandha excels in stress reduction. Shilajit provides broader mineral support but lacks robust data. For testosterone, fenugreek has more studies [24].

4. Does Stacking Multiple Supplements at Once Increase the Risk of Side Effects?

The combination of supplements like Tongkat Ali can increase the risk of side effects due to additive effects, unclear interactions, and the possibility of contamination with undisclosed ingredients [24]. Combining testosterone boosters may lead to overstimulation of hormones.

5. Does Combining Tongkat Ali with Other Supplements Cause Jitteriness or a Rapid Heartbeat?

Tongkat Ali may cause restlessness at high doses. Stacking with stimulants or contaminated supplements risks jitteriness or rapid heartbeat (Lee and Barnes, 2022). Start with low doses, use quality products, and monitor reactions. Consult a doctor to avoid adverse effects.

6. What Supplements Help Balance Potential Estrogen or Cortisol Drops Caused by Tongkat Ali?

To balance potential estrogen or cortisol drops from Tongkat Ali, consider these supplements:

Estrogen Balance: DIM (Mulvey and Chandrasekaran, 2007), or calcium D-glucarate (Calcium-D-Glucarate, 2002) can modulate estrogen metabolism. Tongkat Ali doesn’t suppress estrogen significantly but supports hormonal equilibrium, especially in women.

Cortisol Balance: Tongkat Ali, an adaptogen, helps restore cortisol-testosterone balance under stress, with studies showing hormone improvements [30].

Ashwagandha supports adrenal function, complementing this effect, while magnesium in licorice root enhances cellular health and hormone levels [30].

7. Does Tongkat Ali Interact with Creatine, L-Arginine, or L-Citrulline?

Tongkat Ali is often combined with creatine, L-arginine, or L-citrulline in muscle-building supplements.

Tongkat Ali may raise free testosterone by reducing its binding to SHBG [8], while L-arginine and L-citrulline boost nitric oxide for better blood flow [24], and creatine aids strength and performance [5].

No major adverse interactions are documented, though L-arginine can raise bleeding risk with anticoagulants and L-citrulline may lower blood pressure. Consult a healthcare professional if you have medical conditions or take medications.

8. Can Tongkat Ali Help with Anxiety and Mood Support, Similar to Ashwagandha or Rhodiola?

Yes, Tongkat Ali can help with anxiety and mood support by lowering cortisol (−16% in stressed individuals) and boosting testosterone (+37%), improving mood, tension (−11%), and anger (−12%) per studies [31].

Unlike ashwagandha, which reduces cortisol and may mildly sedate [30], or Rhodiola, which boosts energy and reduces fatigue with minimal sedation (Ivanova Stojcheva and Quintela, 2022), Tongkat Ali focuses on hormonal balance without sedation, though it may cause restlessness. [31].

Testimonial Disclaimer

*The testimonials presented on this website are provided by individuals based on their personal experiences with our products. These testimonials represent individual opinions and experiences, which may not be typical or applicable to all users of our products. Results may vary depending on a variety of factors, including individual health, lifestyle, and adherence to product usage instructions.

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Author

Ralph S Albert
Ralph S Albert
Ralph S. Albert is an esteemed professional with a remarkable career spanning over 15 years in the dynamic and ever-evolving realm of the food and nutrition industry. Currently, Ralph proudly serves as the Head of Research at Vinatura Supplements, a leading company in the dietary supplement industry. His work is characterized by a dedication to innovation, compliance, and the application of scientific research to create natural, yet practical solutions for consumers.
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