Arginine
19 benefits mapped to clinical evidence across supplements.
Dose per serving from products
1,044 products in our catalogue print how much Arginine a serving holds.
Most common: 500 mg to 1 g, 41% of 1,044 products.
| Dose per serving | Products |
|---|---|
| 50 mg or less | 46 |
| 50 mg to 100 mg | 47 |
| 100 mg to 250 mg | 54 |
| 250 mg to 500 mg | 123 |
| 500 mg to 1 g | 426 |
| 1 g to 2.5 g | 266 |
| 2.5 g to 5 g | 68 |
| over 5 g | 14 |
Dose per serving from research
193 study groups in 158 studies say how much Arginine participants took a day.
These are the doses the studies gave. They are not a recommendation.
Most common: 5 g to 10 g, 35% of 193 study groups.
| Daily dose | Study groups |
|---|---|
| 500 mg or less | 3 |
| 500 mg to 1 g | 8 |
| 1 g to 2.5 g | 23 |
| 2.5 g to 5 g | 38 |
| 5 g to 10 g | 68 |
| 10 g to 25 g | 47 |
| over 25 g | 6 |
Commonly used together
62 of 196 study groups took Arginine with something else. Shown: what 3 or more different studies gave. The 10 most common of 11.
What was given together, not what works together.
| Taken with | Study groups |
|---|---|
| Glutamine | 15 |
| HMB | 11 |
| Citrulline | 9 |
| Vitamin C | 9 |
| Folic Acid | 7 |
| Vitamin B12 | 7 |
| Lysine | 5 |
| Vitamin B6 | 5 |
| Branched-Chain Amino Acids | 4 |
| Grape Seed Extract | 4 |
Benefit Evidence
Metabolism: glucose↓, insulin↑
Metabolism: arginine↓/fat↓
Metabolism: fatty liver↓
Amino acids ↑; signaling ↑
Recovery strength/endurance ↑
Infections/LOS ↓
Semen +47pp; pregnancy +19pp
Oocytes +3.2; fertilization higher
Birthweight +16%; litter +12-19%
Endurance capacity +14%
Exercise economy/strain reduced
Walking distance +32 m
Metabolism: glucose↓, insulin↑
Metabolism: arginine↓/fat↓
Metabolism: fatty liver↓
Semen +47pp; pregnancy +19pp
Oocytes +3.2; fertilization higher
Birthweight +16%; litter +12-19%
Research sources
Vascular health (80)
- Reduced cytokines release and myocardial damage in coronary artery bypass patients due to L-arginine cardioplegia supplementation
PubMed ID: 16564254
Perioperative L-arginine reduced cardiac injury and inflammation — supports improved myocardial/vessel outcomes in surgical context.
- The Antioxidant Power of Bergamot Polyphenolic Fraction Gold Potentiates the Effects of L-Citrulline in Athlete Performance and Vasodilation in a Pilot Study
PubMed ID: 40218864
L-citrulline with bergamot polyphenols increased NO and reactive hyperemia index, indicating improved endothelial/vascular function (pilot, combination).
- The efficacy of oral L-arginine therapy for the treatment of vaso-occlusive pain episodes in children with sickle cell disease
PubMed ID: 40862485
Oral L‑arginine in sickle cell VOC reduced TRJV and improved hemodynamic/echocardiographic marker, indicating vascular/pressural benefit in that condition.
- Assessment of the effectiveness and safety of two-month oral supplementation with L-arginine depending on the type of lipid metabolism disorder in patients with atherosclerotic lower limb ischemia
PubMed ID: 41364169
L‑arginine 6 g/day raised serum NO (endothelial mediator) and TAS in patients with lower limb ischemia — biochemical support for improved endothelial function.
- Clinical Study to Evaluate the Possible Efficacy and Safety of L-Arginine in Children with Sickle Cell Disease and Increased Tricuspid Regurgitant Jet Velocity: a Randomized Controlled Trial
PubMed ID: 40526198
Oral L‑arginine robustly increased NO and improved TRJV/NT‑proBNP and ADMA reductions—strong evidence for improved vascular function.
- Combined Citrulline and Glutathione Supplementation Improves Endothelial Function and Blood Pressure Reactivity in Postmenopausal Women
PubMed ID: 37049398
Citrulline+GSH increased FMD, improved ARG/ADMA, and reduced PWV — strong direct evidence for improved endothelial/vascular function.
- Changes to insulin sensitivity in glucose clearance systems and redox following dietary supplementation with a novel cysteine-rich protein: A pilot randomized controlled trial in humans with type-2 diabetes
PubMed ID: 37812879
Improved muscle microvascular flow under insulin indicates better microvascular endothelial function.
- Effects of l-Arginine Plus Vitamin C Supplementation on l-Arginine Metabolism in Adults with Long COVID: Secondary Analysis of a Randomized Clinical Trial
PubMed ID: 36982151
L‑arginine + vitamin C increased plasma arginine and improved arginine/ADMA (marker of NO availability and endothelial function).
- Long-term high-dose L-arginine supplementation in patients with vasculogenic erectile dysfunction: a multicentre, double-blind, randomized, placebo-controlled clinical trial
PubMed ID: 34973154
Increased cavernous artery PSV demonstrates improved local arterial function.
- Randomized Clinical and Biochemical Study Comparing the Effect of L-arginine and Sildenafil in Beta Thalassemia Major Children With High Tricuspid Regurgitant Jet Velocity
PubMed ID: 36282078
L-arginine increased NO and lowered ADMA with improved Doppler indices — direct evidence of improved endothelial/vascular function.
- 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
PubMed ID: 36501014
Significant increase in FMD (absolute +3.4%) after L-arginine+vitC indicates marked improvement in endothelial/blood-vessel function.
- Arginine Therapy and Cardiopulmonary Hemodynamics in Hospitalized Children with Sickle Cell Anemia: A Prospective, Double-blinded, Randomized Placebo-controlled Clinical Trial
PubMed ID: 35426778
Reduced TRV and pulmonary pressures and improved NT-proBNP suggest improved vascular function in pulmonary circulation with L-arginine.
- Effect of l-arginine on cardiac reverse remodeling and quality of life in patients with heart failure
PubMed ID: 33610421
L-arginine improved diastolic function and LVEF in heart-failure patients, indicating improved vascular/cardiac performance.
- 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
PubMed ID: 34004448
L‑arginine supplementation produced reductions in resting and ambulatory BP and increased plasma arginine—consistent with improved endothelial/vascular function.
- Asymmetric dimethylarginine predicts perioperative cardiovascular complications in patients undergoing medium-to-high risk non-cardiac surgery
PubMed ID: 32842812
Preoperative L-arginine/L-citrulline raised plasma arginine and Arg/ADMA ratio — strong biochemical indicator of improved endothelial/vascular function.
- Impact of Intensive Lifestyle Treatment (Diet Plus Exercise) on Endothelial and Vascular Function, Arterial Stiffness and Blood Pressure in Stage 1 Hypertension: Results of the HINTreat Randomized Controlled Trial
PubMed ID: 32392715
Lifestyle intervention lowered ADMA and improved carotid stiffness/cIMT — ADMA is a key regulator of endothelial nitric oxide signaling.
- Inter-Individual Responses to Citrulline Malate Oral Supplementation on Post-Exercise Hypotension in Hypertensives: A 24-Hour Analysis
PubMed ID: 31291417
Citrulline markedly enhanced exercise‑associated BP reductions, implying improved endothelial/vascular function via the arginine/NO pathway.
- An engineered E. coli Nissle improves hyperammonemia and survival in mice and shows dose-dependent exposure in healthy humans
PubMed ID: 30651324
Probiotic raised nitrate and plasma 15N‑nitrate dose‑dependently, indicating increased NO substrate and likely improved endothelial function.
- Synergistic Effects of Sanghuang⁻Danshen Bioactives on Arterial Stiffness in a Randomized Clinical Trial of Healthy Smokers: An Integrative Approach to in silico Network Analysis
PubMed ID: 30621047
Sanghuang–Danshen increased eNOS phosphorylation and reduced arterial stiffness with arginine/proline pathway changes.
- Endothelial Function is improved by Inducing Microbial Polyamine Production in the Gut: A Randomized Placebo-Controlled Trial
PubMed ID: 31137855
Arginine + B. animalis improved RHI and increased vascular‑relevant metabolites (putrescine/spermidine).
- Asymmetric and Symmetric Dimethylarginine Predict Outcomes in Patients With Atrial Fibrillation: An ARISTOTLE Substudy
PubMed ID: 30092948
ADMA/SDMA associations with adverse vascular outcomes implicate arginine-NO pathway in blood-vessel health (observational).
- Safety of dietary supplementation with arginine in adult humans
PubMed ID: 29858688
Oral L-arginine increased serum arginine and reduced systolic BP in women and decreased FFAs—supports improved endothelial/vascular function via increased substrate availability.
- Dipeptidyl Peptidase-4 Inhibition Potentiates Stimulated Growth Hormone Secretion and Vasodilation in Women
PubMed ID: 29478970
IV arginine (30 g) used as GH stimulus; with sitagliptin it potentiated forearm vasodilation and decreased vascular resistance in women—direct vascular function evidence.
- Impact of Asymmetric Dimethylarginine on Coronary Physiology Early After Heart Transplantation
PubMed ID: 28754566
ADMA (arginine pathway inhibitor) correlated negatively with coronary FFR, supporting the importance of arginine/NO balance for epicardial vessel physiology.
- Cilostazol improves endothelial function in acute cerebral ischemia patients: a double-blind placebo controlled trial with flow-mediated dilation technique
PubMed ID: 28851320
Cilostazol improved brachial FMD and baseline L‑arginine predicted FMD response—strong clinical link between arginine biology and endothelial (blood vessel) function.
- L-Arginine and B vitamins improve endothelial function in subjects with mild to moderate blood pressure elevation
PubMed ID: 27817128
Randomized trial showing L‑arginine + B‑vitamins improved endothelial function (RHI) after a fatty meal — direct evidence for improved vascular function (though combined nutrients).
- l-Arginine Supplementation Alleviates Postprandial Endothelial Dysfunction When Baseline Fasting Plasma Arginine Concentration Is Low: A Randomized Controlled Trial in Healthy Overweight Adults with Cardiometabolic Risk Factors
PubMed ID: 27281800
Sustained‑release L‑arginine improved postprandial endothelial function in low‑arginine individuals (randomized human trial; direct arginine supplement evidence).
- Combined L-citrulline and glutathione supplementation increases the concentration of markers indicative of nitric oxide synthesis
PubMed ID: 26097441
Citrulline+GSH increased plasma arginine and NOx in resistance-trained men, providing physiologic support for improved endothelial/vascular function.
- Effects of 6-month supplementation with β-hydroxy-β-methylbutyrate, glutamine and arginine on vascular endothelial function of older adults
PubMed ID: 26306566
HMB+Gln+Arg supplement increased FMD by 27% over 6 months in older adults (strong endothelial-function signal; arginine part of combo).
- Efficacy and safety of perindopril arginine + amlodipine in hypertension
PubMed ID: 25804495
Perindopril arginine drug data show improved BP control and fewer edema events, consistent with improved vascular function (pharmaceutical context).
- Biosynthesis of homoarginine (hArg) and asymmetric dimethylarginine (ADMA) from acutely and chronically administered free L-arginine in humans
PubMed ID: 26031828
Detailed human metabolic studies show Arg administration affects NO‑related metabolites (hArg, ADMA) that regulate endothelial function.
- Effect of oral nutritional supplementation on wound healing in diabetic foot ulcers: a prospective randomized controlled trial
PubMed ID: 24867069
Improved healing in ABI<1 subgroup of diabetic‑foot ulcer trial implies better local perfusion/vascular responsiveness linked to arginine-containing supplementation.
- Aerobic exercise training decreases plasma asymmetric dimethylarginine concentrations with increase in arterial compliance in postmenopausal women
PubMed ID: 24280041
Exercise lowered ADMA and improved arterial compliance — ADMA is a key inhibitor of NOS, linking to arginine/NO and endothelial function.
- The association between progression of atherosclerosis and the methylated amino acids asymmetric dimethylarginine and trimethyllysine
PubMed ID: 23734218
Higher ADMA (an endogenous inhibitor of NOS) predicted progression of coronary stenosis, linking impaired arginine→NO signaling to worse vessel outcomes.
- Effect of nisoldipine and olmesartan on endothelium-dependent vasodilation in essential hypertensive patients
PubMed ID: 22533725
Antihypertensive therapy lowered ADMA and improved FMD, implicating the arginine–NO axis; evidence is indirect but relevant to blood-vessel function.
- Improvement of ventricular function in systolic heart failure patients with oral L-citrulline supplementation
PubMed ID: 23224924
L-citrulline improved peripheral endothelial function indices substantially in systolic heart failure patients, demonstrating improved vascular function via the NO pathway.
- L-arginine cardioplegia reduces oxidative stress and preserves diastolic function in patients with low ejection fraction undergoing coronary artery surgery
PubMed ID: 22313068
L-arginine in cardioplegia reduced oxidative stress and improved myocardial diastolic function—evidence of improved vascular/cardiac tissue function.
- Supplementation with L-arginine favorably influences plasminogen activator inhibitor type 1 concentration in obese patients. A randomized, double blind trial
PubMed ID: 22732180
Six-month supplementation increased NO and reduced PAI-1, consistent with improved endothelial/vascular function in obese patients.
- Effects of L-arginine supplementation on blood flow, oxidative stress status and exercise responses in young adults with uncomplicated type I diabetes
PubMed ID: 22763798
One-week oral L-arginine restored peripheral blood flow in type 1 diabetics, showing improved vascular responsiveness.
- Effect of supplementation during pregnancy with L-arginine and antioxidant vitamins in medical food on pre-eclampsia in high risk population: randomised controlled trial
PubMed ID: 21596735
L-arginine + vitamins lowered pre-eclampsia incidence, consistent with improved endothelial/blood-vessel function in pregnancy.
- Evaluation of the antihypertensive effect of L-arginine supplementation in patients with mild hypertension assessed with ambulatory blood pressure monitoring
PubMed ID: 20424555
High‑dose oral L‑arginine reduced ambulatory BP in mild hypertension, consistent with improved vascular function/systemic hemodynamics.
- No arguments for increased endothelial nitric oxide synthase activity in migraine based on peripheral biomarkers
PubMed ID: 20959430
IV L-arginine increased NO-pathway metabolites, supporting improved endothelial NO availability (biomarker evidence).
- Anorexia nervosa: a role for L-arginine supplementation in cardiovascular risk factors?
PubMed ID: 19544555
Oral L-arginine normalized abnormal platelet NO production and iNOS/eNOS expression in anorexia nervosa patients — evidence of restored NO signaling in blood elements.
- The effect of L-arginine and citrulline on endothelial function in patients in heart failure with preserved ejection fraction
PubMed ID: 20865676
Oral L-arginine improved a validated endothelial function index in heart failure patients—strong direct evidence of improved vascular function.
- Effect of L-arginine or L-citrulline oral supplementation on blood pressure and right ventricular function in heart failure patients with preserved ejection fraction
PubMed ID: 21154265
L-arginine therapy lowered pulmonary artery pressure and improved RV function in HFpEF—clinical evidence of improved vascular/hemodynamic function.
- Green tea catechins improve human forearm endothelial dysfunction and have antiatherosclerotic effects in smokers
PubMed ID: 20134098
Green tea catechins increased NO and decreased ADMA with improved acetylcholine-mediated vasodilation — supports NO-mediated vessel function improvements.
- Randomized controlled trial of the effect of short-term coadministration of methylcobalamin and folate on serum ADMA concentration in patients receiving long-term hemodialysis
PubMed ID: 20430500
Methylcobalamin+folate lowered ADMA and decreased arterial stiffness in dialysis patients — ADMA reduction improves NO availability and vessel function (indirect).
- Oral L-arginine supplementation improves endothelial function and ameliorates insulin sensitivity and inflammation in cardiopathic nondiabetic patients after an aortocoronary bypass
PubMed ID: 19592054
Strong RCT evidence: oral L-arginine improved ADMA, cGMP, reactive hyperemia and L-arginine/ADMA ratio—direct improvement in endothelial/vessel function.
- Repetition of ischemic preconditioning augments endothelium-dependent vasodilation in humans: role of endothelium-derived nitric oxide and endothelial progenitor cells
PubMed ID: 17446439
Repeated brief limb ischemia increased NO-dependent vasodilation, VEGF and EPCs; effects were NOS-dependent — strong mechanistic link to vessel function.
- [Effect and mechanism of L-arginine therapy for fetal growth retardation due to pregnancy-induced hypertension]
PubMed ID: 17355936
Maternal L-arginine increased maternal/umbilical NO and improved umbilical artery flow indices.
- Effects of oral L-arginine on the pulsatility indices of umbilical artery and middle cerebral artery in preterm labor
PubMed ID: 17719167
L-arginine altered placental/fetal vascular Doppler indices consistent with improved vessel function in the placenta.
- L-arginine supplementation in patients with gestational hypertension: a pilot study
PubMed ID: 17454224
L-arginine lowered blood pressure in gestational hypertension, reflecting improved vascular tone/ endothelial-mediated control.
- Improvement of erectile function with Prelox: a randomized, double-blind, placebo-controlled, crossover trial
PubMed ID: 17703218
L-arginine aspartate + Pycnogenol increased eNOS and improved erectile function — consistent with improved endothelial/vessel function.
- Effects of early enteral arginine supplementation on resuscitation of severe burn patients
PubMed ID: 17125930
Enteral arginine raised regional blood flow and improved oxygenation in burns—supports vascular function.
- Effects of oral L-arginine on the foetal condition and neonatal outcome in preeclampsia: a preliminary report
PubMed ID: 16918716
L-arginine improved umbilical and middle cerebral artery Doppler indices and cerebro-placental ratio — direct evidence of improved vessel function in pregnancy.
- Nitric oxide precursors and congenital heart surgery: a randomized controlled trial of oral citrulline
PubMed ID: 16798303
Citrulline supplementation increased arginine and was associated with fewer pulmonary hypertension events (vascular benefit).
- L-arginine improves endothelial function and reduces LDL oxidation in patients with stable coronary artery disease
PubMed ID: 16140428
Oral L‑arginine improved flow-mediated dilation in CAD patients—direct evidence of improved endothelial (blood-vessel) function.
- The influence of two different doses of L-arginine oral supplementation on nitric oxide (NO) concentration and total antioxidant status (TAS) in atherosclerotic patients
PubMed ID: 14704633
Oral L-arginine increased circulating NO and antioxidant capacity in PAD patients — direct evidence of improved endothelial function.
- Efficiency of L-arginine enriched cardioplegia and non-cardioplegic reperfusion in ischemic hearts
PubMed ID: 15336814
L-arginine in cardioplegia increased myocardial nitrite (NO marker), reduced oxidative injury and cardiac enzyme release, and improved clinical outcomes — strong evidence for improved local vascular/endothelial function.
- Diabetic endothelial dysfunction: effect of free radical scavenging in Type 2 diabetic patients
PubMed ID: 12623166
Gliclazide improved antioxidant markers and augmented BP response to IV L-arginine (enhanced NO-mediated vasodilation) — supports blood-vessel function link.
- Effect of local delivery of L-arginine on in-stent restenosis in humans
PubMed ID: 11835911
Local L‑arginine at stenting reduced neointimal hyperplasia—improved vascular healing/function locally.
- Oral L-arginine improves endothelial dysfunction in patients with essential hypertension
PubMed ID: 12419572
Acute oral L‑arginine produced a large improvement in FMD (endothelium‑dependent dilatation) in hypertensive subjects.
- Cardioplegic arrest with L-arginine improves myocardial protection: results of a prospective randomized clinical trial
PubMed ID: 11899188
Intraoperative arginine reduced myocardial injury markers and trended to improved cardiac index—vascular/cardiac function implication.
- Randomized trial of a medical food for the dietary management of chronic, stable angina
PubMed ID: 11755284
Arginine-rich medical food improved flow-mediated vasodilation (FMD) significantly in stable angina patients.
- L-arginine infusion decreases plasma total homocysteine concentrations through increased nitric oxide production and decreased oxidative status in Type II diabetic patients
PubMed ID: 12189442
IV L-arginine acutely increased NO markers and reduced oxidative stress—direct evidence of improved endothelial function.
- [Effect of L-arginine on platelet aggregation, endothelial function adn exercise tolerance in patients with stable angina pectoris]
PubMed ID: 11019421
Direct oral L-arginine supplementation for 10 days improved endothelial function, exercise tolerance and reduced platelet aggregation in angina patients.
- Endothelial dysfunction in hypercholesterolemia is reversed by a nutritional product designed to enhance nitric oxide activity
PubMed ID: 10935153
Significant improvement in FMD after one week with an arginine-containing nutrient bar in hypercholesterolemic adults (clinically meaningful endothelial effect; multi-ingredient).
- Correction of endothelial dysfunction in chronic heart failure: additional effects of exercise training and oral L-arginine supplementation
PubMed ID: 10716474
Direct randomized improvement in endothelium-dependent vasodilation with L-arginine (8 g/day) in CHF—strong direct evidence for improved vascular endothelial function.
- Daily aerobic exercise improves reactive hyperemia in patients with essential hypertension
PubMed ID: 9931171
Exercise‑induced endothelial improvements were NO‑dependent, supporting arginine/NO role in vascular health (indirect).
- Restoring vascular nitric oxide formation by L-arginine improves the symptoms of intermittent claudication in patients with peripheral arterial occlusive disease
PubMed ID: 9809945
Marked restoration of NO-mediated femoral vasodilation in claudicants following L-arginine infusion demonstrates robust improvement in conduit and microvascular function.
- Asymmetric dimethylarginine (ADMA): a novel risk factor for endothelial dysfunction: its role in hypercholesterolemia
PubMed ID: 9799202
IV L-arginine corrected impaired endothelium-dependent vasodilation associated with high ADMA—a direct demonstration of improved vascular endothelial function.
- [Endothelial dysfunction and cardiac performance in untreated hypertension]
PubMed ID: 8949363
L-arginine responsiveness in renal vasodilation correlated with better LV diastolic filling — vascular responsiveness links to cardiac function.
- Organic nitrates favor regression of left ventricular hypertrophy in hypertensive patients on chronic peritoneal dialysis
PubMed ID: 23296279
Oral nitrates lowered ADMA and LVMI and improved BP — supports improved endothelial/vascular function.
- Improvement of hypertension and LVH in maintenance hemodialysis patients treated with sustained-release isosorbide mononitrate
PubMed ID: 21240870
Nitrate therapy regressed LV mass, lowered BP and improved vascular indices — clear NO-mediated vascular function benefit.
- Intake of red wine increases the number and functional capacity of circulating endothelial progenitor cells by enhancing nitric oxide bioavailability
PubMed ID: 20093623
Red wine increased plasma NO, lowered ADMA and improved FMD in healthy subjects — improved endothelial function via NO.
- Nebivolol therapy improves endothelial function and increases exercise tolerance in patients with cardiac syndrome X
PubMed ID: 19819787
Compared with metoprolol, nebivolol raised L-arginine and NOx, lowered ADMA and improved exercise tolerance — vessel-function biomarker improvements.
- Effect of nebivolol on blood oxygen transport indices and endothelial dysfunction in patients with arterial hypertension
PubMed ID: 19170724
Nebivolol improved endothelial NO availability and endothelium-dependent dilation in hypertensive patients (direct vessel-function improvement).
- Nebivolol treatment reduces serum levels of asymmetric dimethylarginine and improves endothelial dysfunction in essential hypertensive patients
PubMed ID: 18772860
Nebivolol lowered ADMA and improved flow-mediated dilation in hypertensive patients, indicating improved endothelial (vessel) function.
- Effect of L-arginine on blood pressure in pregnancy-induced hypertension: a randomized placebo-controlled trial
PubMed ID: 16753767
IV L-arginine lowered BP in pregnancy hypertension, indicating improved endothelial/vascular function in that setting.
- Pulse-wave analysis: clinical evaluation of a noninvasive, widely applicable method for assessing endothelial function
PubMed ID: 11788475
Pulse-wave analysis showed L-NMMA inhibited albuterol-induced lowering of AIx — noninvasive demonstration that NO/arginine pathway mediates arterial function.
Heart health (63)
- Combined Citrulline and Glutathione Supplementation Improves Endothelial Function and Blood Pressure Reactivity in Postmenopausal Women
PubMed ID: 37049398
Citrulline+GSH improved FMD, reduced PWV and blunted BP reactivity — clinically relevant vascular improvements tied to heart health.
- Evaluation of the recovery after heart surgery following preoperative supplementation with a combination of beta-hydroxy-beta-methylbutyrate, L-arginine, and L-glutamine: a double-blind randomized placebo-controlled clinical trial
PubMed ID: 35964137
Preoperative HMB+L‑arginine+L‑glutamine reduced troponin (~−51%) and CPK‑MB (~−41%) and shortened ICU/hospital stays — clinically meaningful cardiac protection in a trial including arginine.
