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Glutamine

16 benefits mapped to clinical evidence across supplements.

Dose per serving from products

792 products in our catalogue print how much Glutamine a serving holds.

Most common: 2.5 g to 5 g, 32% of 792 products.

Dose per servingProducts
25 mg or less
28
25 mg to 50 mg
21
50 mg to 100 mg
32
100 mg to 250 mg
73
250 mg to 500 mg
115
500 mg to 1 g
112
1 g to 2.5 g
146
2.5 g to 5 g
250
over 5 g
15

Dose per serving from research

96 study groups in 77 studies say how much Glutamine participants took a day.

These are the doses the studies gave. They are not a recommendation.

Most common: 10 g to 25 g, 40% of 96 study groups.

Daily doseStudy groups
2.5 g or less
5
2.5 g to 5 g
6
5 g to 10 g
13
10 g to 25 g
38
25 g to 50 g
34

See every study group

Commonly used together

53 of 144 study groups took Glutamine with something else. Shown: what 3 or more different studies gave.

What was given together, not what works together.

Taken withStudy groups
Arginine
16
HMB
10
Zinc
9
Maltodextrin
7
Vitamin A
6
Probiotics
3

Benefit Evidence

Protein loss ↓

Infections ↓

9,866 people

Immune recovery +26.7%

Infections down 26%

T-cell markers up

6,295 people

Fewer infections, faster repair

Better nutrition, faster healing

5,647 people

Barrier↓, permeability↓

Inflammation↓, mucositis↓

Absorption↑, diarrhea↓

6,033 people

Absorption + permeability

-95% permeability; diarrhea

Gut barrier + immune

4,149 people

Reduced proteolysis, better nitrogen balance

+1.5 to +15 g N

Preserved/gained lean mass, weight +3 kg

2,708 people

Glucose/insulin control

−20% infections

Fat/lipolysis ↓

2,527 people

Stress proteins/immune +HSP70

Injury/infection markers −~30%

Metabolic support, survival +26.7pp

2,501 people

↑Gln, ↓catabolism

Protein gain, +25% Gln

2,970 people

Anabolism +N balance

Anti-catabolic, ~+10% glutamine

1,824 people

GSH/antioxidant ↑

Detox markers ↓

914 people

Reduced muscle breakdown

Improved recovery/strength

761 people

Glucose/insulin shifts

Cardio-recovery/lipolysis

193 people
Endurance
Moderate

Endurance: +21.6% VO2max

Endurance: +6MWD, stair-climb

Endurance: ammonia lower

168 people

Attention +47%

Cognition +r0.47

293 people

Gut fluid/salt absorption

Less edema/water retention

+3-fold absorption

48 people

Research sources

Illness recovery (123)
  1. Enteral nutrition supplemented with L-glutamine in patients with systemic inflammatory response syndrome due to pulmonary infection

    PubMed ID: 22055478

    Enteral glutamine improved lymphocyte counts and reduced oxidative stress markers in ICU patients (supports recovery in acute illness).

  2. The effect of oral glutamine on 5-fluorouracil/leucovorin-induced mucositis/stomatitis assessed by intestinal permeability test

    PubMed ID: 16949180

    Strong clinical effect: peri-chemotherapy oral glutamine reduced mucositis and intestinal permeability — improves overall treatment resilience.

  3. [Effect of total parenteral nutrition with supplementation of glutamine on the plasma diamine oxidase activity and D-lactate content in patients with multiple organ dysfunction syndrome]

    PubMed ID: 17038253

    Glutamine-supplemented TPN in MODS reduced biomarkers of mucosal injury — indicates improved recovery capacity in severe illness.

  4. Elemental diet plus glutamine for the prevention of mucositis in esophageal cancer patients receiving chemotherapy: a feasibility study

    PubMed ID: 26266659

    Glutamine+elemental diet markedly reduced oral mucositis and preserved weight during chemo — clear overall recovery benefit in that setting.

  5. The effects of intravenous, enteral and combined administration of glutamine on malnutrition in sepsis: a randomized clinical trial

    PubMed ID: 24561970

    In malnourished septic patients, combined glutamine routes improved biochemical nutrition/muscle indices and organ-failure scores—supports resilience in severe illness.

  6. Parenteral glutamine protects hepatic function during bone marrow transplantation

    PubMed ID: 9720743

    Parenteral glutamine preserved hepatic synthetic markers in BMT patients—evidence of benefit to recovery capability under extreme stress.

  7. A randomized, controlled trial of parenteral glutamine in ill, very low birth-weight neonates

    PubMed ID: 14581795

    Earlier attainment of full enteral feeds in preterm infants implies faster functional recovery of the gut and improved clinical outcomes.

  8. Improving rehabilitation after critical illness through outpatient physiotherapy classes and essential amino acid supplement: A randomized controlled trial

    PubMed ID: 26004031

    Enhanced rehabilitation combined with essential AAs (including glutamine) significantly improved 6‑minute walk distance and psychological outcomes after critical illness — strong real‑world recovery signal (combined intervention).

  9. Supplementation of l-Alanyl-l-Glutamine and Fish Oil Improves Body Composition and Quality of Life in Patients With Chronic Heart Failure

    PubMed ID: 26269566

    Combined alanyl‑glutamine and fish oil modestly increased lean mass and QoL in heart‑failure patients → modest resilience/recovery benefit albeit confounded.

  10. The clinical value of parenteral immunonutrition in surgical patients

    PubMed ID: 15906909

    Immunonutrition including glutamine reduced infections and hospital stay after gastric cancer surgery → supports enhanced recovery (confounded by other nutrients).

  11. [Impact of microbial immune enteral nutrition on postoperative insulin resistance and infectious complication of patients with abdominal infection]

    PubMed ID: 25070447

    Perioperative microbial‑immune enteral nutrition (with glutamine) significantly improved immune indices and clinical outcomes after GI perforation — notable overall recovery signal (multi‑component).

  12. [Clinical effect of alanyl glutamine in the treatment of patients with gastrointestinal function obstacle caused by severe phorate poisoning]

    PubMed ID: 29081098

    Alanyl‑glutamine improved GI recovery, reduced ICU stay and antidote use in severe poisoning → improved resilience and recovery.

  13. Ameliorative Potential of L-Alanyl L-Glutamine Dipeptide in Colon Cancer Patients Receiving Modified FOLFOX-6 Regarding the Incidence of Diarrhea, the Treatment Response, and Patients' Survival: A Randomized Controlled Trial

    PubMed ID: 35334570

    Reduced chemotherapy‑associated diarrhea with alanyl‑glutamine contributes to better treatment tolerance and recovery though sample small.

  14. Clinical and metabolic efficacy of glutamine-supplemented parenteral nutrition after bone marrow transplantation. A randomized, double-blind, controlled study

    PubMed ID: 1567096

    Strong randomized evidence after BMT: better nitrogen balance, fewer infections, shorter hospitalization → robust overall recovery benefit.

  15. A cost-evaluation of glutamine-supplemented parenteral nutrition in adult bone marrow transplant patients

    PubMed ID: 7963169

    Randomized PN trial in BMT patients found multiple meaningful clinical benefits (fewer infections, improved nitrogen balance, shorter hospitalization) indicating improved recovery/resilience.

  16. Outcome of critically ill patients after supplementation with glutamine

    PubMed ID: 9263282

    Parenteral glutamine in critically ill patients substantially improved 6‑month survival — strong evidence for improved resilience/recovery.

  17. Enteral glutamine supplementation for very low birth weight infants decreases morbidity

    PubMed ID: 9403648

    Enteral glutamine in VLBW infants reduced sepsis and improved feeding tolerance — improved clinical recovery outcomes.

  18. Six-month outcome of critically ill patients given glutamine-supplemented parenteral nutrition

    PubMed ID: 9178278

    Duplicate report of the same ICU PN trial confirming survival/resilience benefit.

  19. Enteral glutamine supplementation for very-low-birth-weight infants decreases hospital costs

    PubMed ID: 9829607

    VLBW infant trial showed reduced morbidity and hospital costs with enteral glutamine — supports recovery/resilience.

  20. Effect of low-dose oral glutamine on painful stomatitis during bone marrow transplantation

    PubMed ID: 9722068

    BMT trial: improved mucositis and opioid use in autologous recipients and mixed/allogeneic effects — overall mixed but notable benefits.

  21. Randomized clinical outcome study of critically ill patients given glutamine-supplemented enteral nutrition

    PubMed ID: 9990574

    Enteral glutamine in ICU lowered postintervention hospital costs (no mortality difference) suggesting improved clinical course/resource use.

  22. Effect of a glutamine-enriched enteral diet on intestinal permeability and infectious morbidity at 28 days in critically ill patients with systemic inflammatory response syndrome: a randomized, single-blind, prospective, multicenter study

    PubMed ID: 12297203

    Reduced nosocomial infections in SIRS patients — meaningful clinical resilience benefit.

  23. Infection, multiple organ failure, and survival in the intensive care unit: influence of glutamine-supplemented parenteral nutrition on acquired infection

    PubMed ID: 12093428

    ICU parenteral glutamine reduced key infections and associated with improved medium-term survival in those fed ≄5 days.

  24. Decreased mortality and infectious morbidity in adult burn patients given enteral glutamine supplements: a prospective, controlled, randomized clinical trial

    PubMed ID: 14530749

    Burn RCT: large reductions in bloodstream infections and mortality with enteral glutamine — strong overall recovery signal.

  25. The effect of supplemental enteral glutamine on plasma levels, gut function, and outcome in severe burns: a randomized, double-blind, controlled clinical trial

    PubMed ID: 12903886

    Burn trial: biochemical and clinical improvements including shorter stay and improved gut barrier.

  26. Glutamine-enriched parenteral nutrition after autologous peripheral blood stem cell transplantation: effects on immune reconstitution and mucositis

    PubMed ID: 12604409

    Consistent transplant trials showed faster immune reconstitution and less mucositis with glutamine‑enriched nutrition.

  27. [Analysis of the therapeutic effect and the safety of glutamine granules per os in patients with severe burns and trauma]

    PubMed ID: 15447818

    Large RCT in severe burns/trauma with improved gut barrier, protein metabolism and immune indices — meaningful clinical recovery benefit.

  28. [Effects of glutamine granules on protein metabolism in trauma patients]

    PubMed ID: 15144667

    Multicenter RCT showing raised plasma glutamine, better nitrogen balance, faster wound healing and shorter hospital stay.

  29. A double-blind randomized placebo-controlled study of oral glutamine in the prevention of mucositis in children undergoing hematopoietic stem cell transplantation: a pediatric blood and marrow transplant consortium study

    PubMed ID: 16086046

    Pediatric stem‑cell transplant trial: fewer days on IV narcotics and TPN with oral glutamine — clinically meaningful recovery endpoints.

  30. Clinical and protein metabolic efficacy of glutamine granules-supplemented enteral nutrition in severely burned patients

    PubMed ID: 15774291

    Severe burn trial with biochemical and clinical benefits (reduced proteolysis, faster healing, shorter hospitalization).

  31. Glutamine granule-supplemented enteral nutrition maintains immunological function in severely burned patients

    PubMed ID: 16725264

    Strong RCT evidence in severe burns for improved immune function, faster wound healing and shorter hospitalization with glutamine.

  32. [Protective effect of glutamine on intestinal barrier function in patients receiving chemotherapy]

    PubMed ID: 16437375

    Reduced chemotherapy‑related intestinal permeability and maintained serum glutamine support mucosal integrity and recovery.

  33. Randomized, placebo-controlled trial of Saforis for prevention and treatment of oral mucositis in breast cancer patients receiving anthracycline-based chemotherapy

    PubMed ID: 17154160

    Large RCT showing reduced chemotherapy‑induced oral mucositis incidence and severity, indicating improved resilience to mucosal injury.

  34. Efficacy of glutamine-supplemented parenteral nutrition on short-term survival following allo-SCT: a randomized study

    PubMed ID: 18317456

    Randomized trial showing markedly better short‑term survival (D+180) after allo‑SCT with glutamine‑enriched PN — strong evidence for improved overall recovery/resilience in that setting.

  35. [Effect of retention enema with combination of compound glutamine entero-soluble capsule and glucocorticoids for treatment of ulcerative colitis]

    PubMed ID: 18822919

    Clinically meaningful symptom and response‑rate improvements in UC when glutamine was added to therapy point to improved disease‑specific recovery.

  36. Glutamine administration in patients undergoing cardiac surgery and the influence on blood glutathione levels

    PubMed ID: 19681775

    Biochemical improvements (↑plasma glutamine, preserved GSH) after cardiac surgery indicate enhanced physiological resilience, though clinical outcomes were not clearly improved.

  37. [Effects of glutamine-enriched enteral nutrition on nutritional status and prognosis of patients with severe head injury]

    PubMed ID: 19951555

    Preservation of lean tissue, improved glucose control and ~8‑day shorter hospital stay in severe head injury support meaningful overall recovery benefit.

