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Arginine is an amino acid involved in the regulation of vascular function and blood flow. Supplementation may improve high blood pressure and erectile dysfunction.
Last Updated:January 23, 2023
Arginine, also called L-arginine, is an amino acid used by the body as a protein building block. It’s also an intermediate metabolite in the urea cycle and the nitric oxide cycle.[1][2][3] The urea cycle removes excess ammonia, a toxic molecule, from the body, and the nitric oxide cycle produces nitric oxide, which is an important signaling molecule involved in vascular function.[1][2][3] Although the body can synthesize arginine, arginine can also be obtained in the diet through protein-containing foods or dietary supplements.[1][2][3]
Daily supplementation with arginine can reduce blood pressure in people with healthy blood pressure and people with hypertension (high blood pressure).[4] Evidence also supports the use of arginine to help improve birth outcomes in pregnant women who have conditions like hypertension and preeclampsia, or who have a history of poor pregnancy outcomes. The improved outcomes include a reduced risk of small for gestational age infants[5] and a reduced risk of intrauterine growth restriction of the baby.[6] Arginine can also improve maternal outcomes by reducing the risk of preeclampsia in the pregnant mother.[7][8][9] Additionally, arginine can reduce blood triglycerides,[10][11] particularly in people older than 50 or in people with metabolic syndrome or type 2 diabetes.[10]
In men with erectile dysfunction, daily supplementation with arginine can alleviate symptoms.[12] Furthermore, the combination of arginine with phosphodiesterase type 5 inhibitors (PDE5Is), like Viagra, improves sexual function in men with erectile dysfunction more than treatment with PDE5Is alone.[13]
Evidence also shows that daily supplementation with arginine might increase VO2max, but the magnitude of improvement is negligible and unlikely to be clinically meaningful.[14] Furthermore, most studies find no beneficial effect of arginine on exercise performance.[15] It is only when highly-varied types of exercise (aerobic, anaerobic, resistance, etc.) and performance outcomes (time-to-exhaustion, time-trials, sprint time, 1-rep-max, reps-to-failure, etc.) are inappropriately pooled that meta-analyses find a performance benefit from arginine.[15]
Animal studies show that neither oral nor intravenous delivery of arginine causes toxicity, even at high doses.[16][17] However, supplementation with arginine has been reported to cause adverse gastrointestinal effects in humans, including nausea, vomiting, and diarrhea.[18] For this reason, upper-limit guidelines of approximately 20 to 30 grams per day have been proposed for supplemental arginine intake,[19][20] but more long-term safety data in humans are needed to accurately define a tolerable upper intake level.
Nitric oxide is a key molecule involved in vasodilation (the relaxation and widening of blood vessels to increase blood flow to tissues that lack oxygen or nutrients).[21][2] The beneficial effects of arginine on high blood pressure[4][7][8] and erectile dysfunction[12][13] are likely related to vasodilation because arginine increases nitric oxide synthesis.[21][2][3]
A similar mechanism may explain how arginine might increase VO2max.[22][23][14] Additionally, nitric oxide might have direct effects on muscle contractile function.[22][24] Furthermore, arginine’s role in the urea cycle helps with the excretion of ammonia[1], the accumulation of which might induce fatigue during exercise.[25][26][27]
The standard preworkout dose for arginine is 3–6 grams.
Taking more than 10 grams of arginine at once can result in gastrointestinal distress and diarrhea, but it is possible to maintain elevated arginine levels throughout the day by taking three spaced doses (15–18 grams/day). However, citrulline supplementation is more effective at maintaining elevated arginine levels for long periods of time.
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In this network meta-analysis of 58 randomized controlled trials, there was limited evidence that supplementing with arginine or citrulline improved swimming performance.
Quick Summary
In this network meta-analysis of 58 randomized controlled trials, there was limited evidence that supplementing with arginine or citrulline improved swimming performance.
The study
A total of 1,014 trained swimmers and 18 different supplements were evaluated. The outcomes assessed were 50-meter, 100-meter, and 200-meter swimming times.
The following supplements had beneficial effects compared to a placebo:
The dosage of arginine was 7 to 8 grams per day, and the dosage of citrulline was 8 grams per day.
The most studied supplements were creatine (17 studies) and sodium bicarbonate (9 studies). Neither of these supplements was better than a placebo for swimming performance.
The results
Arginine was evaluated in 3 studies, and citrulline was evaluated in 1 study. Further research is needed to strengthen confidence in the efficacy of these supplements for improving swimming performance.
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What was studied?
The effects of regularly taking preworkout arginine as part of a resistance-training program.
The outcomes examined were muscle mass, muscle strength, blood pressure, and blood lipids.
How was it studied?
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What were the results?
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The big picture
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What was studied?
The efficacy of nutraceutical supplements for improving erectile dysfunction (ED).
The primary outcome was erectile function, measured using the International Index of Erectile Function.
How was it studied?
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What was studied?
Whether a multi-ingredient supplement containing L-carnitine L-tartrate improves semen parameters in men with infertility.
The outcomes assessed were sperm concentration, motility, progressive motility, and morphology (i.e., the number of abnormally-shaped sperm), as well as hormone levels, including total testosterone, luteinizing hormone, and follicle-stimulating hormone.
How was it studied?
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Get started with Examine+ today.What were the results?
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Get started with Examine+ today.The big picture
Get the latest evidence-based nutrition and supplement information, presented by a team of experts. Save time and money by learning what works.
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What was studied?
Whether a taking a supplement containing Tribulus terrestris, L-arginine, and Panax ginseng improves erectile dysfunction (ED).
To evaluate erectile function, the researchers had the participants complete the International Index of Erectile Function (IIEF-5) questionnaire.
How was it studied?
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Get started with Examine+ today.What were the results?
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Get started with Examine+ today.The big picture
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Get started with Examine+ today.Small database additions
We added new studies to the database and updated some of the clinical effects. No meaningful changes to the take-home concepts of the page.
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The information in this section is slated for renovation — it will soon be transformed into a more usable (and readable!) form in the coming months. As such, the text in this section may be out of date and not up to Examine’s current standards for writing style.