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Tribulus terrestris (commonly known as puncture vine—the bane of bicycles in areas where it grows) has a long history of traditional medical use in China, India, and Greece. It was recommended as a treatment for female infertility, impotence, and low libido in both men and women, and to aid rejuvenation after long illness. The herb became widely known in the West when medal-winning Bulgarian Olympic athletes claimed that use of tribulus had contributed to their success. However, current evidence suggests that it does not enhance sports performance.
Tribulus terrestris is usually taken at a dose ranging from about 85 to 250 mg 3 times daily with meals. Some tribulus products are standardized to provide 40% furostanol saponins and taken at a dose providing 115 mg of saponins 2 to 3 times daily.