  38. The impact of oral glutamine supplementation on the intestinal permeability and incidence of necrotizing enterocolitis/septicemia in premature neonates

    PubMed ID: 21463215

    Fewer NEC and septicemia and improved gut barrier in preterm infants demonstrates major resilience/clinical benefit.

  39. The inflammatory modulation effect of glutamine-enriched total parenteral nutrition in postoperative gastrointestinal cancer patients

    PubMed ID: 21396307

    Multiple positive postoperative outcomes (reduced IL‑6/CRP, improved nutrition, fewer infections) indicate improved overall recovery.

  40. [Intravenous glutamine and early nasojejunal nutrition in severe acute pancreatitis -- a prospective randomized clinical study]

    PubMed ID: 22512878

    Shorter hospital stay and fewer deaths in severe acute pancreatitis with IV glutamine indicates improved overall clinical recovery (small study).

  41. Effects of glutamine on brain development in very preterm children at school age

    PubMed ID: 23071202

    Neonatal glutamine associated with larger brain volumes at school age mediated by fewer infections—long‑term resilience signal.

  42. Clinical application of immune-enhanced enteral nutrition in patients with advanced gastric cancer after total gastrectomy

    PubMed ID: 22788925

    Postoperative EN+Gln improved immune/nutritional markers and shortened hospitalization after gastrectomy.

  43. [The effects of enteral administration of glutamine enriched solution in very low birth weight infants on reducing the symptoms of feeding intolerance. A prospective, randomized pilot study]

    PubMed ID: 23378398

    VLBW infant trial reduced feeding intolerance and trended toward fewer complications—improved recovery in neonates.

  44. [Effects of glutamine combined with ulinastatin on inflammatory response of patients with severe burn injury]

    PubMed ID: 24351534

    Burn trial (glutamine+ulinastatin) showed substantial improvements in healing, sepsis rates and hospital stay—strong recovery signal.

  45. L-glutamine decreases the severity of mucositis induced by chemoradiotherapy in patients with locally advanced head and neck cancer: a double-blind, randomized, placebo-controlled trial

    PubMed ID: 25351453

    Head‑and‑neck CRT patients had less mucositis, lower pain and shorter opioid/tube feeding needs with oral glutamine.

  46. EFFECTS OF ENTERAL GLUTAMINE SUPPLEMENTATION ON REDUCTION OF INFECTION IN ADULT PATIENTS WITH SEVERE BURNS

    PubMed ID: 26862634

    Burn RCT showing large reductions in bloodstream and wound infections implies substantial clinical resilience benefit.

  47. Enteral glutamine supplementation in surgical patients with head and neck malignancy: A randomized controlled trial

    PubMed ID: 24992652

    Postoperative enteral glutamine improved albumin, lean mass and quality-of-life after head/neck surgery.

  48. Interaction Between 2 Nutraceutical Treatments and Host Immune Status in the Pediatric Critical Illness Stress-Induced Immune Suppression Comparative Effectiveness Trial

    PubMed ID: 27660289

    Post-hoc subgroup of immunocompromised children showed fewer infections with a regimen including glutamine (exploratory).

  49. Application of Glutamine-enriched nutrition therapy in childhood acute lymphoblastic leukemia

    PubMed ID: 27401338

    Children with ALL maintained nutrition and immune markers and had less edema on glutamine-enriched nutrition.

  50. The role of glutamine supplemented total parenteral nutrition (TPN) in severe acute pancreatitis

    PubMed ID: 27775778

    Severe acute pancreatitis trial reported fewer complications, lower mortality and shorter stays with glutamine‑TPN.

  51. Influence of enteral glutamine on inflammatory and hormonal response in patients with rectal cancer during preoperative radiochemotherapy

    PubMed ID: 28272402

    Glutamine reduced IL‑6 and cortisol during radiochemotherapy, suggesting improved physiologic resilience.

  52. Randomised placebo-controlled trial of dietary glutamine supplements for postinfectious irritable bowel syndrome

    PubMed ID: 30108163

    Large RCT in post-infectious IBS‑D: glutamine normalized gut permeability and improved symptoms dramatically—translates to marked improvement in patient resilience/quality of life.

  53. A Phase 3 Trial of l-Glutamine in Sickle Cell Disease

    PubMed ID: 30021096

    Phase 3 trial in sickle cell disease: l‑glutamine reduced number of pain crises and hospitalizations over 48 weeks—strong clinical evidence for improving disease-related resilience/recovery.

  54. Efficacy of enteral glutamine supplementation in patients with severe and predicted severe acute pancreatitis- A randomized controlled trial

    PubMed ID: 31612309

    Enteral glutamine improved gut permeability and reduced IL‑6 in severe pancreatitis; mechanistic recovery signals though hard clinical endpoints were unchanged.

  55. Oral glutamine supplements reduce concurrent chemoradiotherapy-induced esophagitis in patients with advanced non-small cell lung cancer

    PubMed ID: 30813149

    Oral glutamine during chemoradiation substantially reduced esophagitis, delayed onset, and prevented weight loss—meaningful improvement in treatment tolerance and recovery.

  56. Efficacy Oral Glutamine to Prevent Oral Mucositis and Reduce Hospital Costs During Chemotherapy in Children with Acute Lymphoblastic Leukemia

    PubMed ID: 32711440

    Pediatric ALL trial showed large reductions in mucositis incidence/severity and shorter admissions, indicating major improvement in treatment resilience and recovery.

  57. L-Glutamine Supplementation Enhances Strength and Power of Knee Muscles and Improves Glycemia Control and Plasma Redox Balance in Exercising Elderly Women

    PubMed ID: 33809996

    Glutamine improved antioxidant status and muscle strength in older women, supporting functional recovery and resilience.

  58. Potential therapeutic effects of different mouthwashes for alleviation and treatment of oral complications of 5-fluorouracil-based chemotherapy in patients with colon cancer

    PubMed ID: 34285108

    Glutamine mouthwash markedly reduced chemo‑related oral mucositis and pain, enhancing tolerance of cancer therapy and recovery.

  59. Effect of Glutamine Administration After Cardiac Surgery on Kidney Damage in Patients at High Risk for Acute Kidney Injury: A Randomized Controlled Trial

    PubMed ID: 36730070

    IV glutamine reduced early kidney‑injury biomarkers after cardiac surgery — supports organ resilience in the perioperative period.

  60. Correlation Between Cardiac Index, Plasma Troponin I, Myocardial Histopathology, CPB and AoX Duration in Glutamine versus No Glutamine Administered Patients with Low Ejection Fraction Undergoing Elective On-Pump CABG Surgery: Secondary Analysis of an RCT

    PubMed ID: 36880009

    Perioperative IV glutamine improved cardiac biomarkers and indices after CABG in low‑EF patients, indicating enhanced recovery potential.

  61. Clinical, Functional, and Nutritional Efficacy of a Glutamine-Enriched Oligomeric Diet in Patients with Rectal Cancer

    PubMed ID: 37994411

    Glutamine‑enriched diet reduced treatment‑related GI toxicity in rectal cancer patients, contributing to overall treatment resilience.

  62. Safety and efficacy of L-Glutamine in reducing the frequency of acute complications among patients with sickle cell disease: A randomized controlled study

    PubMed ID: 39028356

    Oral L‑glutamine in children with sickle cell disease significantly reduced VOC frequency and hospitalizations and improved QoL — strong overall resilience/recovery benefit.

  63. Clinical and biochemical assessment of the effect of glutamine in management of radiation induced oral mucositis in patients with head and neck cancer: Randomized controlled clinical trial

    PubMed ID: 38493953

    Oral glutamine improved radiation‑induced mucositis severity and symptoms — clinically relevant for recovery in cancer patients.

  64. Effectiveness of Glutamine Oral Care in Reducing Oral Mucositis and Improving Oral Health After Neurosurgery: A Randomized Controlled Trial with Microbiome Analysis

    PubMed ID: 38384124

    Large RCT after neurosurgery found topical glutamine reduced mucositis and pneumonia — meaningful improvement in post‑operative recovery/resilience.

  65. Bifidobacterium regulates premature infant gut metabolites, reducing serum inflammatory factors: a randomised controlled trial

    PubMed ID: 39271904

    Probiotic‑driven intestinal glutamine increases were associated with reduced inflammation and feeding intolerance in preemies — supports resilience via gut immunity and nutrition.

  66. Effects of L-glutamine and hyaluronic acid associated with photobiomodulation on oral mucositis: a randomized clinical trial

    PubMed ID: 40295318

    Topical glutamine + HA reduced severe mucositis and improved symptom scores in radiochemotherapy — contributes to overall patient recovery.

  67. Intervention and Mechanisms of Alanyl-glutamine for Inflammation, Nutrition, and Enteropathy: A Randomized Controlled Trial

    PubMed ID: 32826717

    Oral Ala‑Gln improved gut barrier and transient weight measures in undernourished children—supporting short‑term recovery of mucosal/nutritional status.

  68. [Clinical effect of alanyl-glutamine-enriched nutritional support in the treatment of children with abdominal Henoch-Schönlein purpura]

    PubMed ID: 30782281

    Ala‑Gln reduced steroid use and weight loss in pediatric illness—meaningful clinical recovery benefit.

  69. A randomized controlled trial of alanyl-glutamine supplementation in peritoneal dialysis fluid to assess impact on biomarkers of peritoneal health

    PubMed ID: 30360960

    Ala‑Gln in PD patients improved membrane health and immune biomarkers—supports clinical resilience in chronic therapy setting.

  70. The influence of parenteral glutamine supplementation on glucose homeostasis in critically ill polytrauma patients--A randomized-controlled clinical study

    PubMed ID: 24931756

    Parenteral Ala‑Gln reduced hyperglycemia and insulin needs in polytrauma ICU patients (clinical recovery metric).

  71. Intravenous alanyl-L-glutamine balances glucose-insulin homeostasis and facilitates recovery in patients undergoing colonic resection: a randomised controlled trial

    PubMed ID: 24374803

    Perioperative IV Ala‑Gln improved metabolic/inflammatory markers and sped recovery after colon surgery.

  72. Randomized clinical trial of glutamine-supplemented versus standard parenteral nutrition in infants with surgical gastrointestinal disease

    PubMed ID: 22513659

    Infant trial showed reduced sepsis risk during TPN period — supports improved resilience to infection in a specific context.

  73. Nutrition support with glutamine dipeptide in patients undergoing liver transplantation

    PubMed ID: 20005375

    Liver transplant patients had improved nutrition markers, less liver injury and shorter hospital stays with Ala‑Gln.

  74. The effect of intravenous alanyl-glutamine supplementation on plasma glutathione levels in intensive care unit trauma patients receiving enteral nutrition: the results of a randomized controlled trial

    PubMed ID: 19608826

    In trauma ICU patients Ala‑Gln increased plasma glutathione (antioxidant) suggesting improved physiological resilience.

  75. [Effect of glutamine on serum interleukin-8 and tumor necrosis factor-alpha levels in patients with severe pancreatitis]

    PubMed ID: 18227044

    In severe pancreatitis Ala‑Gln raised glutamine, lowered inflammatory cytokines and associated with shorter stay and lower mortality.

  76. The role of parenteral glutamine supplement for surgical patient perioperatively: result of a single center, prospective and controlled study

    PubMed ID: 18712409

    Perioperative Ala‑Gln reduced inflammation and immune suppression after GI surgery (supports resilience).

  77. Efficacy of parenteral nutrition supplemented with glutamine dipeptide to decrease hospital infections in critically ill surgical patients

    PubMed ID: 18596310

    In critically ill surgical PN patients, Ala-Gln reduced infections (subgroup) and improved organ indices — supports improved recovery.

  78. L-alanyl-L-glutamine-supplemented parenteral nutrition decreases infectious morbidity rate in patients with severe acute pancreatitis

    PubMed ID: 18596311

    Reduced infections, improved nitrogen balance and immune markers in severe acute pancreatitis — overall recovery benefit.

  79. Impact of alanyl-glutamine dipeptide on severe acute pancreatitis in early stage

    PubMed ID: 18200673

    Early IV Ala-Gln in severe acute pancreatitis produced large reductions in organ-failure durations, LOS and mortality — strong evidence of improved overall recovery/resilience.

  80. [Effect of early enriched parenteral alanyl-glutamine on heat shock protein 70 (HSP70) expression in critical patients]

    PubMed ID: 17708846

    Early PN glutamine raised HSP70 and was associated with fewer organ dysfunctions — supports resilience in critical illness.

  81. Wasting and intestinal barrier function in children taking alanyl-glutamine-supplemented enteral formula

    PubMed ID: 17325559

    Enteral Ala-Gln produced improved gut barrier and weight gain in undernourished children — meaningful recovery/resilience in that population.

  82. [The prospective study on application of parenteral nutrition with alanyl-glutamine dipeptide in chemotherapy of gastrointestinal neoplasms patients]

    PubMed ID: 16965691

    Parenteral Ala-Gln in GI cancer chemo patients reduced side effects and preserved nutrition markers — aids overall recovery during treatment.