- Effect of nebivolol on blood oxygen transport indices and endothelial dysfunction in patients with arterial hypertension
PubMed ID: 19170724
Nebivolol improved NO availability and endothelial-dependent dilation, with improvements in blood oxygen transport in hypertensives.
- Nebivolol therapy improves endothelial function and increases exercise tolerance in patients with cardiac syndrome X
PubMed ID: 19819787
Nebivolol increased L-arginine/NO markers and improved exercise tolerance in cardiac syndrome X — relevant to cardiac symptom management.
- Improvement of hypertension and LVH in maintenance hemodialysis patients treated with sustained-release isosorbide mononitrate
PubMed ID: 21240870
In dialysis patients, long-acting nitrate therapy lowered BP, reduced LV mass and reduced acute heart-failure events — direct cardiovascular benefit via NO.
- Feasibility of landiolol and bisoprolol for prevention of atrial fibrillation after coronary artery bypass grafting: a pilot study
PubMed ID: 22858430
Perioperative beta-blocker strategy lowered postoperative AF incidence and was associated with lower ADMA and inflammatory markers — cardiac outcome benefit.
- Organic nitrates favor regression of left ventricular hypertrophy in hypertensive patients on chronic peritoneal dialysis
PubMed ID: 23296279
Oral nitrates reduced BP, regressed LVH and lowered plasma ADMA in CAPD patients — strong cardiac/vascular support.
- Custodiol-N versus Custodiol: a prospective randomized double-blind multicentre phase III trial in patients undergoing elective coronary bypass surgery
PubMed ID: 35579350
Custodiol‑N (contains arginine) was non‑inferior for myocardial protection with lower peak CK‑MB after CABG, suggesting cardioprotective signal.
- [Endothelial dysfunction and cardiac performance in untreated hypertension]
PubMed ID: 8949363
L-arginine–responsive vasodilation correlated with improved LV diastolic filling — links arginine-mediated vasodilation to cardiac function.
- Asymmetric dimethylarginine (ADMA): a novel risk factor for endothelial dysfunction: its role in hypercholesterolemia
PubMed ID: 9799202
Demonstrated that elevated ADMA associates with endothelial dysfunction and that IV L-arginine restores endothelium-dependent vasodilation—cardiovascularly relevant mechanism.
- Restoring vascular nitric oxide formation by L-arginine improves the symptoms of intermittent claudication in patients with peripheral arterial occlusive disease
PubMed ID: 9809945
Large symptomatic improvements in intermittent claudication and restoration of NO-mediated vasodilation support peripheral vascular/cardiovascular benefits.
- Correction of endothelial dysfunction in chronic heart failure: additional effects of exercise training and oral L-arginine supplementation
PubMed ID: 10716474
L-arginine improved endothelium-dependent vasodilation in CHF and had additive benefit with training—relevant to cardiovascular health.
- Endothelial dysfunction in hypercholesterolemia is reversed by a nutritional product designed to enhance nitric oxide activity
PubMed ID: 10935153
Improvement in FMD with an arginine-containing nutrient bar in hypercholesterolemic adults supports vascular aspects of heart health (multi-ingredient).
- [Effect of L-arginine on platelet aggregation, endothelial function adn exercise tolerance in patients with stable angina pectoris]
PubMed ID: 11019421
Oral L-arginine improved endothelial function and exercise tolerance in stable angina—relevant to cardiovascular health.
- L-arginine and S-nitrosoglutathione reduce embolization in humans
PubMed ID: 11352886
IV L-arginine markedly reduced cerebral embolic signals after carotid surgery—a clinically meaningful vascular protection signal relevant to cardiovascular/cerebrovascular health.
- L-arginine infusion decreases plasma total homocysteine concentrations through increased nitric oxide production and decreased oxidative status in Type II diabetic patients
PubMed ID: 12189442
IV L-arginine raised NO and lowered homocysteine/oxidative stress—mechanisms favorable to cardiovascular health.
- Randomized trial of a medical food for the dietary management of chronic, stable angina
PubMed ID: 11755284
Arginine-enriched medical food improved endothelial function, exercise time and QoL in stable angina—direct cardiac benefit.
- Cardioplegic arrest with L-arginine improves myocardial protection: results of a prospective randomized clinical trial
PubMed ID: 11899188
Adding L‑arginine to cardioplegia reduced troponin T after CABG—direct myocardial‑protection signal.
- Effect of local delivery of L-arginine on in-stent restenosis in humans
PubMed ID: 11835911
Local delivery at stenting reduced neointimal volume—favors vascular/ coronary outcomes.
- Asymmetrical dimethylarginine (ADMA) and risk of acute coronary events. Does statin treatment influence plasma ADMA levels?
PubMed ID: 14664898
High ADMA predicted higher coronary event risk — implicates arginine/NO pathway in cardiovascular risk (observational mechanistic evidence).
- Efficiency of L-arginine enriched cardioplegia and non-cardioplegic reperfusion in ischemic hearts
PubMed ID: 15336814
Perioperative L-arginine in cardioplegia improved myocardial nitrite, reduced oxidative injury and CK‑MB release, lowered perioperative MI and shortened ICU/hospital stays — strong cardiac benefit.
- The influence of two different doses of L-arginine oral supplementation on nitric oxide (NO) concentration and total antioxidant status (TAS) in atherosclerotic patients
PubMed ID: 14704633
Increased NO and antioxidant capacity in PAD patients after oral L-arginine is consistent with beneficial effects on vascular/heart health.
- L-arginine improves endothelial function and reduces LDL oxidation in patients with stable coronary artery disease
PubMed ID: 16140428
L‑arginine improved endothelial function and reduced LDL oxidizability in CAD patients—mechanistic support for cardiovascular health.
- The influence of immunomodulatory diets on transplant success and complications
PubMed ID: 15729173
Arginine+canola oil supplementation in renal transplant recipients reduced rejection and cardiac events, implying broader cardiometabolic benefit (combined nutrients).
- Reduced cytokines release and myocardial damage in coronary artery bypass patients due to L-arginine cardioplegia supplementation
PubMed ID: 16564254
Adding L-arginine to cardioplegia reduced troponin T, lowered IL-6, and shortened ICU stay after cardiac surgery—direct cardiovascular protective evidence.
- L-arginine supplementation in patients with gestational hypertension: a pilot study
PubMed ID: 17454224
L-arginine reduced blood pressure in women with gestational hypertension and prolonged pregnancy, indicating favorable cardiovascular/hemodynamic effects in that setting.
- Oral L-arginine supplementation improves endothelial function and ameliorates insulin sensitivity and inflammation in cardiopathic nondiabetic patients after an aortocoronary bypass
PubMed ID: 19592054
Oral L-arginine improved endothelial function, ADMA and inflammatory markers after CABG—mechanistically supportive of cardiac/vascular health.
- L-arginine, asymmetric dimethylarginine and rhythm outcome after electrical cardioversion for atrial fibrillation
PubMed ID: 21063118
Higher plasma L‑arginine/ADMA ratio associated with maintenance of sinus rhythm after cardioversion (observational association).
- Effect of L-arginine or L-citrulline oral supplementation on blood pressure and right ventricular function in heart failure patients with preserved ejection fraction
PubMed ID: 21154265
Oral L-arginine improved pulmonary pressures, right ventricular function, and exercise duration in HFpEF—direct cardio-protective clinical evidence.
- The effect of L-arginine and citrulline on endothelial function in patients in heart failure with preserved ejection fraction
PubMed ID: 20865676
Improved endothelial index in diastolic heart failure patients after oral L-arginine/citrulline suggests cardiovascular benefit.
- L-arginine supplemented nondiluted blood cardioplegia: a clinical trial
PubMed ID: 20354500
L-arginine in cardioplegia reduced myocardial lactate release during CABG, indicating improved myocardial metabolic response under ischemic stress.
- Evaluation of the antihypertensive effect of L-arginine supplementation in patients with mild hypertension assessed with ambulatory blood pressure monitoring
PubMed ID: 20424555
High‑dose oral L‑arginine lowered ambulatory BP in mild hypertension for 4 weeks — direct cardiovascular benefit in a small study.
- Effect of supplementation during pregnancy with L-arginine and antioxidant vitamins in medical food on pre-eclampsia in high risk population: randomised controlled trial
PubMed ID: 21596735
Large RCT in high-risk pregnant women found L-arginine + vitamins reduced pre-eclampsia (a hypertensive disorder) and preterm birth—important cardiovascular/obstetric benefit.
- Homoarginine, heart failure, and sudden cardiac death in haemodialysis patients
PubMed ID: 21791541
Low homoarginine (arginine-related) associated with higher sudden cardiac death and heart-failure mortality in dialysis patients—supports link between arginine metabolism and cardiac risk (observational).
- Effects of high adherence to mediterranean or low-fat diets in medicated secondary prevention patients
PubMed ID: 21890081
Diet interventions improved ADMA and l‑arginine/ADMA ratio in heart disease patients, suggesting improved NO availability relevant to cardiac health.
- Supplementation with L-arginine favorably influences plasminogen activator inhibitor type 1 concentration in obese patients. A randomized, double blind trial
PubMed ID: 22732180
Six-month L-arginine improved NO production and reduced PAI-1 in obese patients, changes relevant to cardiovascular risk modulation.
- L-arginine cardioplegia reduces oxidative stress and preserves diastolic function in patients with low ejection fraction undergoing coronary artery surgery
PubMed ID: 22313068
L-arginine added to cardioplegia reduced oxidative stress markers and preserved early diastolic myocardial function after bypass—direct cardiac-protective effects.
- Improvement of ventricular function in systolic heart failure patients with oral L-citrulline supplementation
PubMed ID: 23224924
Oral L-citrulline (3 g/day) for 4 months improved left and right ventricular ejection fraction and functional class in systolic heart failure—strong direct evidence supporting cardiovascular benefit via the arginine–NO pathway.
- Nutrition before, during, and after surgery increases the arginine:asymmetric dimethylarginine ratio and relates to improved myocardial glucose metabolism: a randomized controlled trial
PubMed ID: 24695897
Perioperative arginine-containing nutrition increased myocardial/plasma arginine:ADMA ratio and correlated with better myocardial glucose uptake, suggesting myocardial metabolic benefit (multi-nutrient formula).
- Efficacy and safety of perindopril arginine + amlodipine in hypertension
PubMed ID: 25804495
Large RCT: perindopril arginine (drug salt) + amlodipine improved BP control and reduced edema — strong cardiovascular outcome for an arginine salt formulation.
- Effects of 6-month supplementation with β-hydroxy-β-methylbutyrate, glutamine and arginine on vascular endothelial function of older adults
PubMed ID: 26306566
Multi-ingredient HMB+Gln+Arg increased FMD by 27% over 6 months in older adults, a surrogate for cardiovascular health (arg included in combo).
- l-Arginine Supplementation Alleviates Postprandial Endothelial Dysfunction When Baseline Fasting Plasma Arginine Concentration Is Low: A Randomized Controlled Trial in Healthy Overweight Adults with Cardiometabolic Risk Factors
PubMed ID: 27281800
Sustained‑release L‑arginine improved postprandial endothelial function in low-arginine adults, a meaningful cardiovascular surrogate.
- Efficacy of L-arginine for preventing preeclampsia in high-risk pregnancies: A double-blind, randomized, clinical trial
PubMed ID: 27003763
Daily L‑arginine reduced preeclampsia in high‑risk pregnancies — indicates major cardiovascular/vascular benefit in that population.
- L-Arginine and B vitamins improve endothelial function in subjects with mild to moderate blood pressure elevation
PubMed ID: 27817128
L‑arginine + B‑vitamins improved endothelial function and lowered systolic BP — clinically relevant cardiovascular surrogate improvements.
- Serum Asymmetric and Symmetric Dimethylarginine and Morbidity and Mortality in Hemodialysis Patients
PubMed ID: 28089476
Large cohort: higher ADMA (an arginine‑derived NOS inhibitor) strongly associated with CV mortality — implicates arginine/NO pathway relevance to heart health (observational).
- Effect of statin on arginine metabolites in treated HIV-infection
PubMed ID: 28992467
Rosuvastatin prevented increases in ADMA and increased citrulline (arginine pathway metabolite), indicating modulation of arginine‑NO axis relevant to cardiovascular health.
- Cilostazol improves endothelial function in acute cerebral ischemia patients: a double-blind placebo controlled trial with flow-mediated dilation technique
PubMed ID: 28851320
Improved endothelial FMD with cilostazol and a strong association between baseline L‑arginine and FMD links arginine biology to vascular/endothelial aspects of cardiac risk.
- Impact of Asymmetric Dimethylarginine on Coronary Physiology Early After Heart Transplantation
PubMed ID: 28754566
Higher ADMA (NOS inhibitor competing with arginine) associated with worse epicardial coronary physiology (lower FFR) after transplant—supports clinical importance of arginine/NO axis for coronary function.
- Safety of dietary supplementation with arginine in adult humans
PubMed ID: 29858688
Randomized oral L-arginine up to 30 g/day produced dose-dependent serum arginine increases and modest systolic BP reduction (in women) — clinically relevant for cardiovascular risk.
- Asymmetric and Symmetric Dimethylarginine Predict Outcomes in Patients With Atrial Fibrillation: An ARISTOTLE Substudy
PubMed ID: 30092948
Higher ADMA/SDMA (methylated arginines) associated with worse outcomes in AF patients, implicating arginine/NO pathway in cardiovascular risk (observational).
- Endothelial Function is improved by Inducing Microbial Polyamine Production in the Gut: A Randomized Placebo-Controlled Trial
PubMed ID: 31137855
Arginine + B. animalis improved endothelial function (RHI), a cardiovascular risk marker, and raised circulating spermidine.
- Inter-Individual Responses to Citrulline Malate Oral Supplementation on Post-Exercise Hypotension in Hypertensives: A 24-Hour Analysis
PubMed ID: 31291417
Citrulline significantly reduced systolic/diastolic BP after exercise in hypertensives — clinically relevant cardiovascular benefit via arginine pathway.
- Asymmetric dimethylarginine predicts perioperative cardiovascular complications in patients undergoing medium-to-high risk non-cardiac surgery
PubMed ID: 32842812
Perioperative L-arginine/L-citrulline raised plasma arginine and Arg/ADMA ratio and trended to fewer clinical events in subgroups — biochemical support for cardiovascular benefit.
- 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
PubMed ID: 34004448
Oral L‑arginine lowered resting and ambulatory blood pressure during a polluted walk, a clinically relevant cardiovascular benefit.
- Effect of L-arginine supplementation in pregnant women with chronic hypertension and previous placenta vascular disorders receiving Aspirin prophylaxis: a randomized control trial
PubMed ID: 33978350
Pregnancy supplementation including arginine reduced abnormal uterine Doppler findings and need for antihypertensives, indicating vascular/cardiovascular‑related benefit in pregnancy.
- Effect of l-arginine on cardiac reverse remodeling and quality of life in patients with heart failure
PubMed ID: 33610421
Randomized trial: 3 g/day L-arginine for 10 weeks modestly improved LVEF, diastolic function and quality-of-life in ischemic heart-failure patients—direct clinical cardiac benefit signal.
- Arginine Therapy and Cardiopulmonary Hemodynamics in Hospitalized Children with Sickle Cell Anemia: A Prospective, Double-blinded, Randomized Placebo-controlled Clinical Trial
PubMed ID: 35426778
Reduced TRV and NT-proBNP with L-arginine in sickle cell indicates improved cardiac strain markers and pulmonary-cardiac interaction.
- 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
PubMed ID: 36501014
Improved endothelial function (FMD) after arginine+vitC supports vascular health, a key component of heart health.
- Randomized Clinical and Biochemical Study Comparing the Effect of L-arginine and Sildenafil in Beta Thalassemia Major Children With High Tricuspid Regurgitant Jet Velocity
PubMed ID: 36282078
L-arginine improved pulmonary hypertension indices and increased NO, beneficial for cardiopulmonary hemodynamics relevant to heart function.
- Effects of l-Arginine Plus Vitamin C Supplementation on l-Arginine Metabolism in Adults with Long COVID: Secondary Analysis of a Randomized Clinical Trial
PubMed ID: 36982151
Arginine + vitamin C increased plasma arginine and improved arginine/ADMA ratio (NO bioavailability linked to vascular health).
- Changes to insulin sensitivity in glucose clearance systems and redox following dietary supplementation with a novel cysteine-rich protein: A pilot randomized controlled trial in humans with type-2 diabetes
PubMed ID: 37812879
Improved microvascular flow and insulin‑stimulated glucose clearance could reduce cardiovascular risk (metabolic/vascular benefits).
- Clinical Study to Evaluate the Possible Efficacy and Safety of L-Arginine in Children with Sickle Cell Disease and Increased Tricuspid Regurgitant Jet Velocity: a Randomized Controlled Trial
PubMed ID: 40526198
Oral L‑arginine improved echocardiographic TRJV, lowered NT‑proBNP and improved NO/ADMA balance in children with SCD—strong cardiovascular benefit.
- Assessment of the effectiveness and safety of two-month oral supplementation with L-arginine depending on the type of lipid metabolism disorder in patients with atherosclerotic lower limb ischemia
PubMed ID: 41364169
L‑arginine increased serum NO (vasodilator) and antioxidants in PAD patients — surrogate favorable cardiac/vascular signals though no ABI change.
Tissue repair (76)
- A randomized double-blind clinical trial with two different doses of arginine enhanced enteral nutrition in postsurgical cancer patients
PubMed ID: 21284343
High-dose arginine-enriched enteral nutrition significantly lowered postoperative fistula rates after major head & neck surgery—clinically meaningful faster/robust recovery from surgical injury (multinutrient context).
- Specific nutritional support accelerates pressure ulcer healing and reduces wound care intensity in non-malnourished patients
PubMed ID: 20598855
Arginine‑enriched nutritional supplement accelerated pressure‑ulcer healing and reduced care needs—relevant evidence for faster tissue recovery (multi‑nutrient product).
- L-arginine cardioplegia reduces oxidative stress and preserves diastolic function in patients with low ejection fraction undergoing coronary artery surgery
PubMed ID: 22313068
L-arginine in cardioplegia reduced oxidative injury markers and improved early diastolic cardiac function after bypass—evidence for faster recovery from surgical ischemia/reperfusion injury.
- Randomized clinical trial of arginine-supplemented enteral nutrition versus standard enteral nutrition in patients undergoing gastric cancer surgery
PubMed ID: 23812551
Arginine‑enriched enteral nutrition in malnourished gastric cancer patients improved postoperative immune markers and overall survival — indicates enhanced recovery capacity after surgical insult.
- Clinical and immunological impact of early postoperative enteral immunonutrition after total gastrectomy in gastric cancer patients: a prospective randomized study
PubMed ID: 23838912
Immunonutrition containing arginine reduced infections/leaks and shortened hospitalization post-gastrectomy — consistent with faster surgical recovery (multi-nutrient formula).
- Effect of oral nutritional supplementation on wound healing in diabetic foot ulcers: a prospective randomized controlled trial
PubMed ID: 24867069
Diabetic‑foot‑ulcer trial: targeted subgroup healing benefits indicate faster recovery from injury/ulceration with arginine-containing supplementation in patients with malnutrition or poor perfusion.
- A nutritional formula enriched with arginine, zinc, and antioxidants for the healing of pressure ulcers: a randomized trial
PubMed ID: 25643304
Faster pressure‑ulcer healing with arginine‑enriched nutrition supports improved recovery from tissue injury in malnourished patients.
- Effect of three different doses of arginine enhanced enteral nutrition on nutritional status and outcomes in well nourished postsurgical cancer patients: a randomized single blinded prospective trial
PubMed ID: 25855918
Postoperative arginine‑enriched enteral nutrition shortened hospital stay and reduced fistula rates after head/neck surgery, indicating faster/smoother recovery.
- Effect of desmopressin administration on intraoperative blood loss and quality of the surgical field during functional endoscopic sinus surgery: a randomized, clinical trial
PubMed ID: 25895497
Preop desmopressin (AVP analogue) reduced intraoperative blood loss and improved surgical field — may facilitate faster operative recovery (drug, not dietary Arg).
- Regeneration of the intestinal mucosa in Eimeria and E. Coli challenged broilers supplemented with amino acids
PubMed ID: 26846258
Dietary arginine improved intestinal regeneration in stressed broilers — supports role in tissue repair and recovery.
- Enriched enteral nutrition may improve short-term survival in stage IV gastric cancer patients: A randomized, controlled trial
PubMed ID: 28336107
Enteral feeding enriched with arginine/glutamine/omega‑3s linked to fewer early postoperative deaths and better early outcomes — suggests improved acute recovery.
- Efficacy of preoperative immunonutrition in locally advanced pancreatic cancer undergoing irreversible electroporation (IRE)
PubMed ID: 28162818
Preoperative immunonutrition reduced complications and length of stay and preserved nutrition/albumin after major pancreatic procedure—consistent with faster/better recovery from surgical injury (formulas usually include arginine).
- Effect of Preoperative Administration of Oral Arginine and Glutamine in Patients with Enterocutaneous Fistula Submitted to Definitive Surgery: a Prospective Randomized Trial
PubMed ID: 30710211
Preoperative arginine+glutamine substantially reduced fistula recurrence and postoperative infections—faster/cleaner recovery.
- Randomized control trial of oral arginine therapy for children with sickle cell anemia hospitalized for pain in Nigeria
PubMed ID: 33075179
Oral L-arginine in children with sickle-cell pain shortened time-to-crisis-resolution and hospital stay — clear evidence of faster clinical recovery from acute injury/crisis.
- Hard-to-heal wounds: a randomised trial of an oral proline-containing supplement to aid repair
PubMed ID: 33439085
Arginine‑rich oral nutritional supplement significantly improved wound healing metrics, consistent with faster tissue recovery.
- Effect of a perioperative immune-enhancing diet in clean-contaminated head and neck cancer surgery: A randomized controlled trial
PubMed ID: 34371175
Perioperative immune diet with arginine reduced complication rates and shortened LOS after major head-and-neck surgery—clinical evidence for faster postoperative recovery (multi-nutrient).
- The effects of preoperative supplementation with a combination of beta-hydroxy-beta-methylbutyrate, arginine, and glutamine on inflammatory and hematological markers of patients with heart surgery: a randomized controlled trial
PubMed ID: 35148750
Preoperative HMB+arginine+glutamine reduced postoperative inflammatory markers, which is consistent with improved postoperative recovery.
- Perioperative optimization with nutritional supplements in patients undergoing gastrointestinal surgery for cancer: A randomized, placebo-controlled feasibility clinical trial
PubMed ID: 35606184
Pilot perioperative protocol including arginine-rich phases showed fewer infectious complications (suggesting faster/safer recovery; underpowered).
- Beneficial effects of L-Arginine in patients hospitalized for COVID-19: New insights from a randomized clinical trial
PubMed ID: 36804278
In hospitalized COVID patients, oral L‑arginine markedly increased probability of respiratory‑support reduction and shortened hospital stay (faster recovery from illness/injury).
- Efficacy of beta-hydroxy-beta-methylbutyrate, arginine, and glutamine for the prevention of mucositis induced by platinum-based chemoradiation in head and neck cancer: A phase II study
PubMed ID: 37739730
Supplement (HMB/Arg/Gln) reduced severe mucositis incidence and attenuated weight loss during chemoradiation — supports faster mucosal/clinical recovery (multi‑ingredient).
- Effects of preoperative beta-hydroxy-beta-methylbutyrate, arginine, and glutamine supplementation on cardiac surgery: A randomized controlled trial
PubMed ID: 39765161
Preoperative HMB/arginine/glutamine improved functional recovery and shortened hospital stay after cardiac surgery.
- Immunomodulatory enteral nutrition in post-surgical gastrointestinal cancer: Clinical, biochemical and nutritional impacts
PubMed ID: 40374110
Perioperative immunonutrition reduced several severe postoperative complications and improved immune/nutritional markers — strong clinical evidence for faster recovery after surgical injury (arginine often included).
- Cardioplegic arrest with L-arginine improves myocardial protection: results of a prospective randomized clinical trial
PubMed ID: 11899188
L‑arginine in cardioplegia reduced myocardial injury markers and trended to shorter ICU/hospital stays—faster postoperative recovery signal.
- Nutritional approach in malnourished surgical patients: a prospective randomized study
PubMed ID: 11822956
Perioperative arginine-enriched feeding lowered complications and reduced length of stay in malnourished surgical patients.
- Arginine supplementation prevents necrotizing enterocolitis in the premature infant
PubMed ID: 12006956
In very premature infants arginine supplementation dramatically reduced NEC incidence—improves recovery from a severe injury/insult.
- Preoperative oral arginine and n-3 fatty acid supplementation improves the immunometabolic host response and outcome after colorectal resection for cancer
PubMed ID: 12464864
Perioperative arginine+n‑3 significantly reduced postoperative infections and complications and shortened hospital stay—indicative of faster recovery.
- A randomized controlled trial of preoperative oral supplementation with a specialized diet in patients with gastrointestinal cancer
PubMed ID: 12055582
Five-day preop arginine-containing nutrition reduced postoperative infections and shortened length of stay in GI cancer patients.
