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CLINICALLY PROVEN & published. (original article).
Tongkat Ali Affects
Immune System In Study.
Bradenton, FL—A standardized tongkat ali (TA) supplement supports
healthy immunomodulation, according to new research lead by a team from
Biotropics Malaysia.
The month-long study involved 81
Japanese subjects that took 200 mg/day of TA or a placebo.
Everyone had fairly low scores on the Scoring of Immunological Vigor (SIV)
scale. SIV is an index of immune function.
After four weeks, the SIV and
immunological scores were significantly higher in the TA group than in the
placebo group. Counts for total, naïve, and CD4+ T cells were also higher in
the TA group, which suggest improvements in cell-mediated immunity.
The study was conducted on a branded
extract, LJ100, from HP Ingredients, based here. The data are published
in Phytotherapy
Research.
Clinical
studies
‘SAFE & EFFECTIVE’ .
Tongkat Ali Extract Promotes Immune Health in Middle-Aged Adults, Study
Suggests
·
Jun 22, 2016
· Tongkat ali (Eurycoma longifolia) may be known for its testosterone-boosting potential, but results of a
new clinical trial suggest a standardized tongkat ali extract may also support
immune health in middle-aged adults.
· Researchers found that LJ100 tongkat ali
root water extract from HP Ingredients (Bradenton, FL) may may improve
“comprehensive immunity” and raise the numbers of total, naïve, and CD4+ T cells in both Japanese men and
women aged 40–59. The study authors also noted this is the first time such an
immune effect has been observed after supplementation with tongkat ali.
· For four weeks, 81 subjects were
randomized to consume either 200 mg per day of LJ100 or a placebo, with immune
parameters assessed at the start and conclusion of the four-week experimental
period. The 81 participants were selected from a larger group of 126 subjects
because they posted lower baseline scores on the Scoring of Immunological Vigor
(SIV) assessment, an immune evaluation method designed to describe
“comprehensive immunity,” rather than interpreting each immune function
separately, according to the study authors.
·
At week four, researchers found that SIV
and immunological grade were significantly higher in the LJ100 group than the
placebo group, with particular increases found in total, naïve, and CD4+ T cells. This may indicate
improved adaptive, or cell-mediated, immunity, researchers explained.
·
Additionally, the immunological age of
the LJ100 group was found to be four years younger than the placebo group at
the end of the experimental period, and the LJ100 group also had significantly
higher numbers of lymphocytes.
·
“Our findings indicate for the first
time the immune-related improvements following the ingestion of the propriety
water extract of tongkat ali,” researchers concluded.
·
No serious adverse events were reported
in the study.
·
·
Read more:
·
·
Michael Crane
Associate Editor
Nutritional Outlook Magazine
michael.crane@ubm.com
Associate Editor
Nutritional Outlook Magazine
michael.crane@ubm.com
·
References:
·
George A et al., “Immunomodulation in
middle-aged humans via the ingestion of LJ100/Physta standardized root extract
of Eurycoma
longifolia jack—a randomized, double-blind,
placebo-controlled, parallel study,” Phytotherapy Research, vol. 30, no. 4 (April 2016):
627–635
Clinically Proven.
Research
Article.
Effects of a Proprietary Freeze-Dried Water Extract of
Eurycoma longifolia (Physta)
and Polygonum minus on
Sexual Performance and Well-Being in Men: A Randomized,
Double-Blind, Placebo-Controlled Study
Jay K. Udani,1,2 Annie A. George,3 Mufiza Musthapa,3
Michael N. Pakdaman,1 and Azreena Abas3
1
Medicus Research LLC, Northridge, CA 91325, USA
2Northridge
Hospital Integrative Medicine Program, Northridge, CA 91325, USA
3
Biotropics Malaysia Berhad, Level 52, Menara TM, Jalan Pantai
Baharu, 50672 Kuala Lumpur, Malaysia
Correspondence
should be addressed to Jay K. Udani; jay.udani@medicusresearch.com
Received
16 July 2013; Revised 1 November 2013; Accepted 11 November 2013; Published 12
January 2014
Academic
Editor: Shun-Wan Chan
Copyright © 2014 Jay K. Udani et al. This is an open access
article distributed under the Creative Commons Attribution License, which
permits unrestricted use, distribution, and reproduction in any medium,
provided the original work is properly cited.
Background. Physta is a proprietary product containing a freeze-dried
water extract of Eurycoma longifolia (tongkat ali), which is traditionally used as an energy
enhancer and aphrodisiac.We aimto evaluate a 300mg combination of Physta and Polygonumminus, an antioxidant,with regard to sexual performance and
well-being in men. Methods.Men
that aged 40–65 years were screened for this 12-week randomized, double-blind,
placebo-controlled, parallel-group study. Outcome measures included validated
questionnaires that aimed to evaluate erectile function, satisfaction with
intervention, sexual intercourse performance, erectile hardness, mood, and overall quality of life. Results. 12 subjects in the active group and 14 in the placebo
group completed the study. Significant improvements were noted in scores for
the Sexual Intercourse Attempt diary, Erection Hardness Scale, Sexual Health
Inventory of Men, and Aging Male Symptom scale (𝑃 < 0.05 for all). Three adverse events were reported in the active
group and four in the placebo group, none of which were attributed to study
product. Laboratory evaluations, including liver and kidney function testing,
showed no clinically significant abnormality. Conclusion. Supplementation for twelve weeks with Polygonum
minus and the proprietary Eurycoma
longifolia extract, Physta,was well tolerated
and more effective than placebo in enhancing sexual performance in healthy
volunteers.
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J Int Soc Sports Nutr. 2013; 10: 28.
Published online 2013
May 26. doi: 10.1186/1550-2783-10-28
PMCID: PMC3669033
PMID: 23705671
Effect of Tongkat Ali on stress hormones and psychological mood state in
moderately stressed subjects
This article has
been cited by other
articles in PMC.
Abstract
Background
Eurycoma longifolia is an herbal medicinal plant found in South East Asia
(Malaysia, Vietnam, Java, Sumatra, Thailand). In Malaysia, it is commonly
called tongkat ali and has a range of medicinal properties as a general health
tonic, including improvement in physical and mental energy levels and overall
quality of life [1,2].
The roots of tongkat ali, often called “Malaysian ginseng”, are used as an
adaptogen and as a traditional “anti-aging” remedy to help older individuals
adapt to the reduced energy, mood, and libido that often comes with age [3-7].
In modern dietary supplements, tongkat ali can be found in a variety of
products intended to improve libido and energy, restore hormonal balance
(cortisol/testosterone levels) and enhance both sports performance and weight
loss. The objective of this study was to evaluate the effects of tongkat ali
extract on stress hormone balance (cortisol/testosterone) and psychological
mood state in moderately stressed subjects.
In
both men and women, testosterone levels peak between 25 to 30 years of age -
and thereafter drop approximately 1-2% annually [8,9]. At the age of 60, testosterone levels are
typically only 40-50% of youthful levels and may be lower due to stress and
related lifestyle issues such as diet, exercise, and sleep patterns [10,11]. The benefits of maintaining a youthful
testosterone levels are many, including increased muscle mass and reduced body
fat, high psychological vigor (mental/physical energy), and improved general
well-being [12,13].
Eurycoma contains a group of small peptides referred to as
“eurypeptides” that are known to have effects in improving energy status and sex
drive in studies of rodents [14-16]. The effects of tongkat ali in restoring
normal testosterone levels appears to be less due to actually “stimulating”
testosterone synthesis, but rather by increasing the release rate of “free”
testosterone from its binding hormone, sex-hormone-binding-globulin (SHBG) [17,18].
In this way, eurycoma may be considered not so much a testosterone “booster”
(such as an anabolic steroid), but rather a “maintainer” of normal testosterone
levels and a “restorer” of normal testosterone levels (from “low” back “up” to
normal ranges) [19].
This would make eurycoma particularly beneficial for individuals with
sub-normal testosterone levels, including those who are dieting for weight
loss, middle-aged individuals suffering with fatigue or depression, and
intensely training athletes who may be at risk for overtraining [20,21].
Traditional use
Decoctions of tongkat ali roots have been used for centuries in
Malaysia and Southeast Asia as an aphrodisiac for loss of sexual desire and
impotence, as well as to treat a range of ailments including post-partum
depression, malaria, high blood pressure, and fatigue [22].
Tongkat ali has been referred to as Malaysia’s “home-grown Viagra”
[4] with the Malaysian government investing
considerable effort to license, develop, and sustain research into the
potential health benefits of Eurycoma longifolia through a variety of governmental organizations, including
the Forest Research Institute of Malaysia (FIRM) [22].
Modern extracts
Numerous commercial tongkat ali supplements claim “extract ratios”
from 1:20 to 1:200 without any information about bioactive constituents,
extraction methodology (e.g. ethanol versus water),
or extract purity. Alcohol extracts of eurycoma have been studied in mice for
antimalarial effects of concentrated eurycomalactone [23]
but also exhibit toxic effects at high doses (LD50 at 2.6 g/kg), which would
preclude safe use in humans as a long-term dietary supplement [24,25]. In contrast, hot-water root extracts
standardized for known bioactive components (1% eurycomanone, 22% protein, 30%
polysaccharides, 35% glycosaponin) have been demonstrated to be extremely safe
at high doses and for long-term consumption [26-28].
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Properly standardized hot-water extracts [2,26,29]
have a distinctly bitter taste due to the presence of quassinoids, which are
recognized as some of the bitterest compounds in nature [30,31].
Tongkat ali extracts that do not taste bitter are either not true Eurycoma longifolia root (there are many commercial
examples of “fake” tongkat ali extracts) or are sub-potent in terms of
bioactive constituents, and thus would also be expected to have low efficacy.
Because of tongkat ali’s reputation for libido benefits, there are several
examples of dietary supplements labeled as Eurycoma longifolia, but containing none of the actual root,
and instead being “spiked” with prescription erectile dysfunction drugs
including tadalafil/Cialis, sildenafil/Viagra, and vardenafil/Levitra [4,
personal communication].
Laboratory and animal research
Bhat and Karim [1] conducted an ethnobotanical and
pharmacological review on tongkat ali, noting that laboratory research such as
cell assay studies offer possible mechanistic support for the myriad
traditional uses of tongkat ali, including aphrodisiac [32], antimalarial [33], antimicrobial [34], anti-cancer [35], and anti-diabetic effects [36].
Numerous
rodent studies exist demonstrating reduced anxiety and improved sexual
performance following tongkat ali feeding [37-40], with such effects thought to be due to a
restoration of normal testosterone levels. Eurycoma’s anxiolytic effects have
been demonstrated in a variety of behavioral tests, including elevated
plus-maze, open field, and anti-fighting, suggesting an equivalent anti-anxiety
effect to diazepam as a positive control [37].
Animal
studies have shown that many of the effects of the extract are mediated by its
glycoprotein components [14].
The mechanism of action of the bioactive complex polypeptides (“eurypeptides”
with 36 amino acids) has been shown to activate the CYP17 enzyme (17
alpha-hydroxylase and 17,20 lyase) to enhance the metabolism of pregnenolone
and progesterone to yield more DHEA (dehydroepiandrosterone) and
androstenedione, respectively [29].
This glycoprotein water-soluble extract of Eurycoma longifolia has been shown to deliver anti-aging
and anti-stress benefits subsequent to its testosterone-balancing effects [41,42].
Oral
toxicity studies (Wistar rats) have determined the LD50 of tongkat ali root
extract as 2,000 mg/kg body weight (acute) and the NOAEL (no observed adverse
effect level) as greater than 1,000 mg/kg body weight (28-day sub-acute
feeding), resulting in a classification as Category 5 (extremely safe)
according to the United Nations Globally Harmonized System of Classification
and Labeling of Chemicals (GHS).
In addition to the very high safety profile demonstrated in the
rodent toxicity studies, there are no reported adverse side effects in human
studies of tali supplementation. For example, one 2-month human supplementation
trial [27] of twenty healthy males (age range 38–58),
found high doses of Eurycoma
longifolia extract
(600 mg/day) to have no influence on blood profiles (hemoglobin, RBC, WBC,
etc.) or any deleterious effects on measures of liver or renal function.
Typical dosage recommendations, based on traditional use and on the available
scientific evidence in humans, including dieters and athletes, call for
50-200 mg/day of a water-extracted tongkat ali root standardized to 22% eurypeptides.
Human supplementation trials
Based on a long history of traditional use and confirmation of
biological activity via cell culture and animal feeding studies, several human
supplementation studies have been conducted to evaluate the potential benefits
of tongkat ali for sexual function, exercise performance, weight loss, and
vigor (mental/physical energy).