  83. [The effects of glutamine dipeptide on the improvement of endotoxemia in severely burned patients]

    PubMed ID: 12641984

    Burn patients had faster wound healing and shorter hospital stays with oral Ala-Gln — clear recovery benefit.

  84. Parenteral L-alanyl-L-glutamine improves 6-month outcome in critically ill patients

    PubMed ID: 12352037

    Parenteral Ala-Gln increased plasma glutamine and was associated with substantially better 6-month survival in patients treated ≄9 days (clinically meaningful resilience effect).

  85. The impact of alanyl-glutamine on clinical safety, nitrogen balance, intestinal permeability, and clinical outcome in postoperative patients: a randomized, double-blind, controlled study of 120 patients

    PubMed ID: 10483898

    Large RCT: Ala‑Gln in PN improved nitrogen balance, gut permeability and shortened hospital stay (strong overall recovery evidence).

  86. 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

    Preop HMB+Arg+Gln shortened ICU/hospital stay after cardiac surgery, indicating improved perioperative recovery though glutamine attribution is confounded.

  87. [Effects of ulinastatin combined with glutamine on early hemodynamics in patients with severe burns]

    PubMed ID: 32114728

    Burn patients receiving glutamine (with ulinastatin) had improved hemodynamics and lung water.

  88. Effect of the route of nutrition and L-alanyl-L-glutamine supplementation in amino acids' concentration in trauma patients

    PubMed ID: 28980034

    Modest increases in plasma glutamine in trauma patients support biochemical recovery capacity.

  89. [Cardioprotective effects of glutamine in patients with ischemic heart disease operated under conditions of extracorporeal blood circulation]

    PubMed ID: 22834281

    Perioperative trial showed cardioprotective/hemodynamic benefits after cardiac surgery.

  90. The effect of L-alanyl-L-glutamine dipeptide supplemented total parenteral nutrition on infectious morbidity and insulin sensitivity in critically ill patients

    PubMed ID: 21336131

    ICU RCT: fewer infections and improved glycemic control indicate better clinical resilience.

  91. Effects of glutamine supplementation on patients undergoing abdominal surgery

    PubMed ID: 19382426

    Preserved glutathione and albumin with trends to fewer infections suggest better postoperative resilience/recovery.

  92. L-alanin-L-glutamine supplementation improves the outcome after colorectal surgery for cancer

    PubMed ID: 17573745

    Perioperative glutamine reduced wound complications and hospital stay after colorectal cancer surgery, indicating enhanced recovery.

  93. L-alanyl-L-glutamine dipeptide-supplemented total parenteral nutrition reduces infectious complications and glucose intolerance in critically ill patients: the French controlled, randomized, double-blind, multicenter study

    PubMed ID: 16505644

    Large multicenter RCT showing reduced complicated outcomes and infections with alanyl-glutamine in critically ill patients—strong evidence for improved recovery/resilience.

  94. Glutamine-enriched enteral nutrition in very-low-birth-weight infants and effects on feeding tolerance and infectious morbidity: a randomized controlled trial

    PubMed ID: 15941893

    Reduced infectious morbidity in VLBW infants shows meaningful resilience benefits in a vulnerable population.

  95. L-alanyl-L-glutamine-supplemented parenteral nutrition improves infectious morbidity in secondary peritonitis

    PubMed ID: 14757388

    Lower infectious morbidity and better protein/immune markers after severe abdominal infection support improved clinical recovery.

  96. [Effect of alanyl-glutamine in postoperative total parenteral nutrition on postoperative immunosuppression and morbidity. Preliminary results of a prospective randomized study]

    PubMed ID: 9931687

    Alanyl‑glutamine substitution in TPN was associated with less inflammation, faster immune recovery and fewer complications—strong evidence for improved overall postoperative resilience.

  97. Nitrogen balance, 3-methylhistidine excretion, and plasma amino acid profile in infants after cardiac operations for congenital heart defects: the effect of early nutritional support

    PubMed ID: 9434700

    Parenteral amino‑acid support blunted postoperative proteolysis and improved nitrogen balance in infants—supports overall recovery.

  98. [A prospectively randomized controlled study of the effects of intensive insulin therapy combined with glutamine on nutritional metabolism, inflammatory response, and hemodynamics in severe burn patients]

    PubMed ID: 34645147

    Combined Ala‑Gln and intensive insulin in burns improved glycemic/hemodynamic measures—supports better overall physiologic recovery (confounded).

  99. A randomized double-blind controlled proof-of-concept study of alanyl-glutamine for reduction of post-myomectomy adhesions

    PubMed ID: 37023559

    Marked reduction in postoperative adhesions with intraperitoneal Ala‑Gln translates to substantial improvement in surgical recovery and outcomes.

  100. Effects of Ala-Gln dipeptide parenteral nutrition on rehabilitation and infection of liver transplantation patients

    PubMed ID: 40996178

    Parenteral Ala‑Gln after liver transplant improved nutrition markers, shortened ICU/hospital stay and reduced infections—strong overall recovery signal.

  101. Effects of enteral supplementation with glutamine granules on intestinal mucosal barrier function in severe burned patients

    PubMed ID: 15019120

    Burn RCT: improved gut barrier and shortened hospital stay with glutamine — strong evidence for improved overall recovery in severe injury.

  102. Apolipoprotein E4 influences growth and cognitive responses to micronutrient supplementation in shantytown children from northeast Brazil

    PubMed ID: 22249475

    Undernourished child trial: gut and growth improvements with glutamine linked to later cognitive gains in a subgroup — supports long-term resilience benefits in malnutrition contexts.

  103. Effects of different resuscitation fluid on severe acute pancreatitis

    PubMed ID: 23599623

    Acute pancreatitis trial: glutamine-containing fluids reduced infections and improved gut barrier and inflammation — strong support for resilience in critical illness.

  104. Glutamine relieves the hypermetabolic response and reduces organ damage in severe burn patients: A multicenter, randomized controlled clinical trial

    PubMed ID: 34973853

    Severe burn RCT: glutamine attenuated hypermetabolism, reduced organ‑injury and intestinal permeability markers — broad clinical recovery benefits.

  105. A randomized controlled trial of the influence of the mode of enteral ornithine alpha-ketoglutarate administration in burn patients

    PubMed ID: 9482764

    OKG improved nitrogen balance and wound healing in burns—broad benefits to recovery.

  106. Myocardial Protecting Role of Glutamine in Patients with Low Ejection Fraction Undergoing Elective On-Pump Coronary Artery Bypass Graft Surgery

    PubMed ID: 35411147

    Perioperative IV glutamine reduced cardiac injury/lactate and increased cardiac index—supports improved recovery after major surgery.

  107. A randomized trial of isonitrogenous enteral diets after severe trauma. An immune-enhancing diet reduces septic complications

    PubMed ID: 8857857

    Immune-enhancing enteral diet containing glutamine reduced major infections and resource use after severe trauma — strong clinical recovery signal (multi-nutrient).

  108. Randomised trial of glutamine-enriched enteral nutrition on infectious morbidity in patients with multiple trauma

    PubMed ID: 9737282

    Trauma RCT with glutamine‑enriched enteral nutrition produced large reductions in infectious complications — major contribution to overall recovery/resilience.

  109. Modulation of postoperative immune and inflammatory response by immune-enhancing enteral diet in gastrointestinal cancer patients

    PubMed ID: 11819790

    Perioperative immunonutrition with glutamine improved immune function and lowered inflammation — supports postoperative resilience (multi‑nutrient formula).

  110. 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 ICU patients had faster organ-dysfunction score improvement with enteral glutamine dipeptides plus antioxidants — indicates resilience under stress.

  111. Enriched enteral nutrition may improve short-term survival in stage IV gastric cancer patients: A randomized, controlled trial

    PubMed ID: 28336107

    Enriched enteral feeding reduced early mortality after stomach cancer surgery — supports improved overall postoperative resilience.

  112. Efficacy of preoperative immunonutrition in locally advanced pancreatic cancer undergoing irreversible electroporation (IRE)

    PubMed ID: 28162818

    Preoperative immunonutrition shortened LOS and reduced complications after pancreatic surgery — broad recovery benefit.

  113. Oral Supplementation with Beta-Hydroxy-Beta-Methylbutyrate, Arginine, and Glutamine Improves Lean Body Mass in Healthy Older Adults

    PubMed ID: 29672184

    Multi-month improvements in lean mass and function in older adults reflect enhanced recovery/resilience.

  114. 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

    Marked reductions in fistula recurrence and infections with preop arginine+glutamine show powerful clinical resilience benefits.

  115. Effect of administration of ÎČ-hydroxy-ÎČ-methyl butyrate-enriched formula after liver transplantation: A pilot randomized controlled trial

    PubMed ID: 32593895

    Post‑transplant improvements in strength, muscle mass, and shorter LOS indicate enhanced overall recovery with HMB/Arg/Gln-containing formula.

  116. Effect of a perioperative immune-enhancing diet in clean-contaminated head and neck cancer surgery: A randomized controlled trial

    PubMed ID: 34371175

    Perioperative immunonutrition reduced fistula rates and LOS after head & neck surgery — strong overall recovery signal.

  117. 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/Arg/Gln blunted postoperative inflammation — supports broader recovery and resilience (combination product).

  118. 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 substantially reduced severe mucositis and mitigated weight loss during chemoradiation — clinically meaningful resilience benefit (combination).

  119. Effects of preoperative beta-hydroxy-beta-methylbutyrate, arginine, and glutamine supplementation on cardiac surgery: A randomized controlled trial

    PubMed ID: 39765161

    Preop HMB/Arg/Gln improved exercise capacity, function and shortened hospital stay — strong multi-domain recovery/resilience signal (multi-ingredient).

  120. L-arginine vs. L-glutamine oral suspensions for radiation-induced oral mucositis: a triple-blind randomized trial

    PubMed ID: 40603739

    Oral glutamine directly reduced mucositis severity/pain and preserved body weight during RT — strong evidence of improved overall recovery in that setting (direct glutamine RCT).

  121. [Impact of glutamine, eicosapntemacnioc acid, branched-chain amino acid supplements on nutritional status and treatment compliance of esophageal cancer patients on concurrent chemoradiotherapy and gastric cancer patients on chemotherapy]

    PubMed ID: 26080850

    Cancer patients taking a glutamine+EPA+BCAA supplement maintained muscle and had fewer infections and better therapy completion (clinical resilience benefits, product combined).

  122. Tryptophan, glutamine, leucine, and micronutrient supplementation improves environmental enteropathy in Zambian adults: a randomized controlled trial

    PubMed ID: 31504110

    Amino‑acid supplement including glutamine improved small‑bowel villus morphology and barrier leak modestly in environmental enteropathy (supports mucosal resilience).

  123. Dietary supplementation with glutamine and Îł-aminobutyric acid improves growth performance and serum parameters in 22- to 35-day-old broilers exposed to hot environment

    PubMed ID: 25980810

    Dietary glutamine in heat‑stressed broilers improved growth and reduced stress biomarkers — preclinical evidence of resilience benefits.

Immune support (84)
  1. L-alanyl-L-glutamine-supplemented parenteral nutrition improves infectious morbidity in secondary peritonitis

    PubMed ID: 14757388

    TPN with L-alanyl-L-glutamine reduced infectious morbidity and improved immune/nitrogen markers after secondary peritonitis.

  2. Glutamine-enriched enteral nutrition in very-low-birth-weight infants and effects on feeding tolerance and infectious morbidity: a randomized controlled trial

    PubMed ID: 15941893

    Enteral glutamine in VLBW infants significantly reduced infectious morbidity vs control (robust RCT result).

  3. L-alanyl-L-glutamine dipeptide-supplemented total parenteral nutrition reduces infectious complications and glucose intolerance in critically ill patients: the French controlled, randomized, double-blind, multicenter study

    PubMed ID: 16505644

    Large ICU RCT: alanyl-glutamine reduced infections (including pneumonia) and mean infections per patient significantly.

  4. The effect of L-alanyl-L-glutamine dipeptide supplemented total parenteral nutrition on infectious morbidity and insulin sensitivity in critically ill patients

    PubMed ID: 21336131

    Alanine‑glutamine in TPN reduced ventilator‑associated pneumonia and UTIs in ICU RCT.

  5. The impact of alanyl-glutamine on clinical safety, nitrogen balance, intestinal permeability, and clinical outcome in postoperative patients: a randomized, double-blind, controlled study of 120 patients

    PubMed ID: 10483898

    Ala‑Gln‑supplemented PN maintained gut barrier and attenuated postoperative immune depression (large RCT).

  6. Application of Glutamine-enriched nutrition therapy in childhood acute lymphoblastic leukemia

    PubMed ID: 27401338

    Children with ALL: glutamine-enriched nutrition preserved T-cell subsets and reduced edema.

