Arginine

Last Updated: January 23, 2023

Arginine is an amino acid involved in the regulation of vascular function and blood flow. Supplementation may improve high blood pressure and erectile dysfunction.

Arginine is most often used forCardiovascular Health.The Examine Database covers General Athletic Performance,General Cardiovascular Health, and 10 other conditions and goals.
Arginine is linked to 12 conditions and outcomes. Get Examine+ to unlock these insights and the details of over 50,000 other studies.
What is arginine?

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]

What are arginine’s main benefits?

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]

What are arginine’s main drawbacks?

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.

How does arginine work?

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]

What are other names for Arginine?
Note that Arginine is also known as:
  • L-Arginine
Dosage information

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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Examine Database: Arginine
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Which supplements are effective for swimmers?

In this network meta-analysis of 58 randomized controlled trials, there was limited evidence that supplementing with arginine or citrulline improved swimming performance.

Does preworkout arginine lead to greater resistance-training gains?

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Which nutraceutical supplements improve erectile dysfunction?

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A multi-ingredient supplement containing L-carnitine for improving semen parameters

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Combined supplementation with Tribulus terrestris, Panax ginseng, and L-arginine for erectile dysfunction

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Update History
2023-01-23 00:30:03

Small database additions

minor

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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