Importantly,
all of the human trials have used the same water-extracted and standardized
eurycoma root for which a patent has been issued jointly to the Government of
Malaysia and the Massachusetts Institute of Technology (United States Patent
#7,132,117) [29]. The patent discloses a process
whereby Eurycoma
longifolia roots
undergo an aqueous extraction combined with HPLC and size-exclusion
chromatography to yield a bioactive peptide fraction (a 4300 dalton
glycopeptide with 36 amino acids) that is responsible for its effects in
maintaining testosterone levels. The bioactive fraction of Eurycoma longifolia root delivers a demonstrated ability
to improve testosterone levels [41], increase muscle size and strength [43,44],
improve overall well-being [45,46], accelerate recovery from exercise [47]
enhance weight loss [48,49],
reduce stress [50],
and reduce symptoms of fatigue [51-53].
Based on it’s long history of traditional medicinal use as an
“anti-aging” remedy and the series of animal and human supplementation studies
investigating it’s use as a physical and mental performance aid, we undertook a
study of the effects of tongkat ali root extract supplementation in moderately
stressed subjects. Our hypothesis was that tongkat ali supplementation may
influence anabolic/catabolic stress hormone balance and mood state parameters
in a group of volunteers with moderate stress levels.
Methods
All procedures, measurements, and informed consent processes were
reviewed and approved by an external third-party review board (Aspire IRB;
Santee, CA).
Subjects
were recruited in and around Salt Lake City, Utah via flyers asking for
volunteers with “moderate stress levels”. We screened approximately 75 subjects
for moderate levels of psychological stress. Our intention was to complete the
study with 60 subjects (30 subjects per treatment group). We used a screening
survey that we have used in past studies of stress/mood to identify individuals
with moderately elevated levels of perceived stress [19,21,47-50].
Subjects scoring 6 or greater on this screening survey indicated eligibility
for enrollment into the supplementation study (a score of 6–10 indicates
moderate stress).
Sixty-four
(64) subjects (32 men and 32 women) were randomized to receive tongkat ali (TA;
200 mg/day of Physta™, Biotropics Malaysia Berhad; 32 subjects) or look-alike
placebo (PL; 32 subjects) for 4 weeks. The 4-week duration was selected as more
representative of persistent changes in mood state that may result from
superior hormone balance, as opposed to short-term changes in emotions that may
be more closely linked with stressors of daily living.
At
Baseline (week 0) and Post-supplementation (week 4), we assessed Mood State and
Hormone Profile as our primary outcome measurements. Secondary measurements
were made of liver enzymes (ALT; alanine aminotransferase and AST; aspartate
aminotransferase; Alere Cholestech, Waltham, MA), body weight, and body fat percentage
(Tanita; TBF-300A, Arlington Heights, IL).
Mood
State (Vigor, Depression, Anger, Confusion, Fatigue, and Anxiety) was assessed
using the validated Profile of Mood States (POMS) survey. Hormone profile
(cortisol and testosterone) was assessed in saliva samples collected at three
time points during each collection day (morning, afternoon, and evening).
Saliva samples were analyzed for free cortisol and free testosterone by enzyme
immunoassay (Salimetrics; State College, PA).
Results
were analyzed by one-way analysis of variance (ANOVA) with significance set at
p < 0.05.
Sixty-three subjects (32 men and 31 women) completed the study,
with one woman in the supplement group lost to follow up (did not return final
samples).
Results
Three subjects reported feeling unusually fatigued during the
first two weeks of the study (two subjects in the TA group and 1 subject in the
placebo group). There were no other adverse events or side effects reported.
Over
the course of the supplementation period, there were no significant changes in
markers of liver function (AST/ALT), body weight or body fat percentage.
Mood
state parameters showed mixed results (Figure 1), with no effect observed between
supplementation groups for indices of Depression, Vigor, or Fatigue, whereas
significant improvements were found in the TA group for Tension (−11%), Anger
(−12%), and Confusion (−15%) compared to placebo. A non-significant trend
(p = .083) was found for an improvement in overall well-being in the TA group
(+3% in Global Mood State).
Profile of Mood States (POMS). Daily supplementation (200 mg/day for 4 weeks) with
tongkat ali (TA) resulted in significant improvements compared to placebo (PL)
for indices of Tension (−11%), Anger (−12%), and Confusion (−15%) in moderately
stressed adults (N = 63). * = p < 0.05 by ANOVA.
Hormone profile (salivary cortisol and testosterone) was
significantly improved by TA supplementation, with reduced cortisol exposure
(−16%, Figure 2), increased testosterone status (+37%,
Figure 3) and overall improved cortisol:testosterone
ratio (−36%) in the TA group compared to placebo.
Salivary cortisol. Salivary cortisol levels were significantly lower (−16% compared
to placebo, PL) following tongkat ali (TA) supplementation (200 mg/day for
4 weeks). * = p < 0.05 by ANOVA.
Salivary testosterone. Salivary testosterone levels were significantly
higher (+37% compared to placebo, PL) following tongkat ali (TA)
supplementation (200 mg/day for 4 weeks). * = p < 0.05 by ANOVA.
Discussion
The current study found that daily supplementation with tongkat
ali root extract (200 mg/day) improves stress hormone profile (lower cortisol;
higher testosterone) and certain mood state parameters (lower tension, anger,
and confusion). These findings are in agreement with several recent
supplementation trials in humans, suggesting that tongkat ali may be an
effective approach to shielding the body from the detrimental effects of
chronic stress from daily stressors, dieting for weight loss, sleep deprivation,
and intense exercise training.
Previous
studies have determined that Eurycoma longifolia contains a group of small peptides referred to as
“eurypeptides” that are known to have effects in improving energy status and
sex drive in studies of rodents [14-16]. The precise mechanism by which
eurypeptides or tongkat ali root extract restores normal testosterone levels is
unknown, but has been suggested as influencing the release rate of “free”
testosterone from its binding hormone, sex-hormone-binding-globulin (SHBG) [17,18].
In
two recent studies of young men undergoing a weight-training regimen [43,44]
tongkat ali supplementation (100 mg/day) improved lean body mass, 1-RM
strength, and arm circumference to a significantly greater degree compared to a
placebo group.
In
a recent 12-week trial [46] of Eurycoma longifolia supplementation (300 mg/day), men (30–55 years of age)
showed significant improved compared to placebo in the Physical Functioning
domain of the SF-36 quality of life survey. In addition, sexual libido was
increased by 11% (week 6) and 14% (week 12) and abdominal fat mass was
significantly reduced in subjects with BMI > 25 kg/m2.
In
men with low testosterone levels (average age 51 years), one month of daily
supplementation with tongkat ali extract (200 mg/day) resulted in a significant
improvement in serum testosterone levels and quality-of-life parameters [41], suggesting a role for tongkat ali as an
“adaptogen” against aging-related stress. Another study of healthy adult males
(average age 25 years), 100 mg/day of tongkat ali extract added to an intensive
strength training program (every other day for 8 weeks) resulted in significant
improvements in fat-free mass, fat mass, maximal strength (1-RM) and arm
circumference compared to a placebo group [43].
These results indicate that tongkat ali extract is able to enhance muscle mass
and strength gains, while accelerating fat loss, in healthy exercisers, and
thus, may be considered a natural ergogenic aid for athletes and dieters alike.
One
study of middle-aged women (aged 45–59 years) found that twice-weekly strength
training plus 100 mg/day of Eurycoma longifolia extract for 12 weeks enhanced fat free mass to a greater
degree compared to women adhering to the same strength training program and
taking a placebo [44].
Additional studies in dieters [48-50]
and athletes [47]
have shown 50-100 mg/day of tongkat ali extract to help restore normal
testosterone levels in supplemented dieters (compared to a typical drop in
testosterone among non-supplemented dieters) and supplemented athletes
(compared to a typical drop in non-supplemented athletes). In one trial of
endurance cyclists [47]
cortisol levels were 32% lower and testosterone levels were 16% higher in
supplemented subjects compared to placebo, indicating a more favorable
biochemical profile for promoting an “anabolic” hormone state.
For
a dieter, it would be expected for cortisol to rise and testosterone to fall
following several weeks of dieting [54]. This change in hormone balance (elevated
cortisol and suppressed testosterone) is an important factor leading to the
familiar “plateau” that many dieters hit (when weight loss slows/stops) after
6–8 weeks on a weight loss regimen. By maintaining normal testosterone levels,
a dieter could expect to also maintain their muscle mass and metabolic rate (versus a drop in both subsequent to lower testosterone levels) –
and thus continue to lose weight without plateauing.
For
an athlete, the same rise in cortisol and drop in testosterone is an early
signal of “overtraining” – a syndrome characterized by reduced performance,
increased injury rates, suppressed immune system activity, increased appetite,
moodiness, and weight gain [55]. Maintenance of normal
cortisol/testosterone levels in eurycoma-supplemented subjects may be able to
prevent or reduce some of these overtraining symptoms as well as help the
athlete to recover faster and more completely from daily training bouts.
These results indicate that daily supplementation with a properly
standardized tongkat ali root extract improves stress hormone profile and
certain mood state parameters, suggesting that this “ancient” remedy may be an
effective approach to shielding the body from the detrimental effects of
“modern” chronic stress, which may include general day-to-day stress, as well
as the stress of dieting, sleep deprivation, and exercise training.
Conclusions
A wide range of investigations, from laboratory research, to
animal feeding studies, to human supplementation trials, have confirmed the
health benefits and traditional use of tongkat ali root extract. Laboratory
evidence shows that eurycoma peptides stimulate release of free testosterone
from its binding proteins and improve overall hormone profiles. More than a
dozen rodent feeding studies have demonstrated improved sex drive, balanced
hormonal profiles, and enhanced physical function. Human supplementation trials
show a clear indication of reduced fatigue, heightened energy and mood, and
greater sense of well-being in subjects consuming tongkat ali root extracts. It
is important to note that the majority of these studies, and all of the human
supplementation trials, have been conducted on specific hot-water-extracts
of Eurycoma longifolia (which is the traditional Malaysian
preparation) produced using a patented extraction process to isolate and
concentrate the bioactive compounds.
In conclusion, tongkat ali, used for centuries in traditional
medicine systems of Southeast Asia for treating lethargy, low libido,
depression, and fatigue, appears to have significant potential for restoring
hormone balance (cortisol/testosterone) and improving psychological mood state
in humans exposed to various modern stressors, including aging, dieting, and
exercise stress.
Competing
interests
The authors have no directly competing interests, although one
(AG) is an employee of a company that manufactures tongkat ali extract, and
another (MP) is an employee of a nutrition company that uses tongkat ali as one
ingredient in an anti-stress dietary supplement. The other authors (ST and JT)
conducted this study as employees of SupplementWatch, which received funding
for this trial from Biotropics Malaysia.
This study was funded by Biotropics Malaysia and conducted by
SupplementWatch.
Authors’
contributions
Each author contributed significantly to the successful carriage
of this study. ST designed the study and drafted the manuscript. JT coordinated
the IRB approval, subject visits, and sample inventory. AG and MP participated
in the study design and coordination of subject visits. All authors read and
approved the manuscript.
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Articles from Journal
of the International Society of Sports Nutrition are provided here
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Effect of Tongkat Ali on stress hormones and psychological mood state in moderately stressed subjects
ANDRO PLUS 200.
Asian J Androl. 2010 May; 12(3): 376–380.
Published online 2010 Mar 29. doi: 10.1038/aja.2010.7
PMCID: PMC3739276
PMID: 20348942
Eurycoma longifolia Jack in managing idiopathic male infertility
This article has been cited by other articles in PMC.
Introduction
Male infertility is a multifactorial disease, with numerous factors contributing to both reduced spermatogenesis and the production of dysfunctional sperm, which are the most prevalent underlying characteristics found in cases of idiopathic male infertility 1. A meta-analysis of 61 studies worldwide reported a downward trend in sperm count and semen volume over the past 50 years 2, 3. Among the causes of male infertility,the prominent ones namely idiopathic infertility,followed with varicocele, maldescended testes,infections, hormonal causes and gebetic effects. Given its etiologic heterogeneity, successful treatment of male infertility is quite challenging .
Eurycoma longifolia Jack, locally known as Tongkat ali, is a common shrub found along the slopes in hilly terrains of the Malaysian rainforest. A water decoction of the root of Tongkat ali is a well-known traditional supplement for the enhancement of sexuality and fertility and is also used as an anti-aging tonic 4, 5, 6, 7, 8. This aqueous extract contains, among other things, tannins, high-molecular-weight polysaccharides, glycoprotein, mucopolysaccharides and quassinoid alkaloids, which exhibit anti-malarial, anti-ulcer, anti-tumor, anti-parasitic and anti-pyretic activities 5, 6, 7, 8, 9, 10, 11.
Animal studies have shown that the anti-cancer, pro-fertility and aphrodisiac properties of this extract are mediated by its glycoprotein components 12, 13. Recent human trials have proven its testosterone-enhancing and anti-stress or anti-aging effects, which are accompanied or mediated, respectively, by normalized serum growth hormone concentrations and elevated concentrations of superoxide dismutase (SOD), an important anti-oxidant 14, 15, 16, 17, 18, 19. Therefore, this study aimed to investigate the fertility-enhancing effects of Tongkat ali. We hypothesized that a standardized extract of the Eurycoma longifoliaJack root may prove useful in treating men with idiopathic infertility; namely, men with low sperm concentration with or without low motility and a decreased percentage of sperm showing normal morphology. The secondary aim was to investigate a possible increase in the pregnancy rate during treatment.
