Traditionally, in Southeast Asia, farmers and outdoor laborers chew kratom leaves or make a decoction for energy, stamina, pain treatment, erectile dysfunction, and mood elevation.

“And in that region, it's very rural. It's lots of farmers and lots of outdoor laborers. And those outdoor laborers chew the leaves um in Thailand or they make a tea or more technically what we call a decoction because they boil the leaves for hours. Um but they'll harvest fresh leaves and boil those leaves and then drink that just like we would drink a coffee drink in the morning to give them energy to give them sort of sustainability throughout the day to tolerate that heat, humidity and very harsh tropical environment. and it gives them the stamina to make it make it through the day. Um, and that's really what the traditional use has has always been uh more or less for energy and to get through that day. U but it also has been used to treat pain. It's been used to treat um of all things u uh erectile dysfunction. It's been said to be nature's sort of Viagra. Um it's used for uh mood elevation primarily.”