# Tongkat Ali Stress Randomized Trial: What the Evidence Says
Canonical: https://www.migaku.app/guides/tongkat-ali-stress-randomized-trial-evidence-review
Category: evidence-review
Summary: Tongkat Ali Stress Randomized Trial has 2 source documents in the current Migaku evidence database. The strongest available sources in this first pass are sys
Last reviewed: 2026-05-26
Reviewed by: Migaku Evidence Review
# Tongkat Ali Stress Randomized Trial: What the Evidence Says

## Quick Answer

Tongkat Ali Stress Randomized Trial has 2 source documents in the current Migaku evidence database. The strongest available sources in this first pass are systematic review, so conclusions should be framed as evidence-aware guidance rather than medical advice.

## Key Takeaways

- This page is generated only from sources stored in the Migaku evidence knowledge base.
- Current evidence mix: 1 systematic review, 1 research article.
- Claims should be interpreted with the source type, study design, population, and publication date in mind.
- This article is educational and does not replace care from a qualified clinician.

## Evidence Map

| Source | Evidence type | Level | Date | Identifier |
| --- | --- | ---: | --- | --- |
| Herbal dietary supplements for erectile dysfunction: A systematic review and meta-analysis of randomized-controlled trials | systematic review | 1 | 2026-01-01 | 10.1016/j.jtcme.2025.11.001 |
| Effect of Eurycoma longifolia water extract (Physta ® ) on menopausal quality of life and mood states | research article | 4 | 2025-11-06 | 10.12998/wjcc.v13.i31.109113 |

## What The Sources Report

- In general, risk of bias in selective reporting and incomplete data were low, and bias regarding inclusion of intention-to-treat analysis was low to moderate. [Ho Chao-Yen (2026); evidence level 1]
- The analysis revealed a pooled SMD (pSMD) = 1.20 (95 % confidence interval [CI]: 0.64 to 1.76), indicating that taking herbal dietary supplements was associated with a greater improvement in erectile function as compared to controls. [Ho Chao-Yen (2026); evidence level 1]
- As a result, research on using herbal food supplements as phytochemicals to reduce menopausal symptoms is ongoing all over the world. [Muniandy Subashini (2025); evidence level 4]
- EL is commonly consumed for energy and strength, improved mood and libido, sports performance, stress management, and hormonal imbalances. [Muniandy Subashini (2025); evidence level 4]

## How To Read This Evidence

Evidence level 1 generally reflects systematic reviews or meta-analyses. Level 2 includes randomized trials, guidelines, or public-health guidance. Level 3 usually reflects observational or narrative-review evidence. Level 4 is weaker or early-stage evidence. The level is a sorting aid, not a final quality grade.

## Practical Interpretation

There is at least one systematic-review style source in the current set, so it deserves more weight than single-study evidence. For tongkat ali stress randomized trial, the next editorial step is to add more targeted sources and separate strong findings from early or indirect evidence.

## Limits Of This First Pass

This is a small-batch MVP article. It uses the first ingested sources for this topic and should be expanded with more targeted searches, license review, and human editorial checks before being treated as a definitive review.

## References

- Ho Chao-Yen (2026). Herbal dietary supplements for erectile dysfunction: A systematic review and meta-analysis of randomized-controlled trials. DOI: 10.1016/j.jtcme.2025.11.001. PMCID: PMC12902307. PMID: 41696741. License: https://creativecommons.org/licenses/by-nc-nd/4.0/. https://pmc.ncbi.nlm.nih.gov/articles/PMC12902307/
- Muniandy Subashini (2025). Effect of Eurycoma longifolia water extract (Physta ® ) on menopausal quality of life and mood states. DOI: 10.12998/wjcc.v13.i31.109113. PMCID: PMC12635842. PMID: 41283187. License: CC BY 4.0. https://pmc.ncbi.nlm.nih.gov/articles/PMC12635842/

## Safety Note

Health information can change, and individual risk depends on medical history, medications, pregnancy status, age, and diagnosis. Talk with a qualified clinician before changing treatment, supplement, or medication routines.