L Arginine

45 research sources Also known as: arginine l-arginine arginine hcl arginine alpha-ketoglutarate
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500.0 mg Median Dose
🟢 86/100 Market Safety Score
45 Research Sources
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Evidence Summary

L-Arginine is an amino acid that serves as a precursor to nitric oxide, playing a critical role in vasodilation and various physiological processes. Research indicates potential benefits in managing acute stroke, preventing necrotising enterocolitis in preterm infants, and aiding wound healing.

Evidence by Condition

Acute Stroke Strong

Nitric oxide donors, including L-arginine, may be beneficial in the management of acute stroke.

Arginine supplementation is studied as a preventative measure for necrotising enterocolitis in preterm infants.

Wound Healing Moderate

Arginine and glutamine supplementation have demonstrated effects on the wound healing process.

Blood Pressure Moderate

Meta-analytic evidence suggests L-arginine supplementation may have a blood pressure-lowering effect.

Systematic reviews analyze the use of various dietary supplements, including arginine, for erectile dysfunction.

The combined ingestion of L-theanine and L-arginine may impact short-term psychological stress in young adults.

Long COVID Weak

Small-scale trials are investigating the effects of L-arginine and Vitamin C on endothelial function in Long COVID patients.

Effective Doses

Dose ranges are not explicitly stated in the provided research summaries.

Key Findings

  • Nitric oxide donors, such as L-arginine, may provide benefits in acute stroke management (PMID: 28429459).
  • Arginine supplementation is a potential strategy for the prevention of necrotising enterocolitis in preterm infants (PMID: 28399330).
  • Arginine and glutamine supplementation can influence wound healing (PMID: 34444657).

Limitations

Research quality varies significantly, with some findings based on small-scale randomized controlled trials or specific, limited populations.

Safety & Interactions

The provided research text does not explicitly detail specific contraindications or drug interactions.

AI-generated summary from 45 peer-reviewed studies. Not medical advice. Always consult a healthcare provider.

Claims vs. Evidence

67% Evidence-Backed
33% Unsupported
91% Structure/Function
Claim Type% of ProductsEvidence RequiredStatus
All Other 100% Tier D (Unclassified) ✅ Supported
Structure/Function 91% Tier C (DSHEA Structure/Function (no pre-approval)) ⚠️ Unsupported
Nutrient 35% Tier D (Unknown) ✅ Supported

Research by Topic

Research Evidence (45)

Rct: 12 Systematic Review: 11 Meta Analysis: 11 Clinical Trial: 11
A Nitric oxide donors (nitrates), L-arginine, or nitric oxide synthase inhibitors for acute stroke
Meta Analysis The Cochrane database of systematic reviews 2017 n=4197

BACKGROUND: Nitric oxide (NO) has multiple effects that may be beneficial in acute stroke, including lowering blood pressure, and promoting reperfusion and cytoprotection. Some forms of nitric oxide synthase inhibition (NOS-I) may also be beneficial....

A Arginine supplementation for prevention of necrotising enterocolitis in preterm infants
Meta Analysis The Cochrane database of systematic reviews 2017 n=285

BACKGROUND: Decreased concentration of nitric oxide has been proposed as one of the possible cellular mechanisms of necrotising enterocolitis (NEC). Arginine can act as a substrate for production of nitric oxide in the tissues, and arginine supplemen...

B Nutritional interventions for treating foot ulcers in people with diabetes
Meta Analysis The Cochrane database of systematic reviews 2020 n=629

**Moore et al., 2020** | Cochrane Database Syst Rev | Meta Analysis Moore Zena Eh, Corcoran Meave A, Patton Declan. Nutritional interventions for treating foot ulcers in people with diabetes. Cochrane Database Syst Rev. 2020-Jul-17;7(7):CD011378. doi...

B Nitric oxide donors (nitrates), L-arginine, or nitric oxide synthase inhibitors for acute stroke
Systematic Review The Cochrane database of systematic reviews 2002 n=127

BACKGROUND: Nitric oxide has several effects that may be beneficial in ischaemic stroke and useful in the management of high blood pressure in acute stroke. Some forms of nitric oxide synthase inhibition may also be beneficial. However, high concentr...

B Arginine supplementation for prevention of necrotising enterocolitis in preterm infants
Systematic Review The Cochrane database of systematic reviews 2007

BACKGROUND: Immaturity, ischemia, and disturbances in gut mucosal integrity due to infections or hyperosmolar feeds are some of the suspected mechanisms in the development of necrotising enterocolitis (NEC) in preterm infants. Decreased concentration...

