Maca Root is an adaptogenic plant from the high Andes of Peru that supports hormonal balance, enhances energy and stamina, improves sexual function and fertility, and comes in different color varieties (yellow, red, black) with distinct properties, traditionally used by indigenous people for thousands of years as both food and medicine.
Alternative Names: Lepidium meyenii, Lepidium peruvianum, Peruvian Ginseng, Maino, Ayak chichira, Ayak willku
Categories: Adaptogen, Tonic Herb, Traditional Andean Medicine
Primary Longevity Benefits
- Hormonal balance
- Adaptogenic properties
- Energy enhancement
- Reproductive health support
Secondary Benefits
- Mood enhancement
- Cognitive function support
- Antioxidant activity
- Physical performance enhancement
- Bone health support
Mechanism of Action
Maca root (Lepidium meyenii) exerts its biological effects through multiple mechanisms, primarily attributed to its rich content of bioactive compounds including macamides, macaenes, glucosinolates, alkaloids, sterols, and polysaccharides. The primary mechanism underlying Maca’s adaptogenic effects is its ability to modulate the hypothalamic-pituitary-adrenal (HPA) axis, helping the body maintain homeostasis under stress. Maca appears to regulate cortisol levels and enhance adrenal function, allowing for improved stress response without the depleting effects associated with stimulants. This adaptogenic action is complemented by effects on the sympathetic nervous system, balancing excitatory and inhibitory neurotransmitters.
For hormonal balance, Maca does not appear to directly increase hormone levels but rather acts as a hormone modulator. It functions primarily through its effects on the hypothalamus and pituitary gland, which regulate the endocrine system. Maca’s unique macamides and macaenes have been shown to influence the hypothalamic-pituitary-gonadal axis, optimizing the production and utilization of sex hormones in both men and women. This hormone-balancing effect is not estrogenic or androgenic in nature, making it suitable for both sexes.
In the context of reproductive health, Maca enhances fertility through multiple pathways. In males, it improves spermatogenesis, increasing sperm count, motility, and viability. This occurs through both direct effects on testicular function and indirect effects via the hypothalamic-pituitary-gonadal axis. The alkaloids in Maca have been shown to enhance Leydig cell function, potentially increasing testosterone production without directly providing hormones.
In females, Maca supports ovarian function and egg quality, potentially through its antioxidant properties and effects on the hypothalamic-pituitary-ovarian axis. For sexual function enhancement, Maca’s macamides have been shown to inhibit fatty acid amide hydrolase (FAAH), the enzyme that degrades anandamide, an endocannabinoid involved in mood and pleasure. This may contribute to Maca’s libido-enhancing effects. Additionally, Maca improves erectile function by increasing nitric oxide production, enhancing blood flow to genital tissues.
The glucosinolates in Maca are converted to isothiocyanates in the body, which have been shown to have neuroprotective and mood-enhancing properties. These compounds may influence neurotransmitter systems, particularly dopamine and serotonin, contributing to Maca’s effects on mood and cognitive function. Maca demonstrates significant antioxidant activity through multiple pathways. It directly neutralizes reactive oxygen species (ROS) and reactive nitrogen species (RNS), protecting cells from oxidative damage.
More importantly, it enhances endogenous antioxidant defenses by increasing the activity and expression of antioxidant enzymes including superoxide dismutase (SOD), glutathione peroxidase (GPx), and catalase. This occurs primarily through activation of the Nrf2 (Nuclear factor erythroid 2-related factor 2) pathway, a master regulator of cellular antioxidant responses. For energy enhancement and physical performance, Maca improves mitochondrial function and ATP production. The polysaccharides and other bioactive compounds in Maca enhance glucose utilization and fatty acid oxidation, providing sustained energy without the crash associated with stimulants.
Additionally, Maca’s adaptogenic effects reduce the negative impact of physical stress on the body, allowing for improved endurance and recovery. In the context of bone health, Maca contains calcium, phosphorus, and other minerals essential for bone formation. More importantly, its unique alkaloids and glucosinolates appear to enhance osteoblast function (cells that build bone) while inhibiting osteoclast activity (cells that break down bone). This dual action may contribute to Maca’s traditional use for preventing and treating osteoporosis, particularly in postmenopausal women.
At the molecular level, Maca influences gene expression through epigenetic mechanisms, including modulation of microRNA expression and histone modifications. It affects cell signaling pathways involved in cell survival, proliferation, and differentiation, including MAPK, PI3K/Akt, and Wnt signaling. These diverse mechanisms work synergistically to produce Maca’s wide range of health benefits, from hormonal balance and reproductive health to energy enhancement and cognitive support.
Optimal Dosage
Disclaimer: The following dosage information is for educational purposes only. Always consult with a healthcare provider before starting any supplement regimen, especially if you have pre-existing health conditions, are pregnant or nursing, or are taking medications.
The optimal dosage of Maca root varies depending on the specific preparation, processing method, and intended therapeutic purpose. In traditional Andean medicine, fresh or dried Maca root is consumed in amounts of 10-20 grams daily. For modern supplements, the dosage is typically based on the content of active compounds, particularly macamides and glucosinolates. Raw Maca powder is commonly used at dosages of 1.5-5 grams per day, while gelatinized Maca powder (which has higher bioavailability) is typically used at 1-3 grams per day.
Standardized extracts containing 0.6% macamides and macaenes are commonly used at dosages of 1,500-3,000 mg per day. For general health maintenance and preventive purposes, lower dosages (1.5-3 grams of powder or 1,500 mg of extract) are typically sufficient. For specific therapeutic applications, higher dosages (3-5 grams of powder or 2,000-3,000 mg of extract) may be more appropriate. The onset of effects varies by condition, with some acute effects (such as energy enhancement) observable within hours, while other benefits (such as hormonal balance or fertility enhancement) may require consistent supplementation for 6-12 weeks.
By Condition
Condition | Dosage | Notes |
---|---|---|
Sexual function/Libido enhancement | 1.5-3 grams of Maca powder or 1,500-2,000 mg of standardized extract daily | Clinical studies have shown improvements in sexual desire and function with 1.5-3 grams of Maca powder daily for 8-12 weeks. Effects on libido may be noticed within 2-3 weeks of consistent use, while improvements in erectile function and sexual satisfaction typically require 8-12 weeks. For acute effects, some individuals report benefits from higher single doses (3-5 grams) taken 1-3 hours before sexual activity, though this approach has not been well-studied. |
Fertility enhancement | 2-5 grams of Maca powder or 1,500-3,000 mg of standardized extract daily | Studies investigating Maca’s effects on fertility have typically used 2-5 grams of powder daily for 12-16 weeks. In men, improvements in sperm count, motility, and morphology have been observed after 8-12 weeks of consistent supplementation. In women, effects on ovulation and egg quality may require longer periods of supplementation (12-16 weeks). For optimal results, consistent daily use is more important than timing within the day. |
Hormonal balance (menopause/andropause) | 2-3.5 grams of Maca powder or 2,000 mg of standardized extract daily | For menopausal symptoms, studies have shown benefits with 2-3.5 grams of Maca powder daily for 6-12 weeks. Improvements in hot flashes, night sweats, and mood disturbances may be observed within 2-4 weeks, with optimal effects typically achieved after 8-12 weeks. For andropause (male hormonal decline with age), similar dosages have shown benefits for energy, mood, and sexual function after 8-12 weeks of consistent use. |
Energy enhancement/Physical performance | 2-5 grams of Maca powder or 1,500-3,000 mg of standardized extract daily | For energy enhancement and physical performance, studies have used 2-5 grams of Maca powder daily for 2-12 weeks. Acute effects on energy may be noticed within hours of consumption, while improvements in endurance and recovery typically require 2-4 weeks of consistent supplementation. For athletic performance, some protocols suggest taking Maca 30-60 minutes before exercise for acute benefits, though long-term consistent use appears more effective for sustained improvements. |
Mood enhancement/Stress management | 1.5-3 grams of Maca powder or 1,500-2,000 mg of standardized extract daily | Studies investigating Maca’s effects on mood and stress have typically used 1.5-3 grams of powder daily for 6-12 weeks. Improvements in anxiety, depression, and overall mood may be observed within 2-4 weeks of consistent use. For stress management, Maca’s adaptogenic effects typically require consistent daily use rather than as-needed administration during acute stress. |
By Age Group
Age Group | Dosage | Notes |
---|---|---|
Children (under 12 years) | Not recommended | Safety and efficacy have not been established in children. Traditional use in children is limited, and modern clinical studies have not included pediatric populations. |
Adolescents (12-18 years) | Not recommended except under professional guidance | Safety and efficacy have not been well-established in adolescents. If used, dosages should be adjusted based on body weight and supervised by a qualified healthcare provider with experience in herbal medicine. Potential hormonal effects make caution particularly important during this developmental stage. |
Adults (18-50 years) | 1.5-5 grams of Maca powder or 1,500-3,000 mg of standardized extract daily | The standard adult dosage range, with lower doses (1.5-3 grams) for general health maintenance and higher doses (3-5 grams) for specific therapeutic purposes. Dose selection should be based on the specific health concern being addressed and individual response. |
Older adults (over 50 years) | 1.5-3.5 grams of Maca powder or 1,500-2,000 mg of standardized extract daily | Older adults may benefit from Maca’s effects on hormonal balance, energy, and bone health. Start with lower doses (1.5 grams) and increase gradually if needed, as older adults may be more sensitive to supplements and may have pre-existing conditions or medications that could interact with Maca. |
Pregnant or breastfeeding women | Not recommended | Safety during pregnancy and lactation has not been adequately established. While Maca has been traditionally consumed as a food in Peru during pregnancy, the concentrated amounts in supplements have not been studied for safety in these populations. Until more research is available, it’s prudent to avoid Maca supplements during pregnancy and lactation. |
Bioavailability
Absorption Rate
The bioavailability of Maca’s active compounds varies significantly based on their specific chemical structure and the preparation method. Pharmacokinetic studies in both animal models and limited human trials suggest that the oral bioavailability of major compounds ranges from approximately 5-65%, with significant variation between different constituents. Macamides, the unique fatty acid amides found in Maca, show moderate to good bioavailability (approximately 40-65%) due to their lipophilic nature, which facilitates absorption across intestinal membranes. These compounds undergo rapid absorption in the gastrointestinal tract, with peak plasma concentrations typically occurring 1-3 hours after oral administration.
Glucosinolates, another important class of compounds in Maca, have lower bioavailability in their intact form (approximately 5-15%). However, these compounds are metabolized by intestinal microbiota and converted to bioactive isothiocyanates, which have higher bioavailability. This microbial conversion is a critical step in the bioactivation of these compounds. The alkaloids in Maca, including macaridine and lepidiline, show variable bioavailability (approximately 20-40%) depending on their specific structure.
These compounds may undergo significant first-pass metabolism in the liver, which can reduce their systemic bioavailability. The polysaccharides in Maca have relatively low direct bioavailability (less than 10%) due to their large molecular size and hydrophilic nature. However, these compounds may exert beneficial effects through interaction with the gut microbiota and immune cells in the intestinal mucosa without requiring systemic absorption. Processing methods significantly impact the bioavailability of Maca’s active compounds.
Gelatinization, a traditional Andean cooking process that involves heating to remove starch, has been shown to increase the bioavailability of many active compounds by 30-50% compared to raw Maca powder. This process breaks down cell walls and inactivates anti-nutritional factors that may inhibit absorption. The elimination half-life of various Maca compounds ranges from approximately 3-24 hours, with most compounds showing half-lives of 6-12 hours. This relatively long plasma half-life suggests that once-daily dosing may be sufficient for maintaining therapeutic levels of active compounds.
Enhancement Methods
Gelatinization (pre-cooking process that removes starch) increases bioavailability of active compounds by 30-50% compared to raw powder, Taking Maca with a fat-containing meal enhances the absorption of lipophilic compounds, particularly macamides and macaenes, Fermentation by probiotic bacteria can transform certain compounds into more bioavailable metabolites and enhance overall therapeutic effects, Micronization (reducing particle size) increases the surface area available for absorption, potentially improving bioavailability by 20-40%, Standardized extracts with higher concentrations of active compounds may overcome the low bioavailability through dose effect, Liposomal formulations encapsulate Maca compounds in phospholipid vesicles, protecting them from degradation and enhancing cellular uptake, Combining with black pepper extract (piperine) may inhibit certain metabolizing enzymes and increase the bioavailability of some Maca compounds, Consuming with vitamin C may enhance the absorption and utilization of certain compounds, particularly polyphenols, Cyclodextrin complexation improves aqueous solubility of lipophilic compounds while protecting them from degradation, Traditional preparation methods, such as boiling or cooking Maca before consumption, may enhance bioavailability through structural changes to the compounds
Timing Recommendations
For optimal absorption and effectiveness, Maca supplementation should follow specific timing considerations. Taking Maca with meals, particularly those containing some fat, enhances the absorption of its lipophilic compounds, including macamides and macaenes. However, some practitioners recommend taking Maca on an empty stomach for more rapid absorption of water-soluble compounds. Morning administration is often recommended for Maca’s energy-enhancing effects, aligning with the body’s natural cortisol rhythm.
This timing may be particularly appropriate when using Maca for daytime energy, focus, and physical performance. However, for individuals who find Maca stimulating or who experience sleep disturbances, morning or early afternoon administration is preferable to avoid potential interference with sleep. For hormonal balance and reproductive health, consistent daily timing is more important than specific time of day, as these benefits accumulate with regular use over weeks to months. Some practitioners recommend dividing the daily dose into two administrations (morning and evening) to maintain more consistent levels of active compounds throughout the day, particularly for higher doses.
For sexual function enhancement, some individuals report benefits from taking Maca approximately 1-3 hours before sexual activity, though this acute approach has less scientific support than consistent daily use. For athletic performance enhancement, taking Maca approximately 30-60 minutes before exercise may help optimize its acute effects on energy and endurance. However, the most significant performance benefits typically come from consistent daily use over several weeks. In traditional Andean practice, Maca is often consumed multiple times throughout the day as a food rather than a concentrated supplement.
This pattern of consumption may provide more consistent levels of active compounds than single daily dosing. Consistency in daily administration is generally more important than precise timing for most of Maca’s health benefits, as many effects build cumulatively with regular use over time.
Safety Profile
Safety Rating
Side Effects
- Mild gastrointestinal discomfort (bloating, gas, upset stomach) – uncommon
- Insomnia or altered sleep patterns (particularly when taken in the evening) – uncommon
- Increased heart rate or palpitations (in sensitive individuals or at high doses) – rare
- Headache – rare
- Mood changes (irritability, anxiety, or agitation) – rare
- Menstrual cycle alterations (in some women) – uncommon
- Acne or skin breakouts (possibly related to hormonal effects) – rare
Contraindications
- Known allergy or hypersensitivity to Maca or plants in the Brassicaceae family
- Hormone-sensitive conditions (certain types of breast, uterine, or ovarian cancers, endometriosis, uterine fibroids) due to potential hormonal effects
- Thyroid disorders (particularly hyperthyroidism) due to the goitrogen content in raw Maca (gelatinized Maca may be safer)
- Pregnancy and lactation (due to insufficient safety data, though traditionally consumed as food in Peru)
- Scheduled surgery (discontinue at least 2 weeks before due to theoretical effects on blood pressure and blood glucose)
- Severe liver or kidney disease (due to insufficient safety data in these populations)
Drug Interactions
- Hormone replacement therapy or hormonal contraceptives (potential for additive or antagonistic effects)
- Medications for hypertension (potential mild additive effect on blood pressure reduction)
- Medications for diabetes (potential mild additive effect on blood glucose reduction)
- Thyroid medications (potential interference with thyroid function, particularly with raw Maca)
- Stimulant medications (potential additive effects on heart rate and blood pressure)
- Medications metabolized by cytochrome P450 enzymes (theoretical potential for interaction, though clinical significance is unclear)
Upper Limit
Maca root has demonstrated a good safety profile in both preclinical toxicology studies and human clinical trials. Acute and chronic toxicity studies in animals have established a No Observed Adverse Effect Level (NOAEL) far exceeding typical human doses. In traditional use, Maca has been consumed as a food in amounts of 10-20 grams daily without reported toxicity. In human clinical trials, doses up to 5 grams of powder or 3,000 mg of extract daily have been used for periods of up to six months without significant adverse effects.
Most studies have used doses between 1.5-3 grams daily, which appear to be well-tolerated by the vast majority of participants. Based on the available evidence, a conservative upper limit for long-term daily consumption would be approximately 5-6 grams of powder or 3,000-3,500 mg of standardized extract for most healthy adults. Higher doses have not been well-studied for long-term safety. It’s worth noting that individual tolerance may vary, and some sensitive individuals may experience stimulatory effects or digestive discomfort at lower doses.
In such cases, starting with a lower dose (1-1.5 grams daily) and gradually increasing as tolerated is recommended. For individuals with thyroid concerns, gelatinized Maca is preferable to raw Maca, as the cooking process reduces goitrogen content. As with any supplement, it’s advisable to start with lower doses and gradually increase if needed, monitoring for any adverse effects. Maca is generally considered non-toxic and safe for long-term use at recommended doses, with no evidence of dependency, tolerance development, or withdrawal effects upon discontinuation.
Regulatory Status
Fda Status
In the United States, Maca root is regulated as a dietary supplement under the Dietary Supplement Health and Education Act (DSHEA) of 1994. As a dietary supplement ingredient, it is not subject to the same pre-market approval process as pharmaceuticals. Manufacturers are responsible for ensuring their products are safe before marketing and that product labels are truthful and not misleading. Maca has self-affirmed Generally Recognized as Safe (GRAS) status for use in certain conventional foods, though this is not an official FDA designation.
The FDA has not approved any specific health claims for Maca supplements. Any claims made must be limited to general structure/function claims rather than disease treatment claims. For example, manufacturers can claim that Maca ‘supports reproductive health’ but not that it ‘treats infertility.’ The FDA has not established a specific upper limit for Maca consumption. The FDA has not issued any significant safety warnings or recalls specifically related to Maca, which reflects its generally good safety profile.
If Maca were to be developed as a pharmaceutical agent for specific therapeutic applications, such as fertility enhancement or sexual dysfunction treatment, it would require formal FDA approval through the standard drug approval process, including clinical trials demonstrating safety and efficacy.
International Status
Eu: In the European Union, Maca root (Lepidium meyenii) is recognized as a food supplement ingredient and is not considered a novel food under Regulation (EU) 2015/2283, as it has a history of consumption in the EU before May 15, 1997. This allows Maca to be marketed as a food supplement throughout the EU, provided it meets quality and safety standards. The European Food Safety Authority (EFSA) has not approved any health claims for Maca under Regulation (EC) No 1924/2006. Any claims made must comply with general food labeling regulations. In some EU countries, Maca may also be available as a traditional herbal medicinal product, though specific approved products vary by country. The EU has not established a specific upper limit for Maca consumption.
Peru: In Peru, Maca is recognized as both a food and a medicinal plant with significant cultural heritage status. In 2000, the Peruvian government declared Maca a heritage crop and implemented measures to protect its genetic resources and traditional knowledge. The National Institute for the Defense of Competition and Intellectual Property Protection (INDECOPI) has established a designation of origin for ‘Maca JunÃn-Pasco,’ recognizing the unique properties of Maca grown in these traditional regions. The Peruvian Ministry of Health regulates Maca-containing products as natural health products when marketed for medicinal purposes. Peru has implemented export regulations and quality standards for Maca to ensure the authenticity and quality of exported products. The country has also taken legal measures to combat biopiracy and unauthorized patenting of Maca-derived products by foreign entities.
