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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 servingProducts
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 doseStudy 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

See every study group

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 withStudy 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

NO vasodilation +33%

BP/perfusion changes

ADMA/cGMP shifts

11,502 people

LDL↓, TG−16.6%

Heart injury↓, stays−1d

Vasodilation↑, BP↓

13,023 people

Perfusion+blood flow

Infections/LOS ↓

Collagen+healing ↑

7,930 people

NO vasodilation +blood flow

BP↓; flow↑

+135% arginine, flow↑

6,451 people

AA uptake +35%

Arginine levels rise

Nitrogen balance improves

6,622 people

Perfusion+healing

Infections↓,stay↓

6,671 people

Immune cells↑, infections↓

CRP↓, arginine↑

6,410 people

Infection↓ CRP↓

IL-6/TNF-α↓

SIRS/MOF↓

4,185 people

Metabolism: glucose↓, insulin↑

Metabolism: arginine↓/fat↓

Metabolism: fatty liver↓

2,831 people

Vasodilation, −10 mmHg

Renal flow, −29%

2,998 people

NO/endothelial +, BP −

Muscle/bone/aging +

GH, glucose, mortality

1,368 people

ED scores +5-12

Fertility/pregnancy +47%

Genital blood-flow ↑

976 people

Amino acids ↑; signaling ↑

Recovery strength/endurance ↑

Infections/LOS ↓

930 people
Fertility
Moderate

Semen +47pp; pregnancy +19pp

Oocytes +3.2; fertilization higher

Birthweight +16%; litter +12-19%

1,129 people

Endurance + vasodilation

Power/fatigue +14-35%

528 people

Fatigue/Arginine ↓

Performance/Endurance ↑

348 people
Endurance
Moderate

Endurance capacity +14%

Exercise economy/strain reduced

Walking distance +32 m

321 people

↑ urine flow/sodium

↓ renal blood flow

↓ bowel regularity

421 people

Better focus, faster

Lower stress, steadier

411 people

Research sources

Vascular health (80)
  1. 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.

  2. 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).

  3. 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.

  4. 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.

  5. 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.

  6. 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.

  7. 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.

  8. 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).

  9. 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.

  10. 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.

  11. 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.

  12. 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.

  13. 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.

  14. 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.

  15. 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.

  16. 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.

  17. 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.

  18. 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.

  19. 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.

  20. 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).

  21. 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).

  22. 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.

  23. 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.

  24. 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.

  25. 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.

  26. 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).

  27. 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).

  28. 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.

  29. 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).

  30. 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).

  31. 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.

  32. 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.

  33. 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.

  34. 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.

  35. 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.

  36. 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.

  37. 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.

  38. 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.

  39. 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.

  40. 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.

  41. 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.

  42. 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).

  43. 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.

  44. 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.

  45. 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.

  46. 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.

  47. 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).

  48. 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.

  49. 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.

  50. [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.

  51. 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.

  52. 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.

  53. 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.

  54. 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.

  55. 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.

  56. 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).

  57. 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.

  58. 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.

  59. 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.

  60. 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.

  61. 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.

  62. 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.

  63. 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.

  64. 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.

  65. 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.

  66. [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.

  67. 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).

  68. 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.

  69. 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).

  70. 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.

  71. 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.

  72. [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.

  73. 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.

  74. 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.

  75. 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.

  76. 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.

  77. 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).

  78. 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.

  79. 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.

  80. 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)
  1. 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.

  2. 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.

  3. 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.

  4. 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.

  5. 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.

  6. 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.

  7. 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.

  8. 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.

  9. [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.

  10. 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.

  11. 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.

  12. 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.

  13. 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).

  14. [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.

  15. 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.

  16. 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.

  17. 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.

  18. 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.

  19. 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.

  20. 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).

  21. 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.

  22. 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.

  23. 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.

  24. 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).

  25. 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.

  26. 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.

  27. 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.

  28. 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).

  29. 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.

  30. 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.

  31. 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.

  32. 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.

  33. 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.

  34. 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).

  35. 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.

  36. 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.

  37. 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.

  38. 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.

  39. 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).

  40. 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.

  41. 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).

  42. 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.

  43. 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.

  44. 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.

  45. 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).

  46. 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.

  47. 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.

  48. 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.

  49. 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.

  50. 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).

  51. 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.

  52. 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.

  53. 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.

  54. 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.

  55. 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.

  56. 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.

  57. 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.

  58. 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.

  59. 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.

  60. 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).

  61. 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).

  62. 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.

  63. 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)
  1. 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).

  2. 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).

  3. 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.

  4. 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.

  5. 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).

  6. 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.

  7. 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.

  8. 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.

  9. 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).

  10. 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.

  11. 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.

  12. 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).

  13. 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.

  14. 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.

  15. 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.

  16. 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).

  17. 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.

  18. 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).

  19. 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).

  20. 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).

  21. 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.

  22. 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).

  23. 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.

  24. 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.

  25. 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.

  26. 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.

  27. 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.

  28. 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.

  29. 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).

  30. 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).

  31. 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.