  7. Interaction Between 2 Nutraceutical Treatments and Host Immune Status in the Pediatric Critical Illness Stress-Induced Immune Suppression Comparative Effectiveness Trial

    PubMed ID: 27660289

    Post-hoc subgroup: multimodal product including glutamine associated with fewer infections in immunocompromised children.

  8. Glutamine effects on heat shock protein 70 and interleukines 6 and 10: Randomized trial of glutamine supplementation versus standard parenteral nutrition in critically ill children

    PubMed ID: 25701159

    Critically ill children: glutamine maintained HSP-70 and reduced IL-6 (biomarkers of immune/stress response).

  9. EFFECTS OF ENTERAL GLUTAMINE SUPPLEMENTATION ON REDUCTION OF INFECTION IN ADULT PATIENTS WITH SEVERE BURNS

    PubMed ID: 26862634

    Double-blind RCT in severe burns: marked reduction in bloodstream and wound infections.

  10. Effect of Glutamine's nutrition support on the postoperative nutrition and immune function in malignant tumor of gynecology patients

    PubMed ID: 25016261

    Enteral immune nutrition containing glutamine improved immune indices postoperatively.

  11. [Effects of glutamine combined with ulinastatin on inflammatory response of patients with severe burn injury]

    PubMed ID: 24351534

    Burn patients receiving glutamine+ulinastatin had improved inflammatory markers and reduced sepsis.

  12. Clinical application of immune-enhanced enteral nutrition in patients with advanced gastric cancer after total gastrectomy

    PubMed ID: 22788925

    Post‑gastrectomy EN+glutamine increased CD4+, NK cells and IgM/IgG vs control.

  13. Effects of glutamine on brain development in very preterm children at school age

    PubMed ID: 23071202

    Neonatal glutamine linked to larger brain volumes mediated by fewer early infections—indirect evidence of immune protection.

  14. The inflammatory modulation effect of glutamine-enriched total parenteral nutrition in postoperative gastrointestinal cancer patients

    PubMed ID: 21396307

    Postoperative glutamine‑enriched TPN lowered IL‑6/CRP and reduced infectious complications.

  15. The impact of oral glutamine supplementation on the intestinal permeability and incidence of necrotizing enterocolitis/septicemia in premature neonates

    PubMed ID: 21463215

    Preterm neonates given oral glutamine had improved gut barrier and fewer NEC and bloodstream infections—clear immune‑related clinical benefit.

  16. Glutamine-supplemented total parenteral nutrition improves immunological status in anorectic patients

    PubMed ID: 20122815

    Glutamine‑supplemented TPN produced large increases in neopterin and lymphocytes, indicating strong immune activation.

  17. Effect on immune indices of preoperative intravenous glutamine dipeptide supplementation in malnourished abdominal surgery patients in the preoperative and postoperative periods

    PubMed ID: 19647623

    Preoperative IV glutamine transiently increased WBC, granulocyte and lymphocyte counts, consistent with short‑term immune stimulation.

  18. Efficacy of glutamine-supplemented parenteral nutrition on short-term survival following allo-SCT: a randomized study

    PubMed ID: 18317456

    Glutamine‑enriched PN improved survival after allo‑SCT, plausibly via immune‑related mechanisms (clinical immune‑relevant outcome).

  19. Glutamine supplementation influences immune development in the newly weaned piglet

    PubMed ID: 16697041

    Piglet study showed gut‑associated immune modulation (Th1 responses), supporting an immune role (animal model).

  20. [Effects of perioperative enteral immunonutrition on nutritional status, immunity and inflammatory response of elderly patients]

    PubMed ID: 16796925

    Perioperative immunonutrition including glutamine improved immune lab markers in elderly surgical patients (multi‑nutrient confounder).

  21. Glutamine granule-supplemented enteral nutrition maintains immunological function in severely burned patients

    PubMed ID: 16725264

    Severely burned patients showed increased cellular immune indices and fewer hospital days with oral glutamine.

  22. [Effects of glutamine granules on immunofunction in trauma patients: a double-blind randomized controlled, multi-center clinical trail with 120 patients]

    PubMed ID: 16194311

    Oral glutamine in trauma/burn patients raised plasma glutamine and reported improved immune markers (randomized).

  23. Glutamine-enriched enteral nutrition increases in vitro interferon-gamma production but does not influence the in vivo specific antibody response to KLH after severe trauma. A prospective, double blind, randomized clinical study

    PubMed ID: 15158303

    Enteral glutamine after severe trauma restored Type‑1 T‑cell IFN‑γ responses by day 14—clear immunomodulation.

  24. [Analysis of the therapeutic effect and the safety of glutamine granules per os in patients with severe burns and trauma]

    PubMed ID: 15447818

    Oral glutamine in severe burn/trauma raised plasma Gln and improved gut‑barrier and immune indices (large RCT).

  25. Randomized, double-blind, controlled study of glycyl-glutamine-dipeptide in the parenteral nutrition of patients with acute leukemia undergoing intensive chemotherapy

    PubMed ID: 14990264

    Glycyl‑glutamine shortened neutropenia and sped neutrophil recovery in a chemo subgroup—direct immunologic/hematologic benefit.

  26. Glutamine-enriched parenteral nutrition after autologous peripheral blood stem cell transplantation: effects on immune reconstitution and mucositis

    PubMed ID: 12604409

    Glutamine-enriched TPN after autologous SCT sped lymphocyte recovery and reduced mucositis (immune reconstitution).

  27. The effect of supplemental enteral glutamine on plasma levels, gut function, and outcome in severe burns: a randomized, double-blind, controlled clinical trial

    PubMed ID: 12903886

    Burn trial: increased plasma glutamine and improved gut barrier — associated immune benefits and fewer complications.

  28. Decreased mortality and infectious morbidity in adult burn patients given enteral glutamine supplements: a prospective, controlled, randomized clinical trial

    PubMed ID: 14530749

    Burn patients: fewer bloodstream infections and lower mortality with enteral glutamine.

  29. Infection, multiple organ failure, and survival in the intensive care unit: influence of glutamine-supplemented parenteral nutrition on acquired infection

    PubMed ID: 12093428

    ICU parenteral glutamine reduced catheter/Candida infections and improved 6‑month survival in adequately fed patients.

  30. Effect of a glutamine-enriched enteral diet on intestinal permeability and infectious morbidity at 28 days in critically ill patients with systemic inflammatory response syndrome: a randomized, single-blind, prospective, multicenter study

    PubMed ID: 12297203

    Multicenter RCT in SIRS showed fewer acquired infections (esp. pneumonia) with enteral glutamine.

  31. Glutamine-enriched enteral nutrition increases HLA-DR expression on monocytes of trauma patients

    PubMed ID: 12221212

    Trauma RCT: enteral glutamine restored plasma glutamine and increased monocyte HLA‑DR (immune marker).

  32. Enteral glutamine supplementation for very-low-birth-weight infants decreases hospital costs

    PubMed ID: 9829607

    Enteral glutamine in VLBW infants lowered morbidity and costs — consistent immune benefit.

  33. Six-month outcome of critically ill patients given glutamine-supplemented parenteral nutrition

    PubMed ID: 9178278

    Duplicate report of the ICU PN trial showing improved survival with glutamine.

  34. [Effect of alanyl-glutamine in postoperative total parenteral nutrition on postoperative immunosuppression and morbidity. Preliminary results of a prospective randomized study]

    PubMed ID: 9931687

    Alanyl‑glutamine added to TPN accelerated recovery of immune markers and reduced postoperative complications.

  35. Enteral glutamine supplementation for very low birth weight infants decreases morbidity

    PubMed ID: 9403648

    Enteral glutamine in VLBW infants reduced hospital-acquired sepsis — strong immune benefit.

  36. Outcome of critically ill patients after supplementation with glutamine

    PubMed ID: 9263282

    Parenteral glutamine in critically ill increased 6‑month survival, consistent with improved resilience/immune outcomes.

  37. A cost-evaluation of glutamine-supplemented parenteral nutrition in adult bone marrow transplant patients

    PubMed ID: 7963169

    Randomized PN trial in BMT patients: glutamine improved nitrogen balance, shortened hospital stay and reduced infection rates — strong clinical immune-related benefit.

  38. Clinical and metabolic efficacy of glutamine-supplemented parenteral nutrition after bone marrow transplantation. A randomized, double-blind, controlled study

    PubMed ID: 1567096

    Randomized parenteral glutamine after BMT improved nitrogen balance, markedly reduced clinical infections and shortened hospital stay → strong immune-support signal.

  39. [Impact of microbial immune enteral nutrition on postoperative insulin resistance and infectious complication of patients with abdominal infection]

    PubMed ID: 25070447

    Enteral formula containing glutamine + probiotics/fish oil halved infectious morbidity and improved T-cell/NK counts post-op (multi‑component intervention).

  40. [Application of microbiological and immunological enteral nutrition in patients with gastrointestinal cancer complicated with diabetes mellitus]

    PubMed ID: 22648843

    Enteral nutrition with glutamine/probiotics/fish oil improved immune cell counts and shortened stay in GI cancer patients (confounded).

  41. The clinical value of parenteral immunonutrition in surgical patients

    PubMed ID: 15906909

    Perioperative immunonutrition including glutamine reduced postoperative infectious complications and sped marker recovery (attribution shared among components).

  42. Effect of microbiological and immunological enteral nutrition on intestinal function and immune status in the patients with long-term use of antibiotics

    PubMed ID: 24089227

    Formula with L‑glutamide (glutamine derivative) plus probiotics and fish oil improved immune cell counts vs standard formula (multi-component).

  43. Effect of parenteral glutamine supplementation on plasma amino acid concentrations in extremely low-birth-weight infants

    PubMed ID: 12600870

    Large randomized parenteral glutamine raised plasma glutamine (~30%); higher glutamine availability plausibly supports immune cells though clinical immune endpoints not shown here.

  44. The effects of intravenous, enteral and combined administration of glutamine on malnutrition in sepsis: a randomized clinical trial

    PubMed ID: 24561970

    In malnourished septic patients combined glutamine routes improved nutrition/muscle indices and organ-failure scores (clinical context of immune stress).

  45. The effect of oral glutamine on 5-fluorouracil/leucovorin-induced mucositis/stomatitis assessed by intestinal permeability test

    PubMed ID: 16949180

    Oral glutamine around chemotherapy markedly reduced mucositis and intestinal permeability, which can lower infection risk.

  46. Enteral nutrition supplemented with L-glutamine in patients with systemic inflammatory response syndrome due to pulmonary infection

    PubMed ID: 22055478

    Enteral glutamine in moderately ill ICU patients increased lymphocyte counts and reduced lipid peroxidation (direct immune/oxidative benefits).

  47. [Impact of glutamine, eicosapntemacnioc acid, branched-chain amino acid supplements on nutritional status and treatment compliance of esophageal cancer patients on concurrent chemoradiotherapy and gastric cancer patients on chemotherapy]

    PubMed ID: 26080850

    Cancer patients receiving a glutamine+EPA+BCAA supplement had fewer infection‑related complications (clinical benefit but combined product).

  48. Impact of preoperative beta-hydroxy-beta-methylbutyrate, arginine, and glutamine supplementation on inflammation in patients with cardiac surgery: A secondary analysis of a randomized controlled trial

    PubMed ID: 40914430

    Secondary analysis: preop multi-ingredient supplement lowered TNF-α vs control, supporting immune-modulation (combined ingredients).

  49. 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

    Preop HMB/Arg/Gln markedly attenuated postoperative inflammatory markers (IL‑6, CRP, IL‑1) — strong anti-inflammatory/immune-modulating signal (combination product).

  50. Effect of a perioperative immune-enhancing diet in clean-contaminated head and neck cancer surgery: A randomized controlled trial

    PubMed ID: 34371175

    Perioperative immunonutrition including glutamine reduced fistula rates and improved early protein markers — immune-related surgical benefit.

  51. 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

    Post‑gastrectomy immunonutrition (arginine, glutamine, omega‑3, nucleotides) increased immune cell counts and decreased inflammatory markers.

  52. Arginine, glutamine, and fish oil supplementation in cancer patients treated with concurrent chemoradiotherapy: A randomized control study

    PubMed ID: 31146957

    Combined supplement with glutamine reduced severe hematologic toxicity during chemoradiotherapy, consistent with immune/hematologic support.

  53. 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 infectious complications and inflammatory markers in fistula patients.

  54. Efficacy of preoperative immunonutrition in locally advanced pancreatic cancer undergoing irreversible electroporation (IRE)

    PubMed ID: 28162818

    Preoperative immunonutrition including glutamine reduced postoperative complications and markers of risk — supports immune-modulating effects.

  55. Randomized study of antiinflammatory and immune-modulatory effects of enteral immunonutrition during concurrent chemoradiotherapy for esophageal cancer

    PubMed ID: 24274379

    Immunonutrition with glutamine blunted CRP and TNF rises during chemoradiation — clinically relevant immune effect (multi-nutrient).

  56. Role of enteral immunonutrition in patients with gastric carcinoma undergoing major surgery

    PubMed ID: 15851366

    Post-gastric cancer surgery immunonutrition (including glutamine) improved immune markers (CD4, Ig), though multi-component.