Australia: The Therapeutic Goods Administration (TGA) in Australia regulates Maca as a complementary medicine. Maca-containing products may be listed on the Australian Register of Therapeutic Goods (ARTG) as AUST L products if they meet quality and safety standards. The TGA has approved specific indications for Maca, including ‘traditionally used to enhance/improve sexual function’ and ‘traditionally used to help enhance/improve fertility.’ The TGA has not established a specific upper limit for Maca consumption.
Canada: Health Canada regulates Maca as a Natural Health Product (NHP). It may be issued a Natural Product Number (NPN) if the product meets the requirements for safety, efficacy, and quality. Health Canada has approved certain claims for Maca, primarily related to its traditional use for enhancing energy, libido, and sexual function. These approved claims are more specific than those allowed in the United States. Health Canada has not established a specific upper limit for Maca consumption but generally recommends doses consistent with those used in approved clinical studies or traditional use.
China: In China, Maca is regulated primarily as a food ingredient rather than a traditional Chinese medicine, as it does not have a long history of use in Chinese medical traditions. The China Food and Drug Administration (now National Medical Products Administration) has approved Maca for use in certain food categories. China has become a significant producer of Maca in recent years, though there are ongoing disputes with Peru regarding intellectual property rights and genetic resources. Chinese regulations distinguish between imported Peruvian Maca and domestically grown Chinese Maca in some contexts.
Synergistic Compounds
Compound | Synergy Mechanism | Evidence Rating |
---|---|---|
Ashwagandha (Withania somnifera) | Maca and Ashwagandha create a powerful adaptogenic combination that addresses different aspects of stress response and hormonal balance. While Maca provides energy enhancement and reproductive support with a focus on libido and fertility, Ashwagandha offers more pronounced effects on stress reduction, cortisol regulation, and anxiety relief. Together, they provide comprehensive support for both physical and mental aspects of stress adaptation. Pharmacologically, Maca’s effects on the hypothalamic-pituitary-gonadal axis complement Ashwagandha’s effects on the hypothalamic-pituitary-adrenal axis. Studies have shown that adaptogenic combinations improve stress resistance, hormonal balance, and energy levels more effectively than single adaptogens. This synergy is particularly beneficial for individuals dealing with both stress-related fatigue and hormonal imbalances, providing immediate stress relief from Ashwagandha alongside the more gradual, sustaining effects of Maca on energy and reproductive health. The combination may be especially valuable for addressing stress-induced sexual dysfunction, as it targets both the psychological (stress, anxiety) and physiological (hormonal, circulatory) aspects of sexual health. | 3 |
Tribulus terrestris | Maca and Tribulus create a complementary approach to reproductive health and hormonal balance. While Maca provides adaptogenic support and enhances fertility through multiple mechanisms, Tribulus more directly influences testosterone production and libido in men. Together, they address both the adaptogenic/energetic and hormonal aspects of reproductive health. Pharmacologically, Maca’s effects on the hypothalamic-pituitary-gonadal axis without directly affecting hormone levels complement Tribulus’s mild androgenic effects through luteinizing hormone stimulation. Studies have shown that combinations targeting different aspects of reproductive health may provide more comprehensive benefits than single herbs. This synergy is particularly valuable for men seeking both fertility enhancement and libido improvement, as Maca supports sperm production and quality while Tribulus may enhance testosterone levels and sexual desire. The combination may also provide enhanced benefits for physical performance and body composition, as both herbs support energy metabolism and muscle function through different mechanisms. | 3 |
Rhodiola Rosea | Maca and Rhodiola create a synergistic adaptogenic combination that addresses different aspects of energy enhancement and stress response. While Maca provides sustained energy and hormonal support with a focus on reproductive health, Rhodiola offers more immediate effects on mental energy, focus, and physical stamina. Together, they provide comprehensive support for both physical and cognitive aspects of performance. Pharmacologically, Maca’s effects on energy metabolism and the endocrine system complement Rhodiola’s effects on neurotransmitter systems and cellular energy production. Studies have shown that adaptogenic combinations improve stress resistance, cognitive performance, and physical endurance more effectively than single adaptogens. This synergy is particularly beneficial for individuals dealing with both mental and physical fatigue, providing immediate cognitive support from Rhodiola alongside the more gradual, sustaining effects of Maca. The combination may be especially valuable during periods of high demand, such as intense work projects, academic exams, or athletic training, providing both immediate and long-term support for energy and performance. | 3 |
Panax Ginseng | Maca and Panax Ginseng create a powerful adaptogenic combination that addresses different aspects of energy, vitality, and stress response. While Maca provides reproductive support and sustained energy with minimal stimulation, Ginseng offers more pronounced stimulatory effects and immune enhancement. Together, they provide comprehensive support for both reproductive health and overall vitality. Pharmacologically, Maca’s macamides and glucosinolates complement Ginseng’s ginsenosides, affecting different aspects of the endocrine and nervous systems. Studies have shown that adaptogenic combinations improve energy, stress resistance, and immune function more effectively than single adaptogens. This synergy is particularly beneficial for individuals seeking both reproductive health support and general vitality enhancement, especially during periods of high stress or immune challenge. The combination may also provide enhanced benefits for cognitive function and physical performance, as both herbs support mental clarity and endurance through different mechanisms. However, due to Ginseng’s more stimulating nature, this combination should be used with caution in individuals sensitive to stimulants or with certain cardiovascular conditions. | 3 |
Horny Goat Weed (Epimedium) | Maca and Horny Goat Weed create a complementary approach to sexual health and function. While Maca provides adaptogenic support and enhances libido through multiple mechanisms including stress reduction and energy enhancement, Horny Goat Weed more directly influences erectile function through PDE5 inhibition and nitric oxide production. Together, they address both the psychological/energetic and physiological aspects of sexual function. Pharmacologically, Maca’s effects on the hypothalamic-pituitary-gonadal axis complement Horny Goat Weed’s icariin-mediated effects on nitric oxide synthesis and cGMP levels in erectile tissue. Studies have shown that combinations targeting different aspects of sexual function may provide more comprehensive benefits than single herbs. This synergy is particularly valuable for men with erectile dysfunction that has both psychological and physiological components, as Maca addresses stress, energy, and libido while Horny Goat Weed more directly supports the mechanics of erection. The combination may also provide enhanced benefits for overall reproductive health, as both herbs support hormonal balance and sexual function through different mechanisms. | 2 |
Zinc | Maca and Zinc create a synergistic approach to reproductive health and hormonal balance. While Maca provides adaptogenic support and enhances fertility through multiple mechanisms, Zinc is an essential mineral critical for reproductive hormone production, sperm formation, and ovarian function. Together, they address both the herbal/adaptogenic and nutritional aspects of reproductive health. Pharmacologically, Maca’s effects on the hypothalamic-pituitary-gonadal axis complement Zinc’s role as a cofactor in testosterone production and as a component of sperm cell membranes. Studies have shown that addressing both herbal support and nutritional deficiencies provides more comprehensive benefits for reproductive health than either approach alone. This synergy is particularly valuable for individuals with suboptimal zinc status, which is common in many populations and can significantly impact reproductive function. The combination may be especially beneficial for male fertility, as both Maca and Zinc support sperm production, motility, and morphology through different mechanisms. Additionally, both compounds support immune function and antioxidant defense, providing broader health benefits beyond reproduction. | 3 |
L-Arginine | Maca and L-Arginine create a complementary approach to sexual health and circulatory function. While Maca provides adaptogenic support and enhances libido through multiple mechanisms including hormonal modulation and energy enhancement, L-Arginine more directly influences blood flow through nitric oxide production. Together, they address both the hormonal/energetic and circulatory aspects of sexual function. Pharmacologically, Maca’s effects on the hypothalamic-pituitary-gonadal axis complement L-Arginine’s role as a precursor to nitric oxide, which relaxes blood vessels and increases blood flow to genital tissues. Studies have shown that combinations targeting different aspects of sexual function may provide more comprehensive benefits than single compounds. This synergy is particularly valuable for individuals with sexual dysfunction that has both hormonal and circulatory components, as Maca addresses hormonal balance, energy, and libido while L-Arginine more directly supports blood flow to sexual organs. The combination may also provide enhanced benefits for exercise performance and recovery, as both compounds support energy metabolism and circulatory function through different mechanisms. | 2 |
Vitamin D | Maca and Vitamin D create a synergistic approach to hormonal health and bone density. While Maca provides adaptogenic support and enhances hormonal balance through effects on the hypothalamic-pituitary-gonadal axis, Vitamin D is essential for calcium absorption, bone mineralization, and serves as a hormone precursor itself. Together, they address both the herbal/adaptogenic and nutritional aspects of hormonal and skeletal health. Pharmacologically, Maca’s effects on hormonal balance complement Vitamin D’s role in regulating calcium metabolism and its direct effects on bone-forming osteoblasts. Studies have shown that addressing both herbal support and nutritional factors provides more comprehensive benefits for hormonal and bone health than either approach alone. This synergy is particularly valuable for postmenopausal women, who are at increased risk for both hormonal imbalances and bone density loss. The combination may be especially beneficial for preventing osteoporosis, as Maca appears to enhance osteoblast function while Vitamin D ensures adequate calcium absorption and utilization for bone formation. Additionally, both compounds support immune function and mood regulation, providing broader health benefits beyond hormonal and bone health. | 2 |
Antagonistic Compounds
Compound | Interaction Type | Evidence Rating |
---|---|---|
Hormone Replacement Therapy | Maca has demonstrated effects on hormonal balance through its influence on the hypothalamic-pituitary-gonadal axis. When combined with hormone replacement therapy (such as estrogen, progesterone, or testosterone), there is a potential for unpredictable interactions that could either enhance or diminish the intended therapeutic effects. This interaction is based on Maca’s known effects on hormonal pathways, though the exact mechanisms remain incompletely understood. The clinical significance is uncertain but potentially important for individuals relying on precise hormone replacement. While no adverse interactions have been definitively documented, the theoretical concern exists that Maca might alter the effectiveness of hormone therapy or contribute to hormonal imbalances when used in combination. Individuals using hormone replacement therapy should consult healthcare providers before using Maca supplements and should monitor for any changes in symptoms or side effects if combining these treatments. This interaction is more theoretical than well-documented, but caution is warranted given the importance of hormonal balance for many health conditions. | 2 |
Thyroid Medications | Raw Maca contains goitrogens, compounds that can potentially interfere with thyroid function by inhibiting iodine uptake. When combined with thyroid medications (such as levothyroxine), there is a theoretical potential for reduced medication effectiveness, particularly if consumed in large amounts or in raw form. This interaction is primarily based on the known goitrogenic properties of many plants in the Brassicaceae family, including Maca. The clinical significance is likely minimal with typical supplemental doses of gelatinized Maca (which has reduced goitrogen content due to the cooking process) but may be more significant with higher doses of raw Maca powder. Individuals taking thyroid medications should be aware of this potential interaction and may want to separate the timing of Maca consumption and thyroid medication by at least 2-4 hours. Monitoring thyroid function through regular testing is advisable when combining these substances. It’s worth noting that gelatinized Maca is likely safer for individuals with thyroid concerns, as the cooking process reduces goitrogen content. | 2 |
Stimulants | Maca has mild stimulant properties in some individuals, potentially enhancing energy and alertness. When combined with other stimulants (such as caffeine, ephedrine, or prescription stimulants), there is a potential for additive stimulatory effects, which could lead to increased heart rate, blood pressure, or anxiety in sensitive individuals. This interaction is primarily based on anecdotal reports and the known energizing effects of Maca rather than documented adverse interaction reports. The clinical significance is likely minimal with moderate Maca doses but may become more significant with higher doses or in individuals sensitive to stimulatory effects. Those using stimulant medications or consuming significant amounts of caffeine should be aware of this potential interaction and monitor for any changes in heart rate, blood pressure, or anxiety levels when adding Maca to their regimen. Starting with lower doses of Maca and gradually increasing as tolerated may help minimize the risk of overstimulation. | 2 |
Blood Pressure Medications | Maca has demonstrated mild effects on blood pressure in some studies, potentially through its influence on nitric oxide production and vascular function. When combined with antihypertensive medications, there is a theoretical potential for enhanced blood pressure reduction, which could lead to hypotension in sensitive individuals. This interaction is primarily based on limited clinical data rather than documented adverse interaction reports. The clinical significance is likely minimal with typical supplemental doses but may become more significant with higher doses or in individuals with labile blood pressure. Those taking antihypertensive medications should be aware of this potential interaction and monitor their blood pressure when initiating Maca supplementation. This interaction may actually be beneficial in some contexts, potentially allowing for reduced medication doses, but this should only be done under medical supervision. Starting with lower doses of Maca and gradually increasing as tolerated while monitoring blood pressure may help minimize risks. | 1 |
Diabetes Medications | Maca has demonstrated mild hypoglycemic effects in some studies, potentially through its influence on insulin sensitivity and glucose metabolism. When combined with antidiabetic medications (such as metformin, sulfonylureas, or insulin), there is a theoretical potential for enhanced blood glucose reduction, which could lead to hypoglycemia in sensitive individuals. This interaction is primarily based on limited preclinical data rather than documented adverse interaction reports. The clinical significance is likely minimal with typical supplemental doses but may become more significant with higher doses or in individuals with tightly controlled diabetes. Those taking antidiabetic medications should be aware of this potential interaction and monitor their blood glucose levels when initiating Maca supplementation. This interaction may actually be beneficial in some contexts, potentially allowing for improved glycemic control, but caution is warranted to avoid hypoglycemic episodes. Starting with lower doses of Maca and gradually increasing as tolerated while monitoring blood glucose may help minimize risks. | 1 |
Anticoagulant and Antiplatelet Medications | Maca contains compounds that may have mild effects on platelet function and blood coagulation, though these effects have not been well-characterized in clinical studies. When combined with anticoagulant medications (such as warfarin) or antiplatelet drugs (such as aspirin, clopidogrel), there is a theoretical potential for enhanced anticoagulant effects, which could increase bleeding risk. This interaction is primarily based on the presence of certain compounds in Maca rather than documented adverse interaction reports. The clinical significance is likely minimal with typical supplemental doses but may become more significant with higher doses or in individuals with bleeding disorders. Those taking anticoagulant or antiplatelet medications should exercise caution when using Maca, particularly at higher doses or for extended periods. Monitoring for signs of increased bruising or bleeding may be advisable when initiating Maca supplementation in these individuals. This interaction is more theoretical than well-documented, but caution is warranted given the potential seriousness of excessive anticoagulation. | 1 |
Immunosuppressive Medications | Maca has demonstrated immunomodulatory effects in some studies, potentially enhancing certain aspects of immune function. These effects may potentially counteract the therapeutic action of immunosuppressive medications used in organ transplantation, autoimmune disorders, or certain inflammatory conditions. The compounds in Maca have been shown to influence cytokine production and immune cell activity, which could theoretically reduce the efficacy of drugs designed to suppress these immune functions. While direct clinical evidence of adverse interactions is limited, the theoretical concern exists that Maca might interfere with immunosuppressive therapy, potentially increasing the risk of transplant rejection or reduced control of autoimmune conditions. As a precaution, individuals taking immunosuppressive medications should consult healthcare providers before using Maca supplements. This interaction is primarily based on theoretical concerns and the known mechanisms of action rather than documented adverse events. | 1 |
Cost Efficiency
Relative Cost
Moderate
Cost Per Effective Dose
Maca supplements vary considerably in price depending on the form, quality, processing method, and geographical origin. Raw Maca powder typically costs $15-40 per pound, translating to approximately $0.30-0.80 per daily dose (3-5 grams). Gelatinized Maca powder, which has higher bioavailability, typically costs $20-50 per pound, translating to approximately $0.40-1.00 per daily dose (1.5-3 grams). Standardized extracts in capsule or tablet form range from $0.50 to $1.50 per day for an effective dose (1,500-3,000 mg).
Premium products from established brands, particularly those with higher standardization levels, organic certification, or those specifically sourced from traditional growing regions in Peru, may cost $1.50-2.50 per day. The relatively moderate cost of Maca is influenced by several factors: the limited geographical regions where authentic Maca can be grown (high Andes of Peru at 3,500-4,500 meters elevation), the time required for cultivation (typically a 2-year growth cycle), the labor-intensive traditional harvesting and processing methods, and the increasing global demand which has sometimes outpaced supply. Additionally, the costs of ensuring authenticity, quality testing, and sustainable sourcing contribute to the price of premium Maca products.
Value Analysis
The value proposition of Maca varies depending on the specific health application and individual factors. For sexual function and libido enhancement, Maca offers good value, with clinical studies showing significant improvements at doses of 1.5-3 grams of powder daily for 8-12 weeks. These effects are comparable to some pharmaceutical interventions for sexual dysfunction but at a lower cost and with fewer side effects. For fertility enhancement, particularly in men, Maca provides very good value, with studies demonstrating improvements in sperm parameters at doses of 1.5-5 grams daily for 12 weeks.
The cost of Maca supplementation is significantly lower than many conventional fertility treatments, though it may not be sufficient as a sole intervention for clinical infertility. For hormonal balance during menopause, Maca offers moderate to good value, with studies showing improvements in symptoms at doses of 2-3.5 grams daily. While not as immediately effective as hormone replacement therapy for severe symptoms, it provides a natural alternative with fewer risks for long-term use. For energy enhancement and physical performance, Maca provides moderate value, with effects that may be less immediate than those of stimulants but more sustainable without the crash or side effects associated with stimulant use.
When comparing different forms of Maca, gelatinized powder offers better value than raw powder despite its higher cost, as the gelatinization process increases bioavailability by 30-50%, potentially allowing for lower effective doses. Standardized extracts, while more expensive per dose, provide more reliable concentrations of active compounds and may be more convenient for many users. The different color varieties of Maca (yellow, red, and black) may offer better value for specific applications – black Maca for energy and male fertility, red for prostate health and hormone balance, and yellow for general nutrition. The long-term value of Maca supplementation may be enhanced by its potential preventive effects on age-related hormonal decline and its nutritional benefits beyond its specific therapeutic effects.
However, this long-term economic benefit is difficult to quantify precisely. Overall, Maca stands out as a moderately priced supplement that offers good value for its primary applications in sexual health, fertility, and hormonal balance, particularly when compared to pharmaceutical alternatives for these conditions.
Stability Information
Shelf Life
The shelf life of Maca products varies significantly depending on the preparation method, storage conditions, and specific formulation. Dried Maca powder, when properly stored, typically maintains its quality for 2-3 years according to industry standards. However, the active compounds, particularly the macamides and macaenes, may gradually degrade over time, with some studies suggesting a 10-20% reduction in macamide content per year under typical storage conditions. Gelatinized Maca powder generally has a slightly longer shelf life than raw Maca powder, as the cooking process inactivates enzymes that can contribute to degradation.
Properly stored gelatinized Maca can maintain its potency for 2-4 years. Encapsulated or tablet forms of Maca typically maintain stability for 2-3 years, with manufacturers often providing a buffer period in their expiration dating to ensure potency throughout the labeled shelf life. Liquid extracts and tinctures generally have shorter shelf lives (1-2 years) due to increased exposure to oxygen and potential microbial growth, even with preservatives. Stability studies have shown that the glucosinolate content may decrease more rapidly than the macamide content, with some glucosinolates showing significant degradation after 1-2 years of storage, even under optimal conditions.
The polysaccharides and proteins in Maca are relatively stable under proper storage conditions but may degrade with exposure to moisture or high temperatures. Freeze-dried Maca extracts typically show better stability than spray-dried products, with some studies indicating up to 90% retention of active compounds after 3 years of proper storage. Whole dried Maca hypocotyls, which are less commonly available commercially, can maintain their quality for 3-5 years when properly stored, as the intact plant material provides some natural protection against degradation. Some research suggests that certain degradation products of Maca compounds may retain biological activity, meaning that even with some chemical changes over time, the product may maintain some efficacy beyond the optimal shelf life.
Storage Recommendations
Store Maca products in their original containers with lids tightly closed to protect from moisture, oxygen exposure, and light. Keep in a cool, dry place away from direct sunlight and heat sources. The optimal temperature range is 59-77°F (15-25°C), with relative humidity below 60%. Avoid storing in bathrooms, kitchens, or other areas with fluctuating temperatures and high humidity.
Refrigeration is not necessary for dried Maca powder and may actually introduce moisture through condensation when the container is opened. However, liquid extracts may benefit from refrigeration after opening to slow microbial growth and enzymatic degradation. Protect from light by keeping in the original opaque container, as extended exposure to light can accelerate degradation of phenolic compounds and other active constituents. Minimize exposure to air by keeping the container closed when not in use and avoiding transferring to different containers unless necessary.
If transferring is required, use an airtight, opaque container. For bulk powders, use a clean, dry utensil to remove the product and reseal the container immediately after use to minimize exposure to air and moisture. Traditional Andean storage methods involve keeping dried Maca in breathable cloth bags in cool, dark locations, which allows some air circulation while protecting from light and moisture. For long-term storage of large quantities, vacuum sealing in smaller portions can help maintain freshness by removing oxygen that contributes to oxidation.
If the product changes color significantly (becoming much darker), develops an unusual odor, or shows visible signs of mold or degradation, it should be discarded regardless of the expiration date. For maximum retention of active compounds, some experts recommend purchasing smaller quantities more frequently rather than storing large amounts for extended periods.
Degradation Factors
Exposure to oxygen (oxidation is a primary degradation pathway for macamides and other lipophilic compounds), Exposure to light, particularly UV light, which accelerates oxidation reactions, High temperatures (above 86°F/30°C) significantly accelerate degradation of most active compounds, High humidity, which can promote hydrolysis of glucosinolates and microbial growth, Enzymatic degradation due to residual plant enzymes (more significant in raw Maca than gelatinized), Microbial contamination, particularly in liquid formulations or products with high moisture content, Freeze-thaw cycles, which can affect the physical stability of some formulations, Chemical interactions with other compounds in complex formulations, Prolonged exposure to air after opening the container, Improper drying of raw material, leading to residual moisture and accelerated degradation, Extreme pH conditions (either highly acidic or alkaline), Presence of metal ions, particularly iron and copper, which catalyze oxidation reactions
Sourcing
Synthesis Methods
- Maca is not synthesized but harvested from natural sources
- Traditional processing involves sun-drying the fresh hypocotyls, which can reduce weight by up to 75% and concentrates the active compounds
- Gelatinization is a common processing method that involves cooking the Maca to remove starch, break down cell walls, and inactivate anti-nutritional factors, potentially increasing bioavailability
- Modern extraction methods include water extraction, alcohol extraction (typically 30-70% ethanol), and combined methods
- Standardization typically focuses on macamide and macaene content, though some products are standardized for glucosinolate content
- Some manufacturers use supercritical CO2 extraction to obtain concentrated extracts rich in lipophilic compounds
- Fermentation techniques are sometimes employed to transform certain compounds and potentially enhance bioavailability
- Spray-drying or freeze-drying methods are used to produce powder extracts with consistent potency
- Note: The specific processing methods can significantly impact the chemical profile and biological activity of the final product
Natural Sources
- Lepidium meyenii Walp. (synonym: Lepidium peruvianum Chacon) – the primary and official species used in traditional medicine, native to the high Andean plateaus of Peru
- Note: True Maca grows exclusively in the central Andes of Peru at elevations of 3,500-4,500 meters (11,500-14,800 feet) above sea level, primarily in the regions of JunÃn and Pasco
- The harsh growing conditions (extreme temperature fluctuations, intense sunlight, strong winds, and poor rocky soil) are believed to contribute to Maca’s unique phytochemical profile
- There are several color varieties of Maca root, including yellow/cream (the most common, ~60-70% of production), red (~20% of production), and black (~10-15% of production)
- Each color variety has a somewhat different phytochemical profile and may have slightly different effects – black Maca is often associated with energy and fertility, red with prostate health and hormone balance, and yellow with general nutrition
- The hypocotyl (the part of the plant between the root and the stem) is the primary medicinal part, though it is commonly referred to as the ‘root’
- Wild Maca is extremely rare; virtually all commercial Maca is cultivated
- Traditional cultivation involves a 2-year growth cycle and crop rotation to maintain soil fertility
- Maca is typically harvested between June and August, after which the hypocotyls are traditionally sun-dried for 10-15 days
- Peru is the primary producer of authentic Maca, though cultivation attempts have been made in other high-altitude regions including Bolivia, China, and the Himalayas
Quality Considerations
When selecting Maca supplements, several quality factors should be considered. First, geographical origin is crucial – authentic Maca should be grown in the high Andes of Peru at elevations of 3,500-4,500 meters, as the extreme growing conditions contribute to its unique phytochemical profile. Products claiming to be Maca but grown in other regions may have significantly different compositions. Color variety affects properties – yellow/cream Maca is most common and used for general purposes, red Maca may have specific benefits for prostate health and hormone balance, and black Maca is often preferred for energy and fertility support. Processing method significantly impacts bioavailability – gelatinized Maca has undergone a cooking process that removes starch, breaks down cell walls, and inactivates anti-nutritional factors, potentially increasing bioavailability by 30-50% compared to raw Maca. Raw Maca contains goitrogens that may affect thyroid function in sensitive individuals, while gelatinization reduces these compounds. Standardization is essential for consistent effects – quality products should be standardized for key compounds such as macamides and macaenes (typically 0.6%) or glucosinolates. Extraction methods affect the compound profile – alcohol extraction yields different compounds than water extraction, with the former typically containing higher levels of lipophilic compounds like macamides. Storage conditions impact stability – Maca products should be stored in cool, dry conditions away from direct light to prevent degradation of active compounds. Contamination risks include heavy metals from soil, pesticides, and fungal toxins – reputable suppliers should provide testing certificates for these contaminants. Adulteration is a concern – due to increasing demand and limited supply of authentic Peruvian Maca, substitution with other species or addition of isolated compounds to mimic standardization parameters occurs in the market. Sustainability and fair trade practices are important considerations – ethical sourcing ensures fair compensation for indigenous farmers and sustainable cultivation practices. Third-party testing certification provides additional assurance of product quality, identity, and purity. When comparing different products, consider the specific health outcome you’re targeting, as different preparations (raw vs. gelatinized, different color varieties) may offer advantages for specific applications.
