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can-tribulus-terrestris-boost-your-testosterone-levels-urologist-explains

Can Tribulus Terrestris Boost Your Testosterone Levels? Urologist Explains!

does Tribulus terrestris actually increase testosterone I'm Dr Vina Malik urologist and pelvic surgeon and welcome back to my series on testosterone boosters before we get into this video I just want to take a quick second to tell you about my brand new free ebook called better sex better life where I have compiled my top 10 tips to help you improve pleasure and have the best sex of your life make sure you check out the link in the description below to get a free copy so what is Tribulus tesus it is a plant it's found in warm temperate and tropical areas like Southeastern Asia and Africa and it's similar to fenugreek which I talked about in my last video with because it has high percentages of steroidal components in particular protodioscin and these supplements are known also to increase nitric oxide activity so let's get into the data there was a metaanalysis looking at four major studies investigating Tribulus terrestris in terms of its impact on testost now two of these studies used a pantin extract called trib gold which contains 45% of steroidal seon and the other two used tribestan which delivers 635 mg of furostanol seon now as a total all four studies looked at about 300 men ranging from 18 to 65 years of age and they had anywhere from 21 to 80 participants in each study now three of these studies found no statistically significant ific difference in total testosterone after supplementation from the beginning to the end of the study and this could be anywhere from 4 weeks in some studies to up to 3 months after supplementation now there was one study that did show some significant Improvement this study recruits 70 men who also had erectile dysfunction as well as urinary symptoms known as lower urinary tract symptoms now this is important because the thought was that men who were giv testosterone may have worsening lower urinary tract syndrome because it might cause the prostate to increase in size now this has later been debunked in terms of the newest data with the Traverse trial but it's important at some point that these men were recruited into these studies to see if there was an impact on their urinary symptoms so in this study men were divided into two groups 35 received 250 Mig of Tribulus chrestus three times a day for 3 months and the others received a placebo in this group they did find a significant increase in total testosterone of about 27% as well as Improvement in erectile function they saw no worsening in their urinary symptoms which again is an important finding in terms of side effects they did see some small elevations in liver enzymes in the study as well now what about Tribulus in terms of sexual function so there have been some studies looking at Tribulus for the purposes of erectile function one of the major studies was done in 2017 which was a randomized double blind Placebo controled trial now these are again the highest level of evidence because we take groups and we have a placebo arm that's getting something they think is going to help them compared to someone who's getting a treatment because we know that in some of these Placebo controlled trials the placebo effect can be very strong particularly in erectile function it can be as high as 40% so we have to make sure that are they getting better because they're taking a pill that they think is going to make them better or is it because of the active ingredients in the supplement itself so in this study they had 180 men from ages of 18 to 65 years of age who had mild to moderate erectile dysfunction and they could have also had some what we call hypoactive sexual desire disorder or a low sex drive 90 of the men got Tribulus tesus and 90 got the placebo in this study each patient in the treatment group got 500 milligram three times a day for 12 weeks so, 1500 milligram total now in terms of evaluating these men they looked at certain things to assess sexual function one of them was a validated questionnaire called the international index of erectile function now this is sort of a gold standard questionnaire that we use all the time that's been validated to show a coralation with erectile function they also had other questionnaires to look at satisfaction so at the end of the trial they saw a significant increase in their sexual function score on the iie as well as Improvement in satisfaction with sex orgasmic function desire and overall satisfaction in this particular study they did not see any adverse effects or side effects with the supplementation now in another metaanalysis that combined this study with two other studies which for a total of 272 men again they did see a significant difference in terms of the men who got Tribulus and their Improvement in erectile dysfunction however the other two studies that I'm not going to go into too much detail of had a high risk of bias and this was because they saw problems in the design of the studies so there was problems in the randomization process in the recruitment part process as well as the deviation from the initial study designed in the intervention and lastly some of them reported only very specific specific results so this makes us less confident in their findings in terms of side effects they're very uncommon however they can include things like stomach cramps or reflux or heartburn there's also been some case reports of both kidney and liver failure after taking the supplement it can also interact with other medications which are used to treat diabetes as well as high blood pressure and maybe even some blood thinners and lastly with a medication called lithium so what do I think after reviewing the data I think yes there may be some benefit in terms of sexual function based on these findings however in terms of testosterone I'm just not convinced the data does not seem very encouraging and the number of studies that have shown positive results are very few so if you're curious to learn more I've included links to all the studies in the description below and often on most of my videos I have links to all the research that I've done for the video in the description as well now if you want to learn more about testosterone boosting supplements make sure to subscribe and hit that notific ification Bell so you don't miss my videos this entire summer I'm talking about testosterone boosters every week on Monday so check it out and um let me know what you think and as always we're going to take care of yourself because you're worth it

Dr.

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