Tribulus works by stimulating the anterior pituitary to produce Leutinizing Hormone. Tribulus is a first choice addition to many testosterone boosting formulas because it could keep natural levels testosterone not having any negative effects on its long term production. It is a well-documented risk to introduce exogenous hormonal substances (like steroids) that shut down the endogenous production of testosterone. As the use of these products tapers down, it is essential that the endogenous production kicks back in as soon as possible because normal levels of these hormones are needed to maintain much of the gains made while taking them., therefore tribulus becomes a valuable addition to any hormone boosting stack.
Other side effects include increased risk of heart problems in older men with poor mobility, according to a 2009 study at Boston Medical Center. A 2017 study published in JAMA found that treatments increase coronary artery plaque volume. Additionally, the Food and Drug Administration (FDA) requires manufactures to include a notice on the labeling that states taking testosterone treatments can lead to possible increased risk of heart attacks and strokes. The FDA recommends that patients using testosterone should seek medical attention right away if they have these symptoms: