Penang Pharmacists Symposium 2026.
Penang Pharmacists Symposium 2026
From Vitality to Longevity: Science, Pharmacy
& Better Health Across Life.
The Penang Pharmacists Symposium 2026 (PPS
2026) represents an important platform for advancing pharmacy practice,
scientific knowledge and collaboration across Malaysia's healthcare industry.
“A longer life is a gift. A life lived well is the greater goal.”
This theme moves healthcare beyond simply
treating illness. It highlights the importance of prevention, maintaining
vitality, managing age-related health challenges and improving quality of life
for both men and women.
The following is based on the symposium's
published information.
1. Key facts extracted
Venue St. Giles Wembley, Penang
Theme Vitality to Longevity: A Life-Course
Approach for Men & Women
Attendance More than 250 participants
Participants Pharmacists, healthcare
professionals and industry partners
Scientific programme 9 scientific sessions
Practical programme 5 interactive workshops
Organisers MPS Penang and MPS–YPC Penang
Source: Official PPS 2026 website.
https://www.penangpharmacists.com/programs/pps2026?utm_source=chatgpt.com
2. The important healthcare messages
The symposium highlighted five important areas
of practical healthcare education.
1. Musculoskeletal health
Appropriate knee support, pain management,
mobility and functional assessment.
2. Diabetes and metabolic health
Looking beyond HbA1c through nutritional
assessment and body composition analysis.
3. Hearing and communication
Hearing health as an essential component of
healthy ageing and quality of life.
4. Cardiovascular health
Blood pressure monitoring, atrial fibrillation
screening and ECG monitoring to support early detection and referral.
5. Wound management
Wound assessment, cleansing, topical treatment
and appropriate dressing selection.
These five workshops were led by specialists in
physiotherapy, dietetics, audiology, cardiovascular monitoring and wound care.
https://www.penangpharmacists.com/programs/pps2026?utm_source=chatgpt.com
3. A significant opportunity for the herbal and
nutraceutical industry
One particularly relevant development was the
participation of Biotropics Malaysia Berhad in the symposium exhibition.
According to the event coverage published by
Buletin Mutiara on 20 October 2026:
Biotropics was among the 10 participating
exhibition companies.
The exhibition included pharmaceutical, medical
and healthcare products.
YB Daniel Gooi Zi Sen visited the exhibition
booths.
A photograph accompanying the report showed him
being briefed on supplement tablets by a Nu-Prep representative.
This is meaningful because it demonstrates an
opportunity for Malaysian herbal science and nutraceutical innovation to engage
directly with pharmacists and healthcare professionals.
The wider exhibition also included Zuellig
Pharma, Avant Health, GK Bio, Blackmores, Revo Healthcare, Proxima, Lexus
Penang, Zipper Resources and Omron.
The important message: Herbal products should
not be positioned merely as traditional remedies. Their development, quality,
standardisation, safety and clinical evidence should be communicated clearly to
healthcare professionals.
For Biotropics, this creates a natural
opportunity to introduce the scientific work behind PHYSTA® Tongkat Ali and
KESUM, while ensuring that every health claim is supported by appropriate
evidence.
4. The bigger picture: Why this symposium
matters
The symposium reflects five important
directions for the future of healthcare:
Preventive healthcare – helping people manage
health risks before complications develop.
Gender-specific healthcare – recognising the
different health needs of men and women.
Healthy ageing – maintaining physical,
cognitive and metabolic health throughout life.
Evidence-based practice – translating
scientific findings into appropriate patient care.
Professional collaboration – connecting
pharmacists, medical practitioners, researchers and healthcare industries.
The event's published attendance figure was
more than 250, while Buletin Mutiara subsequently reported more than 300
pharmacists and healthcare professionals.
These are two separately published figures,
rather than a single confirmed final count.
5. Professional storytelling – ready for
publication.
PENANG PHARMACISTS SYMPOSIUM 2026 Bridging
Science, Vitality & Longevity
A longer life is a gift. A life lived well is
the greater goal.
The Penang Pharmacists Symposium 2026, held on
17–18 October at St. Giles Wembley Penang, brought together pharmacists,
healthcare professionals and industry partners under the theme:
“Vitality to Longevity: A Life-Course Approach
for Men & Women.”
With more than 250 participants reported by the
organisers, this two-day symposium highlighted an important shift in modern
healthcare: moving beyond treating illness towards prevention, early
intervention and maintaining quality of life throughout the ageing journey.