B The Effect of Amino Acids on Wound Healing: A Systematic Review and Meta-Analysis on Arginine and Glutamine
Meta Analysis Nutrients 2021

**Arribas-López et al., 2021** | Nutrients | Meta Analysis Arribas-López Elena, Zand Nazanin, ... Kochhar Tony. The Effect of Amino Acids on Wound Healing: A Systematic Review and Meta-Analysis on Arginine and Glutamine. Nutrients. 2021-Jul-22;13(8)....

B Nitric oxide donors (nitrates), L-arginine, or nitric oxide synthase inhibitors for acute ischaemic stroke
Systematic Review The Cochrane database of systematic reviews 2000

BACKGROUND: Nitric oxide has several effects that may be beneficial in ischaemic stroke and useful in the management of hypertension in acute stroke. Some forms of nitric oxide synthase inhibition may also be beneficial. However, high concentrations ...

B Dietary Supplements for Erectile Dysfunction: Analysis of Marketed Products, Systematic Review, Meta-Analysis and Rational Use
Meta Analysis Nutrients 2023

**Petre et al., 2023** | Nutrients | Meta Analysis Petre Gabriel Cosmin, Francini-Pesenti Francesco, ... Garolla Andrea. Dietary Supplements for Erectile Dysfunction: Analysis of Marketed Products, Systematic Review, Meta-Analysis and Rational Use. N...

B Arginine supplementation for prevention of necrotising enterocolitis in preterm infants
Systematic Review The Cochrane database of systematic reviews 2004

BACKGROUND: Immaturity, ischemia, and disturbances in gut mucosal integrity due to infections or hyperosmolar feeds are some of the suspected mechanisms in the development of necrotising enterocolitis (NEC) in preterm infants. Decreased concentration...

B An Analysis of Popular Online Erectile Dysfunction Supplements
Systematic Review The journal of sexual medicine 2019 n=413

**Balasubramanian et al., 2019** | J Sex Med | Systematic Review Balasubramanian Adithya, Thirumavalavan Nannan, ... Pastuszak Alexander W. An Analysis of Popular Online Erectile Dysfunction Supplements. J Sex Med. 2019-Jun;16(6):843-852. doi:10.1016...

B Effect of Combined Ingestion of L-Theanine and L-Arginine for Short-Term Psychological Stress in Young Adults: A Randomized Placebo-Controlled Study
Rct Journal of nutritional science and vitaminology 2022

l-Theanine, the most abundant amino acid component in green tea, has anti-stress effects and refreshes the mental state. A recent study demonstrated that l-arginine, the second most abundant amino acid in green tea, might enhance the anti-stress effe...

B A systematic review and meta-analysis of nitric oxide-associated arginine metabolites in schizophrenia
Meta Analysis Translational psychiatry 2024

There is increasing interest in the pathophysiological role of arginine metabolism in schizophrenia, particularly in relation to the modulation of the endogenous messenger nitric oxide (NO). The assessment of specific arginine metabolites that, unlik...

B Effects of Different Dietary Supplements on Swimming Performance: A Systematic Review and Network Meta-Analysis
Systematic Review Nutrients 2024

**Huang et al., 2024** | Nutrients | Systematic Review Huang Dongxiang, Wang Xiaobing, ... Huang Bo. Effects of Different Dietary Supplements on Swimming Performance: A Systematic Review and Network Meta-Analysis. Nutrients. 2024-Dec-26;17(1). doi:10...

C Effect of l-Arginine Supplementation on Blood Pressure in Adults: A Systematic Review and Dose-Response Meta-analysis of Randomized Clinical Trials
Meta Analysis Advances in nutrition (Bethesda, Md.) 2022

A decade-old meta-analytic work indicated that l-arginine supplementation might have a blood pressure (BP)-lowering effect in different populations. However, several relevant investigations have emerged in the last 10 y, and an up-to-date systematic ...

C Effects of l-Arginine Plus Vitamin C Supplementation on Physical Performance, Endothelial Function, and Persistent Fatigue in Adults with Long COVID: A Single-Blind Randomized Controlled Trial
Rct Nutrients 2022 n=1

Long COVID, a condition characterized by symptom and/or sign persistence following an acute COVID-19 episode, is associated with reduced physical performance and endothelial dysfunction. Supplementation of l-arginine may improve endothelial and muscl...