  57. Modulation of postoperative immune and inflammatory response by immune-enhancing enteral diet in gastrointestinal cancer patients

    PubMed ID: 11819790

    Randomized perioperative enteral formula with glutamine (plus arginine/omega‑3) improved immune cell function and lowered inflammatory markers (multi‑nutrient but relevant).

  58. Randomised trial of glutamine-enriched enteral nutrition on infectious morbidity in patients with multiple trauma

    PubMed ID: 9737282

    Randomized trauma trial: glutamine‑enriched enteral nutrition markedly reduced pneumonia, bacteraemia and sepsis — strong clinical immune benefit.

  59. A randomized trial of isonitrogenous enteral diets after severe trauma. An immune-enhancing diet reduces septic complications

    PubMed ID: 8857857

    Enteral immune-enhancing formula containing glutamine markedly reduced major infections after severe trauma, but formula had multiple active nutrients.

  60. Glutamine relieves the hypermetabolic response and reduces organ damage in severe burn patients: A multicenter, randomized controlled clinical trial

    PubMed ID: 34973853

    Severe burn RCT: IV glutamine reduced organ‑injury biomarkers and gut permeability — likely reduces infection risk and supports immune resilience.

  61. The impact of microbial immune enteral nutrition on the patients with acute radiation enteritis in bowel function and immune status

    PubMed ID: 24366547

    Enteral formula containing glutamine improved some T‑cell measures in radiation enteritis but multi‑ingredient product limits attribution.

  62. Effects of different resuscitation fluid on severe acute pancreatitis

    PubMed ID: 23599623

    In severe acute pancreatitis adding glutamine dipeptide to fluids was associated with fewer infections and lower inflammatory markers.

  63. [The change of intestinal mucosa barrier in chronic severe hepatitis B patients and clinical intervention]

    PubMed ID: 19874691

    Oral glutamine reduced endotoxin and gut‑damage markers in chronic hepatitis B—indirectly supports immune state by lowering endotoxemia.

  64. Effects of Ala-Gln dipeptide parenteral nutrition on rehabilitation and infection of liver transplantation patients

    PubMed ID: 40996178

    Post‑transplant parenteral Ala‑Gln lowered infections and improved immune/nutrition markers—strong clinical immune benefit.

  65. [Clinical effect of alanyl-glutamine-enriched nutritional support in the treatment of children with abdominal Henoch-Schönlein purpura]

    PubMed ID: 30782281

    Ala‑Gln in children with Henoch‑Schönlein reduced steroid use and symptom recurrence, indicating reduced inflammatory burden.

  66. A randomized controlled trial of alanyl-glutamine supplementation in peritoneal dialysis fluid to assess impact on biomarkers of peritoneal health

    PubMed ID: 30360960

    Ala‑Gln in PD fluid increased ex‑vivo stimulated IL‑6/TNFα and reduced systemic IL‑8—direct immune‑competence improvements.

  67. Improvement of intestinal permeability with alanyl-glutamine in HIV patients: a randomized, double blinded, placebo-controlled clinical trial

    PubMed ID: 23657308

    Improved intestinal absorption/permeability in HIV can support mucosal immunity (clinical RCT).

  68. EFFECTS OF STANDARD AND/OR GLUTAMINE DIPEPTIDE AND/OR OMEGA-3 FATTY ASCID-SUPPLEMENTED PARENTERAL NUTRITION ON NEUTROPHIL FUNCTIONS, INTERLEUKIN-8 LEVEL AND LENGTH OF STAY--A DOUBLE BLIND,CONTROLLED, RANDOMISED STUDY

    PubMed ID: 26866103

    TPN with glutamine increased neutrophil phagocytosis in malnourished cancer patients.

  69. Randomized clinical trial of glutamine-supplemented versus standard parenteral nutrition in infants with surgical gastrointestinal disease

    PubMed ID: 22513659

    Large infant trial: glutamine in PN greatly reduced sepsis risk during the TPN-only period — direct immune/infection benefit in that context.

  70. Influence of enteral glutamine on inflammatory and hormonal response in patients with rectal cancer during preoperative radiochemotherapy

    PubMed ID: 28272402

    Enteral glutamine during radiochemotherapy lowered IL-6 (inflammation) vs placebo.

  71. Efficacy of enteral glutamine supplementation in patients with severe and predicted severe acute pancreatitis- A randomized controlled trial

    PubMed ID: 31612309

    Enteral glutamine in severe acute pancreatitis reduced IL-6 and improved gut permeability, indicating reduced systemic inflammation and gut-mediated immune activation.

  72. Effectiveness of Glutamine Oral Care in Reducing Oral Mucositis and Improving Oral Health After Neurosurgery: A Randomized Controlled Trial with Microbiome Analysis

    PubMed ID: 38384124

    Topical/oral glutamine rinse reduced oral bacterial colonization and pneumonia incidence after neurosurgery — clinically meaningful immune/anti‑infective benefit.

  73. Bifidobacterium regulates premature infant gut metabolites, reducing serum inflammatory factors: a randomised controlled trial

    PubMed ID: 39271904

    Probiotic raised intestinal glutamine and decreased systemic inflammatory markers and feeding intolerance in preemies — supports gut‑immune interactions mediated by glutamine.

  74. Clinical trial: prophylactic intravenous alanyl-glutamine reduces the severity of gastrointestinal toxicity induced by chemotherapy--a randomized crossover study

    PubMed ID: 19549287

    Prophylactic IV Ala‑Gln during chemotherapy raised glutamine and reduced endotoxin and GI symptoms.

  75. [Effect of glutamine on serum interleukin-8 and tumor necrosis factor-alpha levels in patients with severe pancreatitis]

    PubMed ID: 18227044

    In severe pancreatitis IV Ala‑Gln lowered proinflammatory cytokines (IL‑8, TNF‑α) and improved outcomes.

  76. The role of parenteral glutamine supplement for surgical patient perioperatively: result of a single center, prospective and controlled study

    PubMed ID: 18712409

    Perioperative Ala‑Gln reduced markers of inflammation and attenuated postoperative immune suppression.

  77. Efficacy of parenteral nutrition supplemented with glutamine dipeptide to decrease hospital infections in critically ill surgical patients

    PubMed ID: 18596310

    PN with alanyl-glutamine reduced nosocomial infections (notably in nonpancreatic subgroup) and raised plasma glutamine (strong clinical immune effect).

  78. L-alanyl-L-glutamine-supplemented parenteral nutrition decreases infectious morbidity rate in patients with severe acute pancreatitis

    PubMed ID: 18596311

    Parenteral glutamine in severe pancreatitis improved lymphocyte counts and reduced infectious morbidity (direct immune benefit).

  79. [The influence of alanyl-glutamine on immunologic functions and morbidity in postoperative total parenteral nutrition. Preliminary results of a prospective randomized trial]

    PubMed ID: 10327575

    TPN glutamine sped recovery of monocyte HLA-DR and associated fewer postoperative complications (direct immune marker improvement).

  80. The effect of glutamine-supplemented total parenteral nutrition on nitrogen economy depends on severity of diseases in surgical patients

    PubMed ID: 12127929

    Ala-Gln increased T lymphocytes/CD4 counts in sicker surgical subgroup (cellular immune benefit).

  81. Parenteral L-alanyl-L-glutamine improves 6-month outcome in critically ill patients

    PubMed ID: 12352037

    Alanyl-glutamine restored plasma glutamine and associated with better long-term survival in those treated longer — supports immune resilience in ICU subgroup.

  82. Postoperative glycyl-glutamine infusion reduces immunosuppression: partial prevention of the surgery induced decrease in HLA-DR expression on monocytes

    PubMed ID: 11161542

    Glycyl-glutamine infusion partially prevented surgery-induced drop in monocyte HLA-DR (direct immunomodulatory effect).

  83. [Impact of glutamine of gut permeability and clinical prognosis on the aging patients undergoing gastric-intestinal operation]

    PubMed ID: 12903420

    Raised plasma glutamine, improved permeability and reduced infections in elderly GI surgery patients (immune-related outcomes).

  84. Perioperative GLY-GLN infusion diminishes the surgery-induced period of immunosuppression: accelerated restoration of the lipopolysaccharide-stimulated tumor necrosis factor-alpha response

    PubMed ID: 12496537

    Perioperative glycyl-glutamine accelerated recovery of LPS-stimulated TNF-α production (restored immune responsiveness).

Tissue repair (72)
  1. Effects of enteral supplementation with glutamine granules on intestinal mucosal barrier function in severe burned patients

    PubMed ID: 15019120

    Burn RCT: shorter hospital stay and improved gut markers with glutamine — clinically meaningful acceleration of recovery.

  2. Effects of different resuscitation fluid on severe acute pancreatitis

    PubMed ID: 23599623

    In acute pancreatitis, glutamine group had fewer infections and better organ dysfunction endpoints — supports faster/better healing outcomes in severe illness.

  3. Glutamine relieves the hypermetabolic response and reduces organ damage in severe burn patients: A multicenter, randomized controlled clinical trial

    PubMed ID: 34973853

    IV glutamine in severe burns attenuated hypermetabolism and reduced organ‑injury and gut‑permeability biomarkers — strong evidence of accelerated physiologic recovery/healing.

  4. A randomized controlled trial of the influence of the mode of enteral ornithine alpha-ketoglutarate administration in burn patients

    PubMed ID: 9482764

    OKG bolus reduced time to last graft and improved wound‑healing markers in burn patients—good evidence for faster healing.

  5. Myocardial Protecting Role of Glutamine in Patients with Low Ejection Fraction Undergoing Elective On-Pump Coronary Artery Bypass Graft Surgery

    PubMed ID: 35411147

    IV glutamine reduced myocardial injury markers and lactate after CABG—supports faster organ‑level recovery.

  6. Randomised trial of glutamine-enriched enteral nutrition on infectious morbidity in patients with multiple trauma

    PubMed ID: 9737282

    Glutamine‑enriched enteral nutrition in trauma patients markedly reduced pneumonia/sepsis — clinically meaningful faster recovery and fewer complications.

  7. Effect of a specialized amino acid mixture on human collagen deposition

    PubMed ID: 12192323

    Elderly volunteers given Arg/HMB/Gln showed increased collagen deposition in implanted devices — direct evidence of augmented wound repair (multi-nutrient).

  8. Effect of oral nutritional supplementation on wound healing in diabetic foot ulcers: a prospective randomized controlled trial

    PubMed ID: 24867069

    Large diabetic foot RCT: overall null, but pre-specified malnourished/poor-perfusion subgroups had substantially improved wound healing with Arg/Gln/HMB supplement.

  9. Effect of HMB/Arg/Gln on the prevention of radiation dermatitis in head and neck cancer patients treated with concurrent chemoradiotherapy

    PubMed ID: 24688085

    Supplement reduced incidence/duration of lower-grade radiation dermatitis — faster resolution of mucocutaneous injury.

  10. 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 infections — strong surgical wound-healing benefit.

  11. Effect of a perioperative immune-enhancing diet in clean-contaminated head and neck cancer surgery: A randomized controlled trial

    PubMed ID: 34371175

    Perioperative immunonutrition including glutamine reduced fistula rate and LOS in head & neck surgery — clinically meaningful healing outcome.

  12. 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 reduced severe mucositis incidence and weight loss during chemoradiation — strong clinical healing/protection effect (combination).

  13. L-arginine vs. L-glutamine oral suspensions for radiation-induced oral mucositis: a triple-blind randomized trial

    PubMed ID: 40603739

    Oral glutamine reduced severity and pain of radiotherapy-induced mucositis and helped preserve BMI — direct mucosal healing/protection RCT.

  14. Intravenous glutamine appears to reduce the severity of symptomatic platinum-induced neuropathy: a prospective randomized study

    PubMed ID: 25800685

    IV glutamine reduced neuropathy severity in symptomatic patients (improvement in treatment‑related nerve injury severity).

  15. The effect of oral glutamine on 5-fluorouracil/leucovorin-induced mucositis/stomatitis assessed by intestinal permeability test

    PubMed ID: 16949180

    Peri-chemotherapy oral glutamine greatly reduced mucositis incidence/severity — clinically meaningful healing support for mucosa.

  16. Elemental diet plus glutamine for the prevention of mucositis in esophageal cancer patients receiving chemotherapy: a feasibility study

    PubMed ID: 26266659

    Glutamine plus elemental diet reduced oral mucositis and preserved weight during chemo — supports faster mucosal recovery.

  17. Parenteral glutamine protects hepatic function during bone marrow transplantation

    PubMed ID: 9720743

    Parenteral glutamine preserved markers of hepatic synthetic function after BMT—supports improved recovery from severe treatment-related injury.

  18. The clinical value of parenteral immunonutrition in surgical patients

    PubMed ID: 15906909

    Immunonutrition (including glutamine) after gastric cancer surgery reduced infections and shortened hospital stay → supports faster postoperative healing (multi‑nutrient).