Materials and methods
Between early 2004 and late 2007, a total of 350 male partners from sub-fertile couples attending the Wellmen Clinic, Damai Service Hospital, Kuala Lumpur, Malaysia, were identified as having idiopathic infertility, in the setting of low sperm concentration, decreased motility and abnormal sperm morphology. Out of the 350 patients initially recruited, a total of 75 male patients with an average age of 32.7 years and a history of infertility of 5.3 years fulfilled the inclusion criteria and were treated with two capsules of 100 mg of a proprietary standardized water-soluble extract of Eurycoma longifolia Jack root (US Patent: US7, 132,117B2 from Phytes Bioteks, Biotropics Malaysia, Berhad, Malaysia), taken orally twice daily after eating. The dose of 200 mg daily was determined by an earlier dosing study 18, 19. Follow-up examinations were conducted every 3 months for three cycles. In each of these examinations, a semen analysis according to World Health Organization (WHO) guidelines 20 and determination of the testicular volume (based on Prader's orchidometer) were performed. The principal parameter to be evaluated was improvement in the sperm parameters (sperm concentration, motility and morphology). The secondary parameter was achievement of pregnancy in the female partner. There was a drop in the patients' compliance from the second to the third follow-up examination owing to dropout and pregnancies of the female partner.
The data were analyzed using SPSS version 12 (SPSS Inc., Chicago, IL, USA). After confirming normal distribution using the Kolmogorov–Smirnov test, data were expressed as mean ± SE, with trends plotted on line graphs. Paired t-tests were used to assess whether there were any significant differences between the means of the parameters between the baseline and each of the treatment cycles; a P-value of less than 0.05 (two-sided) was considered significant.Results
There was improvement in the seminal parameters in all 75 men who completed the supplement in each of the follow-up cycles. Results are expressed as mean ± SE for each parameter in Table 1. Statistically significant differences between each cycle and baseline are indicated in Table 1. The changes in the means of sperm concentration, percentage of sperm with normal morphology and semen volume over the three cycles of treatment are also illustrated in Figures 1
23.
3. In Figure 1, the sperm concentration (million per mL) significantly increased from the baseline to the first cycle. It went down at the second cycle and peaked at the third cycle. When paired comparison performed using paired t-test, the mean differences were 5.4, 5.5 and 14.9 million per ml at each of the paired comparison (data not shown) that is at the baseline and at the first cycle, at the baseline and at the second cycle, at the baseline and at third cycle. Each pair differed significantly with their P values of 0.007, < 0.001 and 0.007 respectively. Even though in Figure 1, the pattern of the increase is not uniform, it indicates improvement of the sperm concentration at each of the cycle when compared to the baseline sperm concentration. In Figure 2, it shows the mean percentage of sperm with normal morphology also generally increased consistently except in the last cycle, cycle 3 where it dipped slightly. There were statistically significant improvements in sperm concentration and sperm morphology from baseline to each cycle of treatment (Table 1). The mean sperm concentration and percentage of sperm with normal morphology increased from baseline by 65.5% and 94.9%, respectively, at the third cycle of treatment. An upward trend in semen volume was also seen, although this failed to reach statistical significance (Figure 3). The mean sperm motility at the first cycle of treatment was significantly increased from baseline (P = 0.037); no further changes were observed over the subsequent cycles (Table 1).
In all, 75 men completed at least one cycle of treatment, 49 men completed two cycles and 17 men completed three cycles. There were 11 (14.7%) spontaneous pregnancies during this time, 6 of which were achieved at completion of the first cycle of treatment and 5 of which were achieved at completion of two cycles of treatment. The semen parameters of male patients whose partner conceived are shown in Table 2. There were no differences in the mean semen volume at baseline (3.50 mL), in the first (2.83 mL) or in the second (3.38 mL) follow-up examination. In addition, there were also no marked differences in the mean sperm concentration at baseline (28.47 million per mL), in the first (27.57 million per mL) or in the second (33.60 million per mL) follow-up examination.
However, in those men whose female partners became pregnant, sperm motility increased significantly from the initial examination (44.00%) to the first follow-up (56.00%) and the second follow-up (58.60%). A similar trend was seen for the percentage of sperm with normal morphology, which improved from 10.36% at the time of baseline examination to 16.54% at the first follow-up and 16.00% at the second follow-up examination. After completion of this study, those patients whose partner failed to conceive were given the option of using assisted reproduction (ART), at which point 60% underwent intra-uterine insemination (IUI), 20% underwent in vitro fertilization (IVF) and 5.3% were treated with IVF/intracytoplasmic sperm injection technique (ICSI).
Discussion
This study clearly shows an improvement in the main seminal parameters in infertile patients treated with the proprietary standardized water-soluble extract of Eurycoma longifolia Jack, with significant increases in sperm concentration and the percentage of sperm with normal morphology after each treatment cycle. The exact mechanism of action of this extract at the level of the reproductive cell remains unknown. However, the beneficial effect may be attributed to its testosterone-enhancing effect and antioxidant properties, which have been well documented in the previous studies 14, 15, 16, 17, 18, 19. Eurycoma longifolia Jack was reported to contain a bioactive peptide, which has been shown to increase the testosterone levels in rat Leydig cells 13. Recent human trials also showed that the extract of Eurycoma longifolia Jack enhanced total testosterone and dihydroepiandrosterone levels 14, 15, 16, 17, 18, 19. The same studies also showed that the Eurycoma longifolia Jack extract contains SOD activity. Considering that the antioxidant supplementation is thought to improve male reproductive functions 21, 22, 23, these properties may contribute to the improvement in sperm concentration and sperm morphology.
A large number of men are infertile owing to abnormalities in sperm production, especially severe defects in sperm morphology, which render the sperm dysfunctional and greatly reduce the partner's chances of pregnancy 24. Therefore, infertile couples have to rely on costly techniques such as ART (for example, IVF). Sperm morphology and concentration have been shown to be significantly associated with the fertilization rate in vitro and have been deemed to be decisive factors in the selection of appropriate ART techniques to treat infertile couples efficiently 25, 26. Consequently, it is noteworthy that 11 (14.7%) spontaneous pregnancies were achieved after the treatment of infertile men presenting with idiopathic infertility in the setting of decreased sperm concentration, poor sperm motility and abnormal sperm morphology, using the proprietary standardized water-soluble extract of Eurycoma longifolia Jack. Semen parameters of those patients whose partners achieved pregnancy showed increased percentages of normal sperm morphology and motility following treatment with this herbal extract. It is also intriguing to observe that the herbal extract significantly improved sperm concentration and sperm morphology in patients whose partners did not become pregnant. In these cases, other parameters, such as poor chromatin condensation or sperm DNA fragmentation, might have been the limiting factors that prevented fertilization 27. Nonetheless, the increase in sperm concentration and morphologically normal sperm allowed couples a chance of natural conception, or to forgo IVF and undergo less invasive and less expensive ART options, such as IUI, instead. In total, 60% of the patients in this study underwent IUI based on their seminal parameters after treatment with the extract of Eurycoma longifolia Jack. Before treatment, seminal parameters did not permit this possibility in any case, meaning that these patients would have been forced to opt for a more invasive and expensive ART treatment, such as IVF. Thus, the results of this study indicate that sperm quality can be improved by treating men with traditional remedies, which in turn can improve the pregnancy rates.
Conclusion
The results of this study suggest that treatment with the proprietary standardized extract of Eurycoma longifolia Jack significantly improves semen volume, sperm concentration, sperm motility and the percentage of morphologically normal sperm in men with idiopathic infertility. As spontaneous pregnancies were achieved in 14.7% of couples in our study and the use of a less invasive, cheaper variety of ART became possible in another 60%, the treatment of such patients with Eurycoma longifolia Jack might be an option in the management of male infertility.
In light of the encouraging results of the present study, further studies in a larger group of patients, with follow-up of the outcomes of the ART procedures, are required to elucidate the potential role of Eurycoma longifolia Jack in the treatment of male infertility.
Conflict of interest
The authors declare no competing commercial interests in relation to the company that produced the Standardized Water-soluble extract of Eurycoma longifolia. We have not received grant support from the company.
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Len Seng.
76-G,
Jalan 1, Taman Len Seng,
56000 Cheras, Kuala Lumpur.
56000 Cheras, Kuala Lumpur.
Tel : 03
– 9107 5362.
3. Klinik Murugesu.
No 29, Jalan Tun Mohd Fuad 2, Taman Tun Dr.Ismail,
60000 Kuala Lumpur.
Tel : 03 - 7728 2879.
4. Klinik Rakan Medik.
No 45 Jakan Suasa 5, Pekan Sungai Besi,
57000 Kuala Lumpur.
Tel : 03 - 9058 5926.
5. Klinik Akashah.
No 4, Jalan Dutamas Seroja 3, Taman Segambut (SPPK),
51200 Kuala Lumpur.
Tel : 03 - 6251 0922.
6. Klinik Tan & Mano Sdn.Bhd.
Plaza OSK, Jalan Ampang, Hampshire Park,
50450 Kuala Lumpur.
Tel : 03 - 2166 2050.
7. Klinik Mediviron (Jalan Imbi)
8, Jalan Utara Off Jalan Imbi,
55100 Kuala Lumpur.
Tel : 03 - 2148 5666.
8. Klinik Medica.
3, Jalan 6/155, Bukit Jalil Integrated Business Park,
58200 Kuala Lumpur.
Tel : 03 - 7781 5350.
9. Klinik Medi Pesona (Bangsar)
No 1, GF, Jalan Bangsar Utama 3,
Bangsar Utama,
59000 Kuala Lumpur.
Tel : 03 - 2288 1439.
10. Poliklinik Avicenna.
Unit L3-23A, 3rd Floor, Terminal Bersepadu Selatan.
Bandar Tasek Selatan,
57100 Kuala Lumpur.
Tel : 014 - 501 2107.
11. Politik Desilva
7, Jalan Perdana 4/5,
Pandan Perdana,
55300 Kuala Lumpur.
Tel : 03 - 9282 1721.
12. Klinik Dr. Jorahaliza.
No 2, Jalan P9B 1/2, Presint 9,
62250 W.P. Putraja Jaya.
Tel : 03- 8891 1063.
3. Klinik Murugesu.
No 29, Jalan Tun Mohd Fuad 2, Taman Tun Dr.Ismail,
60000 Kuala Lumpur.
Tel : 03 - 7728 2879.
4. Klinik Rakan Medik.
No 45 Jakan Suasa 5, Pekan Sungai Besi,
57000 Kuala Lumpur.
Tel : 03 - 9058 5926.
5. Klinik Akashah.
No 4, Jalan Dutamas Seroja 3, Taman Segambut (SPPK),
51200 Kuala Lumpur.
Tel : 03 - 6251 0922.
6. Klinik Tan & Mano Sdn.Bhd.
Plaza OSK, Jalan Ampang, Hampshire Park,
50450 Kuala Lumpur.
Tel : 03 - 2166 2050.
7. Klinik Mediviron (Jalan Imbi)
8, Jalan Utara Off Jalan Imbi,
55100 Kuala Lumpur.
Tel : 03 - 2148 5666.
8. Klinik Medica.
3, Jalan 6/155, Bukit Jalil Integrated Business Park,
58200 Kuala Lumpur.
Tel : 03 - 7781 5350.
9. Klinik Medi Pesona (Bangsar)
No 1, GF, Jalan Bangsar Utama 3,
Bangsar Utama,
59000 Kuala Lumpur.
Tel : 03 - 2288 1439.
10. Poliklinik Avicenna.
Unit L3-23A, 3rd Floor, Terminal Bersepadu Selatan.
Bandar Tasek Selatan,
57100 Kuala Lumpur.
Tel : 014 - 501 2107.
11. Politik Desilva
7, Jalan Perdana 4/5,
Pandan Perdana,
55300 Kuala Lumpur.
Tel : 03 - 9282 1721.
12. Klinik Dr. Jorahaliza.
No 2, Jalan P9B 1/2, Presint 9,
62250 W.P. Putraja Jaya.
Tel : 03- 8891 1063.
SELANGOR DARUL EHSAN.
1. Jaziff
Medical Sdn Bhd.
49, Jalan
USJ 11/3B, USJ 11,
47620 Subang Jaya, Selangor.
47620 Subang Jaya, Selangor.
Tel : 03
–
2. Allied Healthcare Group Sdn Bhd.
No 1 –
11, Jalan B/3 A, Dagang Avenue, Taman Dagang,
68000 Ampamg, Selangor.
68000 Ampamg, Selangor.
Tel : 03
– 4270 3257.
3. Klinik Famili Shimah.
61, Jalan
23 Taman Bukit Kuchai,
47100 Puchong, Selangor.
47100 Puchong, Selangor.
Tel : 03
– 8070 3842.
4. Klinik Utara.
No. 93, Jalan
Rengas, Taman Selatan,
41200 Klang, Selangor.
41200 Klang, Selangor.
Tel : 03
– 3373 0763.