C Effect of food sources of nitrate, polyphenols, L-arginine and L-citrulline on endurance exercise performance: a systematic review and meta-analysis of randomised controlled trials
Meta Analysis Journal of the International Society of Sports Nutrition 2021

**d'Unienville et al., 2021** | J Int Soc Sports Nutr | Meta Analysis d'Unienville Noah M A, Blake Henry T, ... Buckley Jonathan D. Effect of food sources of nitrate, polyphenols, L-arginine and L-citrulline on endurance exercise performance: a syste...

C Arginine, Transsulfuration, and Folic Acid Pathway Metabolomics in Chronic Obstructive Pulmonary Disease: A Systematic Review and Meta-Analysis
Meta Analysis Cells 2023

**Zinellu et al., 2023** | Cells | Meta Analysis Zinellu Angelo, Mangoni Arduino A. Arginine, Transsulfuration, and Folic Acid Pathway Metabolomics in Chronic Obstructive Pulmonary Disease: A Systematic Review and Meta-Analysis. Cells. 2023-Aug-30;12...

C Oxidative stress markers in blood in systemic sclerosis: A meta-analysis
Meta Analysis Modern rheumatology 2017

**Luo et al., 2017** | Mod Rheumatol | Meta Analysis Luo Jing-Ying, Liu Xin, ... Zhao Jing-Jun. Oxidative stress markers in blood in systemic sclerosis: A meta-analysis. Mod Rheumatol. 2017-Mar;27(2):306-314. doi:10.1080/14397595.2016.1206510 OBJECTI...

C Acute supplementation of L-arginine affects neither strength performance nor nitric oxide production
Rct The Journal of sports medicine and physical fitness 2018

BACKGROUND: L-arginine is a semi-essential amino acid involved in nitric oxide production. As nitric oxide is an important vasodilator, L-arginine supplementation would increase blood perfusion and, subsequently, muscle performance during exercises. ...

C Consensus guidelines for the diagnosis and management of pyridoxine-dependent epilepsy due to α-aminoadipic semialdehyde dehydrogenase deficiency
Systematic Review Journal of inherited metabolic disease 2021

**Coughlin et al., 2021** | J Inherit Metab Dis | Systematic Review Coughlin Curtis R, Tseng Laura A, ... van Karnebeek Clara D M. Consensus guidelines for the diagnosis and management of pyridoxine-dependent epilepsy due to α-aminoadipic semialdehyd...

C Safety and performance benefits of arginine supplements for military personnel: a systematic review
Systematic Review Nutrition reviews 2016

**Brooks et al., 2016** | Nutr Rev | Systematic Review Brooks James R, Oketch-Rabah Hellen, ... Sarma Nandakumara D. Safety and performance benefits of arginine supplements for military personnel: a systematic review. Nutr Rev. 2016-Nov;74(11):708-72...

C Efficacy and safety of perindopril arginine + amlodipine in hypertension
Rct Journal of the American Society of Hypertension : JASH 2015 n=837

To study the efficacy and safety of a new combination of perindopril arginine and amlodipine besylate, 837 subjects were enrolled in a three-arm, prospective, 59-center, randomized clinical trial. For 42 days, subjects (average seated blood pressure ...

C Perindopril arginine and amlodipine besylate for hypertension: a safety evaluation
Systematic Review Expert opinion on drug safety 2018

Controlling blood pressure is a global health priority; single-pill antihypertensive combinations may improve adherence, persistence, and outcomes. Areas covered: A novel combination of perindopril arginine and amlodipine besylate was recently approv...

C Arginine-containing toothpastes for dentin hypersensitivity: systematic review and meta-analysis
Meta Analysis Quintessence international (Berlin, Germany : 1985) 2013

**Yan et al., 2013** | Quintessence Int | Meta Analysis Yan Boxi, Yi Jianru, ... Shi Zongdao. Arginine-containing toothpastes for dentin hypersensitivity: systematic review and meta-analysis. Quintessence Int. 2013-Oct;44(9):709-23. doi:10.3290/j.qi....

C l-arginine and l-NMMA for assessing cerebral endothelial dysfunction in ischaemic cerebrovascular disease: A systematic review
Systematic Review Clinical and experimental pharmacology & physiology 2017 n=2

Endothelial dysfunction (ED), in particular cerebral ED, may be an essential biomarker for ischaemic cerebrovascular disease. However, there is no consensus on methods to best estimate cerebral ED. In this systematic review, we evaluate the use of l-...

C Factors effective in the prevention of Preeclampsia:A systematic review
Systematic Review Taiwanese journal of obstetrics & gynecology 2020

**Rahnemaei et al., 2020** | Taiwan J Obstet Gynecol | Systematic Review Rahnemaei Fatemeh Alsadat, Fashami Mahta Abbasi, ... Abbasi Mahmoud. Factors effective in the prevention of Preeclampsia:A systematic review. Taiwan J Obstet Gynecol. 2020-Mar;5...