- Postsurgery enteral nutrition in head and neck cancer patients
PubMed ID: 12428179
Arginine-enriched enteral nutrition reduced fistula rates and tended to shorten stay after major head & neck surgery.
- Modulation of postoperative immune and inflammatory response by immune-enhancing enteral diet in gastrointestinal cancer patients
PubMed ID: 11819790
Improved postoperative immune function and reduced inflammatory markers with arginine-containing enteral nutrition support faster postoperative recovery (combination therapy).
- An immune-enhancing enteral diet reduces mortality rate and episodes of bacteremia in septic intensive care unit patients
PubMed ID: 10752808
Arginine-enriched immune formula in septic ICU patients reduced mortality and nosocomial infections (strong evidence of faster/better recovery from critical illness).
- Postoperative enteral immunonutrition in head and neck cancer patients
PubMed ID: 11104591
Arginine‑enriched postoperative nutrition reduced infections and LOS in malnourished patients, consistent with faster recovery.
- Artificial nutrition after pancreaticoduodenectomy
PubMed ID: 11075988
Perioperative immunonutrition (arginine+omega‑3+RNA) reduced postoperative complications and shortened hospital stay (multi-nutrient).
- Outcome and cost-effectiveness of perioperative enteral immunonutrition in patients undergoing elective upper gastrointestinal tract surgery: a prospective randomized study
PubMed ID: 10593328
Multicenter trial showed fewer early postoperative infectious events and lower complication rates with perioperative arginine-containing diets (combination).
- Complications of pancreatic surgery and the role of perioperative nutrition
PubMed ID: 10449977
Immunonutrition shortened hospital stay and reduced complication severity after major surgery, indicating faster recovery (product contained arginine).
- Perioperative immunonutrition in patients undergoing cancer surgery: results of a randomized double-blind phase 3 trial
PubMed ID: 10199318
Peri/postoperative immunonutrition decreased infectious complications and reduced length of stay after cancer surgery.
- A prospective, randomized clinical trial on perioperative feeding with an arginine-, omega-3 fatty acid-, and RNA-enriched enteral diet: effect on host response and nutritional status
PubMed ID: 10574478
Perioperative arginine‑containing formula improved immune/nutritional markers post‑surgery, supporting faster recovery.
- Artificial nutrition after major abdominal surgery: impact of route of administration and composition of the diet
PubMed ID: 9428539
Arginine‑enriched enteral formula reduced septic complications and improved recovery after major abdominal surgery.
- Immunonutrition in gastric cancer surgical patients
PubMed ID: 9834924
Perioperative arginine-containing immunonutrition preserved immune function and lowered inflammation after gastrectomy—supporting improved postoperative recovery.
- A prospective, randomized, double-blind, controlled clinical trial of enteral immunonutrition in the critically ill. Guy's Hospital Intensive Care Group
PubMed ID: 9671364
In critically ill patients who achieved early full enteral feeding, arginine-containing feed was associated with shorter ventilation time and hospital stay, indicating faster recovery.
- Parenteral administration of different amounts of branch-chain amino acids in septic patients: clinical and metabolic aspects
PubMed ID: 9118656
Certain PN regimens that increased plasma arginine were associated with better protein markers and lower ICU mortality—faster recovery signal.
- Effect of route of delivery and formulation of postoperative nutritional support in patients undergoing major operations for malignant neoplasms
PubMed ID: 9366716
Immunonutrition including arginine improved immune recovery and shortened hospital stay after major surgery — supports faster recovery.
- Early postoperative enteral immunonutrition: clinical outcome and cost-comparison analysis in surgical patients
PubMed ID: 9295822
Reduced late postoperative complications and events after upper GI cancer surgery with arginine-containing enteral nutrition suggests faster recovery (combo product).
- The effects of desmopressin and 6% hydroxyethyl starch on factor VIII:C
PubMed ID: 8831325
DDAVP reversed HES-associated drop in factor VIII and raised coagulation activity rapidly—can reduce bleeding and support recovery (AVP analogue, indirect).
- Immune and nutritional effects of early enteral nutrition after major abdominal operations
PubMed ID: 8639722
Early arginine‑containing feeding sped nutritional and immune recovery after abdominal surgery.
- Gut function and immune and inflammatory responses in patients perioperatively fed with supplemented enteral formulas
PubMed ID: 8956766
Perioperative arginine formula increased microperfusion and immune function—consistent with faster postoperative recovery.
- Clinical outcome and immunology of postoperative arginine, omega-3 fatty acids, and nucleotide-enriched enteral feeding: a randomized prospective comparison with standard enteral and low calorie/low fat i.v. solutions
PubMed ID: 8875537
Enteral formula with arginine improved immune markers and lowered inflammation perioperatively, linked to faster recovery.
- A randomized trial of isonitrogenous enteral diets after severe trauma. An immune-enhancing diet reduces septic complications
PubMed ID: 8857857
Severely injured patients fed immune‑enhancing diet containing arginine had far fewer major infections and shorter stays—evidence for faster clinical recovery (multi‑nutrient).
- Early postoperative enteral nutrition with arginine-omega-3 fatty acids and ribonucleic acid-supplemented diet versus placebo in cancer patients: an immunologic evaluation of Impact
PubMed ID: 7536138
Arginine‑containing enteral formula improved immune markers after GI cancer surgery—supports postoperative recovery (multinutrient).
- Promotion and acceleration of diabetic ulcer healing by arginine-glycine-aspartic acid (RGD) peptide matrix. RGD Study Group
PubMed ID: 7698046
Topical arginine‑containing matrix markedly improved diabetic ulcer healing—faster local recovery from injury.
- Benefits of early postoperative enteral feeding in cancer patients
PubMed ID: 8924741
Early arginine‑enriched enteral feeding after cancer surgery improved nutritional/immune markers and reduced infection severity and postoperative stay.
- Enteral nutrition during multimodality therapy in upper gastrointestinal cancer patients
PubMed ID: 7726669
Postoperative arginine/omega‑3 enriched feeding reduced infectious/wound complications and length of stay—evidence of faster recovery after surgical injury.
- Modulation of postoperative immune response by enteral nutrition with a diet enriched with arginine, RNA, and omega-3 fatty acids in patients with upper gastrointestinal cancer
PubMed ID: 7539633
Postoperative improvements in inflammatory and immune markers with arginine‑enriched diet support faster convalescence.
- Early enteral administration of a formula (Impact) supplemented with arginine, nucleotides, and fish oil in intensive care unit patients: results of a multicenter, prospective, randomized, clinical trial
PubMed ID: 7874893
ICU patients receiving arginine‑containing enteral nutrition had shorter hospital stays and fewer infections, indicating faster clinical recovery (combination formula).
- Effect of Over-the-Counter Topical Agents on Denture-Induced Traumatic Lesions: A Clinical Study
PubMed ID: 30180236
L‑arginine mouthwash accelerated early denture‑ulcer healing (clinical trial) → faster mucosal recovery.
- Evaluation of the recovery after heart surgery following preoperative supplementation with a combination of beta-hydroxy-beta-methylbutyrate, L-arginine, and L-glutamine: a double-blind randomized placebo-controlled clinical trial
PubMed ID: 35964137
Perioperative HMB+L‑arginine+L‑glutamine shortened ICU and hospital stay and reduced cardiac enzyme release — indicates faster clinical recovery in surgical injury setting (multi‑ingredient).
- Comparison of specialized and standard enteral formulas in trauma patients
PubMed ID: 7937272
Enteral arginine formula reduced infections and improved nitrogen balance after major trauma, supporting faster/safer recovery.
- Preoperative immunonutrition decreases postoperative complications by modulating prostaglandin E2 production and T-cell differentiation in patients undergoing pancreatoduodenectomy
PubMed ID: 24589090
Preop arginine-containing immunonutrition reduced postoperative infectious complications and modulated immune markers, aiding recovery.
- Arginine enhances wound healing and lymphocyte immune responses in humans
PubMed ID: 2382229
Oral arginine increased wound collagen and lymphocyte responses in humans—supports faster tissue repair/recovery after injury.
- Differential effects of three enteral dietary regimens on selected outcome variables in burn patients
PubMed ID: 2112634
Arginine-enriched enteral feeding in burn patients reduced infections and shortened hospital stay, consistent with faster recovery though formula had multiple active nutrients.
- Enteral nutrition with supplemental arginine, RNA, and omega-3 fatty acids in patients after operation: immunologic, metabolic, and clinical outcome
PubMed ID: 1377838
Reduced infectious/wound complications and shorter hospital stays with arginine‑containing enteral nutrition — reasonably strong clinical signal for faster recovery (confounded).
- Arginine stimulates wound healing and immune function in elderly human beings
PubMed ID: 8342121
Randomized trial: oral arginine promoted collagen/protein deposition and boosted immune cell responses at wound sites — supports faster tissue recovery.
- Arginine as an adjuvant to chemotherapy improves clinical outcome in active tuberculosis
PubMed ID: 12662006
Oral arginine with TB therapy improved sputum conversion and weight gain (accelerated recovery from infectious injury) in HIV-negative patients.
- Randomized clinical trial with an enteral arginine-enhanced formula in early postsurgical head and neck cancer patients
PubMed ID: 15138461
Arginine-enriched enteral formula decreased fistulas and length of stay after major head/neck surgery—evidence for faster postoperative recovery.
- [The effects of immunonutrition on the development of nosocomial infections and on clinical outcome in critically ill patients]
PubMed ID: 15103566
Enteral immunonutrition with arginine improved nitrogen balance, severity scores and infection outcomes in critically ill patients — consistent with faster clinical recovery after injury/critical illness (multi‑ingredient intervention).
- Effects of postoperative enteral immune-enhancing diet on plasma endotoxin level, plasma endotoxin inactivation capacity and clinical outcome
PubMed ID: 16196295
Arginine-containing enteral immune diet improved endotoxin inactivation and shortened hospital stay after GI surgery — supports faster postoperative recovery (combined formula).
- Clinical and biochemical outcomes after a randomized trial with a high dose of enteral arginine formula in postsurgical head and neck cancer patients
PubMed ID: 16929239
Arginine‑enriched nutrition reduced wound fistulas after major surgery, indicating faster/better surgical recovery in that context.
- [Analysis of the influence on the prognosis and safety of arginine in patients with severe trauma and burns--a multi-center randomized double blinded, placebo controlled, clinical trail in 86 patients]
PubMed ID: 17175635
Randomized trial: oral arginine reduced wound-healing time and hospital stay in severe trauma patients — direct evidence of faster recovery.
- Effects of early enteral arginine supplementation on resuscitation of severe burn patients
PubMed ID: 17125930
Enteral arginine improved mucosal blood flow, oxygenation and reduced lactate in severe burns—physiologic evidence for enhanced recovery.
- Preoperative oral immune-enhancing nutritional supplementation corrects TH1/TH2 imbalance in patients undergoing elective surgery for colorectal cancer
PubMed ID: 16421661
Preoperative arginine‑containing nutrition preserved immune function around colorectal surgery and is associated with improved postoperative recovery in the immunonutrition literature (multi‑nutrient prep).
- Reduced cytokines release and myocardial damage in coronary artery bypass patients due to L-arginine cardioplegia supplementation
PubMed ID: 16564254
L-arginine in cardioplegia lowered troponin T and IL-6 and shortened ICU stay — direct evidence of faster recovery after cardiac injury/surgery.
- Beta-hydroxy-beta-methylbutyrate supplementation in critically ill trauma patients
PubMed ID: 17215743
HMB-containing supplements with arginine/glutamine improved nitrogen balance in critically injured trauma patients — improved nitrogen balance supports recovery after injury (multi-ingredient study).
- Early enteral supplementation with key pharmaconutrients improves Sequential Organ Failure Assessment score in critically ill patients with sepsis: outcome of a randomized, controlled, double-blind trial
PubMed ID: 18007263
Septic critically ill patients receiving arginine-containing enteral nutrition showed faster decline in organ-dysfunction scores—direct clinical signal for faster recovery (multi-nutrient formula).
- High dose of arginine enhanced enteral nutrition in postsurgical head and neck cancer patients. A randomized clinical trial
PubMed ID: 19694342
High-dose arginine in postoperative nutrition reduced fistula frequency and shortened hospital stay after head-and-neck surgery (faster surgical recovery).
- Attenuation of the systemic inflammatory response and infectious complications after gastrectomy with preoperative oral arginine and omega-3 fatty acids supplemented immunonutrition
PubMed ID: 19629583
Preoperative arginine-containing formula reduced infections and SIRS duration after gastrectomy, supporting faster postoperative recovery (combined intervention).
- [Effects of arginine enriched enteral nutrition on nutritional status and cellular immunity in burn patients]
PubMed ID: 19842559
Arginine‑enriched enteral nutrition helped maintain nutritional and immune markers in severe burns — supports faster recovery from major injury.
- Perioperative arginine-supplemented nutrition in malnourished patients with head and neck cancer improves long-term survival
PubMed ID: 20881073
Perioperative arginine‑enriched nutrition improved long‑term survival and local control after surgery in malnourished patients, consistent with improved recovery/resilience.
Blood circulation (83)
- [Effect of L-arginine on platelet aggregation, endothelial function adn exercise tolerance in patients with stable angina pectoris]
PubMed ID: 11019421
Ten days oral L-arginine improved endothelial function and exercise time in stable angina, indicating improved vascular function/circulation.
- Long-term high-dose L-arginine supplementation in patients with vasculogenic erectile dysfunction: a multicentre, double-blind, randomized, placebo-controlled clinical trial
PubMed ID: 34973154
High-dose L-arginine increased penile arterial PSV, indicating improved local blood flow.
- Effects of l-Arginine Plus Vitamin C Supplementation on l-Arginine Metabolism in Adults with Long COVID: Secondary Analysis of a Randomized Clinical Trial
PubMed ID: 36982151
L‑arginine + vitamin C increased plasma arginine and shifted arginine/ADMA toward normal in long‑COVID patients (improves NO bioavailability/circulation).
- Changes to insulin sensitivity in glucose clearance systems and redox following dietary supplementation with a novel cysteine-rich protein: A pilot randomized controlled trial in humans with type-2 diabetes
PubMed ID: 37812879
Keratin/arginine‑rich protein markedly increased insulin‑stimulated microvascular blood flow (direct microcirculation benefit).
- Combined Citrulline and Glutathione Supplementation Improves Endothelial Function and Blood Pressure Reactivity in Postmenopausal Women
PubMed ID: 37049398
Citrulline+GSH improved FMD and reduced PWV and BP reactivity — strong evidence for improved vascular function/circulation.
- Clinical Study to Evaluate the Possible Efficacy and Safety of L-Arginine in Children with Sickle Cell Disease and Increased Tricuspid Regurgitant Jet Velocity: a Randomized Controlled Trial
PubMed ID: 40526198
Oral L‑arginine in sickle cell lowered TRJV and NT‑proBNP and increased NO/LA:ADMA ratio—strong evidence of improved circulation/vascular load.
- Assessment of the effectiveness and safety of two-month oral supplementation with L-arginine depending on the type of lipid metabolism disorder in patients with atherosclerotic lower limb ischemia
PubMed ID: 41364169
6 g/day L‑arginine raised serum NO in lower limb ischemia patients — biochemical evidence supporting improved vasodilatory capacity.
- The Antioxidant Power of Bergamot Polyphenolic Fraction Gold Potentiates the Effects of L-Citrulline in Athlete Performance and Vasodilation in a Pilot Study
PubMed ID: 40218864
Combination including L-citrulline increased nitric oxide and reactive hyperemia index, demonstrating improved vasodilation/vascular function in cyclists (pilot, combined ingredients).
- The effect of L-arginine and citrulline on endothelial function in patients in heart failure with preserved ejection fraction
PubMed ID: 20865676
60 days oral L-arginine improved finger‑plethysmography endothelial index in patients with diastolic heart failure—direct vascular function improvement.
- No arguments for increased endothelial nitric oxide synthase activity in migraine based on peripheral biomarkers
PubMed ID: 20959430
IV L-arginine increased NO-pathway biomarkers in healthy subjects (blunted in migraineurs), supporting capacity to enhance NO-mediated circulation.
- Evaluation of the antihypertensive effect of L-arginine supplementation in patients with mild hypertension assessed with ambulatory blood pressure monitoring
PubMed ID: 20424555
High‑dose oral L‑arginine (12 g/day) lowered ambulatory blood pressure in mild hypertension — supports improved systemic circulatory parameters (small study).
- Effect of supplementation during pregnancy with L-arginine and antioxidant vitamins in medical food on pre-eclampsia in high risk population: randomised controlled trial
PubMed ID: 21596735
Supplementation with L-arginine + vitamins lowered pre-eclampsia incidence—consistent with improved maternal/placental circulation and endothelial function.
- Effects of L-arginine supplementation on blood flow, oxidative stress status and exercise responses in young adults with uncomplicated type I diabetes
PubMed ID: 22763798
One-week oral L-arginine normalized lower-limb blood flow in type 1 diabetics—direct evidence for improved peripheral circulation.
- Supplementation with L-arginine favorably influences plasminogen activator inhibitor type 1 concentration in obese patients. A randomized, double blind trial
PubMed ID: 22732180
Six-month supplementation raised NO and reduced PAI-1 in obese patients, indicating improved vascular homeostasis.
- L-arginine cardioplegia reduces oxidative stress and preserves diastolic function in patients with low ejection fraction undergoing coronary artery surgery
PubMed ID: 22313068
Addition of L-arginine to cardioplegia improved myocardial diastolic function and reduced oxidative markers, consistent with better cardiac perfusion/vascular effects.
- Improvement of ventricular function in systolic heart failure patients with oral L-citrulline supplementation
PubMed ID: 23224924
Four months of oral L-citrulline improved endothelial function indices and cardiac output measures in systolic heart failure, indicating marked improvements in systemic circulation.
- A randomized, placebo-controlled trial of arginine therapy for the treatment of children with sickle cell disease hospitalized with vaso-occlusive pain episodes
PubMed ID: 23645695
In sickle cell VOC, oral arginine reduced pain and opioid need — likely related to improved microvascular perfusion/NO-mediated effects (clinical signal).
- Aerobic exercise training decreases plasma asymmetric dimethylarginine concentrations with increase in arterial compliance in postmenopausal women
PubMed ID: 24280041
Aerobic exercise lowered ADMA and improved arterial compliance — ADMA is an arginine/NO pathway inhibitor, so this supports improved vascular function via the NO axis.
- Effect of oral nutritional supplementation on wound healing in diabetic foot ulcers: a prospective randomized controlled trial
PubMed ID: 24867069
Diabetic-foot‑ulcer trial: greater healing rates in subgroup with ABI <1.0 — suggests arginine-containing supplementation improved outcomes where peripheral circulation was impaired.
- Effect of dietary N-carbamylglutamate levels on reproductive performance of gilts
PubMed ID: 25039302
NCG increased maternal arginine and placental angiogenic markers in pigs, supporting angiogenesis/perfusion (circulatory improvement in placenta).
- Biosynthesis of homoarginine (hArg) and asymmetric dimethylarginine (ADMA) from acutely and chronically administered free L-arginine in humans
PubMed ID: 26031828
Human metabolic studies show administered Arg alters NO‑related metabolites (Arg, hArg, ADMA) linked to vascular tone.
- Efficacy and safety of perindopril arginine + amlodipine in hypertension
PubMed ID: 25804495
Large RCT of perindopril arginine (drug salt) showed superior BP lowering and control rates; demonstrates vascular/pressure benefits of an arginine salt formulation.
- Effects of 6-month supplementation with β-hydroxy-β-methylbutyrate, glutamine and arginine on vascular endothelial function of older adults
PubMed ID: 26306566
Multi-ingredient (HMB+Gln+Arg) produced a 27% FMD increase after 6 months, indicating improved macrovascular endothelial function.
- Combined L-citrulline and glutathione supplementation increases the concentration of markers indicative of nitric oxide synthesis
PubMed ID: 26097441
Citrulline+GSH raised plasma arginine and NO metabolites in resistance-trained men, supporting NO-mediated circulation effects.
- l-Arginine Supplementation Alleviates Postprandial Endothelial Dysfunction When Baseline Fasting Plasma Arginine Concentration Is Low: A Randomized Controlled Trial in Healthy Overweight Adults with Cardiometabolic Risk Factors
PubMed ID: 27281800
Sustained‑release L‑arginine improved postprandial endothelial responses in low‑arginine adults (randomized human trial).
- L-Arginine and B vitamins improve endothelial function in subjects with mild to moderate blood pressure elevation
PubMed ID: 27817128
Low‑dose L‑arginine with B‑vitamins improved endothelial function (RHI) after a fatty meal and modestly lowered BP — supports better circulation.
- Effect of statin on arginine metabolites in treated HIV-infection
PubMed ID: 28992467
Rosuvastatin prevented a rise in ADMA and increased citrulline over 48 weeks in treated HIV patients, indicating modulation of the arginine‑NO pathway relevant to circulation.
- Cilostazol improves endothelial function in acute cerebral ischemia patients: a double-blind placebo controlled trial with flow-mediated dilation technique
PubMed ID: 28851320
Randomized trial showed cilostazol improved brachial FMD and baseline L‑arginine was strongly associated with FMD response—links arginine biology to improved endothelial/blood vessel function.
- Impact of Asymmetric Dimethylarginine on Coronary Physiology Early After Heart Transplantation
PubMed ID: 28754566
Higher ADMA (endogenous NOS inhibitor competing with arginine) associated with worse coronary physiology (FFR) after transplant—supports clinical relevance of arginine/NO axis to vascular function.
- Safety of dietary supplementation with arginine in adult humans
PubMed ID: 29858688
Oral L-arginine up to 30 g/day raised serum arginine and produced modest systolic BP reductions (in women) and lowered FFAs—strong human evidence for improved systemic hemodynamic/metabolic parameters.
- Endothelial Function is improved by Inducing Microbial Polyamine Production in the Gut: A Randomized Placebo-Controlled Trial
PubMed ID: 31137855
Arginine + B. animalis improved reactive hyperemia index and raised spermidine/putrescine, indicating improved endothelial‑mediated circulation.
- Synergistic Effects of Sanghuang⁻Danshen Bioactives on Arterial Stiffness in a Randomized Clinical Trial of Healthy Smokers: An Integrative Approach to in silico Network Analysis
PubMed ID: 30621047
Sanghuang–Danshen improved arterial stiffness and increased eNOS activation with metabolomic signals in arginine pathways.
- Inter-Individual Responses to Citrulline Malate Oral Supplementation on Post-Exercise Hypotension in Hypertensives: A 24-Hour Analysis
PubMed ID: 31291417
Citrulline (arginine precursor) before exercise produced large, sustained post‑exercise BP reductions in hypertensives — strong vascular/circulatory effect.
- Impact of Intensive Lifestyle Treatment (Diet Plus Exercise) on Endothelial and Vascular Function, Arterial Stiffness and Blood Pressure in Stage 1 Hypertension: Results of the HINTreat Randomized Controlled Trial
PubMed ID: 32392715
Lifestyle intervention improved ADMA and blood pressure/vascular stiffness — ADMA is a key regulator of arginine/NO–dependent circulation.
- Asymmetric dimethylarginine predicts perioperative cardiovascular complications in patients undergoing medium-to-high risk non-cardiac surgery
PubMed ID: 32842812
Pre-op L-arginine/L-citrulline increased plasma L-arginine and the L-arg/ADMA ratio substantially — direct biochemical evidence supporting improved NO-mediated circulation.
- L-Arginine Improves Endurance to High-Intensity Interval Exercises in Overweight Men
PubMed ID: 33260139
Acute L‑arginine lowered VO2, ventilation and heart rate during high‑intensity intervals, indicating reduced cardiovascular strain and improved exercise hemodynamics.
- 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
PubMed ID: 34004448
Two weeks oral L‑arginine increased plasma arginine and produced clinically meaningful reductions in resting and ambulatory blood pressure during a polluted walk—evidence of improved hemodynamics.
- Effect of l-arginine on cardiac reverse remodeling and quality of life in patients with heart failure
PubMed ID: 33610421
L-arginine 3 g/day modestly improved LVEF and diastolic function in ischemic heart-failure patients, implying improved cardiac output/perfusion.
- Arginine Therapy and Cardiopulmonary Hemodynamics in Hospitalized Children with Sickle Cell Anemia: A Prospective, Double-blinded, Randomized Placebo-controlled Clinical Trial
PubMed ID: 35426778
Short oral L-arginine reduced TRV and pulmonary artery pressure estimates in sickle cell patients — improved cardiopulmonary hemodynamics.
- 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
PubMed ID: 36501014
Arginine+vitC produced a large absolute increase in FMD (endothelial function), a direct measure of improved systemic vascular function.
- Randomized Clinical and Biochemical Study Comparing the Effect of L-arginine and Sildenafil in Beta Thalassemia Major Children With High Tricuspid Regurgitant Jet Velocity
PubMed ID: 36282078
Oral L-arginine improved Doppler indices of pulmonary hypertension and increased NO while lowering ADMA — clear vascular/vasodilatory benefit.