5. Klinik Keluarga Azian & Elina.
5. Klinik Keluarga Azian & Elina.
No 8,
Jalan Demang 5, Taman Shah Bandaraya, Kampung Jawa,
41000 Klang, Selangor.
41000 Klang, Selangor.
Tel : 03
– 3372 1418.
6. Klinik Permai.
No : 47,
Jalan USJ 1 / 19, USJ 1, Subang Jaya,
47800 Selangor.
47800 Selangor.
Tel : 03
– 5636 7352.
7. Kajang
Klinik.
3, Jalan
Tuanku Hishamuddin,
43000 Kajang, Selangor.
43000 Kajang, Selangor.
Tel : 03
– 8733 1536.
8. Poliklinik Seri Putra.
37, Jalan
Seri Putra ¼, Bandar Seri Putra,
43000 Kajang Selangor.
43000 Kajang Selangor.
Tel : 03
– 8922 2637.
9. Klinik Mediviron (Petaling Jaya)
No 27, Jalan Othman, PJ Old Town,
46000 Petaling Jaya, Selangor.
Tel : 03 - 7781 0957.
10. Klinik Dr. Rozita.
No 61-G, Ground Floor, Jalan Bidara 10,
Saujana Utama,
47000 Sungai Buluh, Selangor.
Tel : 03 - 6039 6712.
11. Klinik Wong Singh (Country Homes)
No 4 & 5, Jalan Desa, Bandar Country Home,
48000 Rawang, Selangor.
Tel : 03 - 8091 6513.
12. Poliklinik Keluarga.
No 39, Jalan Dato Muda Jaafar,
44000 Kuala Kubu Bharu, Selangor.
Tel : 03 - 6064 1412.
13. Klinik Shukor.
G-56, Jalan SP 5/4, Taman Serdang Perdana,
43300 Seri kembangan, Selangor.
Tel : 03 - 8958 1898.
14. Poliklinik Care Medics.
No 10, Jalan BP 7/11, Bandar Puchong,
47120 Puchong, Selangor.
Tel : 03 - 8051 9725.
15. Klinik Kapar.
No 4 & 4A, Jalan Besar,
42200 Kapar, Selangor.
Tel : 03 - 3250 8130.
16. Klinik Najihah.
1012, Batu 11, Pekan Kapar,
42200 Kapar, Selangor.
Tel : 03 - 3259 2667.
17. Klinik Rohayati.
Lot 11577, Taman Mesra, Batu 13, Jalan Cheras,
43000 Selangor.
Tel : 03 - 8734 5914.
18. Poliklinik Permai.
No 47, Jalan USJ 1/19, USJ 1,
Subang Jaya
47800 Selangor.
Tel : 03 - 5636 7352
19. Klinik Vilayutham.
161, Jalan Besar, Pekan Sg. Pelek,
Sg. Pelek
43950 Selangor.
Tel : 03 - 3141 1389.
20. Klinik Jothy.
No 6, Lorong Pending 4A,
Bandar Puteri,
40100 Klang,
Selangor.
Tel : 03 - 5161 5092.
21. Victor Medical Practice.
16, Jalan USJ 4/9G,
Subang Jaya,
47600 Selangor.
Tel : 03 - 8023 3640
22. Klinik Safwa,
No 133, Jalan Jasa Off Jalan Haji Sirat Batu Belah,
Klang,
42100 Selangor.
Tel : 03 - 3341 6767
23. Klinik Wong Singh (Country Homes).
No 4 & 5, Jalan Desa 1/1,
Bandar Country Homes,
Rawang,
48000 Selangor.
Tel : 03 - 8091 6513.
24. Klinik Famili Leiya,
11, Jalan Gemilang 1, Pusat Perdagangan,
Gemilang,
Sepang,
43900 Selangor.
Tel : 03 - 3373 0763.
25. Klinik Utara
No 93, Jalan Rengas, Taman Selatan,
Klang,
41200 Selangor.
Tel : 03 - 3373 0763
26. Klinik Bayu
No 6, Jalan Batu Unjur Satu,
Taman Bayu Perdana,
Klang,
41200 Selangor.
Tel : 03 - 3324 1696
27. Klinik Najihah
1012, Batu 11, Pekan Kapar,
Klang,
42200 Selangor.
Tel : 03 - 3259 2667.
28. Klinik Jacob
45 E, Kundang New Village,
Rawang,
48020 Selangor.
Tel : 03 - 6034 1260.
29. Klinik Dr. Rosli
No 1, Lorong Dendang Laut 1,
Sasaran,
45800 Jeram
Kuala Selangor,
Selangor.
Tel : 03 3264 7961
30. Evernexs Biosys Health Care.
No 4-A & 4-B, Lorong Tingkat KS01,
Off Jalan Istana,
41000 Klang,
Selangor.
Tel : 03 - 3370 1935.
31. Klinik Mediviron (Bukit Rimau),
No G.21 & G.22, Ground Floor,
Carrefour Shopping Centre Bukit Rimau,
Lot No 2, Jalan Sg. Buluh 32/68, Section 32,
40460 Shah Alam,
Selangor.
Tel : 03 - 5121 9540
32. Klinik Genga
81, Jalan 20/7, Paramount Garden,
16300 Petaling Jaya,
Selangor.
Tel : 03 - 7875 7672.
33. Klinik Ikhwan,
17, LNS B8/B, Seksyen 8,
Bandar Puncak Alam,
42300 Selangor.
Tel : 03 - 3393 3259.
34. Poliklinik Mindaku Sdn.Bhd
38, Jalan Opera G U2/G,
Taman TTDI Jaya,
40150 Shah Alam
Selangor.
Tel : 03 - 7845 4654
35. Klinik Sulaiman Talib Sdn Bhd,
SH -19, Jalan 7, Greenwood Park,
68100 Batu Caves,
Selangor.
Tel : 03 - 6189 5032.
36. Klinik Sri Penawar,
66, Jalan 1, Taman Paduka,
45000 Kuala Selangor,
Selangor.
Tel : 03 - 3289 4911.
37. Klinik Megah,
19, Jalan Megah 29,
Taman Megah Cheras,
Batu 9 1/2, Jalan Cheras,
43200 Kajang,
Selangor.
Tel : 03 - 5033 2700.
38. Jaziff Medical Sdn Bhd,
49, Jalan USJ 11/3B,
USJ 11,
47620 Subang Jaya
Selangor.
Tel : 03 - 398 8377
39. Klinik Jacob.
45E, Kundang New Village,
48020 Rawang, Selangor Darul Ehsan.
Tel : 03 - 6034 1260.
40. Klinik Ros & Rakan-Rakan.
25, Jalan Dahlia 2/2,
Kawasan Perindustrian Bandar Baru Salak Tinggi,
43900 Sepang,
Selangor Darul Ehsan.
41. Klinik Keluarga Aishah.
14, LKR Sultan Abd. Samad 2,
Bandar Sultan Sulaiman,
42000 Perlabuhan Klang,
Selangor Darul ehsan.
Tel : 03 - 3176 7400.
42. Klinik Zul
Lot 227 - A1, Jalan Sg. Udang,
41250 Klang, Selangor Darul Ehsan.
Tel : 03 - 3373 5253.
43. QHC Medical Centre.
No 2, Jalan USJ 9/5R, UEP,
47620 Subang Jaya,
Selangor Darul Ehsan.
Tel : 03 - 8024 5764.
44. Poliklinik Langat.
Lot 1531, Batu 12 1/2 Dusun Mandling,
43100 Hulu Langat,
Selangor Darul Ehsan.
Tel : 03 - 9021 5464.
45. Dr.Leela Ratos Dan Rakan-Rakan.
86, Jalan Othman 2/40,
46000 Petaling Jaya,
Selangor Darul Ehsan.
Tel : 03 - 7782 2061.
PERAK.
1. KLINIK RAWATAN AHSAN.
No 1, Lorong Anggerik, Taman Desa Bersatu,
36400 Hutan Melintang, Perak.
Tel : 019 - 575 0707.
No 27, Jalan Othman, PJ Old Town,
46000 Petaling Jaya, Selangor.
Tel : 03 - 7781 0957.
10. Klinik Dr. Rozita.
No 61-G, Ground Floor, Jalan Bidara 10,
Saujana Utama,
47000 Sungai Buluh, Selangor.
Tel : 03 - 6039 6712.
11. Klinik Wong Singh (Country Homes)
No 4 & 5, Jalan Desa, Bandar Country Home,
48000 Rawang, Selangor.
Tel : 03 - 8091 6513.
12. Poliklinik Keluarga.
No 39, Jalan Dato Muda Jaafar,
44000 Kuala Kubu Bharu, Selangor.
Tel : 03 - 6064 1412.
13. Klinik Shukor.
G-56, Jalan SP 5/4, Taman Serdang Perdana,
43300 Seri kembangan, Selangor.
Tel : 03 - 8958 1898.
14. Poliklinik Care Medics.
No 10, Jalan BP 7/11, Bandar Puchong,
47120 Puchong, Selangor.
Tel : 03 - 8051 9725.
15. Klinik Kapar.
No 4 & 4A, Jalan Besar,
42200 Kapar, Selangor.
Tel : 03 - 3250 8130.
16. Klinik Najihah.
1012, Batu 11, Pekan Kapar,
42200 Kapar, Selangor.
Tel : 03 - 3259 2667.
17. Klinik Rohayati.
Lot 11577, Taman Mesra, Batu 13, Jalan Cheras,
43000 Selangor.
Tel : 03 - 8734 5914.
18. Poliklinik Permai.
No 47, Jalan USJ 1/19, USJ 1,
Subang Jaya
47800 Selangor.
Tel : 03 - 5636 7352
19. Klinik Vilayutham.
161, Jalan Besar, Pekan Sg. Pelek,
Sg. Pelek
43950 Selangor.
Tel : 03 - 3141 1389.
20. Klinik Jothy.
No 6, Lorong Pending 4A,
Bandar Puteri,
40100 Klang,
Selangor.
Tel : 03 - 5161 5092.
21. Victor Medical Practice.
16, Jalan USJ 4/9G,
Subang Jaya,
47600 Selangor.
Tel : 03 - 8023 3640
22. Klinik Safwa,
No 133, Jalan Jasa Off Jalan Haji Sirat Batu Belah,
Klang,
42100 Selangor.
Tel : 03 - 3341 6767
23. Klinik Wong Singh (Country Homes).
No 4 & 5, Jalan Desa 1/1,
Bandar Country Homes,
Rawang,
48000 Selangor.
Tel : 03 - 8091 6513.
24. Klinik Famili Leiya,
11, Jalan Gemilang 1, Pusat Perdagangan,
Gemilang,
Sepang,
43900 Selangor.
Tel : 03 - 3373 0763.
25. Klinik Utara
No 93, Jalan Rengas, Taman Selatan,
Klang,
41200 Selangor.
Tel : 03 - 3373 0763
26. Klinik Bayu
No 6, Jalan Batu Unjur Satu,
Taman Bayu Perdana,
Klang,
41200 Selangor.
Tel : 03 - 3324 1696
27. Klinik Najihah
1012, Batu 11, Pekan Kapar,
Klang,
42200 Selangor.
Tel : 03 - 3259 2667.
28. Klinik Jacob
45 E, Kundang New Village,
Rawang,
48020 Selangor.
Tel : 03 - 6034 1260.
29. Klinik Dr. Rosli
No 1, Lorong Dendang Laut 1,
Sasaran,
45800 Jeram
Kuala Selangor,
Selangor.
Tel : 03 3264 7961
30. Evernexs Biosys Health Care.
No 4-A & 4-B, Lorong Tingkat KS01,
Off Jalan Istana,
41000 Klang,
Selangor.
Tel : 03 - 3370 1935.
31. Klinik Mediviron (Bukit Rimau),
No G.21 & G.22, Ground Floor,
Carrefour Shopping Centre Bukit Rimau,
Lot No 2, Jalan Sg. Buluh 32/68, Section 32,
40460 Shah Alam,
Selangor.
Tel : 03 - 5121 9540
32. Klinik Genga
81, Jalan 20/7, Paramount Garden,
16300 Petaling Jaya,
Selangor.
Tel : 03 - 7875 7672.
33. Klinik Ikhwan,
17, LNS B8/B, Seksyen 8,
Bandar Puncak Alam,
42300 Selangor.
Tel : 03 - 3393 3259.
34. Poliklinik Mindaku Sdn.Bhd
38, Jalan Opera G U2/G,
Taman TTDI Jaya,
40150 Shah Alam
Selangor.
Tel : 03 - 7845 4654
35. Klinik Sulaiman Talib Sdn Bhd,
SH -19, Jalan 7, Greenwood Park,
68100 Batu Caves,
Selangor.
Tel : 03 - 6189 5032.
36. Klinik Sri Penawar,
66, Jalan 1, Taman Paduka,
45000 Kuala Selangor,
Selangor.
Tel : 03 - 3289 4911.