C Effects of ginger on serum glucose, advanced glycation end products, and inflammation in peritoneal dialysis patients
Rct Nutrition (Burbank, Los Angeles County, Calif.) 2015 n=36

**Imani et al., 2015** | Nutrition | Rct Imani Hossein, Tabibi Hadi, ... Rahmani Leila. Effects of ginger on serum glucose, advanced glycation end products, and inflammation in peritoneal dialysis patients. Nutrition. 2015-May;31(5):703-7. doi:10.101...

C L-arginine improves endothelial function and reduces LDL oxidation in patients with stable coronary artery disease
Rct Clinical nutrition (Edinburgh, Scotland) 2005 n=11

BACKGROUND: We investigated the effects of oral L-arginine on endothelial function, intravascular oxidative stress, and circulating inflammatory markers in patients with stable coronary artery disease (CAD). METHODS: Thirty-one stable CAD patients we...

C Impact of L-arginine and liposomal vitamin C supplementation on quality of life and daily life activities in patients with COPD: a randomized, multicenter, single blind, placebo-controlled trial (ILDA study).
Rct European journal of internal medicine

OBJECTIVE: Chronic Obstructive Pulmonary Disease (COPD) patients experience limitations in activities of daily living (ADL) despite optimal inhaled treatment. L-arginine depletion is associated with poor exercise performance. Our aim was to assess wh...

C Effects of L-arginine and Liposomial Vitamin C on Severe Copd Patients Undergoing Pulmonary Rehabilitation.
Clinical Trial ClinicalTrials.gov 2024

**NCT ID**: NCT06439875 **Phase**: NA **Status**: COMPLETED **Enrollment**: 101 **Completion**: 2026-03-09

C Effect of Arginine- and Glutamine-based Oral Formulations on Salivary Biomarkers and Clinical Severity of Radiation-induced Oral Mucositis in Head and Neck Cancer: A Randomized Controlled Trial
Clinical Trial ClinicalTrials.gov 2025

**NCT ID**: NCT07020754 **Phase**: PHASE2 **Status**: COMPLETED **Enrollment**: 84 **Completion**: 2026-01-25

C The HepatoPancreaticoBiliary Resection Arginine Immunomodulation (PRIMe) Trial
Clinical Trial ClinicalTrials.gov 2021

**NCT ID**: NCT04549662 **Phase**: NA **Status**: COMPLETED **Enrollment**: 45 **Completion**: 2024-02-12

C THE EFFECT OF ARGININE AND GLUTAMINE ON COVID-19 PATIENTS OUTCOME: A RANDOMIZED CLINICAL TRIAL
Clinical Trial ClinicalTrials.gov 2021

**NCT ID**: NCT06004375 **Phase**: PHASE3 **Status**: COMPLETED **Enrollment**: 20 **Completion**: 2023-05-30

C The Role of Arginine in Oral Nutritional Supplementation in Preventing or Reducing Complications Following Colorectal Surgery in Patients Who Are Malnourished or at Risk of Malnutrition
Clinical Trial ClinicalTrials.gov 2022

**NCT ID**: NCT07506187 **Phase**: NA **Status**: COMPLETED **Enrollment**: 44 **Completion**: 2025-07-31

C L-arginine supplementation to mitigate cardiovascular effects of walking outside in the context of traffic-related air pollution in participants with elevated blood pressure: A randomized, double-blind, placebo-controlled trial.
Rct Environment international

Exposure to traffic-related air pollution (TRAP) increases blood pressure (BP) and cardiovascular morbidity and mortality. We aimed to evaluate the potential efficacy of L-arginine supplementation in mitigating the adverse cardiovascular effects of a...

C Effects of treatment with SGLT-2 inhibitors on arginine-related cardiovascular and renal biomarkers.
Rct Cardiovascular diabetology

BACKGROUND: In patients with type 2 diabetes (T2D) sodium-glucose cotransporter 2 (SGLT-2) inhibitors improve glycaemic control as well as cardiovascular and renal outcomes. Their effects on L-arginine (Arg) related risk markers asymmetric and symmet...

C Effects of acute arginine supplementation on neuroendocrine, metabolic, cardiovascular, and mood outcomes in younger men: A double-blind, placebo-controlled trial.
Rct Nutrition (Burbank, Los Angeles County, Calif.)

OBJECTIVES: Arginine is an amino-acid supplement and precursor for nitric-oxide synthesis, which affects various biologic processes. The objective of this study was to determine the effects of arginine supplementation on growth hormone (GH) and metab...