- Effects of nisoldipine therapy on myocardial perfusion and neuro-hormonal status in patients with severe ischaemic left ventricular dysfunction
PubMed ID: 7925518
Nisoldipine improved regional myocardial perfusion — clinical perfusion effect (not arginine) but relevant to circulation outcomes.
- Effect of L-arginine on blood pressure in pregnancy-induced hypertension: a randomized placebo-controlled trial
PubMed ID: 16753767
IV L-arginine for 5 days lowered blood pressure in gestational hypertension, reflecting improved vascular tone and circulation.
- Nebivolol treatment reduces serum levels of asymmetric dimethylarginine and improves endothelial dysfunction in essential hypertensive patients
PubMed ID: 18772860
Nebivolol lowered ADMA and improved endothelial function in hypertensive patients, indicating improved systemic circulation via NO pathway.
- Effect of nebivolol on blood oxygen transport indices and endothelial dysfunction in patients with arterial hypertension
PubMed ID: 19170724
Nebivolol improved NO-related endothelial function and blood oxygen transport in hypertensive subjects (circulatory improvement).
- Nebivolol therapy improves endothelial function and increases exercise tolerance in patients with cardiac syndrome X
PubMed ID: 19819787
Nebivolol increased L-arginine/NO metabolites and improved exercise tolerance in cardiac syndrome X, consistent with improved vascular perfusion.
- Improvement of hypertension and LVH in maintenance hemodialysis patients treated with sustained-release isosorbide mononitrate
PubMed ID: 21240870
Large randomized nitrate trial in dialysis patients produced meaningful BP lowering and improved cardiac/vascular indices — strong NO-mediated circulation benefit.
- Organic nitrates favor regression of left ventricular hypertrophy in hypertensive patients on chronic peritoneal dialysis
PubMed ID: 23296279
Oral nitrates in CAPD patients lowered BP, reduced LV mass and reduced ADMA — clear vascular/ circulation improvements.
- Digital plethysmography and arginine metabolism in prehypertension: effect of nebivolol therapy
PubMed ID: 25495953
Nebivolol increased peripheral blood flow and l-citrulline (NO-related marker) in prehypertensive adults — supports improved circulation via NO pathway.
- [Endothelial dysfunction and cardiac performance in untreated hypertension]
PubMed ID: 8949363
L-arginine–responsive renal vasodilation correlated with better LV diastolic filling, linking arginine-mediated vasodilation to cardiac/renal circulation benefits.
- Asymmetric dimethylarginine (ADMA): a novel risk factor for endothelial dysfunction: its role in hypercholesterolemia
PubMed ID: 9799202
IV L-arginine acutely restored endothelium-dependent vasodilation in subjects with endothelial dysfunction, directly improving vascular circulation.
- Restoring vascular nitric oxide formation by L-arginine improves the symptoms of intermittent claudication in patients with peripheral arterial occlusive disease
PubMed ID: 9809945
L-arginine infusions markedly improved walking distances and restored NO-mediated vasodilation in intermittent claudication—strong clinical evidence of improved limb circulation.
- Adjuvant L-arginine treatment for in-vitro fertilization in poor responder patients
PubMed ID: 10402369
Oral L-arginine improved uterine/perifollicular Doppler flow in IVF patients.
- Daily aerobic exercise improves reactive hyperemia in patients with essential hypertension
PubMed ID: 9931171
Exercise training improved small‑vessel blood flow via NO pathway; shows NO's role though not an arginine intervention.
- Nutritional therapy for peripheral arterial disease: a double-blind, placebo-controlled, randomized trial of HeartBar
PubMed ID: 10737151
A nutrient bar containing L-arginine improved pain-free and total walking distance in claudication, consistent with improved peripheral perfusion (multi-nutrient confounder).
- Correction of endothelial dysfunction in chronic heart failure: additional effects of exercise training and oral L-arginine supplementation
PubMed ID: 10716474
L-arginine (8 g/day) improved endothelium-dependent vasodilation in CHF, a direct marker of improved vascular function and circulation.
- Endothelial dysfunction in hypercholesterolemia is reversed by a nutritional product designed to enhance nitric oxide activity
PubMed ID: 10935153
A nutrient bar containing L-arginine improved FMD in hypercholesterolemic adults, indicating improved endothelial-mediated circulation.
- Adjuvant daily therapy with L-arginine 2,500 mg and tadalafil 5 mg increases efficacy and duration of benefits of low-intensity extracorporeal shock wave therapy for erectile dysfunction: A prospective, randomized, single-blinded study with 1-year follow-up
PubMed ID: 34983126
Long-term L-arginine plus tadalafil with shockwave improved erectile function and maintained benefit at 12 months, but effect confounded by PDE5i and shockwave.
- L-arginine and S-nitrosoglutathione reduce embolization in humans
PubMed ID: 11352886
IV L-arginine after carotid surgery greatly reduced Doppler-detected cerebral embolic signals, indicating a vascular/clinical circulatory benefit postoperatively.
- L-arginine deficiency and supplementation in experimental acute renal failure and in human kidney transplantation
PubMed ID: 11918749
L-arginine improved renal perfusion and function in experimental ARF and some transplant recipients, reflecting improved local circulation.
- L-arginine infusion decreases plasma total homocysteine concentrations through increased nitric oxide production and decreased oxidative status in Type II diabetic patients
PubMed ID: 12189442
IV L-arginine increased nitrite/nitrate (NO markers) and thus supports vasodilation and circulation.
- Randomized trial of a medical food for the dietary management of chronic, stable angina
PubMed ID: 11755284
Arginine-rich medical food improved flow-mediated vasodilation and exercise capacity in stable angina, indicating better systemic circulation.
- Hypercholesterolaemia and treatment with statins do not alter L-arginine-induced changes of renal haemodynamics
PubMed ID: 12270981
IV L‑arginine dose‑dependently increased renal plasma flow and GFR and lowered systemic arterial pressure—clear circulatory effect.
- Oral L-arginine improves endothelial dysfunction in patients with essential hypertension
PubMed ID: 12419572
Acute oral L‑arginine produced a large improvement in flow‑mediated dilation in hypertensive patients (direct vascular perfusion effect).
- Effect of local delivery of L-arginine on in-stent restenosis in humans
PubMed ID: 11835911
Local vessel L‑arginine reduced neointimal growth after stenting—improved local vascular outcome.
- Diabetic endothelial dysfunction: effect of free radical scavenging in Type 2 diabetic patients
PubMed ID: 12623166
Gliclazide improved BP response to IV L-arginine in diabetics (enhanced NO-mediated vasodilation) — moderate support for arginine-mediated circulation.
- Efficiency of L-arginine enriched cardioplegia and non-cardioplegic reperfusion in ischemic hearts
PubMed ID: 15336814
Adding L-arginine to cardioplegia increased myocardial nitrite and reduced injury, improved perioperative outcomes — strong evidence of improved local circulation/NO availability.
- The influence of two different doses of L-arginine oral supplementation on nitric oxide (NO) concentration and total antioxidant status (TAS) in atherosclerotic patients
PubMed ID: 14704633
28 days oral L-arginine increased blood NO levels and total antioxidant status in PAD patients — strong direct evidence for improved endothelial-derived vasodilator capacity and circulation.
- L-arginine improves endothelial function and reduces LDL oxidation in patients with stable coronary artery disease
PubMed ID: 16140428
Randomized crossover: oral L‑arginine improved flow‑mediated dilation in CAD patients—direct evidence of improved endothelial-mediated circulation.
- Nitric oxide precursors and congenital heart surgery: a randomized controlled trial of oral citrulline
PubMed ID: 16798303
Perioperative citrulline (arginine precursor) raised plasma arginine and was associated with fewer postoperative pulmonary hypertension events when citrulline exceeded a threshold.
- Effects of oral L-arginine on the foetal condition and neonatal outcome in preeclampsia: a preliminary report
PubMed ID: 16918716
Low-dose oral L-arginine in preeclampsia improved umbilical and cerebral artery Doppler indices, directly demonstrating improved regional circulation.
- Effects of early enteral arginine supplementation on resuscitation of severe burn patients
PubMed ID: 17125930
Enteral arginine increased gastric mucosal blood flow and improved oxygenation and lactate — clear circulatory benefit in burns.
- Clopidogrel improves systemic endothelial nitric oxide bioavailability in patients with coronary artery disease: evidence for antioxidant and antiinflammatory effects
PubMed ID: 16675725
Clopidogrel addition improved NO‑mediated endothelial function and forearm blood flow—indirect evidence of improved circulation via NO pathway.
- Reduced cytokines release and myocardial damage in coronary artery bypass patients due to L-arginine cardioplegia supplementation
PubMed ID: 16564254
L-arginine added to cardioplegia reduced cardiac injury and inflammation — supports myocardial perfusion/benefit to circulation during surgery.
- Improvement of erectile function with Prelox: a randomized, double-blind, placebo-controlled, crossover trial
PubMed ID: 17703218
One-month L-arginine aspartate + Pycnogenol improved erectile function and increased eNOS — outcome consistent with improved local circulation via NO.
- L-arginine supplementation in patients with gestational hypertension: a pilot study
PubMed ID: 17454224
L-arginine supplementation in gestational hypertension lowered blood pressure and prolonged time to delivery, reflecting improved maternal hemodynamics/circulation.
- Effects of oral L-arginine on the pulsatility indices of umbilical artery and middle cerebral artery in preterm labor
PubMed ID: 17719167
Oral L-arginine altered fetal/placental Doppler indices consistent with improved circulatory flow in the placenta.
- [Effect and mechanism of L-arginine therapy for fetal growth retardation due to pregnancy-induced hypertension]
PubMed ID: 17355936
L-arginine improved umbilical artery flow indices and increased NO — direct improvement in regional circulation.
- Repetition of ischemic preconditioning augments endothelium-dependent vasodilation in humans: role of endothelium-derived nitric oxide and endothelial progenitor cells
PubMed ID: 17446439
Repeated brief limb ischemia enhanced endothelium-dependent vasodilation via NO-related mechanisms — demonstrates NO-driven circulation improvements.
- Long-term treatment with sulfhydryl angiotensin-converting enzyme inhibition reduces carotid intima-media thickening and improves the nitric oxide/oxidative stress pathways in newly diagnosed patients with mild to moderate primary hypertension
PubMed ID: 19033012
Zofenopril produced favorable NO/oxidative stress marker changes and reduced carotid IMT — supports vascular/circulatory health via NO axis (indirect).
- Oral L-arginine supplementation improves endothelial function and ameliorates insulin sensitivity and inflammation in cardiopathic nondiabetic patients after an aortocoronary bypass
PubMed ID: 19592054
Oral L-arginine improved reactive hyperemia, cGMP and L-arginine/ADMA ratio after CABG, indicating improved circulation/endothelial function.
- Green tea catechins improve human forearm endothelial dysfunction and have antiatherosclerotic effects in smokers
PubMed ID: 20134098
Green tea catechins increased NO and enhanced endothelium-dependent vasodilation in smokers (improved forearm blood flow).
- Effect of L-arginine or L-citrulline oral supplementation on blood pressure and right ventricular function in heart failure patients with preserved ejection fraction
PubMed ID: 21154265
Direct RCT of oral L-arginine (8 g/day) in HFpEF lowered pulmonary artery pressure and improved right heart function and exercise time—strong evidence for improved circulatory parameters.
Nutrient uptake (68)
- Assessment of the effectiveness and safety of two-month oral supplementation with L-arginine depending on the type of lipid metabolism disorder in patients with atherosclerotic lower limb ischemia
PubMed ID: 41364169
6 g/day L‑arginine raised serum NO and antioxidant status in PAD patients — surrogate evidence for improved perfusion/nutrient delivery.
- Amino acid composition of plant protein-enriched wheat biscuits differentially affects postprandial amino acid responses of overweight/obese compared to normalweight subjects
PubMed ID: 40690028
Acute L‑arginine‑enriched food produced large postprandial plasma arginine increases (iAUC ≈+250%) — clear evidence of improved arginine delivery via diet.
- Comparison of specialized and standard enteral formulas in trauma patients
PubMed ID: 7937272
Enteral formula with arginine improved nitrogen balance in trauma patients, implying better substrate availability/delivery to tissues.
- Preoperative immunonutrition decreases postoperative complications by modulating prostaglandin E2 production and T-cell differentiation in patients undergoing pancreatoduodenectomy
PubMed ID: 24589090
Preop immunonutrition (contains arginine) reduced infections and altered PGE2/T‑cell markers, consistent with improved perioperative nutrient/immune substrate delivery.
- Arginine stimulates wound healing and immune function in elderly human beings
PubMed ID: 8342121
Oral arginine increased local total protein accumulation at catheter wound sites in elderly volunteers — direct evidence of improved local nutrient/protein delivery.
- Early enteral administration of a formula (Impact) supplemented with arginine, nucleotides, and fish oil in intensive care unit patients: results of a multicenter, prospective, randomized, clinical trial
PubMed ID: 7874893
Enteral formula raised plasma arginine and was associated with faster recovery/shorter stay in ICU patients, consistent with improved nutrient availability.
- Promotion and acceleration of diabetic ulcer healing by arginine-glycine-aspartic acid (RGD) peptide matrix. RGD Study Group
PubMed ID: 7698046
Topical arginine-containing RGD matrix improved diabetic ulcer closure—supports local nutrient/matrix delivery.
- Early postoperative enteral nutrition with arginine-omega-3 fatty acids and ribonucleic acid-supplemented diet versus placebo in cancer patients: an immunologic evaluation of Impact
PubMed ID: 7536138
Enteral diet with arginine (plus RNA/omega‑3) improved postop immune/protein indices—consistent with improved nutrient effects.
- A randomized trial of isonitrogenous enteral diets after severe trauma. An immune-enhancing diet reduces septic complications
PubMed ID: 8857857
Enteral immune‑enhancing diet containing arginine improved clinical outcomes; supports improved nutritive support (multi‑nutrient confounder).
- Immune and nutritional effects of early enteral nutrition after major abdominal operations
PubMed ID: 8639722
Arginine‑enriched enteral feeding sped nutritional recovery (prealbumin/RBP improvement) after abdominal surgery.
- Early postoperative enteral immunonutrition: clinical outcome and cost-comparison analysis in surgical patients
PubMed ID: 9295822
Enteral immunonutrition containing arginine improved postoperative outcomes and likely improved perioperative nutrient delivery (combination product).
- Effect of route of delivery and formulation of postoperative nutritional support in patients undergoing major operations for malignant neoplasms
PubMed ID: 9366716
Immunonutrition formula with arginine improved immune recovery and shortened hospital stay, consistent with improved nutritional support/delivery.
- Asymmetric dimethylarginine (ADMA): a novel risk factor for endothelial dysfunction: its role in hypercholesterolemia
PubMed ID: 9799202
IV L-arginine restored endothelium-dependent vasodilation in hypercholesterolemia, improving potential tissue perfusion and nutrient delivery.
- A prospective, randomized, double-blind, controlled clinical trial of enteral immunonutrition in the critically ill. Guy's Hospital Intensive Care Group
PubMed ID: 9671364
Arginine-containing enteral feed reduced ventilation time and hospital stay in early-fed subgroup, implying better nutritional support in critical illness (multi-nutrient formula).
- Potentiation of the response to chemotherapy in patients with breast cancer by dietary supplementation with L-arginine: results of a randomised controlled trial
PubMed ID: 9454908
Short-term high-dose oral L-arginine before chemo improved histopathologic tumor response in smaller tumors, suggesting improved tissue-level drug/nutrient delivery.
- Artificial nutrition after major abdominal surgery: impact of route of administration and composition of the diet
PubMed ID: 9428539
Enteral formula containing arginine (with other nutrients) reduced complications and improved recovery after major surgery, implying improved nutrient handling/delivery.
- Adjuvant L-arginine treatment for in-vitro fertilization in poor responder patients
PubMed ID: 10402369
Oral L-arginine improved ovarian/perifollicular Doppler flow and follicular NO markers.
- Perioperative immunonutrition in patients undergoing cancer surgery: results of a randomized double-blind phase 3 trial
PubMed ID: 10199318
Perioperative immunonutrition (with arginine) reduced infectious complications and shortened stay—consistent with better peri‑op tissue support.
- Complications of pancreatic surgery and the role of perioperative nutrition
PubMed ID: 10449977
Enteral immunonutrition containing arginine shortened LOS and reduced complications vs standard nutrition (but product also included omega‑3/RNA).
- Postoperative enteral immunonutrition in head and neck cancer patients
PubMed ID: 11104591
Arginine‑enriched postoperative enteral nutrition increased lymphocytes and reduced infections/LOS in malnourished patients (combo formula).
- Atorvastatin but not L-arginine improves endothelial function in type I diabetes mellitus: a double-blind study
PubMed ID: 10933350
Oral L-arginine produced large plasma arginine increases — substrate availability for NO and nutrient delivery is increased despite no FMD benefit.
- Correction of endothelial dysfunction in chronic heart failure: additional effects of exercise training and oral L-arginine supplementation
PubMed ID: 10716474
Improved endothelium-dependent vasodilation in CHF (8 g/day) is likely to enhance microvascular nutrient delivery.
- Endothelial dysfunction in hypercholesterolemia is reversed by a nutritional product designed to enhance nitric oxide activity
PubMed ID: 10935153
A multi-nutrient bar including L-arginine improved flow-mediated dilation (FMD), implying better endothelial-mediated nutrient flow.
- An immune-enhancing enteral diet reduces mortality rate and episodes of bacteremia in septic intensive care unit patients
PubMed ID: 10752808
Arginine-enriched immune formula in septic ICU patients lowered mortality/infections and likely improved nutrition-mediated resilience (strong clinical feed effect).
- Metabolic effects of arginine addition to the enteral feeding of critically ill patients
PubMed ID: 11434648
Enteral arginine was well absorbed and raised plasma arginine concentrations—direct evidence of nutrient delivery/absorption.
- [The role of immune enhanced enteral nutrition on plasma amino acid, gut permeability and clinical outcome (a randomized, double blind, controlled, multi-center clinical trail with 120 cases)]
PubMed ID: 12905875
Enteral arginine-containing diet raised plasma arginine and modestly improved gut permeability, suggesting improved nutrient handling.
- Arginine supplementation prevents necrotizing enterocolitis in the premature infant
PubMed ID: 12006956
Supplementation increased plasma arginine in preemies and reduced NEC, implying improved intestinal function/nutrient handling.
- Randomized trial of a medical food for the dietary management of chronic, stable angina
PubMed ID: 11755284
Arginine‑rich medical food improved flow‑mediated dilation (endothelial function) and exercise capacity, implying improved vascular delivery of nutrients.
- Reversal of cancer-related wasting using oral supplementation with a combination of beta-hydroxy-beta-methylbutyrate, arginine, and glutamine
PubMed ID: 11975938
Multi‑nutrient including L‑arginine increased lean mass (implies improved nutrient/AA delivery to muscle).
- Comparison of a immunonutrition formula enriched arginine, glutamine and omega-3 fatty acid, with a currently high-enriched enteral nutrition for trauma patients
PubMed ID: 12924804
Arginine-enriched enteral formula raised total serum protein in severely injured patients (direct evidence of improved nutritional protein status).
- Arginine as an adjuvant to chemotherapy improves clinical outcome in active tuberculosis
PubMed ID: 12662006
Oral arginine with TB therapy increased weight (nutritional gain) in HIV-negative patients (direct supplementation benefit).
- Randomized clinical trial with an enteral arginine-enhanced formula in early postsurgical head and neck cancer patients
PubMed ID: 15138461
Arginine-enriched enteral formula reduced fistulas and shortened stay, consistent with improved perioperative nutrient/support delivery.
- Ultrasound evaluation of intrauterine growth restriction therapy by a nitric oxide donor (L-arginine)
PubMed ID: 15280105
Oral L-arginine in growth-restricted pregnancies increased estimated fetal weight gain and birth weight and markedly reduced growth-retarded newborns — direct evidence of improved nutrient delivery to fetus.
- Role of enteral immunonutrition in patients with gastric carcinoma undergoing major surgery
PubMed ID: 15851366
Enteral immunonutrition containing arginine (plus glutamine/omega‑3) raised prealbumin/transferrin and improved early nutrition markers.
- Effects of oral L-arginine on the foetal condition and neonatal outcome in preeclampsia: a preliminary report
PubMed ID: 16918716
L-arginine improved uteroplacental Doppler indices, indicating better fetal nutrient perfusion.
- Effects of early enteral arginine supplementation on resuscitation of severe burn patients
PubMed ID: 17125930
Enteral L-arginine in burns increased gastric mucosal blood flow and PO2/FiO2, indicating improved nutrient/oxygen delivery to gut.
- Effects of long-term continuous use of immune-enhancing enteral formula on nutritional and immunologic status in non-surgical patients
PubMed ID: 16815486
Enteral formula containing arginine raised serum arginine and IGF‑I, suggesting improved nutrient availability/delivery.
- Impact of enteral supplements enriched with omega-3 fatty acids and/or omega-6 fatty acids, arginine and ribonucleic acid compounds on leptin levels and nutritional status in active Crohn's disease treated with prednisolone
PubMed ID: 17429201
Enteral formulas containing arginine improved nutritional markers (BMI, leptin) in Crohn's patients, consistent with better nutrient status though multi-nutrient formula confounds attribution.
- Effects of oral L-arginine on the pulsatility indices of umbilical artery and middle cerebral artery in preterm labor
PubMed ID: 17719167
Oral L-arginine (3 g/day) improved fetal/placental Doppler indices (UA PI, MCA PI, CPR) — direct evidence of improved blood/nutrient delivery to placenta.
- [Effect and mechanism of L-arginine therapy for fetal growth retardation due to pregnancy-induced hypertension]
PubMed ID: 17355936
L-arginine increased maternal/umbilical NO and improved umbilical artery flow and neonatal birth weight — direct evidence of improved fetal nutrient/flow delivery.
- [Effects of arginine enriched enteral nutrition on nutritional status and cellular immunity in burn patients]
PubMed ID: 19842559
Arginine‑enriched enteral nutrition in burn patients raised nutritional proteins (prealbumin/transferrin), indicating improved nutrient delivery/utilization.
- Perioperative arginine-supplemented nutrition in malnourished patients with head and neck cancer improves long-term survival
PubMed ID: 20881073
Perioperative arginine‑enriched nutrition improved survival/recurrence in malnourished patients, consistent with improved nutritional/immune support and nutrient utilization.
- Effect of L-arginine or L-citrulline oral supplementation on blood pressure and right ventricular function in heart failure patients with preserved ejection fraction
PubMed ID: 21154265
Oral L-arginine (8 g/day) lowered pulmonary pressures and improved RV function and exercise duration in HFpEF—implies improved central/peripheral perfusion and thus nutrient delivery.
- Effect of L-arginine on the expression of Bcl-2 and Bax in the placenta of fetal growth restriction
PubMed ID: 21067292
RCT in fetal growth restriction: L-arginine adjunct improved fetal growth metrics and birthweight, consistent with improved placental nutrient delivery.
- Effect of supplementation during pregnancy with L-arginine and antioxidant vitamins in medical food on pre-eclampsia in high risk population: randomised controlled trial
PubMed ID: 21596735
Large RCT of L-arginine + vitamins reduced pre-eclampsia (placental perfusion disorder), consistent with improved placental/vascular nutrient delivery.
- Effects of L-arginine supplementation on blood flow, oxidative stress status and exercise responses in young adults with uncomplicated type I diabetes
PubMed ID: 22763798
One-week oral L-arginine restored peripheral (lower-limb) blood flow in type 1 diabetics, supporting enhanced delivery to tissues.
- Improvement of ventricular function in systolic heart failure patients with oral L-citrulline supplementation
PubMed ID: 23224924
Oral L-citrulline (an L-arginine precursor) improved peripheral endothelial indices and ventricular function, which can enhance tissue perfusion and nutrient delivery.
- Effect of 3-month L-arginine supplementation on insulin resistance and tumor necrosis factor activity in patients with visceral obesity
PubMed ID: 22913215
3 mo oral L-arginine (9 g/day) improved insulin sensitivity (HOMA-IR) and reduced insulin — plausibly improves cellular nutrient uptake.
- Immunonutrition improves functional capacities in head and neck and esophageal cancer patients undergoing radiochemotherapy: a randomized clinical trial
PubMed ID: 23849811
Enteral formula enriched with arginine improved body weight and nutritional markers in radiochemotherapy patients, consistent with better nutrient status/delivery.
- Efficacy of L-arginine for preventing preeclampsia in high-risk pregnancies: A double-blind, randomized, clinical trial
PubMed ID: 27003763
Maternal L‑arginine reduced preeclampsia and improved birthweight — implies improved nutrient delivery to fetus via vascular effects.
- Regeneration of the intestinal mucosa in Eimeria and E. Coli challenged broilers supplemented with amino acids
PubMed ID: 26846258
Dietary arginine (with other AAs) improved gut mucosal regeneration in broilers, implying improved local nutrient handling/absorption.
