Tongkat Ali (Eurycoma longifolia) is a plant native to Southeast Asia, popular as an herbal supplement for supporting vitality and promoting healthy hormone levels. Users often question its safety, and a frequent concern surrounds whether it can cause or worsen acne breakouts.
The Direct Link Between Tongkat Ali Use and Acne
Acne is not a universally reported side effect in clinical trials, which often focus on short-term safety and efficacy. However, a noticeable connection exists between the supplement and skin changes, supported by a large volume of user reports and anecdotal evidence. Many individuals describe experiencing new or worsened acne flares after starting supplementation, suggesting a correlation even if direct medical causation is not firmly established.
This reaction is often observed in sensitive individuals or those taking higher doses. Exceeding the recommended amount increases the likelihood of side effects, including skin issues. Product quality also plays a role, as poor-quality supplements may contain undisclosed ingredients or contaminants that can irritate the skin or interfere with hormonal balance.
Hormonal Mechanisms Affecting Skin Health
The correlation between Tongkat Ali and acne stems from the supplement’s intended effects on the endocrine system. Tongkat Ali functions by elevating circulating androgens, specifically free testosterone. It achieves this by potentially reducing Sex Hormone Binding Globulin (SHBG), a protein that binds to testosterone, making it inactive. By reducing SHBG, more testosterone is left “free” and biologically available to the body’s tissues.
This increase in bioavailable androgen levels is the direct mechanism affecting skin health. Elevated androgen levels stimulate the sebaceous glands beneath the skin’s surface, causing them to increase the production of sebum, an oily substance.
Excess sebum production is a primary factor in acne development. When sebum combines with dead skin cells, it clogs pores, creating an environment for the proliferation of Cutibacterium acnes (C. acnes), the bacteria associated with inflammatory acne. The skin reaction is an indirect consequence of the supplement successfully raising androgen levels in the body.
Steps for Managing Supplement-Related Breakouts
Dosage Adjustment
Individuals who suspect their breakouts are related to Tongkat Ali should first consider a strategy of dosage adjustment. Reducing the daily intake or cycling the supplement—for example, taking it for a few weeks on and then a week off—allows the body’s hormone levels to stabilize and may mitigate the skin reaction. Responsible dosing is a primary step in management, as misuse or overuse is often associated with the most pronounced side effects.
Product Quality
Another important consideration is the source and purity of the product. Selecting a reputable brand that uses standardized extracts and provides third-party testing can reduce the risk of consuming contaminated products that might be the true cause of the skin irritation. Impurities or undisclosed prohormone ingredients in low-quality supplements are known to trigger severe adverse reactions.
Topical Management and Professional Help
For managing existing breakouts, users can employ standard topical acne treatments. Over-the-counter products containing active ingredients like salicylic acid or benzoyl peroxide can help unclog pores and reduce inflammation. If the acne is persistent, severe, or cystic, it is advisable to temporarily stop the supplement and consult with a dermatologist or physician. A medical professional can confirm the cause of the breakout and recommend appropriate prescription treatments or alternative solutions.