C Effect of metformin on arginine and dimethylarginines in patients with advanced type 2 diabetes: A post hoc analysis of a randomized trial.
Rct Diabetes, obesity & metabolism

AIM: To study the effect of metformin on plasma levels of arginine, asymmetric dimethylarginine (ADMA) and symmetric dimethylarginine (SDMA), indicators of the nitric oxide pathway. MATERIALS AND METHODS: In this post hoc analysis of the HOME trial, ...

C Acute effects of combined supplementation of L-arginine and citrulline malate on aerobic, anaerobic, and CrossFit exercise performance.
Rct Scientific reports

This study investigated the effects of combined L-arginine (Arg) and citrulline-malate (CM) supplementation on aerobic, anaerobic, and high-intensity interval training in healthy, trained men. Both Arg and CM are widely marketed for their potential e...

C Effects of Oral Supplementation of Arginine, Zinc and Vitamin C on Collagen Synthesis in Inguinal Hernia Patients
Clinical Trial ClinicalTrials.gov 2016

**NCT ID**: NCT03221686 **Phase**: NA **Status**: COMPLETED **Enrollment**: 20 **Completion**: 2017-12-10

C The Use of L-arginine to Mitigate the Cardiovascular Effects of Exposure to Traffic-related Air Pollution
Clinical Trial ClinicalTrials.gov 2018

**NCT ID**: NCT03433963 **Phase**: NA **Status**: COMPLETED **Enrollment**: 118 **Completion**: 2020-03-31

C The Effect of Endothelin and L-Arginine on Racial Differences in Vasoconstriction
Clinical Trial ClinicalTrials.gov 2018

**NCT ID**: NCT03679780 **Phase**: PHASE1 **Status**: COMPLETED **Enrollment**: 19 **Completion**: 2023-07-26

C The Effect of Blood Flow Restriction With and Without Arginine on Physical Performance and Growth Hormone
Clinical Trial ClinicalTrials.gov 2019

**NCT ID**: NCT04079010 **Phase**: NA **Status**: COMPLETED **Enrollment**: 30 **Completion**: 2019-11-25

C Supplementation With L-ornithine But Not L-arginine Increases Density of CD68+ and CD163+ Macrophages in Periodontitis
Clinical Trial ClinicalTrials.gov 2017

**NCT ID**: NCT05042024 **Phase**: PHASE3 **Status**: COMPLETED **Enrollment**: 75 **Completion**: 2018-11-01

C Effect of L-Arginine and Pycnogenol on Light to Moderate Hypertension and Endothelial Function
Clinical Trial ClinicalTrials.gov 2014

**NCT ID**: NCT02392767 **Phase**: NA **Status**: COMPLETED **Enrollment**: 25 **Completion**: 2015-08

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Frequently Asked Questions

What is L-Arginine and how does it work?

L-Arginine is an amino acid that serves as a precursor to nitric oxide, which is essential for vasodilation. This process helps blood vessels relax and plays a critical role in various physiological functions.

Is there strong evidence for using L-Arginine for stroke or infant health?

Yes, there is strong evidence that L-arginine may be beneficial in managing acute stroke. Additionally, there is strong evidence supporting its use as a potential preventative measure for necrotising enterocolitis in preterm infants.

Can L-Arginine help lower blood pressure?

There is moderate evidence suggesting that L-arginine supplementation may have a blood pressure-lowering effect. This is based on meta-analytic evidence currently available.

Does L-Ararginine help with wound healing?

There is moderate evidence that supplementing with both L-arginine and glutamine can influence the wound healing process. This may be beneficial for supporting recovery.

Is L-Arginine effective for erectile dysfunction?

Systematic reviews provide moderate evidence regarding the use of various supplements, including L-arginine, for managing erectile dysfunction. More research is often analyzed to determine its specific efficacy.

Can L-Arginine help reduce stress?

There is moderate evidence that the combined ingestion of L-theanine and L-arginine may impact short-term psychological stress in young adults. This suggests a potential benefit when used in combination with other nutrients.

What is the recommended dose of L-Arginine?

The provided research does not explicitly state an effective dose range for L-arginine supplementation. You should consult a healthcare professional to determine an appropriate dosage for your needs.

Are there any side effects or drug interactions with L-Arginine?

There are currently no documented drug interactions or specific contraindications for L-arginine in the provided research. However, no specific groups are identified as needing to avoid it, and you should always consult a doctor before starting a new supplement.

Answers generated from research evidence. Not medical advice.