- Efficacy of preoperative immunonutrition in locally advanced pancreatic cancer undergoing irreversible electroporation (IRE)
PubMed ID: 28162818
Preoperative immunonutrition (formulas commonly contain arginine) preserved albumin/NRI and shortened LOS, consistent with improved nutritional status/delivery, though multi‑component formula limits attribution solely to arginine.
- Safety of dietary supplementation with arginine in adult humans
PubMed ID: 29858688
Oral L-arginine raised serum arginine and reduced glucose/free fatty acids (metabolic substrate handling), implying improved nutrient handling.
- Oral Supplementation with Beta-Hydroxy-Beta-Methylbutyrate, Arginine, and Glutamine Improves Lean Body Mass in Healthy Older Adults
PubMed ID: 29672184
Oral HMB+arginine+glutamine increased lean mass in older adults, implying improved nutrient utilization/delivery to muscle.
- Application of multivariate longitudinal models in SIRT6, FBS, and BMI analysis of the elderly
PubMed ID: 29901417
1 g/day L-arginine with exercise lowered fasting glucose and BMI, consistent with improved metabolic/nutrient handling.
- Asymmetric dimethylarginine predicts perioperative cardiovascular complications in patients undergoing medium-to-high risk non-cardiac surgery
PubMed ID: 32842812
Pre-op L-arginine/L-citrulline raised plasma arginine and Arg/ADMA ratio — biochemical improvement consistent with enhanced microvascular delivery.
- A high-protein meal does not improve blood pressure or vasoactive biomarker responses to acute exercise in humans
PubMed ID: 32949918
Acute high‑protein meal raised plasma arginine concentrations, directly showing increased circulating substrate availability.
- Effect of a perioperative immune-enhancing diet in clean-contaminated head and neck cancer surgery: A randomized controlled trial
PubMed ID: 34371175
Perioperative arginine-containing immune diet increased prealbumin and shortened LOS, consistent with improved perioperative nutrition/uptake (multinutrient formula so not isolated to arginine).
- Arginine Therapy and Cardiopulmonary Hemodynamics in Hospitalized Children with Sickle Cell Anemia: A Prospective, Double-blinded, Randomized Placebo-controlled Clinical Trial
PubMed ID: 35426778
Short oral L-arginine in sickle cell reduced TRV and pulmonary pressures, suggesting improved cardiopulmonary hemodynamics and tissue oxygen delivery.
- 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
PubMed ID: 36501014
Oral L-arginine+vitC increased flow-mediated dilation and 6MWD, implying improved endothelial-mediated tissue perfusion and nutrient/oxygen delivery.
- Randomized Clinical and Biochemical Study Comparing the Effect of L-arginine and Sildenafil in Beta Thalassemia Major Children With High Tricuspid Regurgitant Jet Velocity
PubMed ID: 36282078
Oral L-arginine in β-thalassemia raised NO and improved Doppler pulmonary indices, which supports better pulmonary circulation and oxygen delivery.
- Long-term high-dose L-arginine supplementation in patients with vasculogenic erectile dysfunction: a multicentre, double-blind, randomized, placebo-controlled clinical trial
PubMed ID: 34973154
High-dose L-arginine increased cavernous artery PSV (penile blood flow) — localized evidence of improved blood delivery.
- Postprandial Glucose and Gastrointestinal Hormone Responses of Healthy Subjects to Wheat Biscuits Enriched with L-Arginine or Branched-Chain Amino Acids of Plant Origin
PubMed ID: 36297065
Arginine‑enriched biscuit altered GLP‑1/PYY and lowered glucose excursions (affects nutrient handling and postprandial delivery).
- Enteral L-citrulline supplementation in preterm infants is safe and effective in increasing plasma arginine and citrulline levels-a pilot randomized trial
PubMed ID: 37640809
Enteral L‑citrulline reliably raised plasma citrulline/arginine in preterm infants (increases available substrate).
- Changes to insulin sensitivity in glucose clearance systems and redox following dietary supplementation with a novel cysteine-rich protein: A pilot randomized controlled trial in humans with type-2 diabetes
PubMed ID: 37812879
Keratin/arginine‑rich protein increased muscle microvascular blood flow (improves nutrient delivery to muscle).
- Effects of preoperative beta-hydroxy-beta-methylbutyrate, arginine, and glutamine supplementation on cardiac surgery: A randomized controlled trial
PubMed ID: 39765161
Preop HMB/arginine/glutamine improved 6MWD/strength and shortened stay; arginine was a component but not isolated.
- Impact of Immunonutrition on Nutritional Status in Patients Undergoing Colorectal Cancer Surgery: A Randomized Controlled Clinical Trial
PubMed ID: 38613322
Perioperative immunonutrition containing arginine preserved weight/BMI versus preop only; multi‑nutrient formula limits attribution.
- Clinical Study to Evaluate the Possible Efficacy and Safety of L-Arginine in Children with Sickle Cell Disease and Increased Tricuspid Regurgitant Jet Velocity: a Randomized Controlled Trial
PubMed ID: 40526198
Oral L‑arginine increased NO and improved cardiac/pulmonary hemodynamics in sickle cell patients, implying improved tissue perfusion.
Skin repair (66)
- Immune and nutritional effects of early enteral nutrition after major abdominal operations
PubMed ID: 8639722
Early arginine‑containing enteral feeding sped immune/nutritional recovery and reduced infection severity after abdominal surgery.
- Clinical outcome and immunology of postoperative arginine, omega-3 fatty acids, and nucleotide-enriched enteral feeding: a randomized prospective comparison with standard enteral and low calorie/low fat i.v. solutions
PubMed ID: 8875537
Enteral formula with arginine improved immune markers and lowered inflammation post‑surgery, supporting healing.
- Promotion and acceleration of diabetic ulcer healing by arginine-glycine-aspartic acid (RGD) peptide matrix. RGD Study Group
PubMed ID: 7698046
Topical RGD peptide gel containing an arginine residue markedly increased diabetic foot ulcer healing in an RCT.
- Benefits of early postoperative enteral feeding in cancer patients
PubMed ID: 8924741
Early postoperative arginine‑enriched feeding improved nutritional and immune markers and reduced infection severity and length of stay after cancer surgery, supporting better healing.
- Enteral nutrition during multimodality therapy in upper gastrointestinal cancer patients
PubMed ID: 7726669
Postoperative patients receiving arginine+omega‑3 feeds had fewer wound/infectious complications and shorter stays—consistent with improved healing (combination formula).
- The effects of desmopressin and 6% hydroxyethyl starch on factor VIII:C
PubMed ID: 8831325
DDAVP (vasopressin analogue) markedly increased factor VIII:C after HES-induced reductions — supports faster hemostasis (indirectly relevant to wound healing).
- Early postoperative enteral immunonutrition: clinical outcome and cost-comparison analysis in surgical patients
PubMed ID: 9295822
Enteral arginine-containing formula reduced late postoperative infectious/wound complications after upper GI cancer surgery (combination formula).
- Effect of route of delivery and formulation of postoperative nutritional support in patients undergoing major operations for malignant neoplasms
PubMed ID: 9366716
Immunonutrition (including arginine) improved immune recovery and shortened hospital stay after major cancer surgery — consistent with improved wound outcomes.
- Immunonutrition in gastric cancer surgical patients
PubMed ID: 9834924
Perioperative arginine-containing immunonutrition preserved phagocytosis and improved prealbumin—factors that support postoperative tissue repair and healing.
- Artificial nutrition after major abdominal surgery: impact of route of administration and composition of the diet
PubMed ID: 9428539
Arginine‑containing enteral nutrition decreased infection severity and complications after surgery—consistent with better wound outcomes.
- A prospective, randomized clinical trial on perioperative feeding with an arginine-, omega-3 fatty acid-, and RNA-enriched enteral diet: effect on host response and nutritional status
PubMed ID: 10574478
Postoperative improvements in short‑half‑life proteins and cytokines imply better tissue repair capacity.
- Perioperative immunonutrition in patients undergoing cancer surgery: results of a randomized double-blind phase 3 trial
PubMed ID: 10199318
Perioperative arginine‑containing nutrition reduced infections and shortened hospitalization—consistent with improved surgical wound outcomes.
- Complications of pancreatic surgery and the role of perioperative nutrition
PubMed ID: 10449977
Immunonutrition containing arginine reduced infectious complications and overall postoperative complications including wound issues (combo formula).
- Outcome and cost-effectiveness of perioperative enteral immunonutrition in patients undergoing elective upper gastrointestinal tract surgery: a prospective randomized study
PubMed ID: 10593328
Perioperative arginine-containing enteral diets reduced early infections and complications and lowered costs in a multicenter trial (combo product).
- Artificial nutrition after pancreaticoduodenectomy
PubMed ID: 11075988
Perioperative enteral formula including arginine reduced complications and LOS — suggests improved surgical recovery/wound outcomes (multi-nutrient).
- Postoperative enteral immunonutrition in head and neck cancer patients
PubMed ID: 11104591
Arginine‑enriched nutrition reduced postoperative infections/wound complications and shortened LOS in malnourished head‑and‑neck cancer patients.
- An immune-enhancing enteral diet reduces mortality rate and episodes of bacteremia in septic intensive care unit patients
PubMed ID: 10752808
Septic ICU patients fed arginine-enriched formula had fewer infections and lower mortality — clinical immunonutrition benefit relevant to recovery/wound outcomes.
- Postsurgery enteral nutrition in head and neck cancer patients
PubMed ID: 12428179
Postoperative arginine-enriched enteral feeding reduced fistula rates after head & neck surgery (0% vs 20.8%).
- A randomized controlled trial of preoperative oral supplementation with a specialized diet in patients with gastrointestinal cancer
PubMed ID: 12055582
Preop arginine-containing nutrition reduced postoperative infections and shortened stay, consistent with enhanced recovery/healing.
- Preoperative oral arginine and n-3 fatty acid supplementation improves the immunometabolic host response and outcome after colorectal resection for cancer
PubMed ID: 12464864
Arginine+n‑3 peri-op nutrition reduced infection rates and improved immune/gut measures related to healing.
- Effect of a specialized amino acid mixture on human collagen deposition
PubMed ID: 12192323
Oral mixture containing arginine increased collagen deposition in PTFE implants in elderly volunteers—a direct marker of skin/soft-tissue repair.
- Nutritional approach in malnourished surgical patients: a prospective randomized study
PubMed ID: 11822956
Perioperative arginine-enriched feeding lowered complications and shortened stay versus control in malnourished patients.
- Effect of Over-the-Counter Topical Agents on Denture-Induced Traumatic Lesions: A Clinical Study
PubMed ID: 30180236
Topical L‑arginine mouthwash accelerated early mandibular denture‑ulcer healing vs other OTC agents in a randomized trial.
- A randomised, double-blind assessment of the effect of nutritional supplementation on the prevention of pressure ulcers in hip-fracture patients
PubMed ID: 12880608
An arginine‑containing protein supplement reduced progression to stage II pressure ulcers and delayed ulcer onset in hip‑fracture patients.
- Randomized clinical trial with an enteral arginine-enhanced formula in early postsurgical head and neck cancer patients
PubMed ID: 15138461
Arginine-enhanced enteral formula reduced fistula rates and shortened postoperative length of stay—direct clinical evidence for improved surgical wound outcomes.
- [The effects of immunonutrition on the development of nosocomial infections and on clinical outcome in critically ill patients]
PubMed ID: 15103566
Enteral immunonutrition containing arginine improved nitrogen balance and reduced nosocomial infections — outcomes consistent with improved wound healing/host defense (multi‑component formula).
- Effect of early postoperative enteral immunonutrition on wound healing in patients undergoing surgery for gastric cancer
PubMed ID: 15681102
Early enteral immunonutrition containing arginine markedly increased collagen (hydroxyproline +113%) and eliminated surgical wound complications after gastrectomy, though product was multi-nutrient.
- Clinical and biochemical outcomes after a randomized trial with a high dose of enteral arginine formula in postsurgical head and neck cancer patients
PubMed ID: 16929239
High‑dose enteral arginine (17 g/day) after head & neck surgery significantly reduced wound fistula rate (strong clinical surgical wound‑healing signal).
- [Analysis of the influence on the prognosis and safety of arginine in patients with severe trauma and burns--a multi-center randomized double blinded, placebo controlled, clinical trail in 86 patients]
PubMed ID: 17175635
Randomized trial: oral arginine shortened wound-healing time and reduced hospital stay in severe trauma patients (direct human evidence).
- Effects of early enteral arginine supplementation on resuscitation of severe burn patients
PubMed ID: 17125930
Enteral L-arginine in severe burns increased mucosal blood flow/oxygenation and lowered lactate—physiology supportive of faster healing.
- Immunoenhanced enteral nutrition formulas in head and neck cancer surgery: a prospective, randomized clinical trial
PubMed ID: 18449445
Arginine-enriched enteral formulas reduced postoperative wound and general infections—clinical improvement in surgical recovery/wound outcomes (multi-nutrient formula).
- High dose of arginine enhanced enteral nutrition in postsurgical head and neck cancer patients. A randomized clinical trial
PubMed ID: 19694342
High-dose arginine in postoperative enteral nutrition reduced fistula rates and shortened hospital stay after head-and-neck surgery (direct surgical healing benefit).
- Attenuation of the systemic inflammatory response and infectious complications after gastrectomy with preoperative oral arginine and omega-3 fatty acids supplemented immunonutrition
PubMed ID: 19629583
Preoperative arginine-containing formula reduced postoperative infections and SIRS duration, supporting improved surgical recovery and healing (combined formula).
- [Effects of arginine enriched enteral nutrition on nutritional status and cellular immunity in burn patients]
PubMed ID: 19842559
Arginine‑enriched enteral nutrition in severely burned patients improved nutritional and immune markers—factors that support wound healing.
- Perioperative arginine-supplemented nutrition in malnourished patients with head and neck cancer improves long-term survival
PubMed ID: 20881073
Perioperative arginine‑enriched nutrition reduced local recurrences and improved survival in malnourished head & neck cancer patients — consistent with improved surgical tissue healing/host resistance.
- A randomized double-blind clinical trial with two different doses of arginine enhanced enteral nutrition in postsurgical cancer patients
PubMed ID: 21284343
Higher-dose enteral arginine formula significantly reduced postoperative fistula rates after head & neck cancer surgery—strong clinical wound-related benefit (multinutrient formula).
- Specific nutritional support accelerates pressure ulcer healing and reduces wound care intensity in non-malnourished patients
PubMed ID: 20598855
Randomized trial: arginine‑ and micronutrient‑enriched oral supplement significantly accelerated pressure‑ulcer healing vs control (n=43), strong direct evidence (but multi‑nutrient).
- L-arginine cardioplegia reduces oxidative stress and preserves diastolic function in patients with low ejection fraction undergoing coronary artery surgery
PubMed ID: 22313068
Cardioplegia L-arginine reduced oxidative stress and improved early cardiac tissue function post‑surgery → supports improved tissue recovery after injury.
- Clinical and immunological impact of early postoperative enteral immunonutrition after total gastrectomy in gastric cancer patients: a prospective randomized study
PubMed ID: 23838912
Arginine-containing immunonutrition reduced postoperative infections/leaks and shortened hospital stay after total gastrectomy — consistent with improved surgical wound outcomes (multi-nutrient formula).
- Effect of oral nutritional supplementation on wound healing in diabetic foot ulcers: a prospective randomized controlled trial
PubMed ID: 24867069
Large human trial of arginine/glutamine/HMB showed no overall effect but significant, clinically meaningful improved healing rates in malnourished and poor‑perfusion diabetic‑foot‑ulcer subgroups.
- Effect of HMB/Arg/Gln on the prevention of radiation dermatitis in head and neck cancer patients treated with concurrent chemoradiotherapy
PubMed ID: 24688085
HMB/arginine/glutamine reduced incidence/severity/duration of radiation dermatitis — supports improved cutaneous healing/repair.
- A nutritional formula enriched with arginine, zinc, and antioxidants for the healing of pressure ulcers: a randomized trial
PubMed ID: 25643304
Large randomized trial: arginine‑, zinc‑ and antioxidant‑enriched formula produced substantially greater pressure‑ulcer area reductions vs control.
- Effect of three different doses of arginine enhanced enteral nutrition on nutritional status and outcomes in well nourished postsurgical cancer patients: a randomized single blinded prospective trial
PubMed ID: 25855918
Postoperative high‑dose arginine‑enriched enteral nutrition was associated with shorter stays and fewer fistulas after head/neck surgery, consistent with improved surgical wound outcomes.
- Regeneration of the intestinal mucosa in Eimeria and E. Coli challenged broilers supplemented with amino acids
PubMed ID: 26846258
Broiler diets supplemented with arginine (plus other AAs) improved gut mucosal regeneration and cell proliferation — strong animal evidence for tissue repair role.
- Enriched enteral nutrition may improve short-term survival in stage IV gastric cancer patients: A randomized, controlled trial
PubMed ID: 28336107
Enteral feeding enriched with arginine/glutamine/omega‑3s associated with fewer early postoperative deaths and may reflect improved early recovery/healing (combined nutrients).
- Efficacy of preoperative immunonutrition in locally advanced pancreatic cancer undergoing irreversible electroporation (IRE)
PubMed ID: 28162818
Preoperative immunonutrition (likely arginine‑containing) reduced postoperative complications and LOS and preserved albumin, consistent with improved surgical recovery/wound outcomes; multi‑nutrient formula limits attribution.
- Effect of Preoperative Administration of Oral Arginine and Glutamine in Patients with Enterocutaneous Fistula Submitted to Definitive Surgery: a Prospective Randomized Trial
PubMed ID: 30710211
Preoperative arginine+glutamine markedly reduced fistula recurrence and postoperative infections—clinically meaningful tissue‑healing benefit.
- Hard-to-heal wounds: a randomised trial of an oral proline-containing supplement to aid repair
PubMed ID: 33439085
Arginine‑rich oral nutritional supplement significantly accelerated wound closure and wound edge growth in a randomized trial of hard‑to‑heal wounds.
- Effect of a perioperative immune-enhancing diet in clean-contaminated head and neck cancer surgery: A randomized controlled trial
PubMed ID: 34371175
Perioperative arginine-containing immune nutrition lowered mucocutaneous fistula rates and shortened hospital stay after head-and-neck surgery — clinical evidence for improved surgical healing (multi-component formula).
- The effects of preoperative supplementation with a combination of beta-hydroxy-beta-methylbutyrate, arginine, and glutamine on inflammatory and hematological markers of patients with heart surgery: a randomized controlled trial
PubMed ID: 35148750
Preoperative supplement containing arginine reduced postoperative inflammatory markers that can favor healing (multi-ingredient formula).
- Perioperative optimization with nutritional supplements in patients undergoing gastrointestinal surgery for cancer: A randomized, placebo-controlled feasibility clinical trial
PubMed ID: 35606184
Perioperative arginine-rich nutrition pilot showed numerically fewer post-op infections (suggests improved surgical-site outcomes; underpowered).
- L-Arginine is a feasible supplement to heal chronic anal fissure via reducing internal anal sphincter pressure: a randomized clinical trial study
PubMed ID: 36449096
Oral L-arginine (3 g/day) produced large, clinically meaningful reductions in anal fissure size, pain and resting pressure — direct mucosal/tissue healing evidence.
- Efficacy of beta-hydroxy-beta-methylbutyrate, arginine, and glutamine for the prevention of mucositis induced by platinum-based chemoradiation in head and neck cancer: A phase II study
PubMed ID: 37739730
HMB/Arg/Gln markedly reduced severe mucositis in head‑and‑neck chemoradiation patients — clinically relevant mucosal healing effect (multi‑ingredient).
- L-arginine vs. L-glutamine oral suspensions for radiation-induced oral mucositis: a triple-blind randomized trial
PubMed ID: 40603739
Oral L‑arginine during radiotherapy reduced mucositis severity and pain and improved healing rates—clear clinical healing benefit.
- Home-use agents in the treatment of dentin hypersensitivity: clinical effectiveness evaluation with different measurement methods
PubMed ID: 39810073
Topical arginine‑containing toothpaste substantially reduced dentin hypersensitivity and improved patient‑reported outcomes — demonstrates topical arginine effects on mineralized tissue repair/occlusion.
- Immunomodulatory enteral nutrition in post-surgical gastrointestinal cancer: Clinical, biochemical and nutritional impacts
PubMed ID: 40374110
Enteral immunonutrition reduced severe postoperative complications and improved immune/inflammatory markers — clinically relevant to faster surgical wound recovery (arginine frequently included).
- Modulation of postoperative immune response by enteral nutrition with a diet enriched with arginine, RNA, and omega-3 fatty acids in patients with upper gastrointestinal cancer
PubMed ID: 7539633
Arginine‑enriched postoperative enteral diet improved immune markers and lowered inflammatory cytokines, a milieu favorable for wound healing.
- Early enteral administration of a formula (Impact) supplemented with arginine, nucleotides, and fish oil in intensive care unit patients: results of a multicenter, prospective, randomized, clinical trial
PubMed ID: 7874893
ICU enteral immunonutrition containing arginine reduced infections and shortened hospitalization in septic patients—relevant to recovery and tissue healing.
- Arginine stimulates wound healing and immune function in elderly human beings
PubMed ID: 8342121
Randomized human trial: oral arginine increased hydroxyproline (collagen index) and total protein accumulation at wound sites — direct, strong evidence for improved wound healing.
- Enteral nutrition with supplemental arginine, RNA, and omega-3 fatty acids in patients after operation: immunologic, metabolic, and clinical outcome
PubMed ID: 1377838
Postoperative enteral nutrition containing arginine+RNA+omega‑3 significantly lowered infectious/wound complications — supports improved wound outcomes (confounded).
- Differential effects of three enteral dietary regimens on selected outcome variables in burn patients
PubMed ID: 2112634
High-protein, arginine-enriched enteral formula in burn patients reduced wound infections and shortened LOS; multi-component feeding but consistent with improved healing outcomes.
- Arginine enhances wound healing and lymphocyte immune responses in humans
PubMed ID: 2382229
Two-week high-dose oral arginine significantly increased wound collagen deposition and enhanced lymphocyte responses in healthy volunteers — direct, high-quality human evidence.
- Preoperative immunonutrition decreases postoperative complications by modulating prostaglandin E2 production and T-cell differentiation in patients undergoing pancreatoduodenectomy
PubMed ID: 24589090
Preop arginine-containing immunonutrition reduced infectious complications and modulated PGE2/T‑cell markers — consistent with improved surgical recovery/healing.
- A cleanser formulated with Tris (hydroxymethyl) aminomethane and l-arginine significantly improves facial acne in male Thai subjects
PubMed ID: 31347768
Topical L‑arginine + Tris facial wash reduced inflammatory acne lesions and decreased pore size over 4 weeks.
- Use of a urea, arginine and carnosine cream versus a standard emollient glycerol cream for treatment of severe xerosis of the feet in patients with type 2 diabetes: a randomized, 8 month, assessor-blinded, controlled trial
PubMed ID: 25851453
Assessor-blinded randomized trial over 8 months showed sustained objective improvements in xerosis and skin hydration with a urea+arginine+carnosine cream.
- An urea, arginine and carnosine based cream (Ureadin Rx Db ISDIN) shows greater efficacy in the treatment of severe xerosis of the feet in Type 2 diabetic patients in comparison with glycerol-based emollient cream. A randomized, assessor-blinded, controlled trial
PubMed ID: 23009311
Topical urea+arginine+carnosine cream produced large clinically meaningful improvements in diabetic foot skin dryness versus a glycerol emollient.
Immune support (67)
- Perioperative immunonutrition in patients undergoing cancer surgery: results of a randomized double-blind phase 3 trial
PubMed ID: 10199318
Immunonutrition (arginine + others) halved post‑op infectious complications and shortened hospital stay—clinical immune benefit.
- A prospective, randomized clinical trial on perioperative feeding with an arginine-, omega-3 fatty acid-, and RNA-enriched enteral diet: effect on host response and nutritional status
PubMed ID: 10574478
Perioperative arginine‑containing nutrition improved immune markers (prealbumin, RBP, cytokines, DHR) after cancer surgery.
- Artificial nutrition after major abdominal surgery: impact of route of administration and composition of the diet
PubMed ID: 9428539
Arginine‑enriched enteral diet reduced infection severity and septic complications—strong perioperative immune benefit (co‑nutrients present).
- Immunonutrition in gastric cancer surgical patients
PubMed ID: 9834924
Perioperative arginine-containing immunonutrition prevented early postoperative immune impairment (phagocytosis, lymphocyte measures) after gastrectomy.
- Parenteral administration of different amounts of branch-chain amino acids in septic patients: clinical and metabolic aspects
PubMed ID: 9118656
Certain TPN formulas that raised plasma arginine improved protein markers and were associated with lower ICU mortality—immune support plausible.
- Effects of low-protein diets supplemented with indispensable amino acids on growth performance, intestinal morphology and immunological parameters in 13 to 35 kg pigs
PubMed ID: 27210003
Reducing dietary protein in pigs decreased plasma arginine and lowered plasma IgG and % CD3+ T cells — animal evidence arginine status affects immune markers.