37. Klinik Megah,
19, Jalan Megah 29,
Taman Megah Cheras,
Batu 9 1/2, Jalan Cheras,
43200 Kajang,
Selangor.
Tel : 03 - 5033 2700.
38. Jaziff Medical Sdn Bhd,
49, Jalan USJ 11/3B,
USJ 11,
47620 Subang Jaya
Selangor.
Tel : 03 - 398 8377
39. Klinik Jacob.
45E, Kundang New Village,
48020 Rawang, Selangor Darul Ehsan.
Tel : 03 - 6034 1260.
40. Klinik Ros & Rakan-Rakan.
25, Jalan Dahlia 2/2,
Kawasan Perindustrian Bandar Baru Salak Tinggi,
43900 Sepang,
Selangor Darul Ehsan.
41. Klinik Keluarga Aishah.
14, LKR Sultan Abd. Samad 2,
Bandar Sultan Sulaiman,
42000 Perlabuhan Klang,
Selangor Darul ehsan.
Tel : 03 - 3176 7400.
42. Klinik Zul
Lot 227 - A1, Jalan Sg. Udang,
41250 Klang, Selangor Darul Ehsan.
Tel : 03 - 3373 5253.
43. QHC Medical Centre.
No 2, Jalan USJ 9/5R, UEP,
47620 Subang Jaya,
Selangor Darul Ehsan.
Tel : 03 - 8024 5764.
44. Poliklinik Langat.
Lot 1531, Batu 12 1/2 Dusun Mandling,
43100 Hulu Langat,
Selangor Darul Ehsan.
Tel : 03 - 9021 5464.
45. Dr.Leela Ratos Dan Rakan-Rakan.
86, Jalan Othman 2/40,
46000 Petaling Jaya,
Selangor Darul Ehsan.
Tel : 03 - 7782 2061.
PERAK.
1. KLINIK RAWATAN AHSAN.
No 1, Lorong Anggerik, Taman Desa Bersatu,
36400 Hutan Melintang, Perak.
Tel : 019 - 575 0707.
Naturopathy Health Care.
1. Evernexs Biosys Health Care.
No 4-A
& 4-B, Lorong Tingkat KS01, Off Jalan Istana,
41000 Klang, Selangor.
41000 Klang, Selangor.
Tel : 03
– 3370 1935.
NGERI SEMBILAN.
1. Klinik Yakin Bahau.
No 4,
Jalan Perhentian Teksi, 72100 Bahau, Negeri Sembilan.
Tel : 06
– 4549241. ???
2. Klinik Goh.
39, Jalan
Kiara 2, Pusat Perniagaan Kiara,
72100
Bahau, Negeri Sembilan.
Tel : 06
– 4549241. ???
3. Poliklinik Dan Surgeri Rahang.
No 308, Off Jalan Tampin, Taman Yoon Fook,
70450 Seremban, Negeri Sembilan.
Tel : 06 - 763 7088.
PUSAT PERUBATAN HPATHY BAHAU.
No 6, Tingkat Bawah, Bangunan MDJL, Jalan Perhentian Bas - Teksi,
72100 Bahau, Negeri Sembilan.
Tel : 013 - 236 7333.
3. Poliklinik Dan Surgeri Rahang.
No 308, Off Jalan Tampin, Taman Yoon Fook,
70450 Seremban, Negeri Sembilan.
Tel : 06 - 763 7088.
PUSAT PERUBATAN HPATHY BAHAU.
No 6, Tingkat Bawah, Bangunan MDJL, Jalan Perhentian Bas - Teksi,
72100 Bahau, Negeri Sembilan.
Tel : 013 - 236 7333.
MELAKA.
1. Klinik Dr. Norman.
No 28, Jalan MJ1, Taman Merdeka Jaya,
Batu Berendam
75350 Melaka.
Tel : 06 - 317 8300.
JOHOR.
1. OZONE HEALING SDN.BHD.
10 Jalan Setia Tropika 1/14, Taman Setia Tropika,
81200 Kempas, Johor Bahru.
1. Klinik Rajoo
88, Jalan Segamat,
85300 Labis, Johor.
Tel : 07 - 925 1606.
2. Klinik Surjit.
No 28, Jalan 1, Taman Bersatu,
86000 Kluang, Johor.
Tel : 07 - 773 4501.
3. KLINIK L'MADINA.
G-11, Nongchik Riverside Commercial, Jalan Kolam Air 2,
80100 Johor Bahru, Johor.
Tel : 011 - 3975 7638.
4. KLINIK PUTRA.
No 6, Jalan 2, Taman Bintang Emas,
83010 Tongkang Pecah, Batu Pahat , Johor.
Tel : 07 - 415 2122.
5. AMD Clinic.
71, Jalan Serangkai 4,
Taman Bukit Dahlia,
81700 Masai,
Johor.
Tel : 07 - 255 7720.
6. Poliklinik Keluarga Mulia Sdn Bhd.
86L, Jalan Tampoi, Taman Mulia,
81200 Johor Bharu.
Tel : 07 - 331 0318.
7. Shiffa Health Service (Dr. Magilan),
No 21, Jalan Saga 9,
Taman Desa Cemerlang,
81800 Ulu Tiram,
Johor.
8. Poliklinik An Nur.
No 7438 Jalan Alsogoff
Pontian
82000 Johor.
Tel : 011 - 106 8149.
9. Specialist Womens Hospital Sdn.Bhd.
No 14, Jalan Rosmerah 3/2,
Taman Johor Jaya,
81100 Johor Bharu,
Johor.
Tel : 07 - 353 0751 / 61.
5. AMD Clinic.
71, Jalan Serangkai 4,
Taman Bukit Dahlia,
81700 Masai,
Johor.
Tel : 07 - 255 7720.
6. Poliklinik Keluarga Mulia Sdn Bhd.
86L, Jalan Tampoi, Taman Mulia,
81200 Johor Bharu.
Tel : 07 - 331 0318.
7. Shiffa Health Service (Dr. Magilan),
No 21, Jalan Saga 9,
Taman Desa Cemerlang,
81800 Ulu Tiram,
Johor.
8. Poliklinik An Nur.
No 7438 Jalan Alsogoff
Pontian
82000 Johor.
Tel : 011 - 106 8149.
9. Specialist Womens Hospital Sdn.Bhd.
No 14, Jalan Rosmerah 3/2,
Taman Johor Jaya,
81100 Johor Bharu,
Johor.
Tel : 07 - 353 0751 / 61.
Specialist.
(Johor Bharu).
07 - 353 0751.
Specialist Hospital
'Andro Plus 200'.
'Andro Plus 200'
ANDRO PLUS 200.
Ask Your Doctor. NOW !!!
Clinically Tested & Proven.
10. Klinik Ming.
No 19, Jalan Pesta 1-1,
Taman Tun Dr.Ismail, Batu 2,
Jalan Bakri
84000 Muar,
Johor.
Tel : 06 - 951 6201.
11. Klinik Surjit.
No 28, Jalan 1, Taman Bersatu,
86000 Kluang,
Johor Darul Takzim
Tel : 07 - 773 4501.
12. Klinik Parit Yaani.
14, Jalan Orkid 1,
Taman Orkid, Parit Yaani,
83710 Yong Peng,
Johor.
Tel : 07 - 484 7249.
13. Poliklinik Dahlia,
No 36, Jalan Dahlia 20,
Taman Dahlia Tampoi,
81200 Johor Bharu,
Johor.
Tel : 07 - 237 2100.
14. Klinik Idaman.
A3, Jalan Dato Onn,
Bandar Penawar,
81930 Johor.
Tel : 07 - 822 5653.
PERLIS.
1. Klinik Faizah
Lot5,
Taman Bahagia Balai Baru,
02400 Beseri, Perlis.
02400 Beseri, Perlis.
Tel : 04
– 938 1366.
PENANG.
1. PUSAT RAWATAN HOMEOPATHY & ALTERNATIF KAMARULZAMAN.
No 37, Tingkat Bawah, Lorong Aman Putera 1,
Taman Aman Putera,
13200 Kepala Batas, Pulau Pinang.
Tel : 012 - 635 8659.
2. Klinik Dr. Lee Hock Huat.
2737 Kulim Road,
14000 Bukit Mertajam,
Penang.
Tel : 04 - 539 2187.
3. Klinik Khoo,
236, Jalan Jelutong, Taman Ara,
11600 Jelutong,
Pulau Pinang.
Tel : 04 - 281 3837.
KELANTAN.
1. Klinik Medicure Wly.
PT 704-G,
Persiaran Humairah,
17500 Tanah Merah,Kelantan.
17500 Tanah Merah,Kelantan.
Tel : 09
– 955 1188.
2. KLINIK FAEZ.
PT 374, Melor,
16400 Kota Bharu, Kelantan.
Tel : 09 - 783 4834.
3. KLINIK ZIAD AZHARI SDN BHD.
PT 1497, Sri Kulim Melor,
16400 Kota Bharu, Kelantan.
Tel : 09 - 782 5880.
4. KLINIK PERDANA (PASIR TUMBOH).
PT 921, Taman Binaraya, Desa Darulnaim, Pasir Tumboh,
16150 Kota Bharu, Kelantan.
Tel : 09 - 766 6313.
5. KLINIK RAKYAT.
Lot 1089, Simpang 4, Pauh Panji (Depan JPJ).
16100 Kota Bharu, Kelantan.
Tel : 09 - 765 7955.
6. KLINIK IKHTIAR KOTA JEMBAL.
Lot 1972, Kota Jambal,
Kota Bharu, Kelantan.
Tel : 09 - 764 4460.
7. Klinik Ehsan.
Lot 1172, Kedai Ketereh,
16450 Kota Bharu,
Kelantan.
Tel : 09 - 788 0241.
8. Klinik Pancho.
575, Jalan Hospital,
15400 Kota Bharu,
Kelantan.
Tel : 09 - 744 7386
9. Klinik Perdana.
Lot 124, Tingkat Bawah
Jalan PCB, Kg. China,
15351 Kota Bharu,
Kelantan.
Tel : 09 - 744 6771.
10. Klinik Mahmood.
Lot 2010, Bandar Baru,
18300 Gua Musang,
Kelantan. Tel : 09 - 912 1177.
11. Klinik Dr. Badariah. Lot 2063, Bandar Baru,
18300 Gua Musang,
Kelantan.
Tel : 09 - 912 3979.
12. Klinik Dr. Ramzi.
Lot 1103, Simpang Empat Pauh Panji,
15200 Kota Bharu,
Kelantan.
Tel : 09 - 765 1803.
13. Klinik Dr. Wan
Lot 168, Kg Kubang Kawah,
16300 Bachok,
Kelantan.
Tel : 09 -
14. Klinik Perdana Gua Musang.
PT 7971, Bnagunan MDGM,
Stesyen Bas Lama,
Bandar Lama,
18300 Gua Musang,
Kelantan.
Tel : 09 - 912 1108.
15. Klinik Dr. Alwani.
No 1597 Selising,
16810 Pasir Putih,
Kelantan.
Tel :
2. KLINIK FAEZ.
PT 374, Melor,
16400 Kota Bharu, Kelantan.
Tel : 09 - 783 4834.
3. KLINIK ZIAD AZHARI SDN BHD.
PT 1497, Sri Kulim Melor,
16400 Kota Bharu, Kelantan.
Tel : 09 - 782 5880.
4. KLINIK PERDANA (PASIR TUMBOH).
PT 921, Taman Binaraya, Desa Darulnaim, Pasir Tumboh,
16150 Kota Bharu, Kelantan.
Tel : 09 - 766 6313.
5. KLINIK RAKYAT.
Lot 1089, Simpang 4, Pauh Panji (Depan JPJ).
16100 Kota Bharu, Kelantan.
Tel : 09 - 765 7955.
6. KLINIK IKHTIAR KOTA JEMBAL.
Lot 1972, Kota Jambal,
Kota Bharu, Kelantan.
Tel : 09 - 764 4460.
7. Klinik Ehsan.
Lot 1172, Kedai Ketereh,
16450 Kota Bharu,
Kelantan.
Tel : 09 - 788 0241.
8. Klinik Pancho.
575, Jalan Hospital,
15400 Kota Bharu,
Kelantan.
Tel : 09 - 744 7386
9. Klinik Perdana.
Lot 124, Tingkat Bawah
Jalan PCB, Kg. China,
15351 Kota Bharu,
Kelantan.
Tel : 09 - 744 6771.
10. Klinik Mahmood.
Lot 2010, Bandar Baru,
18300 Gua Musang,
Kelantan. Tel : 09 - 912 1177.
11. Klinik Dr. Badariah. Lot 2063, Bandar Baru,
18300 Gua Musang,
Kelantan.
Tel : 09 - 912 3979.
12. Klinik Dr. Ramzi.
Lot 1103, Simpang Empat Pauh Panji,
15200 Kota Bharu,
Kelantan.
Tel : 09 - 765 1803.
13. Klinik Dr. Wan
Lot 168, Kg Kubang Kawah,
16300 Bachok,
Kelantan.