  19. [Impact of microbial immune enteral nutrition on postoperative insulin resistance and infectious complication of patients with abdominal infection]

    PubMed ID: 25070447

    Perioperative microbial‑immune enteral formula with glutamine improved immune indices and halved postoperative infections → faster clinical recovery/healing.

  20. [Clinical effect of alanyl glutamine in the treatment of patients with gastrointestinal function obstacle caused by severe phorate poisoning]

    PubMed ID: 29081098

    Alanyl‑glutamine shortened GI recovery and ICU stay in severe poisoning — evidence of accelerated recovery/healing.

  21. Oral glutamine is effective for preventing oxaliplatin-induced neuropathy in colorectal cancer patients

    PubMed ID: 17405895

    Oral glutamine reduced oxaliplatin neuropathy and interference with ADLs — supports recovery from treatment‑related injury.

  22. Clinical and metabolic efficacy of glutamine-supplemented parenteral nutrition after bone marrow transplantation. A randomized, double-blind, controlled study

    PubMed ID: 1567096

    Post‑BMT improved nitrogen balance and fewer infections → faster recovery after intensive therapy.

  23. A cost-evaluation of glutamine-supplemented parenteral nutrition in adult bone marrow transplant patients

    PubMed ID: 7963169

    Glutamine in PN reduced infections and shortened hospital stay in BMT patients — clinically meaningful faster recovery/healing signal.

  24. Effect of low-dose oral glutamine on painful stomatitis during bone marrow transplantation

    PubMed ID: 9722068

    BMT trial: glutamine reduced mouth pain and opiate use in autologous transplants (mucositis healing benefit) though mixed in allogeneic.

  25. Decreased mortality and infectious morbidity in adult burn patients given enteral glutamine supplements: a prospective, controlled, randomized clinical trial

    PubMed ID: 14530749

    Severe burn patients had markedly fewer infections and lower mortality with enteral glutamine — suggests accelerated recovery/healing.

  26. The effect of supplemental enteral glutamine on plasma levels, gut function, and outcome in severe burns: a randomized, double-blind, controlled clinical trial

    PubMed ID: 12903886

    Burn trial: improved gut barrier and shorter hospital stay with glutamine — clinical healing benefits.

  27. Glutamine-enriched parenteral nutrition after autologous peripheral blood stem cell transplantation: effects on immune reconstitution and mucositis

    PubMed ID: 12604409

    Reduced mucositis and faster lymphocyte recovery after transplant — supports faster healing of mucosa and immunity.

  28. [The influence of combined supplementation of glutamine and recombinant human growth hormone on the protein metabolism in severely burned patients]

    PubMed ID: 15447822

    Glutamine + rhGH in severe burns increased albumin and sped wound healing and discharge (randomized trial; combination therapy).

  29. Clinical and protein metabolic efficacy of glutamine granules-supplemented enteral nutrition in severely burned patients

    PubMed ID: 15774291

    Enteral glutamine was associated with faster wound healing and shorter hospitalization in severe burns.

  30. [Effects of glutamine granules on protein metabolism in trauma patients]

    PubMed ID: 15144667

    Large trial reported improved wound healing rates and shorter hospital stay with oral glutamine in trauma/burn patients.

  31. Glutamine granule-supplemented enteral nutrition maintains immunological function in severely burned patients

    PubMed ID: 16725264

    In severely burned patients, oral glutamine increased plasma glutamine, improved immune indices and accelerated wound healing with shorter hospital stay.

  32. Randomized, placebo-controlled trial of Saforis for prevention and treatment of oral mucositis in breast cancer patients receiving anthracycline-based chemotherapy

    PubMed ID: 17154160

    Significant reduction in chemo‑induced oral mucositis incidence/severity, demonstrating faster mucosal healing.

  33. Efficacy of glutamine-supplemented parenteral nutrition on short-term survival following allo-SCT: a randomized study

    PubMed ID: 18317456

    Glutamine‑enriched PN after allo‑SCT significantly improved D+180 survival and D+100 survival — suggests faster/better recovery/healing post‑transplant.

  34. [Effect of retention enema with combination of compound glutamine entero-soluble capsule and glucocorticoids for treatment of ulcerative colitis]

    PubMed ID: 18822919

    Faster disappearance of bloody stool and improved DAI in UC patients with added glutamine indicates accelerated mucosal healing.

  35. The inflammatory modulation effect of glutamine-enriched total parenteral nutrition in postoperative gastrointestinal cancer patients

    PubMed ID: 21396307

    Glutamine‑enriched TPN lowered IL‑6/CRP and reduced postoperative infection rates after GI cancer surgery — supports faster recovery/healing.

  36. [Intravenous glutamine and early nasojejunal nutrition in severe acute pancreatitis -- a prospective randomized clinical study]

    PubMed ID: 22512878

    In severe acute pancreatitis, IV glutamine with feeding shortened hospital stay and had fewer deaths (small RCT).

  37. Clinical application of immune-enhanced enteral nutrition in patients with advanced gastric cancer after total gastrectomy

    PubMed ID: 22788925

    Post‑gastrectomy EN+Gln shortened hospitalization and improved nutritional/immune markers — faster postoperative recovery.

  38. [Effects of glutamine combined with ulinastatin on inflammatory response of patients with severe burn injury]

    PubMed ID: 24351534

    Burn patients with glutamine+ulinastatin had faster wound healing, shorter stay and less sepsis (large clinical effect though combined therapy).

  39. [Study of glutamine solution use efficiency in pediatric patients with heavy thermic burns and concomitant injuries in the intensive care unit]

    PubMed ID: 23808255

    Pediatric burn IV glutamine shortened duration of mechanical ventilation and improved some clinical parameters.

  40. L-glutamine decreases the severity of mucositis induced by chemoradiotherapy in patients with locally advanced head and neck cancer: a double-blind, randomized, placebo-controlled trial

    PubMed ID: 25351453

    Oral glutamine reduced mucositis severity and opioid/tube feeding duration — clinically meaningful mucosal healing.

  41. EFFECTS OF ENTERAL GLUTAMINE SUPPLEMENTATION ON REDUCTION OF INFECTION IN ADULT PATIENTS WITH SEVERE BURNS

    PubMed ID: 26862634

    Burn patients given enteral glutamine had significantly fewer bloodstream and wound infections—strong healing/recovery signal.

  42. Enteral glutamine supplementation in surgical patients with head and neck malignancy: A randomized controlled trial

    PubMed ID: 24992652

    Postoperative enteral glutamine improved albumin, lean mass and QoL after head/neck surgery—supports recovery/healing.

  43. The effects of enteral glutamine on radiotherapy induced dermatitis in breast cancer

    PubMed ID: 25869479

    Oral glutamine during breast radiotherapy shifted patients toward much milder skin reactions (faster/less severe tissue toxicity).

  44. The role of glutamine supplemented total parenteral nutrition (TPN) in severe acute pancreatitis

    PubMed ID: 27775778

    Severe acute pancreatitis: glutamine‑supplemented TPN associated with fewer complications, lower mortality, and shorter stay.

  45. Randomised placebo-controlled trial of dietary glutamine supplements for postinfectious irritable bowel syndrome

    PubMed ID: 30108163

    Normalization of intestinal permeability and symptom resolution in IBS‑D indicate mucosal recovery/healing.

  46. Efficacy of enteral glutamine supplementation in patients with severe and predicted severe acute pancreatitis- A randomized controlled trial

    PubMed ID: 31612309

    Improvements in gut permeability and IL‑6 in pancreatitis indicate enhanced recovery of gut integrity, though hard clinical endpoints (mortality, infected necrosis) were unchanged.

  47. Oral glutamine supplements reduce concurrent chemoradiotherapy-induced esophagitis in patients with advanced non-small cell lung cancer

    PubMed ID: 30813149

    Oral glutamine significantly reduced radiation esophagitis and prevented weight loss during chemoradiation—supports faster mucosal recovery.

  48. Efficacy Oral Glutamine to Prevent Oral Mucositis and Reduce Hospital Costs During Chemotherapy in Children with Acute Lymphoblastic Leukemia

    PubMed ID: 32711440

    Pediatric RCT around high‑dose MTX showed dramatic reductions in oral mucositis incidence and severity, shorter treatment duration—strong evidence of faster mucosal healing.

  49. Potential therapeutic effects of different mouthwashes for alleviation and treatment of oral complications of 5-fluorouracil-based chemotherapy in patients with colon cancer

    PubMed ID: 34285108

    Oral glutamine mouthwash significantly reduced chemo‑related oral mucositis, pain and dryness — clear healing/repair benefit for oral mucosa.

  50. Effect of Glutamine Administration After Cardiac Surgery on Kidney Damage in Patients at High Risk for Acute Kidney Injury: A Randomized Controlled Trial

    PubMed ID: 36730070

    IV glutamine after cardiac surgery reduced early urinary kidney‑injury biomarkers, suggesting faster organ recovery/repair.

  51. Correlation Between Cardiac Index, Plasma Troponin I, Myocardial Histopathology, CPB and AoX Duration in Glutamine versus No Glutamine Administered Patients with Low Ejection Fraction Undergoing Elective On-Pump CABG Surgery: Secondary Analysis of an RCT

    PubMed ID: 36880009

    Perioperative IV glutamine in low‑EF CABG patients lowered troponin, improved cardiac index and reduced histologic myocardial injury — strong organ healing signal.

  52. Clinical, Functional, and Nutritional Efficacy of a Glutamine-Enriched Oligomeric Diet in Patients with Rectal Cancer

    PubMed ID: 37994411

    Glutamine‑enriched diet reduced GI toxicity and improved stool outcomes in rectal cancer patients — supports mucosal recovery during treatment.

  53. Safety and efficacy of L-Glutamine in reducing the frequency of acute complications among patients with sickle cell disease: A randomized controlled study

    PubMed ID: 39028356

    Oral L‑glutamine in children with sickle cell disease reduced painful crises and hospitalizations — clinically meaningful reduction in acute illness events.

  54. Clinical and biochemical assessment of the effect of glutamine in management of radiation induced oral mucositis in patients with head and neck cancer: Randomized controlled clinical trial

    PubMed ID: 38493953

    Oral glutamine reduced radiation mucositis severity/pain and opioid need — supports faster symptomatic recovery of mucosa.

  55. Effectiveness of Glutamine Oral Care in Reducing Oral Mucositis and Improving Oral Health After Neurosurgery: A Randomized Controlled Trial with Microbiome Analysis

    PubMed ID: 38384124

    Topical glutamine after neurosurgery reduced mucositis and pneumonia — clinically meaningful restorative effect on mucosal health and complications.

  56. Effects of L-glutamine and hyaluronic acid associated with photobiomodulation on oral mucositis: a randomized clinical trial

    PubMed ID: 40295318

    Topical L‑glutamine + HA reduced severe oral mucositis and improved symptom scores in radiochemotherapy — evidence of accelerated symptom resolution/healing.

  57. [Effect of alanyl-glutamine in postoperative total parenteral nutrition on postoperative immunosuppression and morbidity. Preliminary results of a prospective randomized study]

    PubMed ID: 9931687

    Alanyl‑glutamine in postoperative TPN decreased systemic inflammation, sped immune recovery and reduced complications—supports faster healing.

  58. L-alanyl-L-glutamine-supplemented parenteral nutrition improves infectious morbidity in secondary peritonitis

    PubMed ID: 14757388

    Reduced infectious morbidity and improved protein/immune markers after peritonitis indicate faster wound/infection-related healing.

  59. L-alanyl-L-glutamine dipeptide-supplemented total parenteral nutrition reduces infectious complications and glucose intolerance in critically ill patients: the French controlled, randomized, double-blind, multicenter study

    PubMed ID: 16505644

    Fewer infections and better metabolic control in ICU patients imply accelerated recovery/healing in severe illness.

  60. L-alanin-L-glutamine supplementation improves the outcome after colorectal surgery for cancer

    PubMed ID: 17573745

    Perioperative L-alanyl-L-glutamine reduced wound infections and intraabdominal abscesses and shortened hospital stay after colorectal surgery.

  61. The effect of L-alanyl-L-glutamine dipeptide supplemented total parenteral nutrition on infectious morbidity and insulin sensitivity in critically ill patients

    PubMed ID: 21336131

    Reduced nosocomial infections and better glycemic control indicate faster clinical recovery in ICU.

  62. [Cardioprotective effects of glutamine in patients with ischemic heart disease operated under conditions of extracorporeal blood circulation]

    PubMed ID: 22834281

    Perioperative alanine‑glutamine lowered troponin and improved early cardiac hemodynamics post‑CPB.

  63. [Effects of ulinastatin combined with glutamine on early hemodynamics in patients with severe burns]

    PubMed ID: 32114728

    Burn patients given glutamine (with ulinastatin) showed better cardiac output and lower lung water.

