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L-Glutamine

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Specifically for Leaky Gut Syndrome

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Why it works for Leaky Gut Syndrome:

Primary fuel for enterocytes (intestinal lining cells). Enterocytes use glutamine as a preferred energy source; supplying extra glutamine helps epithelial cells repair and maintain their function. ScienceDirect

Supports tight-junction proteins and barrier integrity. Animal and cell studies show glutamine increases expression/function of tight-junction proteins (e.g., ZO-1, occludin), which reduces intestinal permeability. ScienceDirect

Anti-inflammatory and immune support at the mucosa. Glutamine modulates local immune cells, reducing mucosal inflammation which otherwise promotes barrier breakdown. ScienceDirect

Clinical signal. Meta-analyses and clinical trials have reported reductions in markers of intestinal permeability and symptom improvements in some patient groups (see studies below). The overall picture is promising but not uniformly conclusive across every disease/condition. SpringerLink Gut

How to use for Leaky Gut Syndrome:

Dose used in the best-known randomized trial (post-infectious IBS with increased permeability): 5 g three times daily (5 g t.i.d.) — total 15 g/day — for 8 weeks. That trial reported symptom improvement and improved permeability measures. If following evidence from controlled trials, this is the directly supported regimen. Gut

Other clinical/practical ranges: supplement literature and clinical guidance commonly use 5–15 g/day for gut support; some therapeutic contexts (e.g., clinical/parenteral nutrition or research settings) have used up to 30 g/day, but higher doses are not necessary for most gut-health use and safety data are limited at very high chronic doses. WebMD Essential Stacks

Duration: trials typically run 4–12 weeks for measurable changes. The randomized IBS-D trial used 8 weeks; systematic reviews examine varied durations. If you try glutamine for barrier support, clinicians commonly reassess after ~8–12 weeks. Gut SpringerLink

How to take (form & administration):

  • Powder is the most common form. Clinical formulations and hospital instructions mix powder into ~6–8 oz (180–240 mL) of cold or room-temperature liquid (water, juice, milk) or a spoonful of soft food (yogurt, applesauce) and swallow soon after mixing. Avoid very hot liquids (to preserve the compound). Take as directed (typically 1–3 times daily depending on dose). Symptx Allina Health
  • Some sources advise on an empty stomach for faster gut delivery; others allow taking with food — clinical formulations (prescription powders) are mixed with a drink/soft food and taken as prescribed. Follow label or clinician direction. Allina Health University of Michigan Health

Summary practical regimen (evidence-based example): 5 g dissolved in ~200–240 mL water, taken three times daily (morning, midday, evening) for 8 weeks, then reassess symptoms and discuss continuation with your clinician. This replicates the regimen used in a high-quality randomized trial. Gut

Scientific Evidence for Leaky Gut Syndrome:

Randomized, double-blind, placebo-controlled trial (IBS-D after infectious gastroenteritis)Gut (BMJ family). Adults with post-infectious IBS and increased permeability received 5 g t.i.d. for 8 weeks and showed symptom and permeability improvements vs placebo. This is one of the best direct clinical trials for the “leaky gut” use case. Gut

Systematic review / meta-analysis on glutamine and intestinal permeability — Springer (recent systematic review / meta-analysis examining multiple trials measuring intestinal permeability with glutamine supplementation). This summarizes multiple clinical and experimental studies and is useful to see the overall effect sizes and study heterogeneity. SpringerLink

Comprehensive reviews on glutamine and gut health — ScienceDirect / review articles summarizing mechanisms (enterocyte fuel, tight-junction effects, immunomodulation) and clinical evidence. Good for mechanism and preclinical + translational data. ScienceDirect

Clinical trial listings / ongoing research — Mayo Clinic trial listings and other registered trials examining glutamine and intestinal symptoms/ permeability (useful to find ongoing or recently completed work). Mayo Clinic

Authoritative clinical summaries (safety & dosing references) — Cleveland Clinic and WebMD overviews about glutamine (general uses, common dosing ranges, and safety caveats). These pages are practical for patient-facing dosing and safety context. Cleveland Clinic WebMD

Specific Warnings for Leaky Gut Syndrome:

General safety profile: Glutamine is generally well tolerated in short-term use for most healthy adults, but safety data are incomplete for long-term high doses. Clinical sources report typical adult supplemental ranges and adverse effects (GI upset, rare reactions). WebMD Drugs.com

Liver disease / hyperammonemia: Patients with severe liver disease may be unable to safely metabolize excess amino acids/ammonia — glutamine supplementation can be problematic and is generally advised against without specialist oversight. Reviews identify liver disease as a cautionary group. Healthfully ScienceDirect

Kidney disease: Because amino acid metabolism/excretion relies on renal function, chronic kidney disease patients should avoid or use glutamine only under nephrology supervision. Kidney Coach JRn Journal

Neurological conditions / epilepsy — Caution: The glutamine–glutamate–GABA cycle is central in the brain. Some mechanistic literature links disturbances in glutamine/glutamate metabolism to seizure activity in certain settings; therefore people with epilepsy or seizure disorders should consult their neurologist before taking supplemental glutamine. (This is a theoretical risk rather than a widely reported direct effect of routine oral supplementation, but caution is advised.) SpringerLink Seizure Journal

Drug interactions & other cautions: Discuss with your provider if you take medications for metabolic conditions, or are pregnant/breastfeeding. Also report any new neurological symptoms, severe GI effects, or signs of allergic reaction. Authoritative drug/supplement references list interactions and monitoring points. Drugs.com WebMD

General Information (All Ailments)

Note: You are viewing ailment-specific information above. This section shows the general remedy information for all conditions.