Tel : 09 -
14. Klinik Perdana Gua Musang.
PT 7971, Bnagunan MDGM,
Stesyen Bas Lama,
Bandar Lama,
18300 Gua Musang,
Kelantan.
Tel : 09 - 912 1108.
15. Klinik Dr. Alwani.
No 1597 Selising,
16810 Pasir Putih,
Kelantan.
Tel :
TERENGGANU.
1. KLINIK IDDRUS SDN BHD.
Lot 29, Bandar Baru Sri Kerteh,
24300 Kerteh, Kemaman, Terengganu.
Tel : 09 -826 1678.
SABAH
1. PERMAI POLIKLINIK SRI KEPAYAN.
Lot 3, Block D, Lorong Pusat Komersial 88/2, 88 Marketplace,
Jalan Pintas,
88200 Kota Kinabalu, Sabah.
Tel : 088 - 249 900.
SARAWAK.
FARMASI.
1. TOGETHER PHARMACY.
Survey Lot 2968 of Parent Lot 2942, Block 2, MCLD, Ground Floor,
Sevenew Comm CTR,
98000 Miri, Sarawak.
Tel : 016 - 579 0058
2. PHARMSERVE PHARMA SDN BHD.
1st Floor, Lot 14944, Block B Stutong,
Parade Commercial Centre,
Jalan Setia Raja,
93350 Kuching, Sarawak.
Tel : 082 - 362 773.
1. Klinik Cahaya.
FARMASI.
1. TOGETHER PHARMACY.
Survey Lot 2968 of Parent Lot 2942, Block 2, MCLD, Ground Floor,
Sevenew Comm CTR,
98000 Miri, Sarawak.
Tel : 016 - 579 0058
2. PHARMSERVE PHARMA SDN BHD.
1st Floor, Lot 14944, Block B Stutong,
Parade Commercial Centre,
Jalan Setia Raja,
93350 Kuching, Sarawak.
Tel : 082 - 362 773.
1. Klinik Cahaya.
Lot 212,
Tingkat Bawah, Jalan Haji Taha,
93400 Kuching, Sarawak.
93400 Kuching, Sarawak.
Tel : 082
– 425 735.
Andro Plus.
PASTIKAN ANDA BENAR-BENAR MENDAPAT NASIHAT TERUS DARI DOKTOR.
2.
KN Law Woman Specialist Clinic.
Clinic No
6, New Lot 5009, Block 31,
Kemena Land District,
97000 Bintulu, Sarawak.
Kemena Land District,
97000 Bintulu, Sarawak.
Tel : 086
– 319 158.
3. KLINIK SYAZWANI.
No 196, Ground Floor, Assyakirin Commercial Square,
81200 Bintulu, Sarawak.
Tel : 086 - 342 024.
4. KLINIK ANDREW.
Ground Floor, S/L3, Lot 374, Golden Square,
94700 Serian, Sarawak.
Tel : 011 - 1058 3826.
5. KLINIK CHAI.
No 56, Serian Bazaar,
94700 Serian, Sarawak.
Tel : 082 - 874 658.
6. Klinik Lutong.
Lot 1426, Ground Floor,
Lutong New Shoplot,
98100 Lutong Miri,
Sarawak.
Tel : 085 - 491 382.
7. Klinik Dinamik.
Lot 431, Ground Floor, Jalan Bendahara,
98000 Miri,
Sarawak.
Tel : 085 - 423 381.
8. Klinik Sri Tunku.
Lot 11211, Ground Floor, Block 5,
Lambir Land District,
Palm Villa Commercial Centre,
98000 Miri,
Sarawak.
Tel : 017 - 809 0459.
9. Klinik Kong.
1061 Jalan Bintang Jaya 1,
Bintang Jaya Commencial Centre,
98000 Miri,
Sarawak.
Tel : 085 - 424 730.
10. S K Wong Clinic.
Lot 2927, Faradale Shophouse,
Jalan Bulan Sabit,
98000 Miri,
Sarawak.
Tel : 085 - 438 787.
11. Klinik Andrew.
Ground Floor, S/L 3,
Lot 374, Golden Square,
94700 Serian,
Sarawak.
Tel : 011 - 1058 3826.
KEDAH.
1. Klinik Kulit Dr. Venket.
No 207, Jalan Putera,
06250 Alor Star,
Kedah.
Tel : 04 - 734 4652.
2. Klinik Wan Zohdi Sdn Bhd.
1148- A, Jalan Dato Wan Muhamad Saman,
05400 Alor Star,
Kedah.
Tel : 04 - 771 8644.
3. Klinik Dinamik.
No 57, Tingkat Bawah,
Kompleks Sultan Abd. Hamid,
Persiaran Sultan Abd. Hamid
05050 Alor Star.
Kedah.
Tel : 04 - 777 4447.
PAHANG.
1. Klinik Dr. Mona.
B23, Tingkat Bawah, Lorong Padang Permai 40,
Jalan Sungai Lembing,
25200 Kuantan,
Pahang Darul Makmur.
Tel : 09 - 547 4127.
3. KLINIK SYAZWANI.
No 196, Ground Floor, Assyakirin Commercial Square,
81200 Bintulu, Sarawak.
Tel : 086 - 342 024.
4. KLINIK ANDREW.
Ground Floor, S/L3, Lot 374, Golden Square,
94700 Serian, Sarawak.
Tel : 011 - 1058 3826.
5. KLINIK CHAI.
No 56, Serian Bazaar,
94700 Serian, Sarawak.
Tel : 082 - 874 658.
6. Klinik Lutong.
Lot 1426, Ground Floor,
Lutong New Shoplot,
98100 Lutong Miri,
Sarawak.
Tel : 085 - 491 382.
7. Klinik Dinamik.
Lot 431, Ground Floor, Jalan Bendahara,
98000 Miri,
Sarawak.
Tel : 085 - 423 381.
8. Klinik Sri Tunku.
Lot 11211, Ground Floor, Block 5,
Lambir Land District,
Palm Villa Commercial Centre,
98000 Miri,
Sarawak.
Tel : 017 - 809 0459.
9. Klinik Kong.
1061 Jalan Bintang Jaya 1,
Bintang Jaya Commencial Centre,
98000 Miri,
Sarawak.
Tel : 085 - 424 730.
10. S K Wong Clinic.
Lot 2927, Faradale Shophouse,
Jalan Bulan Sabit,
98000 Miri,
Sarawak.
Tel : 085 - 438 787.
11. Klinik Andrew.
Ground Floor, S/L 3,
Lot 374, Golden Square,
94700 Serian,
Sarawak.
Tel : 011 - 1058 3826.
KEDAH.
1. Klinik Kulit Dr. Venket.
No 207, Jalan Putera,
06250 Alor Star,
Kedah.
Tel : 04 - 734 4652.
2. Klinik Wan Zohdi Sdn Bhd.
1148- A, Jalan Dato Wan Muhamad Saman,
05400 Alor Star,
Kedah.
Tel : 04 - 771 8644.
3. Klinik Dinamik.
No 57, Tingkat Bawah,
Kompleks Sultan Abd. Hamid,
Persiaran Sultan Abd. Hamid
05050 Alor Star.
Kedah.
Tel : 04 - 777 4447.
PAHANG.
1. Klinik Dr. Mona.
B23, Tingkat Bawah, Lorong Padang Permai 40,
Jalan Sungai Lembing,
25200 Kuantan,
Pahang Darul Makmur.
Tel : 09 - 547 4127.
Nu-Prep.
Andro Plus.
'No More Pain'
Slipped Disc.
Andro Plus 200
GREAT ENERGY.
JusT Ask Your Doctor
lahhhhhhhh......!!!
ANDRO PLUS 200
Clinically Proven
&
Internationally
TRUSTED.
Just Ask Your Doctor
LAHhhhh !!!
Andro Plus 200.
'QUALITAS MEDICAL GROUP'.
'40th Clinical Lead's Meeting' QUALITAS MEDICAL GROUP.
Presented By Malaysia Andrologist Specialist.
Dr.Ismail Tamby.
PERLIS
(2)
1 KLINIK FAIZAH LOT 5, TAMAN BAHAGIA BALAI BARU 04 – 938 1366 PERLIS
BERSERI
02400 BESERI PERLIS
2 KLINIK DR WAN BALKIS 30, JALAN SIMPANG 3 019-266 2749 PERLIS
KOMPLEKS KEDAI PKNEPS
SIMPANG 3,
01000 KANGAR, PERLIS
KEDAH
(4)
1 KLINIK KULIT DR VENKAT NO 207, JALAN PUTERA 04-734 4652 KEDAH
06250 ALOR SETAR KEDAH
2 KLINIK WAN ZOHDI 1148-A, JALAN DATO WAN 04-771 8644 KEDAH
MUHAMAD SAMAN
05400 ALOR SETAR KEDAH
3 KLINIK DINAMIK NO 57, TGKT BAWAH, 04-777 4447 KEDAH
KOMPLEK SULTAN ABD
HAMID
JALAN PEGAWAI
05050 ALOR SETAR KEDAH
4 POLIKLINIK DR KAMAL NO 12, TAMAN KOPERASI 04-7338695 KEDAH
JALAN TUN RAZAK
05200 ALOR SETAR, KEDAH
PENANG
(5)
1 KLINIK DR LEE HOCK HUAT 2737 JALAN KULIM 04-539 2187 PENANG
14000 BUKIT MERTAJAM
PENANG
2 POLIKLINIK KHOO 236, JALAN JELUTONG 04-281
3837 PENANG
TAMAN ARA
11600 JELUTONG PULAU
PINANG
3 KLINIK ABDUL RAHIM 2-D PANGSAPURI GARUDA 04-644 4181 PENANG
11900 BAYAN LEPAS,
PENANG
4 KLINIK DR SHOBRI 5, TAMAN DESA MURNI 04-356 3022 PENANG
SUNGAI DUA
13800 BUTTERWORTH,
PULAU PINANG
5 KLINIK WEST JELUTONG 132, JALAN JELUTONG 04-281 2125 PENANG
JELUTONG
11600 GEORGE TOWN,
PULAU PINANG
PERAK
(1)
1 KLINIK RAWATAN AHSAN 1, LORONG ANGGERIK 019 - 575 0707 PERAK
TAMAN DESA BERSATU
36400 HUTAN MELINTANG
PERAK
KUALA
LUMPUR (13)
1 POLIKLINIK CAHAYA 17, JALAN PERDANA 4/5 012 – 379 0944 K. LUMPUR
PANDAN PERDANA
53300 KUALA LUMPUR
2 KLINIK LEN SENG 76-G, JALAN 1 03
– 9107 5362 K. LUMPUR
TAMAN LEN SENG
56000 CHERAS KUALA
LUMPUR
3 KLINIK MURUGESU 29, JALAN TUN MOHD FUAD 2 03 - 7728 2879 K.
LUMPUR
TAMAN TUN DR ISMAIL
60000 KUALA LUMPUR
4 KLINIK RAKAN MEDIK 45 JALAN SUASA 5 03 - 9058
5926 K. LUMPUR
PEKAN SUNGAI BESI
57000 KUALA LUMPUR
5 KLINIK AKASHAH 4, JaALAN DUTAMAS SEROJA 3 03 - 6251 0922 K.
LUMPUR
TAMAN SEGAMBUT (SPPK)