  64. The impact of alanyl-glutamine on clinical safety, nitrogen balance, intestinal permeability, and clinical outcome in postoperative patients: a randomized, double-blind, controlled study of 120 patients

    PubMed ID: 10483898

    Perioperative Ala‑Gln improved gut barrier and shortened hospital stay suggesting faster recovery/healing.

  65. [The effects of glutamine dipeptide on the improvement of endotoxemia in severely burned patients]

    PubMed ID: 12641984

    Oral Ala-Gln in severe burns increased plasma glutamine, reduced early endotoxin, sped wound healing and shortened hospital stay (direct wound-healing benefit).

  66. Wasting and intestinal barrier function in children taking alanyl-glutamine-supplemented enteral formula

    PubMed ID: 17325559

    Improved gut barrier and weight gain in undernourished children suggests facilitated recovery/healing.

  67. Impact of alanyl-glutamine dipeptide on severe acute pancreatitis in early stage

    PubMed ID: 18200673

    Early IV Ala-Gln in severe acute pancreatitis shortened durations of organ failure and reduced LOS and mortality — supports faster recovery/healing from severe injury.

  68. The role of parenteral glutamine supplement for surgical patient perioperatively: result of a single center, prospective and controlled study

    PubMed ID: 18712409

    Perioperative Ala‑Gln attenuated postoperative inflammatory suppression—consistent with faster physiologic recovery.

  69. Nutrition support with glutamine dipeptide in patients undergoing liver transplantation

    PubMed ID: 20005375

    After liver transplant Ala‑Gln improved liver injury markers and reduced hospital stay (supports healing).

  70. [Clinical effect of alanyl-glutamine-enriched nutritional support in the treatment of children with abdominal Henoch-Schönlein purpura]

    PubMed ID: 30782281

    Reduced steroid needs and less in‑hospital recurrence in pediatric Henoch‑Schönlein imply faster clinical recovery.

  71. A randomized double-blind controlled proof-of-concept study of alanyl-glutamine for reduction of post-myomectomy adhesions

    PubMed ID: 37023559

    Intraperitoneal Ala‑Gln dramatically reduced postoperative adhesions in RCT—strong surgical healing benefit.

  72. Effects of Ala-Gln dipeptide parenteral nutrition on rehabilitation and infection of liver transplantation patients

    PubMed ID: 40996178

    Parenteral Ala‑Gln after liver transplant shortened ICU/hospital stay and reduced infections—consistent with expedited recovery/healing.

Gut health (66)
  1. [Effects of glutamine combined with ulinastatin on inflammatory response of patients with severe burn injury]

    PubMed ID: 24351534

    Burn study showed lower D‑lactate/DAO and better gut markers, supporting intestinal barrier benefits (given with ulinastatin).

  2. Oral supplementation with L-glutamine alters gut microbiota of obese and overweight adults: A pilot study

    PubMed ID: 25933498

    Oral glutamine altered gut microbiota composition—potentially beneficial for mucosal health.

  3. Oral Glutamine Supplementation Reduces Obesity, Pro-Inflammatory Markers, and Improves Insulin Sensitivity in DIO Wistar Rats and Reduces Waist Circumference in Overweight and Obese Humans

    PubMed ID: 30832230

    Reduced circulating LPS after glutamine suggests improved gut barrier integrity.

  4. The impact of alanyl-glutamine on clinical safety, nitrogen balance, intestinal permeability, and clinical outcome in postoperative patients: a randomized, double-blind, controlled study of 120 patients

    PubMed ID: 10483898

    Ala‑Gln in PN improved intestinal permeability (L/M ratio) in a large RCT (direct clinical evidence of gut barrier support).

  5. [Impact of glutamine of gut permeability and clinical prognosis on the aging patients undergoing gastric-intestinal operation]

    PubMed ID: 12903420

    Parenteral Ala-Gln improved intestinal permeability (L/M ratio) in elderly GI surgery patients (direct mucosal barrier effect).

  6. Wasting and intestinal barrier function in children taking alanyl-glutamine-supplemented enteral formula

    PubMed ID: 17325559

    Enteral Ala-Gln improved intestinal permeability (lactulose excretion) and produced better weight gains in malnourished children — direct gut-lining benefit.

  7. Clinical trial: prophylactic intravenous alanyl-glutamine reduces the severity of gastrointestinal toxicity induced by chemotherapy--a randomized crossover study

    PubMed ID: 19549287

    IV Ala‑Gln reduced endotoxin and GI symptoms during chemotherapy (supports mucosal protection).

  8. Improvement of intestinal permeability with alanyl-glutamine in HIV patients: a randomized, double blinded, placebo-controlled clinical trial

    PubMed ID: 23657308

    Short Ala‑Gln supplements improved mannitol excretion and permeability in people with HIV (RCT).

  9. A randomized controlled trial of alanyl-glutamine supplementation in peritoneal dialysis fluid to assess impact on biomarkers of peritoneal health

    PubMed ID: 30360960

    Ala‑Gln improved peritoneal membrane biomarkers (CA‑125) and reduced protein loss—supports membrane integrity in PD context.

  10. Intervention and Mechanisms of Alanyl-glutamine for Inflammation, Nutrition, and Enteropathy: A Randomized Controlled Trial

    PubMed ID: 32826717

    Oral Ala‑Gln in undernourished children improved intestinal barrier (reduced lactulose excretion) in dose‑dependent fashion.

  11. Effects of enteral supplementation with glutamine granules on intestinal mucosal barrier function in severe burned patients

    PubMed ID: 15019120

    Burn patient RCT: glutamine increased plasma levels and improved intestinal permeability (L/M) and DAO activity — strong direct evidence for gut barrier support.

  12. Intestinal barrier function and weight gain in malnourished children taking glutamine supplemented enteral formula

    PubMed ID: 15625423

    Enteral glutamine improved intestinal permeability in malnourished children (clear clinical RCT evidence).

  13. Glutamine and recombinant human growth hormone protect intestinal barrier function following portal hypertension surgery

    PubMed ID: 17465506

    Perioperative glutamine+GH improved L/M ratio and gut-permeability markers — supportive though confounded by GH.

  14. [The change of intestinal mucosa barrier in chronic severe hepatitis B patients and clinical intervention]

    PubMed ID: 19874691

    Oral glutamine reduced gut barrier damage markers (L/M, DAO) and endotoxin in chronic hepatitis B—supports mucosal integrity.

  15. Glutamine and whey protein improve intestinal permeability and morphology in patients with Crohn's disease: a randomized controlled trial

    PubMed ID: 22038507

    Glutamine improved permeability and mucosal morphology in Crohn’s remission, although whey produced similar results.

  16. Apolipoprotein E4 influences growth and cognitive responses to micronutrient supplementation in shantytown children from northeast Brazil

    PubMed ID: 22249475

    Community trial in undernourished children showed improvements in intestinal permeability correlated with growth and later cognitive outcomes in subset — strong population-level gut support evidence.

  17. Effects of different resuscitation fluid on severe acute pancreatitis

    PubMed ID: 23599623

    Glutamine in resuscitation fluids reduced urinary L/M ratio and serum endotoxin in severe pancreatitis — robust gut-barrier benefit in acute illness.

  18. The impact of microbial immune enteral nutrition on the patients with acute radiation enteritis in bowel function and immune status

    PubMed ID: 24366547

    Glutamine‑containing enteral formula improved bowel symptoms in radiation enteritis and likely aided mucosal recovery (multi‑ingredient caveat).

  19. Glutamine relieves the hypermetabolic response and reduces organ damage in severe burn patients: A multicenter, randomized controlled clinical trial

    PubMed ID: 34973853

    IV glutamine in severe burns significantly reduced intestinal permeability markers (L/M ratio) — strong clinical support for gut barrier protection.

  20. Effects of postoperative enteral immune-enhancing diet on plasma endotoxin level, plasma endotoxin inactivation capacity and clinical outcome

    PubMed ID: 16196295

    Faster recovery of endotoxin-inactivation capacity with immunonutrition (including glutamine) suggests improved gut/blood barrier function.

  21. Effect of dietary supplementation with glutamine and a combination of glutamine-arginine on intestinal health in twenty-five-day-old weaned rabbits

    PubMed ID: 19783707

    Animal trial: dietary L-glutamine cut mortality and reduced pathogenic gut bacteria in weaned rabbits — supports mucosal/gut ecology benefits (preclinical).

  22. Effects of glutamine alone or in combination with zinc and vitamin A on growth, intestinal barrier function, stress and satiety-related hormones in Brazilian shantytown children

    PubMed ID: 24714829

    Large randomized trial: oral glutamine improved intestinal permeability (lactulose:mannitol) and weight-for-height in undernourished children — direct gut-lining benefit.

  23. 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 substantially reduced severe oral mucositis in head-and-neck chemoradiation — supports mucosal protection (combination product).

  24. L-arginine vs. L-glutamine oral suspensions for radiation-induced oral mucositis: a triple-blind randomized trial

    PubMed ID: 40603739

    Triple-blind RCT: oral glutamine/swallow reduced mucositis severity, pain and weight loss in H&N RT patients — strong, direct mucosal-lining benefit.

  25. Combined enteral infusion of glutamine, carbohydrates, and antioxidants modulates gut protein metabolism in humans

    PubMed ID: 18996864

    Oral formula containing Ala‑Gln markedly increased duodenal protein synthesis and reduced proteolysis — supports intestinal mucosal support (product contained glutamine peptide).

  26. Tryptophan, glutamine, leucine, and micronutrient supplementation improves environmental enteropathy in Zambian adults: a randomized controlled trial

    PubMed ID: 31504110

    Amino‑acid supplement containing glutamine modestly increased duodenal villus height and surface area in adults with environmental enteropathy (RCT evidence).

  27. The effect of oral glutamine on 5-fluorouracil/leucovorin-induced mucositis/stomatitis assessed by intestinal permeability test

    PubMed ID: 16949180

    Oral glutamine around chemotherapy significantly reduced intestinal permeability and severe mucositis (strong clinical evidence for gut lining protection).

  28. A randomised, double-blinded, placebo-controlled, pilot study of parenteral glutamine for allogeneic stem cell transplant patients

    PubMed ID: 16186995

    Parenteral glutamine in SCT did not change primary sugar-permeability endpoints but improved gut scores, citrulline and some lab markers.

  29. [Effect of total parenteral nutrition with supplementation of glutamine on the plasma diamine oxidase activity and D-lactate content in patients with multiple organ dysfunction syndrome]

    PubMed ID: 17038253

    TPN with glutamine in MODS lowered plasma DAO and D-lactate — biomarkers of mucosal damage improved.

  30. Elemental diet plus glutamine for the prevention of mucositis in esophageal cancer patients receiving chemotherapy: a feasibility study

    PubMed ID: 26266659

    Glutamine+elemental diet markedly reduced oral mucositis and improved DAO and weight — protective gut lining effects during chemo.

  31. [Influence of rhubarb on gastrointestinal motility and intestinal mucosal barrier in patients with severe burn]

    PubMed ID: 22224253

    Burn patients receiving rhubarb+glutamine had faster return of gut function and lower endotoxin; supportive albeit confounded.

  32. A randomized, controlled trial of parenteral glutamine in ill, very low birth-weight neonates

    PubMed ID: 14581795

    IV glutamine shortened time to full enteral feeds in preterm infants — indicates support for gut maturation/functional recovery.

  33. Effect of microbiological and immunological enteral nutrition on intestinal function and immune status in the patients with long-term use of antibiotics

    PubMed ID: 24089227

    Enteral formula with L‑glutamide plus probiotics/fish oil improved GI symptoms and immune cells in long-term antibiotic patients (confounded).

  34. [Impact of microbial immune enteral nutrition on postoperative insulin resistance and infectious complication of patients with abdominal infection]

    PubMed ID: 25070447

    Microbial‑immune formula with glutamine improved T‑cell/NK counts and lowered infections after GI perforation — gut/mucosal benefit plausible though multi‑component.

  35. Ameliorative Potential of L-Alanyl L-Glutamine Dipeptide in Colon Cancer Patients Receiving Modified FOLFOX-6 Regarding the Incidence of Diarrhea, the Treatment Response, and Patients' Survival: A Randomized Controlled Trial

    PubMed ID: 35334570

    IV alanyl‑glutamine reduced chemotherapy‑induced diarrhea (less mucosal injury) — supports gut mucosal protection.

  36. Enteral glutamine supplementation for very low birth weight infants decreases morbidity

    PubMed ID: 9403648

    Enteral glutamine in VLBW infants improved feeding tolerance and reduced nosocomial sepsis—supports gut barrier function.

  37. Oral glutamine in the prevention of fluorouracil induced intestinal toxicity: a double blind, placebo controlled, randomised trial

    PubMed ID: 11115819

    Colorectal chemo RCT: reduced intestinal permeability and less antidiarrhoeal use — clear gut‑barrier benefit.

  38. The effect of supplemental enteral glutamine on plasma levels, gut function, and outcome in severe burns: a randomized, double-blind, controlled clinical trial

    PubMed ID: 12903886

    Burn RCT: improved gut permeability (lactulose/mannitol) and raised plasma glutamine — strong gut-barrier evidence.