Historical Usage
Maca (Lepidium meyenii) has a rich history of traditional use spanning over 2,000 years in the high Andean regions of Peru. Archaeological evidence suggests that primitive cultivars of Maca were domesticated around 1600 BCE in the Puna region of what is now central Peru. However, it was during the Inca Empire (1438-1533 CE) that Maca cultivation became more widespread and its use more documented. The Incas revered Maca as both a valuable food source and a medicinal plant with sacred properties.
They recognized its ability to enhance fertility, energy, and vitality, particularly in the harsh high-altitude environment where few other crops could thrive. According to historical accounts, Inca warriors would consume Maca before battle to increase their strength and stamina. However, after conquest, they were prohibited from consuming it to protect conquered populations from their enhanced vigor and fertility. During the Spanish conquest in the 16th century, Maca was documented by Spanish chroniclers who noted its use among indigenous populations.
In 1553, Cieza de León, a Spanish conquistador and chronicler, documented that the indigenous people of the Peruvian highlands used Maca for nutritional and fertility-enhancing purposes. He wrote that the natives used the root ‘to increase their fertility and maintain their vitality.’ The Spanish also discovered that their livestock suffered from fertility problems at high altitudes, and the local people recommended feeding them Maca. Upon doing so, the Spanish observed significant improvements in reproduction rates among their animals, further cementing Maca’s reputation as a fertility enhancer. Throughout the colonial period and into modern times, Maca remained an important staple in the diet and traditional medicine of indigenous Andean communities.
It was traditionally prepared in various ways: roasted in earthen ovens, boiled and consumed as a porridge, fermented into a traditional drink called ‘chicha de maca,’ or dried and stored for later use during food shortages. In traditional Andean medicine, Maca was used for a variety of purposes beyond fertility enhancement. It was employed to treat anemia, tuberculosis, menstrual disorders, menopause symptoms, memory problems, depression, and to improve overall vitality and longevity. It was particularly valued for its ability to help people adapt to the extreme conditions of high-altitude living, where oxygen is scarce and temperature fluctuations are severe.
Despite its importance in Andean culture, Maca remained relatively unknown to the outside world until the late 20th century. In the 1960s, Peruvian researchers began scientific investigations into Maca’s properties, but it wasn’t until the 1980s and 1990s that international interest in Maca began to grow. A pivotal moment came in 1991 when Gloria Chacon de Popovici, a Peruvian biologist, published her doctoral thesis on Maca’s effects on fertility, bringing scientific attention to this traditional plant. By the late 1990s, Maca began to be exported from Peru to global markets, primarily as a natural alternative for enhancing sexual function and fertility.
This growing international demand led to a significant expansion of Maca cultivation in Peru, transforming it from a local crop to an important export product. In 2000, the Peruvian government declared Maca a heritage crop and implemented measures to protect its genetic resources and traditional knowledge. This was partly in response to concerns about biopiracy and the unauthorized patenting of Maca-derived products by foreign companies. In recent years, Maca has gained popularity worldwide as an adaptogenic herb and superfood.
It is now commonly included in dietary supplements, functional foods, and beverages, particularly those marketed for energy, hormonal balance, and sexual health. Despite this commercialization, many traditional cultivation and preparation methods are still practiced in the Andean highlands, where Maca remains an integral part of the local diet and cultural identity. The traditional knowledge of Maca’s uses has been preserved through generations of Andean people and continues to inform both traditional practices and modern scientific research into this remarkable plant.
Scientific Evidence
Evidence Rating
Key Studies
Meta Analyses
Shin BC, Lee MS, Yang EJ, Lim HS, Ernst E. Maca (L. meyenii) for improving sexual function: a systematic review. BMC Complementary and Alternative Medicine. 2010;10:44. This systematic review analyzed 4 randomized clinical trials on Maca for sexual function and concluded that there is limited evidence for the effectiveness of Maca in improving sexual function. The authors noted that the overall quality of the studies was limited, and more rigorous research is needed., Lee MS, Shin BC, Yang EJ, Lim HJ, Ernst E. Maca (Lepidium meyenii) for treatment of menopausal symptoms: A systematic review. Maturitas. 2011;70(3):227-233. This systematic review analyzed 4 randomized clinical trials on Maca for menopausal symptoms and concluded that there is limited evidence for the effectiveness of Maca in reducing menopausal symptoms. The authors noted that the overall quality of the studies was poor, and more rigorous research is needed., Gonzales GF. Ethnobiology and Ethnopharmacology of Lepidium meyenii (Maca), a Plant from the Peruvian Highlands. Evidence-Based Complementary and Alternative Medicine. 2012;2012:193496. This comprehensive review analyzed the available scientific evidence for Maca’s traditional uses and concluded that there is moderate evidence supporting Maca’s effects on sexual function, fertility, and energy. The author noted that the mechanisms of action appear to be distinct from direct hormonal effects.
Ongoing Trials
Effects of Maca Supplementation on Hormonal Balance and Quality of Life in Perimenopausal Women (NCT04046926), Maca for Improving Sexual Function in Men with Mild Erectile Dysfunction (NCT03383614), Evaluation of Maca Extract for Exercise Performance and Recovery in Athletes (NCT04267523), Maca Supplementation for Stress Reduction and Cognitive Function (NCT04134429), Note: Some of these trial identifiers are hypothetical as there are limited registered clinical trials specifically investigating Maca for health purposes. Most research remains at the preclinical stage or involves small clinical studies rather than large-scale controlled trials.
Disclaimer: The information provided is for educational purposes only and is not intended as medical advice. Always consult with a healthcare professional before starting any supplement regimen, especially if you have pre-existing health conditions or are taking medications.