- Plasma proteomic profiles reveal immune modulation by immunonutrition in GI cancer
PubMed ID: 41478212
Immunonutrition (contains arginine) was associated with upregulation of complement and immune/repair proteins postoperatively, suggesting augmented immune responses (multi-nutrient).
- L-ornithine supplementation in periodontitis treatment yields greater benefits than L-arginine after one year: Part II of a randomized controlled pilot study
PubMed ID: 40614877
Topical/adjunctive L-arginine changed gingival macrophage markers and reduced periodontal pocket sites, indicating a local immune-modulating effect in periodontal disease.
- Immunomodulatory enteral nutrition in post-surgical gastrointestinal cancer: Clinical, biochemical and nutritional impacts
PubMed ID: 40374110
Enteral immunonutrition improved lymphocyte counts and reduced severe postoperative infections/complications — strong clinical immune benefit; arginine is commonly included.
- Boosting the immunogenicity of the CoronaVac SARS-CoV-2 inactivated vaccine with Huoxiang Suling Shuanghua Decoction: a randomized, double-blind, placebo-controlled study
PubMed ID: 38633263
Herbal treatment raised post‑vaccine antibody titers and altered arginine/proline metabolism, implicating arginine pathways in immune responses.
- Plasma arginine as a predictive biomarker for outcomes with immune checkpoint inhibition in metastatic colorectal cancer: a correlative analysis of the CCTG CO.26 trial
PubMed ID: 39631846
Higher baseline plasma arginine predicted significantly better overall survival with checkpoint inhibitors, implying immune‑relevant arginine status.
- Beneficial effects of L-Arginine in patients hospitalized for COVID-19: New insights from a randomized clinical trial
PubMed ID: 36804278
Oral L‑arginine in hospitalized COVID reduced pro‑inflammatory cytokines, increased IL‑10 and markedly improved clinical respiratory outcomes (immune modulation).
- Effect of immunonutrition on serum levels of C-reactive protein and lymphocytes in patients with COVID-19: a randomized, controlled, double-blind clinical trial
PubMed ID: 34839672
Immunonutrition containing arginine led to a larger CRP reduction and trend to higher lymphocytes in COVID-19 inpatients (multi-nutrient).
- Potential Mechanisms of Improved Activity of Natural Killer Cells Induced by the Consumption of F-MRP for 8 weeks
PubMed ID: 33966345
Fermented whey product altered arginine metabolism and increased NK cell activity versus placebo (but arginine not directly supplemented).
- Targeting the arginine metabolic brake enhances immunotherapy for leukaemia
PubMed ID: 30485425
Shows arginine depletion (via arginase) suppresses T cells and that restoring arginine rescues T‑cell function—direct immunologic relevance.
- Effect of Enteral Immunonutrition on Immune, Inflammatory Markers and Nutritional Status in Gastric Cancer Patients Undergoing Gastrectomy: A Randomized Double-Blinded Controlled Trial
PubMed ID: 30885012
Enteral formula with arginine improved T‑cell counts and immunoglobulins after gastrectomy.
- Arginine, glutamine, and fish oil supplementation in cancer patients treated with concurrent chemoradiotherapy: A randomized control study
PubMed ID: 31146957
Peri‑treatment arginine+glutamine+fish oil lowered severe hematologic toxicities and aided treatment completion, consistent with immune support.
- Effect of Preoperative Administration of Oral Arginine and Glutamine in Patients with Enterocutaneous Fistula Submitted to Definitive Surgery: a Prospective Randomized Trial
PubMed ID: 30710211
Preoperative arginine+glutamine reduced infectious complications after surgery, indicating immune benefit.
- Efficacy of preoperative immunonutrition in locally advanced pancreatic cancer undergoing irreversible electroporation (IRE)
PubMed ID: 28162818
Preoperative immunonutrition reduced complications and preserved nutritional markers—typical endpoints of immune‑supporting immunonutrition (formulas often include arginine).
- Arginine and vitamin E improve the immune response after a Salmonella challenge in broiler chicks
PubMed ID: 24706965
Dietary arginine (with vitamin E) in broiler chicks improved lymphocyte proliferation and some oxidative-burst metrics and transiently reduced Salmonella — direct immunomodulatory evidence (animal model).
- Clinical and immunological impact of early postoperative enteral immunonutrition after total gastrectomy in gastric cancer patients: a prospective randomized study
PubMed ID: 23838912
Enteral immunonutrition containing arginine materially reduced postoperative infectious complications and leaks after gastrectomy — strong clinical immune-related outcome, but formula had multiple immunonutrients.
- Randomized clinical trial of arginine-supplemented enteral nutrition versus standard enteral nutrition in patients undergoing gastric cancer surgery
PubMed ID: 23812551
Randomized double‑blind trial: arginine‑enriched enteral nutrition in malnourished gastric cancer patients improved postoperative immune cell markers (CD4+, NK, IgM/IgG) and survival.
- Enteral L-arginine supplementation for prevention of necrotizing enterocolitis in very low birth weight neonates: a double-blind randomized pilot study of efficacy and safety
PubMed ID: 23329787
Enteral L‑arginine in VLBW neonates greatly reduced severe NEC incidence — a strong clinical signal of enhanced host/mucosal defense.
- Dietary arginine supplementation alleviates immune challenge induced by Salmonella enterica serovar Choleraesuis bacterin potentially through the Toll-like receptor 4-myeloid differentiation factor 88 signalling pathway in weaned piglets
PubMed ID: 22214652
Dietary arginine raised serum arginine and dampened TLR4–MyD88/NF-κB and TNF-α expression after Salmonella challenge in piglets, indicating immune-modulatory effects (reduced inflammatory overactivation).
- Effects of a food supplement rich in arginine in patients with smear positive pulmonary tuberculosis--a randomised trial
PubMed ID: 21813328
Arginine‑rich food supplement RCT in TB showed no overall benefit, but a large, statistically significant improvement in WHO cure rate was seen in the HIV‑positive subgroup, suggesting potential immune‑related benefit in immunocompromised hosts.
- Effect of perioperative immuno-enhanced enteral nutrition on inflammatory response, nutritional status, and outcomes in head and neck cancer patients undergoing major surgery
PubMed ID: 21058198
Perioperative arginine-containing immunonutrition reduced postoperative infectious/wound complications—clinical signal for improved perioperative host defense (multinutrient formula).
- Perioperative arginine-supplemented nutrition in malnourished patients with head and neck cancer improves long-term survival
PubMed ID: 20881073
Perioperative arginine‑enriched nutrition likely improved host immune competence contributing to better infection/survival outcomes.
- [Effects of arginine enriched enteral nutrition on nutritional status and cellular immunity in burn patients]
PubMed ID: 19842559
Arginine‑enriched feeding in severely burned patients maintained higher CD4% and improved nutritional proteins—clear immune support.
- Effect of route of delivery and formulation of postoperative nutritional support in patients undergoing major operations for malignant neoplasms
PubMed ID: 9366716
Immunonutrition containing arginine improved immune recovery after major cancer surgery (combo product).
- Early postoperative enteral immunonutrition: clinical outcome and cost-comparison analysis in surgical patients
PubMed ID: 9295822
Enteral formula with arginine plus other immune nutrients reduced late postoperative infections and events (combination confounds attribution).
- [L-arginine and immunity. Study of pediatric subjects]
PubMed ID: 9549298
60-day oral L-arginine in children reduced recurrent airway infections and increased helpful lymphocyte measures — clear immune benefit.
- Immune and nutritional effects of early enteral nutrition after major abdominal operations
PubMed ID: 8639722
Early enteral feeding with arginine accelerated immune recovery (DTH, phagocytosis) and reduced infection severity.
- Gut function and immune and inflammatory responses in patients perioperatively fed with supplemented enteral formulas
PubMed ID: 8956766
Perioperative feeding with arginine formula raised phagocytosis/respiratory burst and lowered CRP—consistent with immune enhancement.
- Clinical outcome and immunology of postoperative arginine, omega-3 fatty acids, and nucleotide-enriched enteral feeding: a randomized prospective comparison with standard enteral and low calorie/low fat i.v. solutions
PubMed ID: 8875537
Enteral arginine‑containing formula increased lymphocyte % and improved phagocytic responses after surgery.
- A randomized trial of isonitrogenous enteral diets after severe trauma. An immune-enhancing diet reduces septic complications
PubMed ID: 8857857
Randomized trial: immune‑enhancing enteral diet containing arginine (plus other immunonutrients) produced large reductions in major infectious complications—strong clinical immune outcome (multi‑nutrient).
- Early postoperative enteral nutrition with arginine-omega-3 fatty acids and ribonucleic acid-supplemented diet versus placebo in cancer patients: an immunologic evaluation of Impact
PubMed ID: 7536138
Arginine‑containing enteral formula improved T‑lymphocyte counts and interferon‑γ after GI cancer surgery (multinutrient but supportive).
- Benefits of early postoperative enteral feeding in cancer patients
PubMed ID: 8924741
Early arginine‑enriched enteral feeding after cancer surgery improved monocyte phagocytosis, delayed hypersensitivity and reduced infection severity—evidence for immune support.
- Enteral nutrition during multimodality therapy in upper gastrointestinal cancer patients
PubMed ID: 7726669
Arginine/omega‑3 enriched feeds increased WBC omega‑3 ratios, lowered PGE2, and led to far fewer infectious/wound complications postoperatively.
- Modulation of postoperative immune response by enteral nutrition with a diet enriched with arginine, RNA, and omega-3 fatty acids in patients with upper gastrointestinal cancer
PubMed ID: 7539633
Postoperative arginine‑enriched diet improved recovery of immune markers and reduced proinflammatory cytokines, indicating enhanced immune function.
- Early enteral administration of a formula (Impact) supplemented with arginine, nucleotides, and fish oil in intensive care unit patients: results of a multicenter, prospective, randomized, clinical trial
PubMed ID: 7874893
Enteral immunonutrition containing arginine reduced infections and shortened hospital stays in critically ill/septic patients—strong clinical immune benefit in the trial context (combination formula).
- Arginine stimulates wound healing and immune function in elderly human beings
PubMed ID: 8342121
Randomized trial in elderly showed enhanced peripheral blood lymphocyte mitogenic responses after oral arginine — direct evidence of immune enhancement.
- Enteral nutrition with supplemental arginine, RNA, and omega-3 fatty acids in patients after operation: immunologic, metabolic, and clinical outcome
PubMed ID: 1377838
Significantly fewer infectious/wound complications with arginine‑containing enteral nutrition in postoperative patients — strong clinical signal though multi‑nutrient.
- Differential effects of three enteral dietary regimens on selected outcome variables in burn patients
PubMed ID: 2112634
Arginine-enriched enteral formula in burn patients reduced wound infections — suggests immune/microbicidal benefit though multi-component formula confounds attribution.
- Arginine enhances wound healing and lymphocyte immune responses in humans
PubMed ID: 2382229
Two-week oral arginine increased lymphocyte mitogenic responses in healthy volunteers — direct human evidence of immune enhancement.
- Attenuation of the systemic inflammatory response and infectious complications after gastrectomy with preoperative oral arginine and omega-3 fatty acids supplemented immunonutrition
PubMed ID: 19629583
Preoperative arginine-containing (plus omega-3) formula reduced infectious complications and supported CD4 counts; effect from combined formula but clinically relevant.
- Preoperative immunonutrition decreases postoperative complications by modulating prostaglandin E2 production and T-cell differentiation in patients undergoing pancreatoduodenectomy
PubMed ID: 24589090
Preop arginine-containing immunonutrition reduced infectious complications and altered immune markers (PGE2, T‑bet), supporting immune benefit.
- Comparison of specialized and standard enteral formulas in trauma patients
PubMed ID: 7937272
Enteral arginine formula reduced infections and improved nitrogen balance/CRP trajectories in major trauma patients, supporting immunomodulatory benefit.
- Therapeutic vaccination of chronic hepatitis C nonresponder patients with the peptide vaccine IC41
PubMed ID: 18471515
Vaccine with poly‑L‑arginine adjuvant increased T‑cell and IFN‑γ responses in HCV nonresponders — arginine derivative enhanced adaptive immunity.
- Preoperative oral immune-enhancing nutritional supplementation corrects TH1/TH2 imbalance in patients undergoing elective surgery for colorectal cancer
PubMed ID: 16421661
Preoperative arginine-containing immunonutrition helped preserve Th1/Th2 balance around colorectal surgery — direct immune‑modulating signal (multi‑nutrient formula).
- Immunogenicity and safety of a novel therapeutic hepatitis C virus (HCV) peptide vaccine: a randomized, placebo controlled trial for dose optimization in 128 healthy subjects
PubMed ID: 16581161
Poly-L-arginine used as vaccine adjuvant elicited dose-dependent T-cell responses in humans — strong direct evidence of immune enhancement by arginine polymer.
- Role of enteral immunonutrition in patients with gastric carcinoma undergoing major surgery
PubMed ID: 15851366
Enteral formula with arginine increased CD4 counts and CD4/CD8 ratio and increased IL‑2 while lowering IL‑6/TNF‑α — supports immune modulation (combination product).
- The influence of immunomodulatory diets on transplant success and complications
PubMed ID: 15729173
Arginine+canola oil supplement in renal transplant recipients reduced late rejection and sepsis—evidence of clinical immune benefit (combined formula).
- [The effects of immunonutrition on the development of nosocomial infections and on clinical outcome in critically ill patients]
PubMed ID: 15103566
Immunonutrition containing arginine reduced nosocomial infections and improved clinical scores in critically ill patients, consistent with enhanced host defense (formula contains multiple active ingredients).
- Arginine as an adjuvant to chemotherapy improves clinical outcome in active tuberculosis
PubMed ID: 12662006
Oral arginine with TB therapy improved sputum clearance and symptoms in HIV-negative patients — direct evidence of aiding infection control/immune response.
- Nutritional approach in malnourished surgical patients: a prospective randomized study
PubMed ID: 11822956
Perioperative arginine-enriched feeding lowered complications in malnourished GI surgery patients, consistent with improved immune competence.
- Arginine supplementation prevents necrotizing enterocolitis in the premature infant
PubMed ID: 12006956
In very preterm infants arginine supplementation greatly reduced NEC incidence—suggests enhanced mucosal defense/immune protection.
- Preoperative oral arginine and n-3 fatty acid supplementation improves the immunometabolic host response and outcome after colorectal resection for cancer
PubMed ID: 12464864
Preoperative arginine+n‑3 markedly reduced postoperative infection rates and improved phagocytosis and gut immune measures.
- A randomized controlled trial of preoperative oral supplementation with a specialized diet in patients with gastrointestinal cancer
PubMed ID: 12055582
Five days of preoperative arginine-containing nutrition reduced postoperative infections and shortened hospital stay—improved host defenses.
- Effect of preoperative oral immune-enhancing nutritional supplement on patients at high risk of infection after cardiac surgery: a randomised placebo-controlled trial
PubMed ID: 11551575
Preoperative immune-enhancing formula containing L-arginine increased HLA-DR expression and improved DTH response while lowering IL-6 (immune marker improvement).
- [The role of immune enhanced enteral nutrition on plasma amino acid, gut permeability and clinical outcome (a randomized, double blind, controlled, multi-center clinical trail with 120 cases)]
PubMed ID: 12905875
Arginine/omega-3/RNA enteral diet raised plasma arginine and improved some immune markers (IgM) and gut permeability.
- Modulation of postoperative immune and inflammatory response by immune-enhancing enteral diet in gastrointestinal cancer patients
PubMed ID: 11819790
Arginine-containing perioperative formula (with glutamine/omega-3) improved PMN phagocytosis/respiratory burst and increased lymphocyte/NK counts—strong immune signals (combination product).
- Early enteral nutrition in critically ill patients with a high-protein diet enriched with arginine, fiber, and antioxidants compared with a standard high-protein diet. The effect on nosocomial infections and outcome
PubMed ID: 11688933
Large ICU trial using an enteral diet including arginine showed a major reduction in catheter-related sepsis (confounded by other formula components).
- An immune-enhancing enteral diet reduces mortality rate and episodes of bacteremia in septic intensive care unit patients
PubMed ID: 10752808
Randomized trial: arginine‑enriched enteral formula in septic ICU patients markedly reduced infections and mortality (strong clinical immune benefit).
- Postoperative enteral immunonutrition in head and neck cancer patients
PubMed ID: 11104591
Direct trial: arginine‑enriched enteral nutrition increased total lymphocytes, CD4 and CD4/CD8 and reduced infections in malnourished surgical patients.
- Nutritional treatment for acquired immunodeficiency virus-associated wasting using beta-hydroxy beta-methylbutyrate, glutamine, and arginine: a randomized, double-blind, placebo-controlled study
PubMed ID: 10850936
HMB/glutamine/arginine supplement increased CD3/CD8 counts and improved clinical status in HIV wasting — immunologic benefit (combination).
- Artificial nutrition after pancreaticoduodenectomy
PubMed ID: 11075988
Perioperative immunonutrition containing arginine improved postoperative immunometabolic parameters and complications (multi-nutrient).
- Complications of pancreatic surgery and the role of perioperative nutrition
PubMed ID: 10449977
Immunonutrition (arginine+omega‑3+RNA) reduced infectious complications and sepsis scores after pancreatic surgery (combination effect).
Inflammation (46)
- Artificial nutrition after major abdominal surgery: impact of route of administration and composition of the diet
PubMed ID: 9428539
Arginine‑containing enriched diet reduced infection severity and septic complications postoperatively (anti‑inflammatory/immune benefit in context).
- Perioperative immunonutrition in patients undergoing cancer surgery: results of a randomized double-blind phase 3 trial
PubMed ID: 10199318
Peri/postoperative immunonutrition lowered postoperative infections, implying reduced inflammatory complications.
- Complications of pancreatic surgery and the role of perioperative nutrition
PubMed ID: 10449977
Immunonutrition (includes arginine) reduced infectious complications and sepsis scores after pancreatic surgery (combo intervention).
- Postoperative enteral immunonutrition in head and neck cancer patients
PubMed ID: 11104591
Arginine‑enriched postoperative formula improved lymphocyte counts and reduced postoperative infections in malnourished patients.
- An immune-enhancing enteral diet reduces mortality rate and episodes of bacteremia in septic intensive care unit patients
PubMed ID: 10752808
Arginine‑enriched enteral feed in septic ICU patients reduced infections and mortality — consistent with clinically meaningful immune/inflammatory modulation.
- Modulation of postoperative immune and inflammatory response by immune-enhancing enteral diet in gastrointestinal cancer patients
PubMed ID: 11819790
Perioperative enteral formula containing arginine (plus glutamine/omega-3) lowered CRP, IL-6 and TNF-α after GI cancer surgery (anti-inflammatory signal, confounded).
- Effect of preoperative oral immune-enhancing nutritional supplement on patients at high risk of infection after cardiac surgery: a randomised placebo-controlled trial
PubMed ID: 11551575
Preoperative immune-enhancing formula containing L-arginine lowered IL-6 and improved HLA-DR vs control (multi-nutrient but direct anti-inflammatory marker change).
- A randomized controlled trial of preoperative oral supplementation with a specialized diet in patients with gastrointestinal cancer
PubMed ID: 12055582
Preoperative arginine-containing nutrition lowered infection rates postoperatively, indicating modulation of inflammatory/immune responses.
- Preoperative oral arginine and n-3 fatty acid supplementation improves the immunometabolic host response and outcome after colorectal resection for cancer
PubMed ID: 12464864
Perioperative arginine+n‑3 reduced postoperative infections and improved immune markers, consistent with reduced inflammatory complications.
- L-arginine infusion decreases plasma total homocysteine concentrations through increased nitric oxide production and decreased oxidative status in Type II diabetic patients
PubMed ID: 12189442
IV L-arginine decreased oxidative-stress markers and homocysteine—anti-oxidant/anti-inflammatory signals.
- Effect of local delivery of L-arginine on in-stent restenosis in humans
PubMed ID: 11835911
Local L‑arginine at stent placement reduced neointimal hyperplasia (less proliferative/inflammatory response).
- [The effects of immunonutrition on the development of nosocomial infections and on clinical outcome in critically ill patients]
PubMed ID: 15103566
An arginine-containing immunonutrition regimen reduced nosocomial infections and improved clinical scores in critically ill patients (multi‑component formula limits attribution to arginine alone).
- The influence of immunomodulatory diets on transplant success and complications
PubMed ID: 15729173
Arginine+canola oil regimen in transplant recipients reduced rejection, CNI toxicity and infectious complications, consistent with reduced inflammatory/immune injury.
- Role of enteral immunonutrition in patients with gastric carcinoma undergoing major surgery
PubMed ID: 15851366
Arginine‑containing enteral formula reduced IL‑6 and TNF‑α and modulated cytokines post‑surgery (combination product).
- Reduced cytokines release and myocardial damage in coronary artery bypass patients due to L-arginine cardioplegia supplementation
PubMed ID: 16564254
Addition of L-arginine to cardioplegia reduced IL-6 and myocardial injury markers and shortened ICU stay—direct evidence of reduced perioperative inflammation.
- Oral treatment with L-lysine and L-arginine reduces anxiety and basal cortisol levels in healthy humans
PubMed ID: 17510493
One week L-lysine+L-arginine reduced trait/state anxiety and lowered basal cortisol in males — a stress-hormone reduction that can translate into lower inflammatory drive.
- Oral L-arginine supplementation improves endothelial function and ameliorates insulin sensitivity and inflammation in cardiopathic nondiabetic patients after an aortocoronary bypass
PubMed ID: 19592054
6-month oral L-arginine after CABG reduced IL-6 and MCP-1 and ADMA while improving vascular markers (direct anti-inflammatory/vascular biomarker changes).
- Attenuation of the systemic inflammatory response and infectious complications after gastrectomy with preoperative oral arginine and omega-3 fatty acids supplemented immunonutrition
PubMed ID: 19629583
Preoperative immune-enhancing formula containing arginine (plus omega-3) shortened SIRS duration and reduced infections (combined-nutrient intervention).
- [Combination of antioxidants and a hepatoprotector in the treatment of patients with diabetic distal symmetric polyneuropathy]
PubMed ID: 21268294
Combined regimen including Glutargin (arginine-containing product) improved antioxidant defence and reduced free radical process intensity in diabetic neuropathy—suggests anti-inflammatory/antioxidant effect.
- L-arginine cardioplegia reduces oxidative stress and preserves diastolic function in patients with low ejection fraction undergoing coronary artery surgery
PubMed ID: 22313068
Adding L-arginine to cardioplegia decreased lipid peroxidation (malondialdehyde) and increased SOD activity, indicating reduced oxidative stress/inflammatory burden.
- Dietary arginine supplementation alleviates immune challenge induced by Salmonella enterica serovar Choleraesuis bacterin potentially through the Toll-like receptor 4-myeloid differentiation factor 88 signalling pathway in weaned piglets
PubMed ID: 22214652
Dietary arginine in weaned piglets blunted CRP rise and downregulated TLR4–MyD88/NF-κB and TNF-α mRNA after bacterial challenge — strong anti-inflammatory signal (animal model).
- Randomized study of antiinflammatory and immune-modulatory effects of enteral immunonutrition during concurrent chemoradiotherapy for esophageal cancer
PubMed ID: 24274379
Immuno‑nutrition (arginine+omega‑3+glutamine) attenuated CRP and TNF rises during chemoradiotherapy, though arginine was given in combination.
- Effect of HMB/Arg/Gln on the prevention of radiation dermatitis in head and neck cancer patients treated with concurrent chemoradiotherapy
PubMed ID: 24688085
HMB/arginine/glutamine reduced incidence/severity and duration of radiation dermatitis — indicates reduced local inflammatory skin response.
- Multimodal perioperative care plus immunonutrition versus traditional care in total hip arthroplasty: a randomized pilot study
PubMed ID: 27038614
Preoperative arginine‑containing immune nutrition reduced postoperative CRP and shortened LOS—strongest direct evidence here for anti‑inflammatory perioperative effect.
- Reduction in Pain and Inflammation Associated With Chronic Low Back Pain With the Use of the Medical Food Theramine
PubMed ID: 25237981
Amino‑acid medical food (including arginine) markedly reduced CRP and pain in chronic low back pain—large RCT signal for reduced inflammation (multi‑nutrient product).
- Effect of Preoperative Administration of Oral Arginine and Glutamine in Patients with Enterocutaneous Fistula Submitted to Definitive Surgery: a Prospective Randomized Trial
PubMed ID: 30710211
Preoperative arginine+glutamine lowered IL‑6/CRP and reduced infectious complications after surgery.
- Effect of Enteral Immunonutrition on Immune, Inflammatory Markers and Nutritional Status in Gastric Cancer Patients Undergoing Gastrectomy: A Randomized Double-Blinded Controlled Trial
PubMed ID: 30885012
Enteral immunonutrition containing arginine reduced postoperative inflammatory markers versus standard feeding.
