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Backing this up is a 2022 meta-analysis, covering 5 randomized controlled trials, showing that Tongkat Ali reliably increased total testosterone vs placebo

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The table below shows how one 5 mg vial behaves at different diluent volumes for a fixed 250 mcg (0.25 mg) dose: Larger draw volumes are easier to measure precisely, which is why many people favor more diluent — the trade-off is that a heavily diluted vial holds a larger total liquid volume that must be stored and used within the solution's stability window