Nine scientific sessions and five practical
workshops explored important areas including men's and women's health, diabetes
management, cardiovascular health, mobility, hearing and wound care.
For Biotropics Malaysia Berhad, participation
in the exhibition was an important opportunity to connect Malaysian herbal
science with the professional pharmacy community.
Through PHYSTA® Tongkat Ali and KESUM, we
believe that traditional Malaysian botanical resources deserve to be developed
and communicated through scientific research, standardisation, quality
assurance and responsible clinical evidence.
The future of healthcare requires collaboration
between pharmacists, healthcare professionals, researchers and responsible
industry partners.
Our message is simple:
Science must lead innovation. Evidence must
build confidence. Collaboration must create impact.
Because the ultimate purpose of healthcare is
not simply to live longer, but to live healthier, stronger and better.
Science First, Everything Follows.
Biotropics Malaysia Berhad
6. My strategic assessment for Biotropics
Opportunity Recommended direction
Pharmacists Build scientific awareness of
PHYSTA® and KESUM
Doctors Strengthen clinical evidence
communication
Healthy ageing Develop responsible vitality and
longevity education
Diabetes and metabolic health Position KESUM
research within appropriate evidence boundaries
Men's and women's health Communicate
gender-specific research without overstating benefits
Industry collaboration Develop research,
education and professional engagement.
The strongest positioning is not simply selling
Tongkat Ali or Kesum. It is demonstrating how Malaysian botanical science can
contribute to the future of evidence-based healthcare.
Official references.
Penang Pharmacists Symposium 2026 – Official
programme and highlights
https://www.penangpharmacists.com/programs/pps2026?utm_source=chatgpt.com
Buletin Mutiara – Penang Pharmacists Symposium
highlights vitality and longevity.
PPS 2026 – Original event announcement
https://www.penangpharmacists.com/post/pps2026?utm_source=chatgpt.com
Symposium review · Men's health · Herbal
science
From Root to Evidence: Tongkat
Ali,
Testosterone and Quality of Life
How a Malaysian rainforest root
became one of the most closely studied herbal extracts in men's health, and
what pharmacists should take away from the data.
Based on the lecture by Dr. Annie George, Head of Science, Biotropics Malaysia BerhadPenang Pharmacists Symposium · 17–18 October 2026 · St. Giles Hotel,
Penang
Prologue
A decoction
on the kitchen stove
For generations, Malaysian families have boiled the bitter root of Eurycoma
longifolia, better known as Tongkat Ali, into a water decoction. It was
taken as an energising tonic, to bring down fever, against malaria and as an
aphrodisiac. That knowledge was passed down by word of mouth, but it was never
measured.
Dr. Annie George opened her lecture to young pharmacists in Penang with
a simple question: what does it take to move a traditional remedy from the
kitchen into the pharmacy, with the kind of evidence a healthcare professional
can stand behind? Her answer covered more than two decades of work on one
standardised extract, PHYSTA®, and the methods behind it matter as
much as the results.
Tradition tells us where to
look. Science tells us what is actually there, how much of it, and for whom it
works.
Chapter 1 · Standardisation
Making a
root measurable
The first scientific step had nothing to do with clinical trials. Before
any study can be repeated, every batch has to be the same, and plant material
varies with soil, season, age of the root and how it is processed. PHYSTA® is
a standardised water extract of the root. The water-based
process mirrors the traditional decoction and leaves no residual organic
solvent.
The extract is specified against the Malaysian Standard MS
2409:2011 for Tongkat Ali, and the presentation stated that it
complies with USP and BP specifications for heavy metals and microbial limits.
Its marker profile:
Eurycomanone
0.8–1.5%
Key quassinoid marker
Glycosaponins
> 40%
Major bioactive fraction
Polysaccharides
> 30%
Water-soluble fraction
Protein
> 22%
Includes the
"eurypeptides"
According to the company, this single extract is supported by 28
clinical studies, more than 10 toxicity studies and more
than 25 preclinical studies. That figure is Biotropics' own count. The
point for pharmacists is the principle behind it: clinical results belong to
the specific, standardised extract that was tested. They cannot be assumed for
every product sold as "Tongkat Ali".
Chapter 2 · The clinical problem
Why
testosterone matters in the ageing man
Testosterone in men declines gradually with age. When levels fall far
enough, men can experience changes across three areas of life:
- Physical: loss
of muscle mass, more body fat and lower bone density.
- Emotional and mental: irritability,
fatigue and "brain fog".
- Sexual: lower
libido, erectile difficulties and possible fertility problems.