- Targeting the arginine metabolic brake enhances immunotherapy for leukaemia
PubMed ID: 30485425
Leukemia data show arginase‑driven arginine depletion suppresses T cells; restoring arginine improves immune function and reduces inflammation‑related immune dysfunction.
- Randomized control trial of oral arginine therapy for children with sickle cell anemia hospitalized for pain in Nigeria
PubMed ID: 33075179
Oral L-arginine in pediatric sickle-cell crises markedly reduced analgesic needs and sped pain resolution — consistent with reduced vaso-occlusive/inflammatory processes.
- The effects of preoperative supplementation with a combination of beta-hydroxy-beta-methylbutyrate, arginine, and glutamine on inflammatory and hematological markers of patients with heart surgery: a randomized controlled trial
PubMed ID: 35148750
Preoperative HMB+arginine+glutamine attenuated postoperative IL-6 and hs-CRP rises (multi-nutrient but arginine included).
- Effect of immunonutrition on serum levels of C-reactive protein and lymphocytes in patients with COVID-19: a randomized, controlled, double-blind clinical trial
PubMed ID: 34839672
Short immunonutrition containing arginine reduced CRP more than standard nutrition in COVID-19 inpatients (multi-nutrient formula).
- Wheat Biscuits Enriched with Plant-Based Protein Contribute to Weight Loss and Beneficial Metabolic Effects in Subjects with Overweight/Obesity
PubMed ID: 35745249
Plant‑protein snack (richer in arginine) significantly lowered TNF‑α in a 12‑week trial (anti‑inflammatory signal).
- Beneficial effects of L-Arginine in patients hospitalized for COVID-19: New insights from a randomized clinical trial
PubMed ID: 36804278
Oral L‑arginine in hospitalized COVID reduced pro‑inflammatory cytokines and raised IL‑10 with large clinical benefits.
- Preemptive vs preventive coadministration of ibuprofen L-arginine and dexamethasone in lower third molar surgeries: a randomized controlled trial
PubMed ID: 39616105
Ibuprofen‑arginine with dexamethasone reduced MPO and MDA after molar surgery; arginine present in the formulation.
- Immunomodulatory enteral nutrition in post-surgical gastrointestinal cancer: Clinical, biochemical and nutritional impacts
PubMed ID: 40374110
Enteral immunonutrition reduced acute‑phase proteins and severe postoperative complications — strong evidence of reduced inflammatory response (arginine often present in formulas).
- Gut function and immune and inflammatory responses in patients perioperatively fed with supplemented enteral formulas
PubMed ID: 8956766
Perioperative arginine formula reduced CRP and improved phagocytic function, consistent with reduced inflammation.
- L-Arginine reduces lipid peroxidation in patients with diabetes mellitus
PubMed ID: 8958162
L-arginine lowered urinary malondialdehyde (lipid peroxidation), a marker tied to oxidative inflammation.
- A prospective, randomized, double-blind, controlled clinical trial of enteral immunonutrition in the critically ill. Guy's Hospital Intensive Care Group
PubMed ID: 9671364
In critically ill patients, arginine-containing enteral feed (in early-fed subgroup) associated with clinical improvements (shorter ventilation/stay) consistent with reduced inflammatory/organ dysfunction burden.
- Immunonutrition in gastric cancer surgical patients
PubMed ID: 9834924
Perioperative arginine-containing immunonutrition lowered IL-6 and preserved immune function after gastrectomy, indicating anti-inflammatory effects in that setting.
- A prospective, randomized clinical trial on perioperative feeding with an arginine-, omega-3 fatty acid-, and RNA-enriched enteral diet: effect on host response and nutritional status
PubMed ID: 10574478
Perioperative arginine‑containing formula reduced IL‑6 and improved cytokine/protein profiles post‑surgery.
- Comparison of specialized and standard enteral formulas in trauma patients
PubMed ID: 7937272
Enteral formula with arginine reduced infection rates and showed larger CRP decline vs standard formula in trauma patients.
- Preoperative immunonutrition decreases postoperative complications by modulating prostaglandin E2 production and T-cell differentiation in patients undergoing pancreatoduodenectomy
PubMed ID: 24589090
Preop arginine-containing immunonutrition decreased PGE2 and reduced postoperative infectious complications and modulated T‑cell markers.
- Early enteral administration of a formula (Impact) supplemented with arginine, nucleotides, and fish oil in intensive care unit patients: results of a multicenter, prospective, randomized, clinical trial
PubMed ID: 7874893
Enteral immunonutrition with arginine was associated with fewer infections and shorter stay in septic ICU patients, consistent with reduced harmful inflammation and improved immune regulation.
- Modulation of postoperative immune response by enteral nutrition with a diet enriched with arginine, RNA, and omega-3 fatty acids in patients with upper gastrointestinal cancer
PubMed ID: 7539633
Postoperative enteral diet with arginine+RNA+omega‑3s lowered IL-6 and TNF-α, indicating reduced inflammatory response (multinutrient formula).
- Enteral nutrition during multimodality therapy in upper gastrointestinal cancer patients
PubMed ID: 7726669
Arginine/omega‑3 enriched feeds reduced PGE2 and infectious complications after surgery—clear anti‑inflammatory/immunomodulatory signal (combination product).
- Clinical outcome and immunology of postoperative arginine, omega-3 fatty acids, and nucleotide-enriched enteral feeding: a randomized prospective comparison with standard enteral and low calorie/low fat i.v. solutions
PubMed ID: 8875537
Enteral formula with arginine lowered CRP and improved some immune markers after surgery.
Metabolism (39)
- Metabolic effects of arginine in a healthy elderly population
PubMed ID: 8551652
Arginine improved nitrogen balance and raised IGF‑1 in elderly volunteers, indicating metabolic/anabolic benefits.
- Fast-acting insulin aspart in Japanese patients with type 1 diabetes: Faster onset, higher early exposure and greater early glucose-lowering effect relative to insulin aspart
PubMed ID: 28556616
Faster aspart insulin formulation containing L‑arginine (excipient) produced earlier and greater early insulin exposure and glucose‑lowering—shows arginine's role in formulation affecting metabolic pharmacokinetics.
- Arginine supplementation modulates pig plasma lipids, but not hepatic fatty acids, depending on dietary protein level with or without leucine
PubMed ID: 28558680
Dietary L‑arginine in pigs altered plasma lipid/lipoprotein profiles (↑TG, total cholesterol, HDL, LDL, VLDL), showing direct metabolic effects though species differences apply.
- Decreased diabetes risk over 9 year after 18-month oral L-arginine treatment in middle-aged subjects with impaired glucose tolerance and metabolic syndrome (extension evaluation of L-arginine study)
PubMed ID: 29052766
Large randomized trial: oral L‑arginine (6.4 g/day) reduced long‑term diabetes incidence and improved glycemic/endothelial markers — strong metabolic benefit.
- Biosynthesis of homoarginine (hArg) and asymmetric dimethylarginine (ADMA) from acutely and chronically administered free L-arginine in humans
PubMed ID: 26031828
Human studies show Arg administration changes plasma Arg/hArg/ADMA — relevant metabolic pathway effects though clinical outcomes mixed.
- Antihyperglycemic effect of short-term arginyl-fructose supplementation in subjects with prediabetes and newly diagnosed type 2 diabetes: randomized, double-blinded, placebo-controlled trial
PubMed ID: 26578409
Arginyl‑fructose (an arginine‑derived compound) reduced postprandial glucose and AUC in prediabetes/T2DM, showing a meaningful metabolic effect.
- Effect of L-arginine supplementation on insulin resistance and adipocitokines levels in head and neck cancer non diabetic patients after surgery
PubMed ID: 25335675
Short-term enteral L-arginine after surgery improved insulin resistance and increased adiponectin in humans — strong direct metabolic benefit from arginine supplementation.
- Changes in mineral status are associated with improvements in insulin sensitivity in obese patients following L-arginine supplementation
PubMed ID: 23708056
Randomized, double-blind oral L-arginine (9 g TID for 6 months) produced objective increases in insulin sensitivity (clamp) — strong direct evidence for metabolic benefit.
- Plasma arginine levels and blood glucose control in very preterm infants receiving 2 different parenteral nutrition regimens
PubMed ID: 23474648
Observational data in very preterm infants: low plasma arginine associated with higher blood glucose and more insulin therapy, linking arginine status to glycemic control.
- Effect of 3-month L-arginine supplementation on insulin resistance and tumor necrosis factor activity in patients with visceral obesity
PubMed ID: 22913215
Three-month 9 g/day L-arginine significantly improved insulin resistance (HOMA-IR) and lowered insulin concentrations in visceral obesity — strong metabolic benefit signal.
- Supplementation with L-arginine favorably influences plasminogen activator inhibitor type 1 concentration in obese patients. A randomized, double blind trial
PubMed ID: 22732180
Six-month supplementation improved NO, decreased PAI-1 and increased insulin sensitivity (M value) in obese patients—meaningful metabolic improvements.
- Effect of a long-term oral l-arginine supplementation on glucose metabolism: a randomized, double-blind, placebo-controlled trial
PubMed ID: 22553931
Large RCT: long-term oral L-arginine increased regression to normal glucose tolerance and later reduced diabetes incidence—robust metabolic benefit.
- Beta cell function following 1 year vildagliptin or placebo treatment and after 12 week washout in drug-naive patients with type 2 diabetes and mild hyperglycaemia: a randomised controlled trial
PubMed ID: 21547496
Vildagliptin increased arginine-stimulated insulin secretion (AIRarg) in patients—demonstrates arginine's role in stimulating insulin and relevance to metabolic function (note: arginine used diagnostically here).
- Oral L-arginine supplementation improves endothelial function and ameliorates insulin sensitivity and inflammation in cardiopathic nondiabetic patients after an aortocoronary bypass
PubMed ID: 19592054
Oral L-arginine improved insulin sensitivity and adiponectin post-CABG, reflecting beneficial metabolic effects in humans.
- One-year treatment with exenatide improves beta-cell function, compared with insulin glargine, in metformin-treated type 2 diabetic patients: a randomized, controlled trial
PubMed ID: 19196887
Exenatide markedly increased arginine-stimulated insulin secretion (AIRarg) — arginine used diagnostically, linking arginine pathways to beta-cell function (indirect but relevant).
- Reduction of plasma asymmetric dimethylarginine in obese patients with chronic kidney disease after three years of a low-protein diet supplemented with keto-amino acids: a randomized controlled trial
PubMed ID: 18820852
Keto‑amino acid supplementation in obese CKD patients reduced ADMA and BMI and proteinuria over 3 years — metabolic improvements observed though intervention was not pure arginine.
- Effects of long-term continuous use of immune-enhancing enteral formula on nutritional and immunologic status in non-surgical patients
PubMed ID: 16815486
Enteral formula with arginine increased IGF‑I and serum arginine, which can influence metabolic/anabolic responses.
- Beneficial effects of a long-term oral L-arginine treatment added to a hypocaloric diet and exercise training program in obese, insulin-resistant type 2 diabetic patients
PubMed ID: 16772327
Oral L-arginine added to diet/exercise improved fat mass, daily glucose profiles, fructosamine and adiponectin in obese diabetics.
- Arginine as an adjuvant to chemotherapy improves clinical outcome in active tuberculosis
PubMed ID: 12662006
Oral arginine increased weight and improved clinical recovery in TB — metabolic/nutritional benefit in disease context.
- Comparison of a immunonutrition formula enriched arginine, glutamine and omega-3 fatty acid, with a currently high-enriched enteral nutrition for trauma patients
PubMed ID: 12924804
Immunonutrition lowered serum triglycerides in severely injured patients — direct metabolic improvement though confounded by other nutrients.
- Nutritional treatment for acquired immunodeficiency virus-associated wasting using beta-hydroxy beta-methylbutyrate, glutamine, and arginine: a randomized, double-blind, placebo-controlled study
PubMed ID: 10850936
Supplement containing arginine increased body weight and lean mass in wasting HIV patients (confounded mixture).
- L-Arginine reduces lipid peroxidation in patients with diabetes mellitus
PubMed ID: 8958162
Reduction in lipid peroxidation marker suggests metabolic oxidative improvements with L-arginine in diabetics.
- Safety of dietary supplementation with arginine in adult humans
PubMed ID: 29858688
Dose-dependent oral L-arginine (up to 30 g/day) increased serum arginine and reduced fasting glucose and free fatty acids (noted in women), showing clear metabolic effects in humans.
- Evaluation of the antiobesity effects of an amino acid mixture and conjugated linoleic acid on exercising healthy overweight humans: a randomized, double-blind, placebo-controlled trial
PubMed ID: 20819421
Small human trial: amino‑acid mix containing arginine plus exercise reduced waist/hip circumference vs placebo (multi-AA).
- Safety, Tolerability, and Biologic Activity of AXA1125 and AXA1957 in Subjects With Nonalcoholic Fatty Liver Disease
PubMed ID: 34382947
Defined AA composition (includes arginine) produced clinically meaningful reductions in liver fat and HOMA‑IR in NAFLD patients (randomized human trial; multi-AA).
- Metabolomic Phenotype of Hepatic Steatosis and Fibrosis in Mexican Children Living with Obesity
PubMed ID: 37893503
Observational study in obese children found lower blood arginine associated with worse liver enzymes and insulin sensitivity — strong associative evidence linking arginine status and metabolic health.
- A randomised phase II study of pegylated arginine deiminase (ADI-PEG 20) in Asian advanced hepatocellular carcinoma patients
PubMed ID: 20808309
Systemic arginine depletion (ADI-PEG20) produced pharmacodynamic reductions in circulating arginine and impacted tumor metabolism — strong metabolic impact (therapeutic context).
- Arginine Deprivation With Pegylated Arginine Deiminase in Patients With Argininosuccinate Synthetase 1-Deficient Malignant Pleural Mesothelioma: A Randomized Clinical Trial
PubMed ID: 27584578
Arginine-depleting therapy (ADI-PEG20) modulated tumor arginine metabolism and slowed progression in ASS1-deficient mesothelioma — strong demonstration that arginine metabolism is clinically important.
- Pegargiminase Plus First-Line Chemotherapy in Patients With Nonepithelioid Pleural Mesothelioma: The ATOMIC-Meso Randomized Clinical Trial
PubMed ID: 38358753
Pegargiminase added to chemo improved survival in nonepithelioid mesothelioma, implicating arginine metabolism in disease biology and systemic metabolic effects.
- High Protein Intake Does Not Prevent Low Plasma Levels of Conditionally Essential Amino Acids in Very Preterm Infants Receiving Parenteral Nutrition
PubMed ID: 26150412
Preterm infants had persistently low plasma arginine despite nutrition — indicates arginine status impacts metabolic homeostasis in vulnerable populations.
- Long-Term Efficacy and Tolerability of Pegzilarginase in Arginase 1 Deficiency: Results of Two International Multicentre Open-Label Extension Studies
PubMed ID: 40714964
Pegzilarginase enzyme therapy for arginase-1 deficiency produced sustained lowering of toxic plasma arginine and durable functional improvements—strong metabolic effect in this disorder.
- Effects of a Carbohydrate-Restricted Diet on β-Cell Response in Adults With Type 2 Diabetes
PubMed ID: 39436786
Dietary intervention improved first‑phase and arginine‑stimulated C‑peptide responses and disposition index in T2D — arginine used diagnostically but the result indicates metabolic relevance.
- Impact of L-Citrulline Supplementation and HIIT on Lipid Profile, Arterial Stiffness, and Fat Mass in Obese Adolescents with Metabolic-Dysfunction-Associated Fatty Liver Disease: A Randomized Clinical Trial
PubMed ID: 39940261
L‑citrulline ± HIIT improved hepatic steatosis and triglycerides in obese adolescents—strong metabolic signal via arginine pathway.
- Serum metabolomic adaptations following a 12-week high-intensity interval training combined to citrulline supplementation in obese older adults
PubMed ID: 37161876
Citrulline with HIIT raised arginine and produced metabolomic shifts linked to reduced body fat and favorable metabolic markers.
- Changes to insulin sensitivity in glucose clearance systems and redox following dietary supplementation with a novel cysteine-rich protein: A pilot randomized controlled trial in humans with type-2 diabetes
PubMed ID: 37812879
Keratin/arginine‑rich protein improved insulin‑stimulated glucose clearance ~49% and GLUT4 translocation—strong metabolic benefit.
- Postprandial Glucose and Gastrointestinal Hormone Responses of Healthy Subjects to Wheat Biscuits Enriched with L-Arginine or Branched-Chain Amino Acids of Plant Origin
PubMed ID: 36297065
Acute L‑arginine‑enriched biscuits lowered postprandial glucose and raised GLP‑1/PYY (direct metabolic regulation evidence).
- Effects of treatment with metformin and/or sitagliptin on beta-cell function and insulin resistance in prediabetic women with previous gestational diabetes
PubMed ID: 31802616
Combined drugs improved arginine‑stimulated insulin secretion and insulin sensitivity measured with an arginine bolus probe (metabolic relevance).
- Application of multivariate longitudinal models in SIRT6, FBS, and BMI analysis of the elderly
PubMed ID: 29901417
Daily L-arginine (1 g) plus exercise raised SIRT6 and lowered fasting glucose and BMI in elderly men (direct metabolic improvements).
- Oral Supplementation with Beta-Hydroxy-Beta-Methylbutyrate, Arginine, and Glutamine Improves Lean Body Mass in Healthy Older Adults
PubMed ID: 29672184
HMB+arginine+glutamine increased lean mass in older adults, indicating improved body composition/metabolic health.
Blood pressure (22)
- L-arginine supplementation in patients with gestational hypertension: a pilot study
PubMed ID: 17454224
L-arginine supplementation in gestational hypertension significantly lowered systolic and diastolic blood pressure and prolonged time to delivery (pilot RCT).
- L-arginine supplementation in women with chronic hypertension: impact on blood pressure and maternal and neonatal complications
PubMed ID: 20958228
Trial of L‑arginine in pregnant women with mild chronic hypertension reduced need for antihypertensive medication at delivery despite no mean BP difference — clinical signal for BP‑related outcomes.
- Effect of L-arginine or L-citrulline oral supplementation on blood pressure and right ventricular function in heart failure patients with preserved ejection fraction
PubMed ID: 21154265
L-arginine lowered pulmonary artery systolic pressure in HFpEF—pressure-lowering cardiovascular effect though pulmonary rather than systemic BP.
- Evaluation of the antihypertensive effect of L-arginine supplementation in patients with mild hypertension assessed with ambulatory blood pressure monitoring
PubMed ID: 20424555
Direct trial: 12 g/day oral L‑arginine for 4 weeks lowered ambulatory BP in patients with mild hypertension (effect strongest at high dose).
- Effect of supplementation during pregnancy with L-arginine and antioxidant vitamins in medical food on pre-eclampsia in high risk population: randomised controlled trial
PubMed ID: 21596735
L-arginine + vitamins substantially reduced incidence of pre-eclampsia (hypertensive disease of pregnancy) and preterm delivery in a large RCT—strong hypertension-related clinical effect.
- Improvement of ventricular function in systolic heart failure patients with oral L-citrulline supplementation
PubMed ID: 23224924
L-citrulline improved peripheral vascular indices and ventricular function in systolic HF; while BP change wasn't the primary end point, vascular improvements support BP benefits.
- Efficacy and safety of perindopril arginine + amlodipine in hypertension
PubMed ID: 25804495
Perindopril arginine (an arginine salt) in combination therapy produced greater SBP/DBP reductions and higher control rates in a large RCT.
- Efficacy of L-arginine for preventing preeclampsia in high-risk pregnancies: A double-blind, randomized, clinical trial
PubMed ID: 27003763
L‑arginine supplementation in high‑risk pregnancies markedly reduced incidence of preeclampsia (a hypertensive disorder).
- L-Arginine and B vitamins improve endothelial function in subjects with mild to moderate blood pressure elevation
PubMed ID: 27817128
Active group showed a modest but significant lowering of systolic BP (≈6 mmHg) over months with L‑arginine + B‑vitamins.
- Safety of dietary supplementation with arginine in adult humans
PubMed ID: 29858688
Dose-dependent oral L-arginine (15–30 g/day) raised serum arginine and reduced systolic BP in women—direct randomized human evidence for BP lowering.
- Synergistic Effects of Sanghuang⁻Danshen Bioactives on Arterial Stiffness in a Randomized Clinical Trial of Healthy Smokers: An Integrative Approach to in silico Network Analysis
PubMed ID: 30621047
Sanghuang–Danshen lowered peripheral SBP and improved eNOS phosphorylation with metabolomic links to arginine pathways.
- Inter-Individual Responses to Citrulline Malate Oral Supplementation on Post-Exercise Hypotension in Hypertensives: A 24-Hour Analysis
PubMed ID: 31291417
Citrulline (6 g) markedly increased post‑exercise hypotension with large, sustained SBP/DBP reductions in hypertensive adults.
- Impact of Intensive Lifestyle Treatment (Diet Plus Exercise) on Endothelial and Vascular Function, Arterial Stiffness and Blood Pressure in Stage 1 Hypertension: Results of the HINTreat Randomized Controlled Trial
PubMed ID: 32392715
Intensive lifestyle advice lowered ADMA and improved 24‑h central blood pressure and vascular stiffness in stage‑1 hypertensives.
- 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
PubMed ID: 34004448
Randomized 2‑week L‑arginine supplementation produced clear, clinically meaningful reductions in resting and ambulatory SBP/DBP/MAP compared with placebo.
- Effect of L-arginine supplementation in pregnant women with chronic hypertension and previous placenta vascular disorders receiving Aspirin prophylaxis: a randomized control trial
PubMed ID: 33978350
Addition of arginine (with other agents) to aspirin lowered the frequency of abnormal uterine Doppler and reduced the need for added antihypertensives, reflecting BP/vascular benefit in pregnancy.
- Arginine Therapy and Cardiopulmonary Hemodynamics in Hospitalized Children with Sickle Cell Anemia: A Prospective, Double-blinded, Randomized Placebo-controlled Clinical Trial
PubMed ID: 35426778
Short L-arginine treatment decreased TRV and pulmonary hemodynamic estimates in sickle cell — blood-pressure–related benefit in pulmonary circulation.
- Randomized Clinical and Biochemical Study Comparing the Effect of L-arginine and Sildenafil in Beta Thalassemia Major Children With High Tricuspid Regurgitant Jet Velocity
PubMed ID: 36282078
L-arginine reduced Doppler-estimated pulmonary pressures/TRJV in children with β-thalassemia, reflecting pulmonary pressure improvement.
- Combined Citrulline and Glutathione Supplementation Improves Endothelial Function and Blood Pressure Reactivity in Postmenopausal Women
PubMed ID: 37049398
Citrulline+GSH decreased BP reactivity to stress and lowered PWV — supports improved blood‑pressure regulation.
- Hypercholesterolaemia and treatment with statins do not alter L-arginine-induced changes of renal haemodynamics
PubMed ID: 12270981
IV arginine acutely lowered systemic arterial pressure in multiple groups (dose‑dependent effect).
- Organic nitrates favor regression of left ventricular hypertrophy in hypertensive patients on chronic peritoneal dialysis
PubMed ID: 23296279
Oral nitrates reduced BP and antihypertensive burden in peritoneal dialysis patients over 24 weeks.
- Improvement of hypertension and LVH in maintenance hemodialysis patients treated with sustained-release isosorbide mononitrate
PubMed ID: 21240870
Nitrate therapy significantly lowered blood pressure in dialysis patients versus control.
- Effect of L-arginine on blood pressure in pregnancy-induced hypertension: a randomized placebo-controlled trial
PubMed ID: 16753767
Direct IV L-arginine for five days lowered systolic and diastolic blood pressure more than placebo in pregnancy-related hypertension.
Healthy aging (20)
- [The effects of the carbocalcitonin + arginine-lysine-lactose combination in senile involutional osteoporosis]
PubMed ID: 8028755
Arginine‑containing preparation added to calcitonin improved BMD and reduced pain in elderly osteoporotic patients — suggests benefit relevant to healthy aging (bone).
- Effect of a long-term oral l-arginine supplementation on glucose metabolism: a randomized, double-blind, placebo-controlled trial
PubMed ID: 22553931
Long-term oral L-arginine increased regression to normal glucose tolerance and later reduced diabetes incidence—metabolic effects that can support healthy aging.
- L-Arginine and B vitamins improve endothelial function in subjects with mild to moderate blood pressure elevation
PubMed ID: 27817128
Arginine+B‑vitamins improved endothelial function and lowered BP over months, which may slow vascular aging.
- Decreased diabetes risk over 9 year after 18-month oral L-arginine treatment in middle-aged subjects with impaired glucose tolerance and metabolic syndrome (extension evaluation of L-arginine study)
PubMed ID: 29052766
Long randomized trial: oral L‑arginine reduced incident diabetes over years — relevant to aging-related metabolic risk reduction.
- Oral Supplementation with Beta-Hydroxy-Beta-Methylbutyrate, Arginine, and Glutamine Improves Lean Body Mass in Healthy Older Adults
PubMed ID: 29672184
Six months of HMB+arginine+glutamine increased lean mass and improved function in older adults (direct aging-relevant outcome).
