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Also known as longjack, tongkat ali has been shown to increase testosterone levels and decrease various markers of stress at doses ranging from 200mg to 400mg.37 38 It also appears to have a positive influence on erectile performance.39 The top supplements in this guide may have certain ingredients that pose some risks, such as ashwagandha’s potential influence over thyroid hormone levels.16 But those risks are either extrapolated from related data or currently only exist as case studies. There’s also an opportunity in testosterone-boosting supplements to add ingredients that can account for the potential adverse effects of others. Nutritional supplements rarely contain ingredients whose performance in clinical studies is 100% consistent, and there are too many small-scale studies with statistically irrelevant results that get blown out of proportion. Most male enhancement pills focus on improving erectile function, stamina, and libido rather than altering anatomical dimensions. 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