GradedHealth

Testosterone Boosters

Last reviewed October 2026 · Based on 39 studies

Bottom line

Some testosterone boosters modestly raise testosterone: in small trials, ashwagandha, fenugreek and tongkat ali lifted levels in men, and the hormone DHEA raised testosterone but did not improve sexual function or quality of life in older men. Most other popular ingredients, including tribulus and D-aspartic acid, did not change testosterone, and vitamin D supplements did not raise it in men. The trials are small, short and often industry-linked, and ashwagandha has been linked to liver injury in case reports.

What it helps with

  • Raises testosterone in men — Mixed results, evidence grade C (Limited). Meta-analyses and reviews of mostly small, short randomized trials: the herbs show small increases while tribulus, D-aspartic acid and vitamin D do not, so downgraded for inconsistency and small samples.
  • Improves erections in men with erectile difficulties — Benefit, evidence grade C (Limited). Meta-analysis of eight small randomized trials, half judged low quality; the improvement in questionnaire scores is modest.

What it is

Testosterone boosters are over-the-counter supplements marketed to raise testosterone. Common ingredients are herbs such as ashwagandha, fenugreek, tribulus terrestris and tongkat ali (Eurycoma longifolia), and nutrients such as zinc, magnesium and vitamin D [1] [2]. Products usually mix several ingredients: a survey of 50 top-selling boosters found about eight ingredients per product on average, and doses vary widely between products [2].

How it might work

Herbal boosters such as ashwagandha are proposed to act on the hormone systems that govern the stress response and testosterone production - the hypothalamic-pituitary-adrenal and gonadal axes [3]. Zinc is involved in normal hormone metabolism, and low zinc status is linked with lower testosterone [4] [5]. These are proposed mechanisms; the trials cited below test the supplements themselves.

What the research says

Ashwagandha. A 2026 meta-analysis of 23 randomized trials (1,706 adults) found testosterone about 57 ng/dL higher than placebo in men but not in women, and warned that results were heterogeneous [3]. In a trial of 57 young men doing resistance training, 600 mg a day for 8 weeks raised testosterone by about 96 ng/dL versus 18 ng/dL with placebo [6]. In aging, overweight men, saliva testosterone rose 14.7% more than with placebo [7], and a 12-week trial in stressed, overweight adults found free testosterone rose in the men [8].

Fenugreek. A 2026 systematic review and meta-analysis of six trials found a small favorable effect on total testosterone (standardized mean difference 0.25) but very low certainty, with no stable effect on free testosterone; its authors concluded the evidence does not support the marketed claim that fenugreek raises testosterone [9]. An earlier meta-analysis of seven studies in male athletes found a similar small effect (SMD 0.32) [10]. A 2024 trial found a 37% rise in saliva testosterone versus placebo but no significant rise in blood plasma [11].

Tongkat ali. Across five small randomized trials, tongkat ali raised total testosterone (SMD 1.35, 95% CI 0.57 to 2.14) [12]. In 32 young men, 600 mg a day for two weeks raised testosterone and free testosterone [13], and in a 6-month trial of 45 men with age-related androgen deficiency, a 200 mg supplement plus exercise improved erections and raised total testosterone [14]. A 2024 review still rated it only possibly effective because the trials are small [15].

Tribulus. In a 2025 review of 10 trials (483 men), 8 of 10 found no significant change in the androgen profile; the two positive studies were small and in men with hypogonadism (rises of 60-70 ng/dL) [16]. A 2026 meta-analysis found tribulus improved erectile-function scores versus placebo but made no difference to total testosterone [17].

D-aspartic acid. Two randomized trials - 3 g a day for 28 days, and 6 g a day for 12 weeks - found no change in total or free testosterone [18] [19]. One 2025 trial in infertile men found higher testosterone with a product combining D-aspartic acid, coenzyme Q10 and zinc, so the effect cannot be attributed to D-aspartic acid alone [20].

Zinc. When older men with marginal zinc deficiency took about 30 mg of zinc a day for up to six months, testosterone rose from about 8.3 to 16 nmol/L [5]. A 2023 review of 8 clinical and 30 animal studies concluded zinc mainly helps when zinc status is low [4]. In athletes with adequate intake, an 8-week zinc-magnesium (ZMA) trial found no hormone changes [21].

Magnesium. One 4-week trial found magnesium increased free and total testosterone in athletes and sedentary men [22]. The rest of the evidence points away from an effect: the ZMA trial found no hormonal change [21], and the 2024 booster review listed no magnesium product among the few it counted as effective [15].