  32. Artificial nutrition after pancreaticoduodenectomy

    PubMed ID: 11075988

    Perioperative immunonutrition (arginine+omega‑3+RNA) reduced postoperative complications and shortened hospital stay (multi-nutrient).

  33. 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).

  34. 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).

  35. 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.

  36. 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.

  37. 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.

  38. 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.

  39. 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.

  40. 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.

  41. 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.

  42. 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).

  43. 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).

  44. 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.

  45. 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.

  46. 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.

  47. 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).

  48. 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).

  49. 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.

  50. 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.

  51. 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.

  52. 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.

  53. 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).

  54. 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.

  55. 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).

  56. 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.

  57. 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.

  58. 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.

  59. 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.

  60. 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).

  61. 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.

  62. 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.

  63. 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.

  64. [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).

  65. 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).

  66. 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.

  67. [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.

  68. 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.

  69. 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).

  70. 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.

  71. 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).

  72. 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).

  73. 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).

  74. 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).

  75. [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.

  76. 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)
  1. [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.

  2. 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.

  3. 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).

  4. 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).

  5. 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.

  6. 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.

  7. 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.

  8. 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).

  9. 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.

  10. 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.

  11. 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).

  12. 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.

  13. 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.

  14. 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.

  15. 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.

  16. 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.

  17. 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).

  18. 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.

  19. 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.

  20. 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).

  21. 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.

  22. 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.

  23. 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.

  24. 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.

  25. 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).

  26. 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.

  27. 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.

  28. 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.

  29. 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.

  30. 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.

  31. 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.

  32. 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.

  33. 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.

  34. 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.

  35. 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.

  36. 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.

  37. 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.

  38. 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.

  39. 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.

  40. 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.

  41. 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.

  42. 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.

  43. 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.

  44. 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.

  45. 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).

  46. 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.

  47. 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.

  48. 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.

  49. 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.

  50. [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.

  51. 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.

  52. 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.

  53. 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.

  54. 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.

  55. 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).

  56. 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.

  57. 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.

  58. 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.

  59. 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.

  60. 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.

  61. 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.

  62. 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.

  63. 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.

  64. 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).

  65. 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.

  66. 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.

  67. 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.

  68. 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.

  69. 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.

  70. 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.

  71. 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.

  72. 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.

  73. 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.

  74. 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.

  75. 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.

  76. 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.

  77. 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.

  78. [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.

  79. 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.

  80. 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).

  81. 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.

  82. 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).

  83. 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)
  1. 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.

  2. 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.

  3. 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.

  4. 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.

  5. 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.

  6. 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.

  7. 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.

  8. 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.

  9. 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).

  10. 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.

  11. 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).

  12. 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.

  13. 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.

  14. 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).

  15. 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.

  16. 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.

  17. 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.

  18. 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.

  19. 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).

  20. 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).

  21. 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.

  22. 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.

  23. 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.

  24. 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).

  25. 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.

  26. [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.

  27. 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.

  28. 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.

  29. 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).

  30. 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).

  31. 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).

  32. 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.

  33. 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.

  34. 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.

  35. 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.

  36. 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.

  37. 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.

  38. 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.

  39. 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.

  40. [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.

  41. [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.

  42. 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.

  43. 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.

  44. 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.

  45. 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.

  46. 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.

  47. 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.

  48. 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.

  49. 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.

  50. 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.

  51. 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.

  52. 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.

  53. 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.

  54. 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.

  55. 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.

  56. 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.

  57. 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.

  58. 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).

  59. 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.

  60. 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.

  61. 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.

  62. 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.

  63. 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).

  64. 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).

  65. 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).

  66. 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.

  67. 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.

  68. 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)
  1. 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.

  2. 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.

  3. 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.

  4. 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.

  5. 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).

  6. 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).

  7. 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).

  8. 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.

  9. 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.

  10. 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.

  11. 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.

  12. 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.

  13. 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).

  14. 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).

  15. Artificial nutrition after pancreaticoduodenectomy

    PubMed ID: 11075988

    Perioperative enteral formula including arginine reduced complications and LOS — suggests improved surgical recovery/wound outcomes (multi-nutrient).

  16. 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.

  17. 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.

  18. 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%).

  19. 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.

  20. 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.

  21. 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.

  22. 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.

  23. 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.

  24. 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.

  25. 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.

  26. [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).

  27. 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.

  28. 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).

  29. [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).

  30. 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.

  31. 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).

  32. 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).

  33. 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).

  34. [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.

  35. 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.

  36. 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).

  37. 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).

  38. 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.

  39. 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).

  40. 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.

  41. 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.

  42. 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.

  43. 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.

  44. 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.

  45. 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).

  46. 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.

  47. 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.

  48. 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.

  49. 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).

  50. 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).

  51. 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).

  52. 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.

  53. 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).

  54. 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.

  55. 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.

  56. 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).

  57. 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.

  58. 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.

  59. 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.

  60. 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).

  61. 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.

  62. 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.

  63. 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.

  64. 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.

  65. 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.

  66. 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)
  1. 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.

  2. 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.

  3. 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).