51200 KUALA LUMPUR
6 KLINIK TAN & MANO PLAZA OSK, JALAN AMPANG 03 - 2166 2050 K. LUMPUR
HAMPSHIRE PARK
50450 KUALA LUMPUR
7 KLINIK MEDIVIRON (IMBI) 8, JALAN UTARA 03 - 2148 5666 K. LUMPUR
OFF JALAN IMBI
55100 KUALA LUMPUR
8 KLINIK MEDICA 3, JALAN 6/155 03-7781
5350 K. LUMPUR
BUKIT JALIL INTEGRATED
PARK
58200 KUALA LUMPUR
9 KLINIK MEDI PESONA 1, GF, JALAN BANGSAR UTAMA 3 03-2288 1439 K. LUMPUR
(BANGSAR) BANGSAR UTAMA
59000 KUALA LUMPUR
10 POLIKLINIK AVICENNA 014-501
2107 K. LUMPUR
BANDAR TASEK SELATAN
57100 KUALA LUMPUR
11 POLIKLINIK DESILVA 7, JALAN PANDAN PERDANA 4/5 03-9282 1721 K. LUMPUR
PANDAN PERDANA
55300 KUALA LUMPUR
12 LUMINOUS CLINIC LEVEL 7, LOT 7.02.01 PAVILLION KL MALL K.
LUMPUR
168 JALAN BUKIT BINTANG
55100 KUALA LUMPUR
13 KLINIK JORAHALIZA NO.2, JALAN P9B 1/2 03-8893
1063 PUTRAJAYA
PRESINT 9
62250 W.P PUTRAJAYA
SELANGOR
(53)
1 ALLIED HEALTHCARE 1 – 11, JALAN B/3 A, DAGANG AVENUE 03 – 4270 3257 SELANGOR
GROUP SDN BHD TAMAN DAGANG
68000 AMPANG SELANGOR
2 KLINIK FAMILI SHIMAH 61, JALAN 23 03 – 8070 3842 SELANGOR
TAMAN BUKIT KUCHAI
47100 PUCHONG SELANGOR
3 KLINIK KELUARGA AZIAN 8, JALAN DEMANG 5 03 – 3372 1418 SELANGOR
& ELINA TAMAN SHAH
BANDARAYA KPG JAWA
41000 KLANG SELANGOR
4 KAJANG KLINIK 3, JALAN TUNKU HISHAMMUDDIN 03 – 8733 1536 SELANGOR
KAJANG
43000 KAJANG SELANGOR
5 POLIKLINIK SERI PUTRA 37, JALAN SERI PUTRA 1/4 03 – 8922 2637 SELANGOR
BANDAR SERI PUTRA
43000 KAJANG SELANGOR
6 KLINIK MEDIVIRON (PJ) 27, JALAN OTHMAN 03 - 7781 0957 SELANGOR
PJ OLD TOWN
46000 PETALING JAYA
SELANGOR
7 KLINIK DR ROZITA 61-G, GF, JALAN BIDARA 10, 03 - 6039 6712 SELANGOR
SAUJANA UTAMA
47000 SUNGAI BULOH
SELANGOR
8 POLIKLINIK KELUARGA 39, JALAN DATO MUDA JAAFAR 03 - 6064 1412 SELANGOR
KUALA KUBU BAHRU
44000 SELANGOR
9 KLINIK SHUKOR G-56, JALAN SP 5/4 03 - 8958 1898 SELANGOR
TAMAN SERDANG PERDANA
43300 SERI KEMBANGAN
SELANGOR
10 POLIKLINIK CARE MEDICS 10, JALAN BP 7/11 03 - 8051 9725 SELANGOR
BANDAR PUCHONG
47120 PUCHONG SELANGOR
11 KLINIK KAPAR 4 & 4A, JALAN BESAR 03 - 3250 8130 SELANGOR
KAPAR
42200 SELANGOR
12 KLINIK ROHAYATI LOT 11577, TAMAN MESRA 03 - 8734 5914 SELANGOR
BATU 13, JALAN CHERAS
43000 KAJANG SELANGOR
13 KLINIK NAJIHAH LOT 1012, BATU 11 03
- 3259 2667 SELANGOR
PEKAN KAPAR
42200 SELANGOR
14 KLINIK WONG SINGH 4 & 5, JALAN DESA 1/1 03-8091
6513 SELANGOR
BANDAR COUNTRY HOMES
48000 RAWANG SELANGOR
15 KLINIK FAMILI LEIYA 11,, JALAN GEMILANG 1 03-8705 3401 SELANGOR
PUSAT PERDAGANGAN
GEMILANG
43900 SEPANG, SELANGOR
16 KLINIK BAYU No. 6, JALAN BATU UNJUR SATU 03-3324 1696 SELANGOR
TAMAN BAYU PERDANA
41200 KLANG, SELANGOR
17 KLINIK JACOB 45E KUNDANG NEW VILLAGE 03-6034 1260 SELANGOR
RAWANG
48020 RAWANG, SELANGOR
18 KLINIK DR ROSLI No 1,LORONG DENDANG LAUT 1 03-3264 7961 SELANGOR
SASARAN JERAM
45800 KUALA SELANGOR
19 KLINIK GENGA 81, JALAN 20/7 07-353
0751 SELANGOR
PARAMOUNT GARDEN
16300 PETALING JAYA,
SELANGOR
20 POLIKLINIK IKHWAN 17, LNS B8/B 03-3393
3259 SELANGOR
SEKSYEN 8
42300 BANDAR PUNCAK
ALAM, SELANGOR
21 KLINIK SULAIMAN TALIB SH-19, JALAN 7 03-6189 5032 SELANGOR
GREENWOOD PARK
68100 BATU CAVES,
SELANGOR
22 KLINIK SRI PENAWAR 66 JALAN 1 03-3289 4911 SELANGOR
TAMAN PADUKA
45000 KUALA SELANGOR
23 KLINIK MEGAH 19, JALAN MEGAH 29 03-5033 2700 SELANGOR
TAMAN MEGAH CHERAS BATU
9 1/2
43200 KAJANG SELANGOR
24 POLIKLINIK MINDAKU 38, JALAN OPERA G U2/G 03-7845 4654 SELANGOR
SDN BHD Taman TTDI JAYA
40150 SHAH ALAM,
SELANGOR
25 KLINIK MEDIVIRON NO G.21 & G.22, GRD FLR 03-5121 9540 SELANGOR
(BUKIT RIMAU) CAREFOUR BKT RIMAU
LOT
NO 2, JALAN SG BULOH 32/68,
SECTION 32, 40460 SHAH
ALAM
SELANGOR
26 KLINIK VELAYUTHAM 161, JALAN BESAR 03-3141
1389 SELANGOR
PEKAN SG PELEK
43950 SG PELEK SELANGOR
27 POLIKLINIK JOTHY 6, LORONG PENDING 4A 03-5161
5092 SELANGOR
BANDAR PUTERI
40100 KLANG SELANGOR
28 VICTOR MEDICAL PRACTICE 16, JALAN USSJ 4/9G 03-8023 3640 SELANGOR
SUBANG JAYA
47600 SUBANG JAYA
SELANGOR
29 KLINIK SAFWA LOT 133 JALAN JASA 03-3341 6767 SELANGOR
OFF JALAN HAJI SIRAT
BATU BELAH
42100 KLANG SELANGOR
30 JAZIFF MEDICAL SDN BHD 49, JALAN USJ 11/3B SELANGOR
USJ 11 SUBANG JAYA
47620 SUBANG JAYA
SELANGOR
31 KLINIK UTARA 93, JALAN RENGAS 03 – 3373 0763 SELANGOR
TAMAN SELATAN
41200 KLANG SELANGOR
32 POLIKLINIK PERMAI 47, JALAN USJ 1/19 03-5636
7352 SELANGOR
USJ 1 SUBANG JAYA
47800 SUBANG JAYA
SELANGOR
33 KLINIK ROS DAN 25, JALAN DAHLIA 2/2 03-8706 3303 SELANGOR
RAKAN-RAKAN KAW PERINDUSTRIAN BANDAR
BARU
SALAK TINGGI
43900
SEPANG, SELANGOR
34 KLINIK KELUARGA AISHAH 14, LKR SULTAN ABD SAMAD 2 03-3176 7400 SELANGOR
BANDAR SULTAN SULAIMAN
42000 PERLABUHAN KLANG
SELANGOR
35 POLIKLINIK ZUL LOT 227-A1 03-3373
5253 SELANGOR
JALAN SG. UDANG
41250 KLANG SELANGOR
36 QHC MEDICAL CENTRE NO 2, JALAN USJ 9/5R, UEP, 03-8024 5760 SELANGOR
SUBANG JAYA
47620 SELANGOR
37 POLIKLINIK LANGAT LOT 1531, BATU 12 1/2 03-9021
5464 SELANGOR
DUSUN MANDIANG HULU
LANGAT
43100 SELANGOR
38 DR LEELA RATOS DAN 86, JALAN OTHMAN 2/40, 037782 2061 SELANGOR
RAKAN-RAKAN PETALING JAYA
46000 SELANGOR
39 KLINIK NIK ISAHAK LOT G60C, TINGKAT BAWAH 03-5510 9003 SELANGOR
KOMPLEKS PKNS
40000 SHAH ALAM,
SELANGOR
40 RADIANT CLINIQUE 1-G-01, JALAN BAZAR U8/101 03-7832 7101 SELANGOR
SDN BHD D'VIDA BUSINESS CENTRE, BUKIT JELUTONG
40150 SHAH ALAM,
SELANGOR
41 KLINIK SHARIL & RAKAN NO. 62 03-3250
7052 SELANGOR
JALAN BESAR
42200 KAPAR, SELANGOR
42 POLIKLINIK PERDANA NO. 43, JALAN SETIA 1 03-6093 2327 SELANGOR
RAWANG TAMAN SETIA
48000 RAWANG, SELANGOR
43 KLINIK MEDIVIRON NO 43, JALAN ARA 2 03-6057
3303 SELANGOR
(BATANG KALI) JALAN PERNIAGAAN ARA
44300 BATANG KALI,
SELANGOR
44 POLIKLINIK NORIHA 19, JALAN DANA 2 017-288
9577 SELANGOR
KAMPUNG SUNGAI KAYU ARA
47400 PETALING JAYA,
SELANGOR
45 PUSAT RAWATAN IMPIAN 17, JALAN IMPIAN PERDANA 1 03-8733 2603 SELANGOR
SAUJANA IMPIAN
43000 KAJANG, SELANGOR
46 KLINIK PERUBATAN 17 JALAN BERSATU 10 03-6093
1829 SELANGOR
DAN PEMBEDAHAN TAMAN BERSATU
KHADIJAH 48000 RAWANG, SELANGOR
47 KLINIK FUZIAH NO. 1 JALAN SD 1/1 03-3149 4784 SELANGOR
TAMAN SERI DAGANG,
BUKIT CHANGGANG
42700
BANTING, SELANGOR
48 KLINIK ZAIN LOT G24, JALAN 11 03-5120 1768 SELANGOR
SELAYANG BARU
68100 BATU CAVES,
SELANGOR
49 ENHANZE MEDICAL SUITE 206, LEVEL 2, BLOCK D 03-7960 1788 SELANGOR
AESTHETICS CENTRE PHILEO DAMANSARA 1, SEKSYEN 16
46350 PETALING JAYA,
SELANGOR
50 KLINIK DR. MARISA 7, JALAN MUTIARA 5 03-8768
7791 SELANGOR
& RAKAN TAMAN MUTIARA
43800 DENGKIL SELANGOR
51 QUALITAS PHARMA 20 & 22, JALAN PJS 7/17 03-5638 0923 SELANGOR
SDN BHD BANDAR SUNWAY (Ms Rubhini) (MS RUBHINI)
46150 PETALING JAYA
52 KLINIK NUR QASEH NO 37, JALAN BR2, TAMAN BUNGA RAYA 011-3295 0121 SELANGOR
BANDAR BARU SALAK
TINGGI
43900 SEPANG SELANGOR
53 KLINIK PANICKER 29, GROUND FLOOR, BLOCK D, 8 AVENUE 03-7960 4586 SELANGOR
JALAN SUNGAI JERNIH
8/1, SEKSYEN 8
46050 PETALING JAYA
SELANGOR
N.
SEMBILAN (3)