What It Is

L-Citrulline is a non-essential amino acid, meaning the body can produce it naturally. It was first identified in watermelon (Citrullus vulgaris), which is where it gets its name. Unlike essential amino acids, L-citrulline isn’t directly incorporated into proteins. Instead, it serves as a precursor to other important compounds, most notably L-arginine and nitric oxide (NO), both of which play significant roles in cardiovascular and muscular health.

It can be found naturally in foods such as watermelon, cucumbers, and pumpkins, and it’s also available as a dietary supplement—either in pure form or as L-citrulline malate (a combination of citrulline and malic acid, often used to enhance exercise performance).

How It Works

L-Citrulline functions mainly through its conversion into L-arginine in the kidneys. L-arginine then serves as a substrate for the enzyme nitric oxide synthase (NOS), which generates nitric oxide (NO)—a critical molecule for vasodilation (the widening of blood vessels).

By increasing nitric oxide levels, L-citrulline can help improve blood flow, oxygen delivery, and nutrient transport to tissues. This mechanism has several downstream effects:

  1. Improved Exercise Performance: Enhanced blood flow delivers more oxygen and nutrients to working muscles, potentially reducing fatigue and improving endurance.
  2. Cardiovascular Health: Better endothelial (blood vessel) function may help reduce blood pressure and support overall heart health.
  3. Enhanced Recovery: Increased circulation may assist in clearing metabolic waste (like ammonia and lactic acid) from muscles after intense exercise.
  4. Erectile Function: Improved nitric oxide availability can aid in relaxing blood vessels, a mechanism similar to that of erectile dysfunction medications.

An additional pathway involves ammonia clearance. L-citrulline plays a role in the urea cycle, which helps the body eliminate ammonia, a toxic byproduct of protein metabolism. This contributes to improved recovery and reduced muscle fatigue.

Why It’s Important

L-Citrulline’s importance lies in its broad range of physiological benefits, especially for vascular, muscular, and metabolic health:

  • Supports Cardiovascular Function: Through nitric oxide production, it helps maintain healthy blood pressure and vessel elasticity.
  • Enhances Exercise Performance: Studies show it may delay fatigue, improve endurance, and increase strength output, particularly in resistance training and high-intensity workouts.
  • Promotes Muscle Recovery: Its role in ammonia detoxification and improved blood flow helps accelerate recovery between training sessions.
  • May Aid Sexual Health: Because it enhances circulation, L-citrulline has been researched as a natural aid for mild erectile dysfunction.
  • Supports General Energy Metabolism: The malate component in citrulline malate contributes to the Krebs cycle (the body’s primary energy production pathway), potentially improving overall energy availability.

Considerations

While L-citrulline is generally considered safe and well-tolerated, there are several points to consider before use:

Dosage:

  • Typical doses range from 3 to 6 grams per day for general circulatory or cardiovascular support.
  • For exercise performance, studies often use 6 to 8 grams of L-citrulline malate taken 30–60 minutes before training.

Possible Side Effects:

  • Most people experience no adverse effects, but mild gastrointestinal discomfort (bloating or nausea) can occur at higher doses.
  • Because it can lower blood pressure, individuals already on antihypertensive medications should consult a healthcare professional.

Interactions:

  • Combining L-citrulline with other nitric oxide boosters (like L-arginine or beetroot extract) may enhance its effects—but also potentially lower blood pressure more than desired.
  • Those taking nitrate medications (e.g., for heart disease) should use caution.

Form and Purity:

  • L-Citrulline Malate is often preferred for performance purposes due to better absorption and synergistic energy benefits.
  • Always select third-party tested supplements to ensure purity and correct dosing.

Long-Term Use:

  • Research supports its safety in both short- and medium-term use (up to 12 months), but long-term studies are still limited.
  • Its effects may vary between individuals depending on diet, fitness level, and baseline nitric oxide status.

Helps with these conditions

L-Glutamine is most effective for general wellness support with emerging research . The effectiveness varies by condition based on clinical evidence and user experiences.

Leaky Gut Syndrome 0% effective
Food Allergies 0% effective
Chronic Pancreatitis 0% effective
3
Conditions
0
Total Votes
16
Studies
0%
Avg. Effectiveness

Detailed Information by Condition

Primary fuel for enterocytes (intestinal lining cells). Enterocytes use glutamine as a preferred energy source; supplying extra glutamine helps epithe...

0 votes Updated 2 months ago 6 studies cited

Food Allergies

0% effective

There is plausible mechanistic and some clinical evidence that glutamine helps intestinal barrier/immune function (which could reduce antigen exposure...

0 votes Updated 2 months ago 8 studies cited

Biology & rationale (general): Glutamine is a major fuel for enterocytes and immune cells and is a precursor for glutathione, so it can support gu...

0 votes Updated 1 month ago 2 studies cited

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