  4. Immunonutrition in gastric cancer surgical patients

    PubMed ID: 9834924

    Perioperative arginine-containing immunonutrition prevented early postoperative immune impairment (phagocytosis, lymphocyte measures) after gastrectomy.

  5. 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.

  6. 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.

  7. 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).

  8. 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.

  9. 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.

  10. 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.

  11. 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.

  12. 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).

  13. 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).

  14. 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).

  15. 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.

  16. 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.

  17. 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.

  18. 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.

  19. 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).

  20. 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).

  21. 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.

  22. 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.

  23. 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.

  24. 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).

  25. 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.

  26. 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).

  27. 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.

  28. [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.

  29. 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).

  30. 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).

  31. [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.

  32. 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.

  33. 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.

  34. 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.

  35. 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).

  36. 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).

  37. 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.

  38. 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.

  39. 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.

  40. 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).

  41. 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.

  42. 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.

  43. 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.

  44. 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.

  45. 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.

  46. 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.

  47. 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.

  48. 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.

  49. 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).

  50. 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.

  51. 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).

  52. 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).

  53. [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).

  54. 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.

  55. 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.

  56. 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.

  57. 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.

  58. 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.

  59. 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).

  60. [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.

  61. 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).

  62. 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).

  63. 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).

  64. 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.

  65. 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).

  66. Artificial nutrition after pancreaticoduodenectomy

    PubMed ID: 11075988

    Perioperative immunonutrition containing arginine improved postoperative immunometabolic parameters and complications (multi-nutrient).

  67. 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)
  1. 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).

  2. 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.

  3. 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).

  4. 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.

  5. 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.

  6. 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).

  7. 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).

  8. 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.

  9. 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.

  10. 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.

  11. 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).

  12. [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).

  13. 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.

  14. 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).

  15. 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.

  16. 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.

  17. 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).

  18. 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).

  19. [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.

  20. 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.

  21. 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).

  22. 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.

  23. 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.

  24. 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.

  25. 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).

  26. 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.

  27. 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.

  28. 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.

  29. 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.

  30. 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).

  31. 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).

  32. 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).

  33. 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.

  34. 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.

  35. 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).

  36. 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.

  37. 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.

  38. 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.

  39. 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.

  40. 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.

  41. 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.

  42. 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.

  43. 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.

  44. 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).

  45. 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).

  46. 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)
  1. 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.

  2. 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.

  3. 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.

  4. 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.

  5. 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.

  6. 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.

  7. 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.

  8. 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.

  9. 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.

  10. 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.

  11. 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.

  12. 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.

  13. 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).

  14. 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.

  15. 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).

  16. 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.

  17. 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.

  18. 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.

  19. 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.

  20. 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.

  21. 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).

  22. 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.

  23. 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.

  24. 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).

  25. 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).

  26. 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.

  27. 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).

  28. 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.

  29. 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.

  30. 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.

  31. 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.

  32. 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.

  33. 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.

  34. 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.

  35. 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.

  36. 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).

  37. 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).

  38. 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).

  39. 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)
  1. 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).

  2. 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.

  3. 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.

  4. 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).

  5. 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.

  6. 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.

  7. 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.

  8. 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).

  9. 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.

  10. 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.

  11. 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.

  12. 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.

  13. 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.

  14. 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.

  15. 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.

  16. 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.

  17. 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.

  18. 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.

  19. 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).

  20. 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.

  21. 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.

  22. 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)
  1. [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).

  2. 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.

  3. 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.

  4. 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.

  5. 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).

  6. 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.

  7. 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.

  8. 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).

  9. 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.

  10. 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.

  11. 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.

  12. 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.

  13. 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.

  14. 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.

  15. 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.

  16. 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.

  17. 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.

  18. 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).

  19. 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.

  20. 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)
  1. 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.

  2. 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.

  3. 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).

  4. 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.

  5. 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).

  6. 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.

  7. [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.

  8. 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.

  9. 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).

  10. [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.

  11. 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.

  12. 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.

  13. 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)
  1. 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.

  2. 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).

  3. 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.

  4. 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.

  5. 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.

  6. 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).

  7. 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.

  8. 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).

  9. 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.

  10. 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.

  11. 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).

  12. 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.

  13. 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)
  1. 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.

  2. 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.

  3. 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.

  4. 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.

  5. 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.

  6. 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.

  7. 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).

  8. 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.

  9. 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.

  10. 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)
  1. 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.

  2. 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.

  3. 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.

  4. 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.

  5. 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.

  6. 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).

  7. 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).

  8. 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.

  9. 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.

  10. 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.

  11. 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.

  12. [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)
  1. 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.

  2. 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).

  3. 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.

  4. 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.

  5. 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.

  6. 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.

  7. 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.

  8. 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)
  1. 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.

  2. 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.

  3. 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.

  4. 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.

  5. 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.

  6. 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.

  7. 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.

  8. 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)
  1. 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.

  2. 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.

  3. 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.

  4. 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.

  5. 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)
  1. [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.

  2. 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.

  3. 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.

  4. 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).

  5. 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 all

1415 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.