Vitamin D. Two meta-analyses of randomized trials found vitamin D supplements did not raise total testosterone in men [23] [24]; a 12-week trial in healthy men with lower vitamin D found no change [25], and three small trials in men with heart failure, nursing-home residents and deficient immigrants found no increase [26].

DHEA. DHEA is a hormone sold as a supplement. A meta-analysis of 42 studies found it raised testosterone by about 28 ng/dL on average (about 21 ng/dL in men) [27]. In 25 trials of older men, however, it did not improve sexual function, quality of life or most metabolic measures [28].

Overall. A 2024 systematic review of 52 studies covering 27 boosters found most did not raise total testosterone; only a few were counted as possibly effective - HMB and betaine for male athletes, tongkat ali, a pomegranate-cocoa blend and a shilajit extract for older men with low testosterone, and tongkat ali and ashwagandha for healthy men [15]. A survey of 50 popular products found that only about a quarter had published data showing a testosterone increase and 61.5% had no published data on their effect at all [2].

Doses used in studies

Trials cited here used: ashwagandha 600 mg a day for 8 weeks [6], 21 mg a day of withanolide glycosides [7] and 400 mg a day for 12 weeks [8]; fenugreek extract 600-1,800 mg a day for 12 weeks [11]; tongkat ali 600 mg a day for 2 weeks [13] and a 200 mg supplement for 6 months [14]; tribulus 400-750 mg a day for 1-3 months [16]; D-aspartic acid 3-6 g a day [18] [19]; zinc about 30 mg a day for 3-6 months [5]; magnesium 10 mg per kilogram of body weight a day for 4 weeks [22]; vitamin D 20,000 IU a week for 12 weeks [25]; and DHEA over 50 mg a day in the dose subgroup with the larger effect [27]. These are study doses, not recommendations.

Safety and interactions

  • Common side effects. In the trials cited here, side effects were generally mild and similar to placebo: a meta-analysis of eight tribulus trials found no difference in adverse events versus placebo [17], and a 12-week fenugreek trial reported none [11].
  • Liver injury. Case series have linked ashwagandha to liver injury. Five people in Iceland and the US developed jaundice and itching 2 to 12 weeks after starting ashwagandha; liver tests returned to normal within 1 to 5 months [29]. In a series of eight people in India taking single-ingredient ashwagandha products, three with pre-existing liver disease died of acute-on-chronic liver failure [30]. People with liver disease are the group at highest risk [30].
  • Doses above safe limits. In a survey of 50 popular boosters, 13 products exceeded the FDA upper limit for at least one ingredient (most often zinc, vitamin B3 or magnesium), and products contained a median of 272% of the recommended daily allowance for zinc [2].
  • Hidden prescription drugs. FDA warnings from 2007-2016 most often involved supplements marketed for sexual enhancement, weight loss or muscle building; 89.1% of the muscle-building products contained synthetic steroids or steroid-like ingredients, and 47.0% of the sexual-enhancement products contained sildenafil (the drug in Viagra) [31]. Sports supplements are also known to sometimes contain anabolic steroids, which can cause a failed doping test [32].
  • Medicines. The trials cited on this page did not report medicine interactions; ask a doctor or pharmacist before combining these supplements with prescription medicines.
  • Pregnancy and breastfeeding. The trials cited here were in men; there are no data on these products in pregnancy or breastfeeding [9] [15].

Caveats and open questions

Most trials are small, short (two weeks to six months) and often linked to supplement makers - the 2024 fenugreek trial was funded by a commercial supplement company [11], and industry ties are common in this literature [8]. Measurements differ between studies: fenugreek raised saliva testosterone but not plasma testosterone [11], and long-term effects are unknown because the longest trial cited here ran about six months [14]. The 2026 fenugreek review rated the certainty of the evidence very low [9], and extracts vary so much between products that results for one may not apply to another [15].

