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Tongkat Ali and the Liver: What NIDDK LiverTox Reports
LiverTox, the NIH liver injury database, gives tongkat ali a likelihood score of D, a possible rare cause of liver injury. It notes one case in a bodybuilder where undisclosed steroid use is an alternative explanation, and a 2021 EFSA opinion that safety has not been established. SodaPeak lists tongkat ali second, with no amount.
Written by the SodaPeak label deskUpdated · 4 min read
LiverTox01
What does LiverTox say about tongkat ali?
That it is a possible rare cause of liver injury, with a likelihood score of D.
Tongkat ali is Eurycoma longifolia, also called Long Jack, a Southeast Asian tree. LiverTox says it is sold in the U.S. as an over-the-counter supplement promoted for testosterone and athletic performance (NIDDK LiverTox, Tongkat Ali). This site repeats that as a description of how it is sold, not as a claim.
| Point | Note |
|---|---|
| Liver injury score | D: possible rare cause |
| Case report | One bodybuilder; undisclosed steroid use is an alternative explanation |
| Traditional dose | 100 to 400 mg a day |
| Online products | Often 1,000 to 1,600 mg |
| EFSA, 2021 | Safety not established under any condition of use |
Reading it02
What does a D score mean?
That a link to liver injury is possible but not well established. It is a caution, not a diagnosis of risk for any one person.
The same page says human studies show mild rises in total testosterone over weeks with no change in free testosterone, not linked to better athletic performance. This site makes no claim from that, and it does not say SodaPeak does the same.
- Liver warning signsYellow skin or eyes, dark or brown urine, belly pain, nausea, unusual weakness or fatigue. FDA lists these among symptoms to seek care for after risky bodybuilding products.
- Heart and chestChest pain, shortness of breath, a racing or irregular heartbeat, or fainting. Call 911 for chest pain with trouble breathing.
- Allergic reactionHives, swelling of the face or throat, or trouble breathing after a capsule: call 911.
- After any supplementStop it, keep the bottle, tell your clinician exactly what you took, and report the problem to FDA MedWatch.
Signs from (FDA, Bodybuilding Products) (FDA, MedWatch). This list is not complete, and a supplement is never a reason to wait.
SodaPeak03
What does the SodaPeak label say?
Tongkat ali powder is the second name, with a ceiling of 600 mg per serving and no stated amount.
The 600 mg figure is arithmetic from the blend rule (21 CFR 101.36 (eCFR)), not a dose. The tongkat ali page covers the plant, and the side effects page covers the rest.
SodaPeak Capsules: 60 per bottle30 servings of 2 capsules · 1, 2, 3 or 6 bottles · price shown at checkout
See packsStaying safe04
How do I lower the risk?
Tell a clinician, watch for symptoms and stop at the first sign.
Disclose the label
Especially if you have liver trouble or drink alcohol.
Know the signs
Yellow skin or eyes, dark urine, belly pain, unusual tiredness.
Stop and get care
Do not wait.
Report it
Through MedWatch (FDA, MedWatch).
Ordering05
What about ordering?
The order buttons lead to checkout. Check with a clinician first.
This site makes no claim for the herb.
Three months
3 bottles: 90 days at 2 a day
180capsules · 180 days at 1 capsule a day
Price and shipping at checkout · guarantee as printed there
Order 3 bottles
Six months
6 bottles: 180 days at 2 a day
360capsules · 360 days at 1 capsule a day
Price and shipping at checkout · guarantee as printed there
Order 6 bottlesNo price is shown here: the order page shows it. Check your medicines with your doctor or pharmacist before you order.
FAQ06
SodaPeak questions people ask
Can tongkat ali harm the liver?
LiverTox rates it a possible rare cause of liver injury.
What is the traditional dose?
LiverTox says 100 to 400 mg a day, with online products often 1,000 to 1,600 mg.
How much is in SodaPeak?
The label gives no amount. The ceiling per serving is 600 mg.
What are the warning signs?
Yellow skin or eyes, dark urine, belly pain and unusual tiredness.
Who wrote this07
Written and reviewed by
Pages built from the label, the seller brief and linked NIH, FDA, CDC, FTC and peer-reviewed sources.
Last updated . Read our editorial standards and how we check reviews. This website is the information site for a USA Authorized SodaPeak Retailer. It is not the manufacturer, and it does not name one. We earn money when you buy through our order links.
Sources and links (4)
- Tongkat Ali (LiverTox) NIDDK, LiverTox database, 2024
- Caution: Bodybuilding Products Can Be Risky U.S. Food and Drug Administration, 2024
- MedWatch: The FDA Safety Information and Adverse Event Reporting Program U.S. Food and Drug Administration, 2026
- 21 CFR 101.36 - Nutrition labeling of dietary supplements Electronic Code of Federal Regulations (U.S. National Archives / GPO), 2026
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