Tribulus terrestris L., a member of the Zygophyllaceae family, is an annual
herb found in many areas of the world, including the US and Mexico, the
Mediterranean
region, and throughout Asia [1-4]. It is also used in the folk medicine of
many areas, such as India, China, and Turkey [1, 3]. Traditional uses include
use as a libido enhancer. A large amount
of potential active components have been identified in tribulus, including
steroidal saponins, lignanamides, alkaloids, and flavanoids [5]. The amount
of these components can vary significantly based on the region of origin
and the part of the plant used [1-2]. HPLC analysis of different tribulus
supplements revealed significant product-to-product variations in active
ingredients [4], presumably due to different regions of origin. The current
research indicates that the steroidal saponins, particularly the dominant
saponin protodioscin, are responsible for the pharmacological activities
of tribulus [4].
One of the most well-known properties of tribulus is as an aphrodisiac. Tribulus does increase sexual function
in animal models, and also reportedly improves libido in humans [6-7]. However,
this is not necessarily indicative of a testosterone-increasing effect –
there are other possible reasons, such as the hypotensive effect of tribulus.
There is limited information regarding the effect tribulus ultimately has on
testosterone levels.
Two mechanisms have been proposed for these increases – the first being that
protodioscin directly increases LH, and the second being that protodioscin
increases levels of DHEA,
perhaps by functioning as a precursor [3, 9]. The neural effects of DHEA would
also explain the aphrodisiac properties [7].
The ultimate effect of tribulus on testosterone levels in healthy humans,
and consequently the effect on body composition and exercise performance,
remains to be seen. The present research is not promising – a trial in fifteen
resistance trained subjects found that tribulus did not improve body composition
or strength over an eight week period [10]. On the other hand, this trial
may not have even used a tribulus extract with adequate quantities of the
active ingredients.
In human trials using tribulus, it has been reported as safe and side effect
free [2-3, 17]. The LD50 of tribulus-derived saponins
in mice is 813 mg/kg, which is considerably higher than the commonly used
dose (which rarely exceeds more than a gram daily of saponins). In conclusion,
tribulus is a relatively safe supplement that has aphrodisiac properties. The effect on testosterone
levels and related variables is not well established.
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