To track these symptoms the studies used the Ageing Males'
Symptoms (AMS) scale, a validated 17-item questionnaire covering physical,
psychological and sexual domains. Scores of 17–26 indicate no or minimal
symptoms, 27–36 mild, 37–49 moderate, and 50 or more severe.
The local context makes this relevant. The presentation cited the
National Health and Morbidity Survey 2019, which estimated that 78.7%
of sexually active Malaysian men have some degree of erectile
dysfunction, and a Malaysian study of 1,331 men aged 40–76 (Ab Rahman et al.,
2011) that confirmed the problem is common, especially after 40. Pharmacists
are often the first professional these men speak to.
Chapter 3 · The testosterone evidence
Four
clinical studies, four questions
Dr. George presented four human studies on testosterone and ageing-male
symptoms. They were designed differently, and the design determines how much
weight each result can carry. Each card below is labelled by design.
Open-label
Men with
late-onset hypogonadism
Tambi et
al., 2012 · Andrologia 44(S1):226–30
- 76 men with late-onset hypogonadism; 200
mg/day for 1 month
- Men with testosterone in the normal range
rose from 35.5% to 90.8%
- AMS symptom scores fell significantly
Encouraging
signal, but there was no placebo group, so expectation effects can't be ruled
out.
Open-label pilot
Physically
active seniors, men and women
Henkel et
al., 2014 · Phytotherapy Research 28:544–550
- 25 active seniors aged 57–72; 400 mg/day
for 5 weeks
- Total testosterone: men 3.84 → 4.42 ng/mL (+15.1%); women 0.35 → 0.52 ng/mL (+48.6%)
- Handgrip strength: men 46.0 → 53.7 kg (+16.6%); women 29.6 → 33.7 kg (+13.7%)
Small pilot
without a control group. Useful for generating hypotheses.
Placebo-controlled
Moderately
stressed adults
Talbott et
al., 2013 · J Int Soc Sports Nutr 10:28
- 63 adults with moderate stress; 200
mg/day for 4 weeks
- Salivary cortisol −16%; testosterone +37%
- Mood (POMS): tension −11%, anger −12%, confusion −15%
Suggests
that stress hormones and mood are part of the picture, not only testosterone.
Randomised, double-blind, multicentre
Ageing men
with low testosterone
Chinnappan
et al., 2021 · Food Nutr Res 65:5647
- 105 men aged 50–70, testosterone <300
ng/dL; placebo, 100 mg or 200 mg/day for 12 weeks
- Testosterone up significantly (+12% at 2
weeks on 200 mg; +8.8% at 8 weeks on 100 mg); DHEA up about 10%
- AMS score −50% (200 mg) and −42% (100
mg); fatigue score −54% / −40%
- Cortisol −10% and modest gains in muscle strength at 12 weeks
The
strongest design in the set. Safety was monitored with blood count, liver,
kidney and lipid panels.
BeforeAfter 4 wk35.5%90.8%0%25%50%75%100%Share of men with testosterone
in the normal range (6.0–30.0 nmol/L), before and after 200 mg/day PHYSTA® for
4 weeks. Open-label study, n = 76 (Tambi et al., 2012).
How to read these numbers. The rises in testosterone are modest and mostly keep men within
the physiological range. That is the expected profile of a herbal supplement
that supports the body's own production. It is not the effect of testosterone
replacement therapy, and it should not be presented as one. The more useful
outcome for patients is the consistent fall in symptom scores (AMS, fatigue and
mood) seen across studies.
Chapter 4 · Quality of life
Beyond the
lab value: how men feel and function
A blood result only matters to a patient if it changes daily life. Three
further studies looked at the outcomes men actually notice.
Randomised, placebo-controlled
Healthy
men: vitality and sexual well-being
Shaiful et
al., 2012 · Evid-Based Complement Altern Med
- 109 healthy men aged 35–55; 300 mg/day
for 12 weeks
- Improvement in SF-36 physical function
and vitality domains at week 12
- Libido up about 14% (Sexual Health
Questionnaire); fat loss among men with BMI > 25
Randomised, double-blind
Men with
mild erectile dysfunction
Udani et
al., 2014 · Evid-Based Complement Altern Med
- 26 married men aged 40–65 with mild ED
and testosterone ≤450 ng/dL; 200 mg/day for 12 weeks
- Erection hardness +39%; Sexual Health Inventory for Men +26%; AMS −24%
- About 90% reported satisfaction with
sexual experience
Small
trial. The published paper tested PHYSTA® together with Polygonum
minus, so effects can't be attributed to Tongkat Ali alone.
Uncontrolled
Idiopathic
male infertility
Tambi &
Imran, 2010 · Asian J Androl 12:376–380
- 75 men with idiopathic infertility; 200
mg/day, followed for 9 months
- Semen volume +19.3%, sperm concentration +65.5%,
normal morphology +94.9%
- 11 spontaneous pregnancies (14.7%) were
reported among partners
No control
group. Some improvement and pregnancies can occur over 9 months without
treatment.
Performance and recovery
Two sports studies add a related angle. In a 5-week randomised,
placebo-controlled strength-training study (Hamzah & Yusof, 2003, published
as a conference abstract), men taking 100 mg/day gained more strength and arm
circumference and lost more fat mass than those on placebo. In a 2024 brief
report (Talbott & George, Andrology), 30 men took 100 mg or
placebo 30 minutes before a 24-hour mountain-bike event. The PHYSTA® group
had 32.3% lower salivary cortisol and 16.4% higher
salivary testosterone than placebo, and reported less fatigue.
Dr. George's interpretation was that the extract may help shift the body
from a stress-driven, catabolic state toward a better anabolic–catabolic
balance that supports recovery. That remains a hypothesis: it fits the hormone
data but still needs larger trials with performance outcomes.
Chapter 5 · Mechanism and new frontiers
How might
it work, and where is research heading?
Possible mechanisms
Steering steroid production. Early doctoral work (Norhaniza, 2003)
found that a protein fraction from the root, called eurypeptide, increased
expression of the enzyme CYP17A1 in Leydig cells. This enzyme
converts pregnenolone toward DHEA, a precursor of testosterone. The researchers
proposed that the extract may favour androgen production over glucocorticoid
(cortisol) production. That would be consistent with the human data showing
testosterone rising while cortisol falls.
Protecting the testis from oxidative stress. In a
2025 rat study (Eissa et al., J Ethnopharmacol), Tongkat Ali
extract given alongside the chemotherapy drug 5-fluorouracil raised antioxidant
enzymes, reduced lipid peroxidation, and preserved testosterone and sperm
quality compared with untreated animals.
Emerging areas
The lecture also covered earlier-stage research beyond men's hormones:
- Immunity (George
et al., 2016, Phytother Res): compared with placebo,
supplementation improved a composite immune score (SIV) and counts of
total lymphocytes, T-cells, CD4+ and naïve T-cells.
- Women's health (Muniandy
et al., 2025, World J Clin Cases): 120 women aged 45–55 took
50 mg, 100 mg or placebo for 3 months. The 100 mg group improved
significantly more than placebo on the physical, sexual and total domains
of the menopause quality-of-life scale (MENQOL), with better mood scores.
- Gut microbiome (2025):
early data suggest more short-chain-fatty-acid–producing bacteria and
fewer potentially harmful Proteobacteria. Preliminary.
- Longevity (Liu
et al., 2026, Biogerontology): Tongkat Ali extended lifespan
by about 24% in worms (C. elegans) and 20% in fruit flies, with
better stress resistance and mobility.
Keep these in proportion. Animal and model-organism results show possible biology. They are
not evidence of benefit in people. The longevity and microbiome findings are
reasons to do more research, not claims to put on a product.
Chapter 6 · Weighing the evidence
A
pharmacist's evidence map
The overall picture is promising and fairly consistent, but the evidence
is not equally strong for every benefit listed in the conclusion of the
lecture. This table grades each area by the type of study behind it.
|
Area |
Best available evidence |
Strength |
What can be said responsibly |
|
Testosterone and ageing-male symptoms |
Randomised, double-blind, multicentre trial (n = 105) plus supportive
open-label studies |
Moderate |
Clinically studied to support healthy testosterone levels and reduce
ageing-male symptoms |
|
Fatigue, stress and mood |
Two placebo-controlled trials |
Moderate |
May help reduce fatigue and stress-related mood symptoms |
|
Vitality and libido |
Placebo-controlled trials (n = 109; n = 26, combination product) |
Limited–moderate |
May support vitality and sexual well-being in healthy men |
|
Muscle strength and recovery |
Small RCTs and abstracts |
Limited |
Early evidence of strength and recovery support alongside training |
|
Sperm quality |
Uncontrolled study (n = 75) |
Limited |
Promising; needs controlled trials before any fertility claim |
|
Menopausal symptoms, immunity |
Single placebo-controlled trial each |
Limited |
Emerging evidence; awaits replication |
|
Gut health, longevity |
Preliminary human data; worms and fruit flies |
Preclinical |
Research direction only; no consumer claim |
Limitations to keep in mind
- Most trials are small (25–120 people) and short (4–12 weeks).