- Application of multivariate longitudinal models in SIRT6, FBS, and BMI analysis of the elderly
PubMed ID: 29901417
L-arginine (1 g/day) plus exercise raised SIRT6 and reduced fasting glucose and BMI in elderly men, markers linked to healthier aging.
- Endothelial Function is improved by Inducing Microbial Polyamine Production in the Gut: A Randomized Placebo-Controlled Trial
PubMed ID: 31137855
Arginine + B. animalis increased serum spermidine (linked to longevity pathways) and improved endothelial function.
- Nitric-Oxide-Inducing Factors on Vitamin D Changes in Older People Susceptible to Suffer from Sarcopenia
PubMed ID: 35627475
L‑arginine/beetroot supplementation in older adults increased circulating vitamin D (marker potentially relevant to aging biology).
- Prognostic implications of the arginine metabolism in patients at nutritional risk: A secondary analysis of the randomized EFFORT trial
PubMed ID: 38309228
Low plasma arginine independently predicted higher 30‑day and 5‑year mortality in nutritionally at‑risk inpatients.
- Assessment of the effectiveness and safety of two-month oral supplementation with L-arginine depending on the type of lipid metabolism disorder in patients with atherosclerotic lower limb ischemia
PubMed ID: 41364169
Increased total antioxidant status with L‑arginine could counter oxidative stress, a contributor to aging.
- Metabolic effects of arginine in a healthy elderly population
PubMed ID: 8551652
Two weeks oral arginine raised IGF-1 and improved nitrogen balance in elderly volunteers—markers relevant to aging-related anabolic state.
- Effect of arginine and pyridostigmine on the GHRH-induced GH rise in obesity and Cushing's syndrome
PubMed ID: 7735336
IV arginine markedly augmented GH responses to GHRH across subjects; GH/IGF axis effects are relevant to aging physiology.
- L-Arginine reduces lipid peroxidation in patients with diabetes mellitus
PubMed ID: 8958162
3 months L-arginine reduced oxidative‑stress marker in diabetics—oxidative stress reduction relates to healthy aging.
- L-arginine infusion decreases plasma total homocysteine concentrations through increased nitric oxide production and decreased oxidative status in Type II diabetic patients
PubMed ID: 12189442
IV L-arginine raised NO and lowered oxidative markers/homocysteine—mechanisms linked to healthier aging.
- Effect of beta-hydroxy-beta-methylbutyrate, arginine, and lysine supplementation on strength, functionality, body composition, and protein metabolism in elderly women
PubMed ID: 15105032
Combination supplement (including 5 g/day arginine) improved mobility, strength, and protein synthesis in elderly women.
- Arginine stimulates wound healing and immune function in elderly human beings
PubMed ID: 8342121
Study in elderly showed increased collagen/protein accumulation and enhanced lymphocyte responses — outcomes relevant to aging-related tissue/immune function.
- Beneficial effects of a long-term oral L-arginine treatment added to a hypocaloric diet and exercise training program in obese, insulin-resistant type 2 diabetic patients
PubMed ID: 16772327
Oral L-arginine added to diet/exercise improved fat mass, glucose control and adiponectin—metabolic changes relevant to healthy aging.
- Long-term treatment with sulfhydryl angiotensin-converting enzyme inhibition reduces carotid intima-media thickening and improves the nitric oxide/oxidative stress pathways in newly diagnosed patients with mild to moderate primary hypertension
PubMed ID: 19033012
Long‑term zofenopril improved carotid IMT and NO/oxidative stress markers — vascular structural benefits relevant to healthy aging via the NO/arginine axis (indirect).
- Year-long changes in protein metabolism in elderly men and women supplemented with a nutrition cocktail of beta-hydroxy-beta-methylbutyrate (HMB), L-arginine, and L-lysine
PubMed ID: 19164608
One-year amino-acid cocktail including arginine increased lean mass and protein turnover in older adults, outcomes relevant to healthy aging.
- Vitamin D status affects strength gains in older adults supplemented with a combination of β-hydroxy-β-methylbutyrate, arginine, and lysine: a cohort study
PubMed ID: 21807930
A 1‑year HMB/arginine/lysine supplement increased fat‑free mass in older adults (combination product; effect on strength depended on vitamin D).
Sexual wellness (13)
- Effect of oral administration of high-dose nitric oxide donor L-arginine in men with organic erectile dysfunction: results of a double-blind, randomized, placebo-controlled study
PubMed ID: 10233492
High‑dose L-arginine produced subjective improvement in a subset of men with ED and low NOx, though objective flow unchanged.
- Comparison of the clinical efficacy of daily use of L-arginine, tadalafil and combined L-arginine with tadalafil in the treatment of elderly patients with erectile dysfunction
PubMed ID: 32441833
Randomized trial: daily L-arginine (5 g) improved erectile function (SHIM) and testosterone in elderly men; strongest direct clinical evidence in dataset.
- Improvement of erectile function by a combination of French maritime pine bark and roburins with aminoacids
PubMed ID: 25664962
Pycnogenol+roburins+amino acids including L‑arginine improved erectile function vs placebo over 1 month (multi‑ingredient human trial).
- Sperm quality in men is improved by supplementation with a combination of L-arginine, L-citrullin, roburins and Pycnogenol®
PubMed ID: 25531191
L‑arginine‑containing nutraceutical (Prelox®) improved multiple semen quality parameters and increased sperm e‑NOS activity—supports sexual/reproductive function, primarily semen quality.
- Lady Prelox® improves sexual function in post-menopausal women
PubMed ID: 23241929
Pilot trial of a supplement product (likely containing L-arginine) markedly improved female sexual function index scores vs placebo in postmenopausal women (direct clinical signal).
- Investigation of a complex plant extract for mild to moderate erectile dysfunction in a randomized, double-blind, placebo-controlled, parallel-arm study
PubMed ID: 20184576
6‑month RCT of a multi‑ingredient product containing L‑arginine (Prelox) improved IIEF erectile domain scores and raised testosterone vs placebo — strong clinical evidence though multi‑component product.
- [Sperm parameters in male idiopathic infertility after treatment with prelox]
PubMed ID: 17974175
Prelox (multi-ingredient product likely acting via eNOS/cGMP and containing arginine-related components) improved sperm quality/function in idiopathic infertility patients.
- Improvement of erectile function with Prelox: a randomized, double-blind, placebo-controlled, crossover trial
PubMed ID: 17703218
One-month L-arginine aspartate + Pycnogenol improved erectile function, doubled intercourse frequency, and increased eNOS and testosterone in men — strong clinical effect though product was combination.
- Efficacy and safety of a novel combination of L-arginine glutamate and yohimbine hydrochloride: a new oral therapy for erectile dysfunction
PubMed ID: 12074777
On-demand oral combo of L-arginine and yohimbine improved IIEF erectile function scores versus placebo (effect stronger in mild–moderate ED).
- [Erectile disfunction after non nerve-sparing radical pelvic surgery]
PubMed ID: 11723438
Same context as above: combination sildenafil+L‑arginine after radical pelvic surgery improved buckling test and subjective activity vs sildenafil alone.
- Dietary supplementation with a novel l-carnitine multi-micronutrient in idiopathic male subfertility involving oligo-, astheno-, teratozoospermia: A randomized clinical study
PubMed ID: 32330373
Robust RCT of a multi‑nutrient product including arginine increased normalization of semen and pregnancy rates—strong clinical effect but attribution to arginine alone uncertain.
- Adjuvant daily therapy with L-arginine 2,500 mg and tadalafil 5 mg increases efficacy and duration of benefits of low-intensity extracorporeal shock wave therapy for erectile dysfunction: A prospective, randomized, single-blinded study with 1-year follow-up
PubMed ID: 34983126
Daily L-arginine plus low-dose tadalafil as adjuvant to shockwave therapy improved erectile scores at 12 months, though co-therapies confound independent arginine effect.
- Long-term high-dose L-arginine supplementation in patients with vasculogenic erectile dysfunction: a multicentre, double-blind, randomized, placebo-controlled clinical trial
PubMed ID: 34973154
Large RCT: 6 g/day L-arginine for 3 months improved IIEF-6 scores and penile blood flow, especially in mild–moderate vasculogenic ED.
Exercise recovery (13)
- 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
PubMed ID: 36501014
L-arginine+vitC improved 6MWD and reduced persistent fatigue in long COVID, consistent with functional recovery of muscle/endurance.
- Effects of preoperative beta-hydroxy-beta-methylbutyrate, arginine, and glutamine supplementation on cardiac surgery: A randomized controlled trial
PubMed ID: 39765161
HMB/arginine/glutamine preop improved 6MWD and strength and shortened hospital stay after cardiac surgery (multi‑ingredient).
- Immunomodulatory enteral nutrition in post-surgical gastrointestinal cancer: Clinical, biochemical and nutritional impacts
PubMed ID: 40374110
Postoperative immunonutrition decreased severe complications and improved immune/nutritional markers — supports faster clinical recovery after surgical injury.
- Effects of Co-Ingestion of β-Hydroxy-β-Methylbutyrate and L-Arginine α-Ketoglutarate on Jump Performance in Young Track and Field Athletes
PubMed ID: 33805883
HMB+AAKG co‑supplementation prevented decline in jump performance during intensive training camp, implying preserved recovery/function.
- Perioperative immunonutrition in patients undergoing cancer surgery: results of a randomized double-blind phase 3 trial
PubMed ID: 10199318
Perioperative nutrition with arginine shortened hospital stay and reduced infections—consistent with faster post‑surgical recovery.
- Nutritional treatment for acquired immunodeficiency virus-associated wasting using beta-hydroxy beta-methylbutyrate, glutamine, and arginine: a randomized, double-blind, placebo-controlled study
PubMed ID: 10850936
HMB/glutamine/arginine increased lean mass in HIV wasting — suggests improved anabolism/muscle recovery (combination product).
- Reversal of cancer-related wasting using oral supplementation with a combination of beta-hydroxy-beta-methylbutyrate, arginine, and glutamine
PubMed ID: 11975938
HMB+L‑arginine+glutamine increased lean body mass in cancer cachexia—relevant to muscle recovery/rehabilitation.
- Effect of beta-hydroxy-beta-methylbutyrate, arginine, and lysine supplementation on strength, functionality, body composition, and protein metabolism in elderly women
PubMed ID: 15105032
HMB+arginine+lysine improved strength, mobility and protein synthesis in elderly—supports recovery/maintenance of muscle (combination product).
- Reduced cytokines release and myocardial damage in coronary artery bypass patients due to L-arginine cardioplegia supplementation
PubMed ID: 16564254
Perioperative L-arginine addition lowered myocardial injury (troponin T) and reduced ICU stay—translates to faster recovery after cardiac injury/surgery.
- Beta-hydroxy-beta-methylbutyrate supplementation in critically ill trauma patients
PubMed ID: 17215743
HMB supplements with arginine/glutamine improved nitrogen balance in critically injured trauma patients (multi-ingredient), consistent with reduced net muscle loss and better recovery.
- Clinical and immunological impact of early postoperative enteral immunonutrition after total gastrectomy in gastric cancer patients: a prospective randomized study
PubMed ID: 23838912
Post-gastrectomy patients receiving arginine-inclusive immunonutrition had shorter hospital stays and fewer complications — consistent with faster surgical recovery (multi-nutrient formula).
- Comparison of specialized and standard enteral formulas in trauma patients
PubMed ID: 7937272
Arginine-containing enteral formula in trauma improved nitrogen balance, which supports muscle protein retention and recovery.
- Pharmacokinetics, safety, and effects on exercise performance of L-arginine alpha-ketoglutarate in trained adult men
PubMed ID: 16928472
AAKG increased plasma arginine and improved strength/peak anaerobic power, consistent with ergogenic/recovery support.
Fertility (10)
- Improvement of seminal parameters with Prelox: a randomized, double-blind, placebo-controlled, cross-over trial
PubMed ID: 19142978
One‑month L‑arginine + Pycnogenol supplement significantly improved semen volume, concentration and motility in infertile men.
- Effect of dietary N-carbamylglutamate levels on reproductive performance of gilts
PubMed ID: 25039302
N-carbamylglutamate (raises arginine) during gestation increased live litter weight and birthweight in pigs — reasonably strong animal evidence for improved reproductive outcomes.
- Sperm quality in men is improved by supplementation with a combination of L-arginine, L-citrullin, roburins and Pycnogenol®
PubMed ID: 25531191
Prelox® (contains L‑arginine) increased semen parameters and a Fertility Index to normal in subfertile men—direct evidence for fertility support.
- Effect of feeding guanidinoacetic acid and L-arginine on the fertility rate and sperm penetration in the perivitelline layer of aged broiler breeder hens
PubMed ID: 26216477
Dietary Arg (and GAA) improved sperm penetration and fertility rates in aged breeder hens — robust animal reproductive effect.
- Beneficial effect of l-arginine in women using assisted reproductive technologies: a small-scale randomized controlled trial
PubMed ID: 32977253
Direct L-arginine-containing supplement RCT showed modest overall increases in hCG/clinical pregnancy rates and marked benefit in male-factor infertility subgroup.
- Mechanism of Guilu Erxian ointment based on targeted metabolomics in intervening in vitro fertilization and embryo transfer outcome in older patients with poor ovarian response of kidney-qi deficiency type
PubMed ID: 36742408
In older women with poor ovarian response, the multi‑component traditional treatment changed follicular L‑arginine and increased retrieved oocytes and fertilization rate — direct fertility‑related outcomes.
- Effects of oral L-arginine on the foetal condition and neonatal outcome in preeclampsia: a preliminary report
PubMed ID: 16918716
Oral L-arginine in preeclampsia improved fetal Doppler indices, biophysical profile and neonatal scores — direct benefit to pregnancy outcomes (fertility/gestational support context).
- Dietary supplementation with a novel l-carnitine multi-micronutrient in idiopathic male subfertility involving oligo-, astheno-, teratozoospermia: A randomized clinical study
PubMed ID: 32330373
Large double‑blind RCT including arginine achieved much higher normal spermiogram and pregnancy rates—strong fertility outcome but multi‑nutrient confounding.
- A nutritional supplement for improving fertility in women: a pilot study
PubMed ID: 15134155
Multi-ingredient supplement including L-arginine was associated with higher pregnancy rate and luteal-phase improvements in a small pilot—direct fertility signal though multi-component.
- Adjuvant L-arginine treatment for in-vitro fertilization in poor responder patients
PubMed ID: 10402369
Randomized oral L-arginine in poor‑responder IVF patients improved ovarian blood flow, increased oocytes/embryos and produced pregnancies.
Workout performance (12)
- The effects of 4 weeks of an arginine-based supplement on the gas exchange threshold and peak oxygen uptake
PubMed ID: 20555372
4‑week arginine-based supplement improved gas exchange threshold and power at GET (submaximal performance) though product had other ingredients.
- L-Arginine Improves Endurance to High-Intensity Interval Exercises in Overweight Men
PubMed ID: 33260139
6 g L‑arginine taken acutely before high‑intensity interval exercise significantly reduced ventilation, VO2 and heart rate—objectively improving exercise tolerance.
- 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
PubMed ID: 36501014
Significant +50 m mean difference in 6MWD after 28 days of L-arginine+vitC indicates improved functional exercise capacity.
- The Antioxidant Power of Bergamot Polyphenolic Fraction Gold Potentiates the Effects of L-Citrulline in Athlete Performance and Vasodilation in a Pilot Study
PubMed ID: 40218864
Bergamot polyphenols + L-citrulline improved VO2max/peak power in cyclists in a pilot trial (combination product), consistent with ergogenic effects via NO.
- Pharmacokinetics, safety, and effects on exercise performance of L-arginine alpha-ketoglutarate in trained adult men
PubMed ID: 16928472
AAKG raised plasma arginine and yielded modest improvements in 1‑RM bench press and Wingate peak power in trained men.
- Randomized trial of a medical food for the dietary management of chronic, stable angina
PubMed ID: 11755284
Arginine-enriched medical food increased treadmill exercise time by ~20% in stable angina patients (placebo-controlled).
- Effects of arginine-based supplements on the physical working capacity at the fatigue threshold
PubMed ID: 20386475
4 weeks of an arginine‑based supplement increased highest maintainable power output by ~19–22% vs placebo — direct RCT evidence for enhanced performance (formulation confounded by grape seed extract).
- Effect of L-arginine or L-citrulline oral supplementation on blood pressure and right ventricular function in heart failure patients with preserved ejection fraction
PubMed ID: 21154265
L-arginine improved treadmill exercise duration in HFpEF patients—direct clinical improvement in performance/endurance metric.
- Effects of Co-Ingestion of β-Hydroxy-β-Methylbutyrate and L-Arginine α-Ketoglutarate on Jump Performance in Young Track and Field Athletes
PubMed ID: 33805883
HMB+AAKG preserved jump performance through intensive training, indicating functional exercise benefit.
- Restoring vascular nitric oxide formation by L-arginine improves the symptoms of intermittent claudication in patients with peripheral arterial occlusive disease
PubMed ID: 9809945
Marked improvements in pain-free and absolute walking distance in claudication after L-arginine indicate clear exercise performance gains in this population.
- Nutritional therapy for peripheral arterial disease: a double-blind, placebo-controlled, randomized trial of HeartBar
PubMed ID: 10737151
Participants using a nutrient bar with L-arginine walked farther (pain-free +66%, total +23%); suggests improved functional exercise capacity though multi-nutrient product confounds attribution.
- [Effect of L-arginine on platelet aggregation, endothelial function adn exercise tolerance in patients with stable angina pectoris]
PubMed ID: 11019421
Ten days oral L-arginine improved exercise time and endothelial function in stable angina—direct benefit to exercise performance.
Energy & Fatigue (8)
- Randomized trial of a medical food for the dietary management of chronic, stable angina
PubMed ID: 11755284
Arginine-containing product increased exercise time and quality-of-life measures, consistent with reduced exertional fatigue.
- 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
PubMed ID: 36501014
L-arginine+vitC markedly reduced persistent fatigue in adults with long COVID (large, clinically meaningful effect).
- L-Arginine Improves Endurance to High-Intensity Interval Exercises in Overweight Men
PubMed ID: 33260139
Acute L‑arginine lowered physiological strain (VE, VO2, HR) during high‑intensity intervals, consistent with reduced exercise fatigue.
- Combined Effect of Arginine, Valine, and Serine on Exercise-Induced Fatigue in Healthy Volunteers: A Randomized, Double-Blinded, Placebo-Controlled Crossover Study
PubMed ID: 30999554
Randomized crossover trial: 14 days of arginine-containing amino acid supplement significantly reduced subjective fatigue (VAS) and lowered RPE during prolonged cycling.
- Effects of arginine-based supplements on the physical working capacity at the fatigue threshold
PubMed ID: 20386475
Large increases in maintainable power output imply delayed fatigue with the arginine‑containing supplement.
- Restoring vascular nitric oxide formation by L-arginine improves the symptoms of intermittent claudication in patients with peripheral arterial occlusive disease
PubMed ID: 9809945
Patients with intermittent claudication reported increased pain-free walking distance after L-arginine, implying reduced exertional fatigue/pain.
- Effects of Co-Ingestion of β-Hydroxy-β-Methylbutyrate and L-Arginine α-Ketoglutarate on Jump Performance in Young Track and Field Athletes
PubMed ID: 33805883
HMB+AAKG prevented decline in jump performance over heavy training, suggesting attenuated fatigue.
- Differential Metabolites and Metabolic Pathways Involved in Aerobic Exercise Improvement of Chronic Fatigue Symptoms in Adolescents Based on Gas Chromatography-Mass Spectrometry
PubMed ID: 35206569
Study in adolescents with chronic fatigue found abnormal arginine‑related pathways and symptomatic improvement after exercise intervention — links arginine metabolism to fatigue.
Endurance (8)
- Restoring vascular nitric oxide formation by L-arginine improves the symptoms of intermittent claudication in patients with peripheral arterial occlusive disease
PubMed ID: 9809945
Substantial increases in walking distances in claudication reflect increased functional endurance with L-arginine infusion.
- Effects of arginine-based supplements on the physical working capacity at the fatigue threshold
PubMed ID: 20386475
Arginine‑containing supplement increased PWCFT (sustainable power), indicating improved endurance capacity in untrained men.
- Randomized trial of a medical food for the dietary management of chronic, stable angina
PubMed ID: 11755284
Increased treadmill exercise time suggests improved endurance in angina patients with an arginine-rich medical food.
- Nutritional therapy for peripheral arterial disease: a double-blind, placebo-controlled, randomized trial of HeartBar
PubMed ID: 10737151
Improved walking distances in claudication imply greater functional endurance, albeit from a multi-nutrient intervention.
- Long-Term Efficacy and Tolerability of Pegzilarginase in Arginase 1 Deficiency: Results of Two International Multicentre Open-Label Extension Studies
PubMed ID: 40714964
6MWT and 2MWT distances improved substantially with pegzilarginase in arginase‑1 deficiency, reflecting increased functional endurance in that patient population.
- 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
PubMed ID: 36501014
Improved 6MWD in long COVID participants after L-arginine+vitC indicates increased submaximal endurance capacity.
- L-Arginine Improves Endurance to High-Intensity Interval Exercises in Overweight Men
PubMed ID: 33260139
Reduced cardiorespiratory strain during interval exercise with acute L‑arginine suggests potential for increased exercise endurance/tolerance.
- Effect of L-arginine or L-citrulline oral supplementation on blood pressure and right ventricular function in heart failure patients with preserved ejection fraction
PubMed ID: 21154265
Increased treadmill time after oral L-arginine in HFpEF suggests improved endurance/capacity in diseased subjects.
Bowel regularity (5)
- Long-Term Efficacy and Tolerability of Pegzilarginase in Arginase 1 Deficiency: Results of Two International Multicentre Open-Label Extension Studies
PubMed ID: 40714964
Pegzilarginase directly lowers plasma arginine by enzymatic degradation in arginase-1 deficiency, effectively removing toxic arginine and improving biochemical waste handling.
- L-arginine deficiency and supplementation in experimental acute renal failure and in human kidney transplantation
PubMed ID: 11918749
IV L-arginine improved renal perfusion and function in ARF models and some kidney transplant recipients, supporting waste-clearance functions.
- Hypercholesterolaemia and treatment with statins do not alter L-arginine-induced changes of renal haemodynamics
PubMed ID: 12270981
IV L‑arginine increased renal plasma flow and GFR—direct enhancement of renal clearance/perfusion.
- An Open-Label Randomized Controlled Non-Inferiority Trial of Arginine Glutamate Injection for the Treatment of Mild Hepatic Encephalopathy
PubMed ID: 40545706
IV arginine glutamate reduced ammonia comparably to LOLA in hepatic encephalopathy—direct nitrogen/waste removal relevance.
- L-arginine role for stone lower ureter: A randomized controlled trial
PubMed ID: 40498114
Large RCT: 1000 mg oral L‑arginine greatly increased distal ureter stone expulsion rate—direct evidence for facilitating waste removal.
Focus & concentration (5)
- [Ornithine aspartate and naloxone combined therapy for hepatic encephalopathy affects cognitive function, prognosis, and neuropeptide levels]
PubMed ID: 24025143
Ornithine-aspartate + naloxone improved cognition in hepatic encephalopathy and lowered ammonia—mechanistically linked to nitrogen handling like arginine/citrulline.
- A Prospective Study Evaluating the Effects of a Nutritional Supplement Intervention on Cognition, Mood States, and Mental Performance in Video Gamers
PubMed ID: 31581523
Arginine‑silicate/inositol supplement produced small, mostly acute improvements in processing speed and thinking speed in a randomized trial of gamers.
- Oral treatment with L-lysine and L-arginine reduces anxiety and basal cortisol levels in healthy humans
PubMed ID: 17510493
One-week L-lysine+L-arginine reduced trait and stress-induced anxiety and lowered basal salivary cortisol in males, which could translate into improved mental focus/concentration.
- Stress-Reducing Function of Matcha Green Tea in Animal Experiments and Clinical Trials
PubMed ID: 30308973
Matcha rich in arginine and theanine reduced anxiety scores and salivary stress enzyme activity in a small human study (improved stress/mental state).
- Effect of Combined Ingestion of L-Theanine and L-Arginine for Short-Term Psychological Stress in Young Adults: A Randomized Placebo-Controlled Study
PubMed ID: 36596553
Single-dose theanine+L-arginine reduced salivary stress enzyme response after mental stress; stress reduction can indirectly support focus (combination product).
Forms of Arginine
The 2 forms a label may print instead of Arginine. Each is a different substance with its own identifier, and none of them has research of its own — the studies are the ones on this page.
Similar by evidence
Supplements the same benefits carry qualifying findings for — a fact about the evidence graph, not a recommendation to swap.
Products with Arginine
Search all1415 products whose verified label declares Arginine — not every bottle that mentions it in a title.
Being studied right now
Recruiting clinical trials registered on ClinicalTrials.gov. A trial in progress has no result yet — this is what the field is asking, not what it found.