References

  1. A systematic review and evidence-based analysis of ingredients in popular male testosterone and erectile dysfunction supplements.. Int J Impot Res, 2021.
  2. 'Testosterone Boosting' Supplements Composition and Claims Are not Supported by the Academic Literature.. World J Mens Health, 2020.
  3. Hormonal Modulation with Withania somnifera: Systematic Review and Meta-Analysis of Randomized-controlled Trials.. Planta Med, 2026.
  4. Correlation between serum zinc and testosterone: A systematic review.. J Trace Elem Med Biol, 2023.
  5. Zinc status and serum testosterone levels of healthy adults.. Nutrition, 1996.
  6. Examining the effect of Withania somnifera supplementation on muscle strength and recovery: a randomized controlled trial.. J Int Soc Sports Nutr, 2015.
  7. A Randomized, Double-Blind, Placebo-Controlled, Crossover Study Examining the Hormonal and Vitality Effects of Ashwagandha ( Withania somnifera) in Aging, Overweight Males.. Am J Mens Health, 2019.
  8. Exploring the efficacy and safety of a novel standardized ashwagandha (Withania somnifera) root extract (Witholytin®) in adults experiencing high stress and fatigue in a randomized, double-blind, placebo-controlled trial.. J Psychopharmacol, 2023.
  9. Effects of oral fenugreek-derived preparations on testosterone-related outcomes in adult men: a systematic review and meta-analysis of randomized placebo-controlled trials.. Front Nutr, 2026.
  10. The Anabolic Effect of Fenugreek: A Systematic Review with Meta-analysis.. Int J Sports Med, 2023.
  11. Effect of a plant extract of fenugreek (Trigonella foenum-graecum) on testosterone in blood plasma and saliva in a double blind randomized controlled intervention study.. PLoS One, 2024.
  12. Eurycoma longifolia (Jack) Improves Serum Total Testosterone in Men: A Systematic Review and Meta-Analysis of Clinical Trials.. Medicina (Kaunas), 2022.
  13. The effect of Eurycoma Longifolia on the regulation of reproductive hormones in young males.. Andrologia, 2021.
  14. 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).. Maturitas, 2021.
  15. Do "testosterone boosters" really increase serum total testosterone? A systematic review.. Int J Impot Res, 2024.
  16. Effects of Tribulus (Tribulus terrestris L.) Supplementation on Erectile Dysfunction and Testosterone Levels in Men-A Systematic Review of Clinical Trials.. Nutrients, 2025.
  17. Tribulus terrestris for management of patients with erectile dysfunction: a systematic review and meta-analysis of randomized trials.. Int J Impot Res, 2026.
  18. D-aspartic acid supplementation combined with 28 days of heavy resistance training has no effect on body composition, muscle strength, and serum hormones associated with the hypothalamo-pituitary-gonadal axis in resistance-trained men.. Nutr Res, 2013.
  19. The effects of d-aspartic acid supplementation in resistance-trained men over a three month training period: A randomised controlled trial.. PLoS One, 2017.
  20. Evaluation of in vivo supplementation of 2660 mg D-aspartic acid and 200 mg ubiquinol and 10 mg zinc on different semen parameters in idiopathic male infertility: a randomized double blind placebo controlled study.. Arch Ital Urol Androl, 2025.
  21. Effects of Zinc Magnesium Aspartate (ZMA) Supplementation on Training Adaptations and Markers of Anabolism and Catabolism.. J Int Soc Sports Nutr, 2004.
  22. Effects of magnesium supplementation on testosterone levels of athletes and sedentary subjects at rest and after exhaustion.. Biol Trace Elem Res, 2011.
  23. The effect of vitamin D supplementation on the androgenic profile in men: A systematic review and meta-analysis of clinical trials.. Andrologia, 2019.
  24. Vitamin D Supplementation, Total Testosterone, and Androgen Bioavailability Markers in Adult Men: A Systematic Review and Meta-Analysis of Randomized Controlled Trials.. Nutrients, 2026.
  25. Vitamin D and Testosterone in Healthy Men: A Randomized Controlled Trial.. J Clin Endocrinol Metab, 2017.
  26. Vitamin D supplementation and testosterone concentrations in male human subjects.. Clin Endocrinol (Oxf), 2015.
  27. A dose-response and meta-analysis of dehydroepiandrosterone (DHEA) supplementation on testosterone levels: perinatal prediction of randomized clinical trials.. Exp Gerontol, 2020.
  28. Dehydroepiandrosterone supplementation in elderly men: a meta-analysis study of placebo-controlled trials.. J Clin Endocrinol Metab, 2013.
  29. Ashwagandha-induced liver injury: A case series from Iceland and the US Drug-Induced Liver Injury Network.. Liver Int, 2020.
  30. Ashwagandha-induced liver injury-A case series from India and literature review.. Hepatol Commun, 2023.
  31. Unapproved Pharmaceutical Ingredients Included in Dietary Supplements Associated With US Food and Drug Administration Warnings.. JAMA Netw Open, 2018.
  32. Adulteration of Sports Supplements with Anabolic Steroids-From Innocent Athlete to Vicious Cheater.. Nutrients, 2025.