Long-term data are limited.
- Several studies were open-label or uncontrolled, which tends to
overstate effects.
- Much of the research was funded or co-authored by the manufacturer.
That is common in nutraceutical science and does not invalidate it, but
independent replication would make it stronger.
- All results apply to this standardised extract at the tested doses
(100–400 mg/day). They do not transfer to other Tongkat Ali products.
Chapter 7 · Safety and communication
Talking to
patients responsibly
The safety record presented is reassuring. The extract has more than ten
toxicity studies behind it, and the controlled trials monitored blood counts
and liver, kidney and lipid profiles. Good counselling still matters, because a
man asking about "low T" may have a condition that needs a doctor.
Say
- "Clinically studied to support
healthy testosterone levels."
- "In trials, men reported less
fatigue and fewer ageing-related symptoms."
- "Results apply to this specific
standardised extract at the studied dose."
- "Give it several weeks. Studies ran
for 4 to 12 weeks."
Avoid
- "Boosts testosterone like hormone
therapy."
- "Cures erectile dysfunction or
infertility."
- "Proven to extend lifespan."
- Treating every Tongkat Ali product as
equivalent.
Refer when
- Symptoms suggest diagnosed hypogonadism,
severe or sudden ED, or cardiovascular risk
- The man has prostate or other
hormone-sensitive conditions
- He takes several chronic medicines and
interactions need review
- A couple has been unable to conceive for
a year or more
The referral points above
reflect general pharmacy practice rather than specific content from the
lecture. Product labels and national regulatory guidance should always take
precedence.
Chapter 8 · The road ahead
Taking
Malaysian herbal science to the world
The broader lesson of the lecture was about method. Biotropics, founded
in 2007, has built its standing on standardised extraction, a national product
standard (MS 2409:2011), and a quality system that includes GMP (Ministry of
Health Malaysia), ISO 22000 certification, a US FDA establishment inspection
report, and Halal (JAKIM) and Kosher certification. Its research has been
published in international journals such as Andrologia, Phytotherapy
Research and the Asian Journal of Andrology.
For Malaysian herbal science to earn wider international recognition,
the next steps are clear:
Bigger, longer trials
Pre-registered, multicentre,
placebo-controlled studies with hundreds of participants and follow-up beyond
12 weeks.
Independent replication
Studies run by academic groups
without commercial ties, at home and abroad.
Human mechanism studies
Confirming in people the
hormonal pathways seen in cells and animals.
Pharmacovigilance
Pharmacists reporting adverse
events and interactions to build real-world safety data.
Young pharmacists have a direct part in this. They decide which products
to recommend, how claims are explained to the public, and whether a herbal
product is judged on its evidence or on its marketing.
Tongkat Ali started as a family remedy. Careful
standardisation and clinical research have turned it into a well-characterised
ingredient. Malaysian herbal heritage,
supported by science, is progressing towards international recognition.
Key references cited in the presentation
- Tambi MIBM, Imran MK, Henkel RR.
Andrologia. 2012;44(S1):226–30.
- Henkel RR, et al. Phytotherapy Research.
2014;28:544–550.
- Talbott SM, et al. J Int Soc Sports Nutr.
2013;10:28.
- Chinnappan SM, George A, et al. Food Nutr
Res. 2021;65:5647.
- Ismail SB, et al. Evid-Based Complement
Altern Med. 2012; doi:10.1155/2012/429268.
- Udani JK, George AA, et al. Evid-Based
Complement Altern Med. 2014.
- Tambi MIBM, Imran MK. Asian J Androl.
2010;12:376–380.
- Hamzah S, Yusof A. Br J Sports Med.
2003;37:465–466 (abstract).
- Talbott SM, George A. Andrology.
2024;13:317.
- George A, et al. Phytotherapy Research.
2016; doi:10.1002/ptr.5571.
- Muniandy S, et al. World J Clin Cases.
2025;13(31):109113.
- Eissa et al. J Ethnopharmacol.
2025;337(Pt 2).
- Liu et al. Biogerontology. 2026;27:82.
- Ab Rahman et al. Malaysian Journal of
Men's Health. 2011.
This review
summarises a scientific presentation for healthcare professionals. It is
educational and does not replace clinical judgement or approved product
labelling. PHYSTA® is a registered trademark of Biotropics
Malaysia Berhad.
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