1 KLINIK YAKIN BAHAU 4, JALAN PERHENTIAN TEKSI N. SEMBILAN
BAHAU
72100 BAHAU N. SEMBILAN
2 KLINIK GOH 39, JALAN KIARA 2 06 - 454 9241 N. SEMBILAN
PUSAT PERNIAGAAN KIARA
72100 BAHAU N. SEMBILAN
3 POLIKLINIK DAN SUGERI 308, OFF JALAN TAMPIN 06 - 763 7088 N. SEMBILAN
RAHANG TAMAN YOON FOOK
70450 SEREMBAN N.
SEMBILAN
MELAKA
(5)
1 KLINIK DR NORMAN 28, JALAN MJ1 06
- 317 8300 MELAKA
TAMAN MERDEKA JAYA
75350 BATU BERENDAM MELAKA
2 KLINIK NOOR SHILA NO. 30, JALAN ANGGERIK 06-556 3351 MELAKA
TAMAN SERI BAYU
78000 ALOR GAJAH,
MELAKA
3 KLINIK DR JAMALUDIN BATU 14 ½ 06-263 5887 MELAKA
& SURGERI JALAN JASIN
77300 MERLIMAU, MELAKA
4 POLIKLINIK AL-AMIN KM 16-1, JALAN PERNIAGAAN 06-556 6000 MELAKA
JELATANG 1
PUSAT
PERNIAGAAN JELATANG
78000 ALOR GAJAH MELAKA
5 KLINIK MESRA 62, JALAN PJ 18 06-286 1777 MELAKA
TAMAN PERTAM JAYA
75050 MELAKA
JOHOR
(27)
1 KLINIK SURJIT 28, JALAN 1 07
- 773 4501 JOHOR
TAMAN BERSATU
86000 KLUANG JOHOR
2 KLINIK PUTRA 6, JALAN 2, TAMAN BINTANG EMAS 07 - 415 2122 JOHOR
TONGKANG PECAH
83010 BATU PAHAT JOHOR
3 KLINIK RAJOO 88, JALAN SEGAMAT 07 - 925 1606 JOHOR
LABIS
85300 LABIS JOHOR
4 L'MEDINA CLINIC G-11, NONGCHIK RIVERSIDE 011 - 3975 7638 JOHOR
COMMERCIAL, JALAN KOLAM
AIR 2
80100 JOHOR BAHRU JOHOR
5 DR K N SINGH 14, JALAN ROSE MERAH 3/2 07-353 0761 JOHOR
(CONSULTANT/SPECIALIST) JOHOR JAYA
OBSTETRICIAN & 81100 JOHOR BAHRU JOHOR
GYNAECOLOGIST
WOMEN'S HOSPITAL
& FERTILITY CENTRE
6 AMD CLINIC 71, JALAN SERANGKAI 4 07-255 7720 JOHOR
TAMAN BUKIT DAHLIA
81700 MASAI JOHOR
7 POLIKLINIK KELUARGA 86L, JALAN TAMPOI 07-331 0318 JOHOR
MULIA SDN BHD TAMAN MULIA
81200 JOHOR BAHRU,
JOHOR
8 POLIKLINIK AN NUR NO 7438 JALAN ALSAGOFF 011-106 8149 JOHOR
PONTIAN
82000, PONTIAN JOHOR
9 KLINIK MING NO 19, JALAN PESTA 1-1 06-951 6201 JOHOR
TAMAN TUN DR ISMAIL
BATU 2
JALAN BAKRI, 84000
MUAR, JOHOR
10 KLINIK PARIT YAANI 14, JALAN ORKID 1 07-484
7249 JOHOR
TAMAN ORKID PARIT YAANI
83710 YONG PENG JOHOR
11 POLIKLINIK DAHLIA NO 36, JALAN DAHLIA 20 07-237
2100 JOHOR
TAMAN DAHLIA TAMPOI
81200 JOHOR BAHRU JOHOR
12 KLINIK IDAMAN A3, JALAN DATO ONN 07-822 5653 JOHOR
BANDAR PENAWAR JOHOR
81930 JOHOR
13 POLIKLINIK MM 5, JALAN MUTIARA 1/2 07-559 0851 JOHOR
FAMILYCARE & SURGERI TAMAN MUTIARA MAS
81300 SKUDAI, JOHOR
14 KLINIK SAWIT 4, JALAN PRISMA 1 07-652 3820 JOHOR
TAMAN PRISMA
81000 Kulai, Johor
15 KLINIK YETHIN GP 37, JALAN MEDAN NUSA PERINTIS 7 07-531 3852 JOHOR
TAMAN NUSA PERINTIS 2
81550 GELANG PATAH, JOHOR
16 KLINIK HANDAL & SURGERI 5, JALAN PAKIS 011-1051
9528 JOHOR
TAMAN HANDAL
81400 SENAI, JOHOR
17 POLIKLINIK PREMIER 65, JALAN MERSING 07-771 2479 JOHOR
KAMPUNG MASJID LAMA
86000 KLUANG, JOHOR
18 POLIKLINIK UTAMA 7,JALAN SATRIA 1 06-975
3306 JOHOR
(SEROM) TAMAN SEROM UTAMA
84400 SEROM, LEDANG,
JOHOR
19 KLINIK JOSEPH & SURGERI NO 183, JALAN PAHLAWAN 1 07-557 0721 JOHOR
TAMAN UNGKU TUN AMINAH
81300 SKUDAI, JOHOR
20 IMPIAN EMAS MEDICAL NO. 40, 42 & 44, JALAN IMPIAN EMAS 7 07-556 6455 JOHOR
CENTRE TAMAN IMPIAN EMAS
81300 SKUDAI, JOHOR
BHARU, JOHOR
21 POLIKLINIK IMPIAN NO 81, JALAN SERI IMPIAN 1 07-556 6551 JOHOR
TAMAN IMPIAN EMAS
81300 SKUDAI, JOHOR
BHARU, JOHOR
22 KLINIK INTAN 42, JALAN INDAH 1 07-236 5059 JOHOR
TAMAN BUKIT INDAH
81200 JOHOR BAHRU,
JOHOR
23 KLINIK PERLING 262, JALAN SIMBANG 07-230 9521 JOHOR
TAMAN PERLING
81200 JOHOR BAHRU
24 KLINIK BINTANG UTAMA 261, JALAN UTAMA 1 JOHOR
TAMAN BINTANG UTAMA
81400 SENAI JOHOR
25 POLIKLINIK DESARU G-03 BLOCK A, JALAN RENGIT 1/1 011-5763 7656 JOHOR
(CAW SG. RENGIT) TAMAN RENGIT SENTRAL
81600 PENGERANG, JOHOR
26 KLINIK HARIS & SURGERI 206, JALAN ABDULLAH 06-951 7504 JOHOR
TAMAN SRI EMAS
84000 MUAR JOHOR
27 KLINIK KURNIA 35 JALAN ORCHARD HEIGHT 07-432 2518 JOHOR
TAMAN ORCHARD HEIGHT
83000 BATU PAHAT JOHOR
PAHANG
(4)
1 KLINIK DR MONA B23, TGKT BAWAH, LORONG PADANG 09- 547 4127 PAHANG
PERMAI 40, JALAN SUNGAI
LEMBING
25200 KUANTAN PAHANG
2 KLINIK AL FARABI NO. B-2, JALAN DATO LIM HOE
LEK 1, 09-513 2363 PAHANG
TRANSIT POINT
25200, KUANTAN, PAHANG
3 KLINIK RAYYAN RIZQI LORONG BANDAR PUTRA 7/1 017-977 8300 PAHANG
PUTRA BUSINESS CENTER
26060 KUANTAN, PAHANG
4 KLINIK YU SDN BHD A-257, STAR CITY 09-566
3734 PAHANG
JALAN BASERAH
25300 KUANTAN, PAHANG
TERENGGANU
(2)
1 KLINIK IDDRUS SDN BHD LOT 29, BANDAR BARU SRI KERTEH 09 -826 1678 TERENGGANU
KERTEH
24300 KEMAMAN
TERENGGANU
2 KLINIK DR RAZIN LOT 10657, BT 9 09-619
7786 TERENGGANU
BUKIT PAYONG
21400 MARANG TERENGGANU
KELANTAN
(17)
1 KLINIK MEDICURE WLY LOT PT 704-G 09 – 955 1188 KELANTAN
PERSIARAN HUMAIRAH
17500 TANAH MERAH
KELANTAN
2 KLINIK FAEZ LOT PT 374 09
- 783 4834 KELANTAN
MELOR
16400 KOTA BAHRU
KELANTAN
3 KLINIK ZIAD AZHARI LOT PT 1497 09 - 782 5880 KELANTAN
SDN BHD SRI KULIM MELOR
16400 KOTA BAHRU
KELANTAN
4 KLINIK PERDANA LOT PT 921, TAMAN BINARAYA 09 - 766 6313 KELANTAN
(PASIR TUMBOH) DESA DARUNAIM PASIR TUMBOH
16150 KOTA BAHRU
KELANTAN
5 KLINIK RAKYAT LOT 1089, SIMPANG 4 09 - 765 7955 KELANTAN
PAUH PANJI (DEPAN JPJ)
16100 Kota Bharu,
Kelantan.
6 KLINIK IKHTIAR LOT 1972 09
- 764 4460 KELANTAN
KOTA JEMBAL KOTA JAMBAL
16100 KOTA BAHRU
KELANTAN
7 KLINIK EHSAN LOT 1172, KEDAI KETEREH 09-788 0241 KELANTAN
KOTA BAHRU
16450 KOTA BAHRU,
KELANTAN
8 KLINIK PANCHO 575, JALAN HOSPITAL 09-744 7386 KELANTAN
KOTA BAHRU
15400 KOTA BAHRU,
KELANTAN
9 KLINIK PERDANA LOT 124, TINGKAT BAWAH 09-744 6771 KELANTAN
(CAW KG CINA) JALAN PCB KG CINA
15351 KOTA BAHRU
KELANTAN
10 KLINIK DR ALWANI 1597 SELISING KELANTAN
PASIR PUTEH
16810 KELANTAN
11 KLINIK MAHMOOD LOT 2010 09-912
1177 KELANTAN
BANDAR BARU
18300 GUA MUSANG
KELANTAN
12 KLINIK DR BADARIAH LOT 2063 09-912 3979 KELANTAN
BANDAR BARU
18300 GUA MUSANG
KELANTAN
13 KLINIK DR RAMZI LOT 1103 09-765
1803 KELANTAN
SIMPANG EMPAT PAUH
PANJI
15200 KOTA BHARU
14 KLINIK DR. WAN LOT 168 KELANTAN
KG. KUBANG KAWAH
16300 BACHOK KELANTAN
15 KLINIK PERDANA PT 7971, BANGUNAN MDGM 09-912 1108 KELANTAN
GUA MUSANG STESYEN BAS LAMA, BANDAR LAMA
18300 GUA MUSANG
KELANTAN
16 KLINIK ARIFFIN BATU 3½, JALAN KUALA KRAI 09-744 1588 KELANTAN
WAKAF CHE YAH
15100 KOTA BAHRU
KELANTAN
17 KLINIK PERDANA LOT 1324, 09-790
5950 KELANTAN
(CAW LEMAL) JALAN HOSPITAL 3
17000 PASIR MAS,
KELANTAN
SABAH
(3)
1 PERMAI POLIKLINIK LOT 3, BLOCK D, LORONG PUSAT
KOMERSIAL 88/2, 088 -
249 900 SABAH
SRI KEPAYAN 88 MARKETPLACE, JALAN PINTAS
88200 KOTA KINABALU
SABAH
2 FAMILY CARE CLINIC BLOCK A2-07, GROUND FLOOR 088-760 777 SABAH
(PAPAR) PALM SQUARE COMMERCIAL CENTRE
KINARUT, 89600 PAPAR,
SABAH
3 KLINIK SURIA (LABUAN) NO U0200 087-504
969 SABAH
JALAN TUN MUSTAPHA
87000 LABUAN SABAH
SARAWAK
(17)
1 KLINIK CAHAYA LOT 212, TINGKAT BAWAH 082 – 425 735 SARAWAK
JALAN HAJI TAHA
93400 KUCHING SARAWAK
2 KN LAW WOMEN NO 6, NEW LOT 5009 086
– 319 158 SARAWAK
SPECIALIST CLINIC BLOCK 31 KEMENA LAND DISTRICT
97000 BINTULU SARAWAK
3 KLINIK SYAZWANI 196, GROUND FLOOR 086
- 342 024. SARAWAK
ASSYAKIRIN COMMERCIAL
SQUARE
81200 BINTULU SARAWAK
4 KLINIK ANDREW GROUND FLOOR, S/L3, 011 - 1058 3826 SARAWAK
LOT 374 GOLDEN SQUARE
94700 SERIAN SARAWAK
5 KLINIK CHAI 56, SERIAN BAZAAR 082 - 874 658 SARAWAK
SERIAN
94700 SERIAN SARAWAK
6 KLINIK LUTONG LOT 1426, GROUND FLOOR 085-491 382 SARAWAK
LUTONG NEW SHOPLOT
98100 LUTONG, MIRI,
SARAWAK
7 KLINIK DINAMIK LOT 431, GROUND FLOOR 085-423 381 SARAWAK
JALAN BENDAHARA
98000 MIRI SARAWAK
8 KLINIK SRI TUNKU LOT 11211, GROUND FLOOR, 017-809 0459 SARAWAK
BLOCK 5 LAMBIR LAND
DISTRICT
PALM VILLA,
COMMERCIAL CENTRE,
98000
MIRI SARAWAK
9 KLINIK KONG 1061 JALAN BINTANG JAYA 1 085-424 730 SARAWAK
BINTANG JAYA COMMERCIAL
CENTRE
98000 MIRI SARAWAK
10 KLINIK S K WONG LOT 2927 FARADALE SHOPHOUSE 085-438 787 SARAWAK
JALAN BULAN SABIT
98000 MIRI SARAWAK
11 LIM HEALTHCARE SERVICES NO. 1166, LOT 4648, LORONG SONG 3G SARAWAK
TABUAN HEIGHT
93350 KUCHING, SARAWAK
12 KLINIK CYRIL SONGAN 139,LOT 2044, JALAN PENRISSEN 082-618 001 SARAWAK
BATU 7, KOTA SENTOSA
93250 KUCHING, SARAWAK
13 KLINIK KELLY LAU GROUND FLOOR, SUBLOT 21, LOT 3162 012-889 0655 SARAWAK
PENRISSEN ROAD,
SENTOSA
CENTRAL, 7TH MILE,
93250 KUCHING, SARAWAK
14 KLINIK KOTARAYA MATANG LOT
6949, WISMA MATANG 082-648 323 SARAWAK
BATU 4 1/2, JALAN MATANG
93050 KUCHING, SARAWAK
15 HARMONI MEDICAL LOT 561 & 562 TGKT BAWAH 085-668 232 SARAWAK
SERVICES SDN BHD JALAN PASAR LUTONG
98100 LUTONG SARAWAK
16 KLINIK HAJI ROSLAN NO 59, MEDAN SEPADU, JALAN KEPPEL 086-335 075 SARAWAK
SHAHIDA COMMERCIAL
CENTRE
97000 BINTULU SARAWAK
17 KLINIK SATOK 22F, GROUND FLOOR 082-414 994 SARAWAK
JALAN RUBBER, LORONG 14
93400 KUCHING SARAWAK