  39. Enteral glutamine supplementation and morbidity in low birth weight infants

    PubMed ID: 12838195

    VLBW infant trial: reduced gastrointestinal dysfunction — suggests mucosal/gut benefits.

  40. Glutamine-enriched parenteral nutrition after autologous peripheral blood stem cell transplantation: effects on immune reconstitution and mucositis

    PubMed ID: 12604409

    After autologous SCT, glutamine-enriched TPN reduced mucositis severity — mucosal protection.

  41. [Analysis of the therapeutic effect and the safety of glutamine granules per os in patients with severe burns and trauma]

    PubMed ID: 15447818

    Large RCT in severe burns/trauma improved gut‑barrier markers (DAO, endotoxin, L/M) and raised plasma glutamine.

  42. Effect of glutamine supplementation on diarrhea, interleukin-8 and secretory immunoglobulin A in children with acute diarrhea

    PubMed ID: 15097437

    Shortened diarrhea duration in children implies improved mucosal function / gut recovery.

  43. A double-blind randomized placebo-controlled study of oral glutamine in the prevention of mucositis in children undergoing hematopoietic stem cell transplantation: a pediatric blood and marrow transplant consortium study

    PubMed ID: 16086046

    Oral glutamine in pediatric stem‑cell recipients reduced days on TPN and trended to lower mucositis—supports mucosal protection.

  44. [Effects of glutamine supplemented parenteral nutrition on the incidence of necrotizing enterocolitis, nosocomial sepsis and length of hospital stay in very low birth weight infants]

    PubMed ID: 16547380

    In very low birth weight neonates parenteral glutamine reduced necrotizing enterocolitis incidence (clinically important gut‑lining protection).

  45. Oral glutamine ameliorates chemotherapy-induced changes of intestinal permeability and does not interfere with the antitumor effect of chemotherapy in patients with breast cancer: a prospective randomized trial

    PubMed ID: 17168431

    Oral glutamine reduced chemo‑induced intestinal permeability and raised plasma glutamine.

  46. [Protective effect of glutamine on intestinal barrier function in patients receiving chemotherapy]

    PubMed ID: 16437375

    Clinical RCT showing decreased intestinal permeability (L/M ratio) with oral glutamine during chemotherapy — strong gut barrier support evidence.

  47. Randomized, placebo-controlled trial of Saforis for prevention and treatment of oral mucositis in breast cancer patients receiving anthracycline-based chemotherapy

    PubMed ID: 17154160

    Marked reduction in chemotherapy‑induced oral mucositis incidence/severity, indicating mucosal protective/healing effects.

  48. [Effect of retention enema with combination of compound glutamine entero-soluble capsule and glucocorticoids for treatment of ulcerative colitis]

    PubMed ID: 18822919

    Adding compound glutamine to enema/glucocorticoid therapy improved UC symptoms and DAI — strong clinical evidence for mucosal/gut‑lining benefit.

  49. The impact of oral glutamine supplementation on the intestinal permeability and incidence of necrotizing enterocolitis/septicemia in premature neonates

    PubMed ID: 21463215

    Preterm infants showed improved gut permeability (L/M ratio) and reduced NEC/septicemia with oral glutamine — strong gut mucosal benefit.

  50. Effects of glutamine on gastrointestinal motor activity in patients following gastric surgery

    PubMed ID: 21279511

    Glutamine preserved plasma glutamine and increased duodenal motor activity after gastrectomy — beneficial to mucosal function.

  51. [Effect of early enteral nutrition supplemented with glutamine on postoperative intestinal mucosal barrier function in patients with gastric carcinoma]

    PubMed ID: 21713704

    Enteral glutamine improved DAO, L/M ratio, and lowered LPS/TNF‑α after gastric cancer surgery — direct mucosal barrier improvements.

  52. [The effects of enteral administration of glutamine enriched solution in very low birth weight infants on reducing the symptoms of feeding intolerance. A prospective, randomized pilot study]

    PubMed ID: 23378398

    Reduced feeding intolerance in VLBW infants indicates improved GI tolerance/mucosal function.

  53. L-glutamine decreases the severity of mucositis induced by chemoradiotherapy in patients with locally advanced head and neck cancer: a double-blind, randomized, placebo-controlled trial

    PubMed ID: 25351453

    Oral glutamine reduced mucositis severity, pain, and opioid/tube feeding needs in head‑and‑neck CRT — strong mucosal protective evidence.

  54. Application of Glutamine-enriched nutrition therapy in childhood acute lymphoblastic leukemia

    PubMed ID: 27401338

    Glutamine-enriched nutrition during chemotherapy preserved protein and immune markers and reduced edema, consistent with mucosal/enteric support.

  55. Influence of enteral glutamine on inflammatory and hormonal response in patients with rectal cancer during preoperative radiochemotherapy

    PubMed ID: 28272402

    Enteral glutamine during radiochemotherapy reduced IL‑6 and cortisol, suggesting mucosal/stress‑related benefit.

  56. Randomised placebo-controlled trial of dietary glutamine supplements for postinfectious irritable bowel syndrome

    PubMed ID: 30108163

    Strong RCT: oral glutamine normalized intestinal permeability (lactulose/mannitol) and dramatically improved IBS‑D symptoms—direct gut‑barrier support.

  57. Efficacy of enteral glutamine supplementation in patients with severe and predicted severe acute pancreatitis- A randomized controlled trial

    PubMed ID: 31612309

    Enteral glutamine improved gut permeability and lowered IL‑6 in severe acute pancreatitis—supports gut mucosal protection/repair.

  58. Oral glutamine supplements reduce concurrent chemoradiotherapy-induced esophagitis in patients with advanced non-small cell lung cancer

    PubMed ID: 30813149

    Oral glutamine during thoracic chemoradiation markedly reduced radiation-induced esophagitis incidence/severity—supports mucosal protection.

  59. Efficacy Oral Glutamine to Prevent Oral Mucositis and Reduce Hospital Costs During Chemotherapy in Children with Acute Lymphoblastic Leukemia

    PubMed ID: 32711440

    Peri‑methotrexate glutamine in pediatric ALL greatly reduced incidence and severity of oral mucositis—robust evidence of mucosal lining protection.

  60. A randomized, double-blind, placebo-controlled pilot study to evaluate the efficacy and tolerability of a novel oral bioadhesive formulation for the treatment of nonerosive reflux disease-related symptoms

    PubMed ID: 32804843

    Bioadhesive liquid containing glutamine and hyaluronic acid dramatically improved NERD symptom scores, consistent with mucosal/gut‑lining benefit.

  61. Potential therapeutic effects of different mouthwashes for alleviation and treatment of oral complications of 5-fluorouracil-based chemotherapy in patients with colon cancer

    PubMed ID: 34285108

    Glutamine mouthwash reduced oral mucositis, pain and dryness in chemo patients — direct mucosal lining benefit for the oral cavity.

  62. Clinical, Functional, and Nutritional Efficacy of a Glutamine-Enriched Oligomeric Diet in Patients with Rectal Cancer

    PubMed ID: 37994411

    Glutamine‑enriched enteral diet reduced GI toxicity and improved stool consistency/frequency in rectal cancer patients.

  63. Clinical and biochemical assessment of the effect of glutamine in management of radiation induced oral mucositis in patients with head and neck cancer: Randomized controlled clinical trial

    PubMed ID: 38493953

    Oral glutamine reduced radiation-induced oral mucositis severity and salivary inflammatory markers — clear clinical benefit for mucosal lining integrity in head‑and‑neck patients.

  64. Effectiveness of Glutamine Oral Care in Reducing Oral Mucositis and Improving Oral Health After Neurosurgery: A Randomized Controlled Trial with Microbiome Analysis

    PubMed ID: 38384124

    Topical oral glutamine rinse after brain surgery substantially reduced mucositis incidence and oral flora — strong clinically relevant mucosal protection.

  65. Bifidobacterium regulates premature infant gut metabolites, reducing serum inflammatory factors: a randomised controlled trial

    PubMed ID: 39271904

    Probiotic increased intestinal glutamine and decreased feeding intolerance/inflammatory markers in preemies — supports gut mucosal health via elevated glutamine.

  66. Effects of L-glutamine and hyaluronic acid associated with photobiomodulation on oral mucositis: a randomized clinical trial

    PubMed ID: 40295318

    Topical L‑glutamine + hyaluronic acid reduced severe oral mucositis vs control in radiochemotherapy patients — supports mucosal protection/healing.

Digestive support (43)
  1. Effects of glutamine alone or in combination with zinc and vitamin A on growth, intestinal barrier function, stress and satiety-related hormones in Brazilian shantytown children

    PubMed ID: 24714829

    Oral glutamine in undernourished children improved weight-for-height and reduced intestinal permeability — direct digestive/gut benefit.

  2. Glutamine relieves the hypermetabolic response and reduces organ damage in severe burn patients: A multicenter, randomized controlled clinical trial

    PubMed ID: 34973853

    In burn patients IV glutamine reduced intestinal permeability markers (L/M ratio) and improved gut‑related biomarkers.

  3. The impact of microbial immune enteral nutrition on the patients with acute radiation enteritis in bowel function and immune status

    PubMed ID: 24366547

    Glutamine‑containing enteral formula improved bowel symptoms in radiation enteritis (multi‑ingredient formula limits certainty).

  4. Effects of different resuscitation fluid on severe acute pancreatitis

    PubMed ID: 23599623

    Glutamine-containing resuscitation fluids improved urinary L/M ratio (intestinal barrier) in severe pancreatitis.

  5. Apolipoprotein E4 influences growth and cognitive responses to micronutrient supplementation in shantytown children from northeast Brazil

    PubMed ID: 22249475

    Undernourished children given glutamine had modest improvements in intestinal permeability and growth — direct gut benefit.

  6. Intestinal barrier function and weight gain in malnourished children taking glutamine supplemented enteral formula

    PubMed ID: 15625423

    Enteral glutamine improved intestinal permeability in malnourished children though did not increase short‑term weight gain.

  7. Effects of enteral supplementation with glutamine granules on intestinal mucosal barrier function in severe burned patients

    PubMed ID: 15019120

    Burn patients on oral glutamine showed improved intestinal permeability (L/M) and DAO activity — direct gut/digestion benefit.

  8. Intervention and Mechanisms of Alanyl-glutamine for Inflammation, Nutrition, and Enteropathy: A Randomized Controlled Trial

    PubMed ID: 32826717

    Oral Ala‑Gln improved intestinal barrier tests and produced small short‑term weight gains in undernourished children.

  9. Improvement of intestinal permeability with alanyl-glutamine in HIV patients: a randomized, double blinded, placebo-controlled clinical trial

    PubMed ID: 23657308

    Ala‑Gln improved mannitol excretion and permeability/absorption in people with HIV (RCT).

  10. Clinical trial: prophylactic intravenous alanyl-glutamine reduces the severity of gastrointestinal toxicity induced by chemotherapy--a randomized crossover study

    PubMed ID: 19549287

    IV Ala‑Gln during chemotherapy reduced nausea, vomiting and diarrhea (randomized crossover data).

  11. Wasting and intestinal barrier function in children taking alanyl-glutamine-supplemented enteral formula

    PubMed ID: 17325559

    Enteral Ala-Gln improved gut barrier tests and led to better weight gain in undernourished children (digestive/gut function improvement).

  12. The impact of alanyl-glutamine on clinical safety, nitrogen balance, intestinal permeability, and clinical outcome in postoperative patients: a randomized, double-blind, controlled study of 120 patients

    PubMed ID: 10483898

    Ala‑Gln in PN improved intestinal permeability (L/M ratio) postoperatively (large RCT).

  13. Oral Glutamine Supplementation Reduces Obesity, Pro-Inflammatory Markers, and Improves Insulin Sensitivity in DIO Wistar Rats and Reduces Waist Circumference in Overweight and Obese Humans

    PubMed ID: 30832230

    Short oral glutamine lowered circulating LPS—suggests improved gut barrier/endotoxin handling.

  14. Oral supplementation with L-glutamine alters gut microbiota of obese and overweight adults: A pilot study

    PubMed ID: 25933498

    Oral L‑glutamine changed gut microbiota composition in overweight adults (Firmicutes/Bacteroidetes ratio).

  15. Clinical, Functional, and Nutritional Efficacy of a Glutamine-Enriched Oligomeric Diet in Patients with Rectal Cancer

    PubMed ID: 37994411

    Glutamine‑enriched oligomeric diet in rectal cancer patients improved stool consistency/frequency and reduced GI toxicity.

  16. A randomized, double-blind, placebo-controlled pilot study to evaluate the efficacy and tolerability of a novel oral bioadhesive formulation for the treatment of nonerosive reflux disease-related symptoms

    PubMed ID: 32804843

    Bioadhesive oral formulation containing glutamine markedly improved NERD symptoms versus placebo — clear digestive symptom benefit.

  17. Efficacy of enteral glutamine supplementation in patients with severe and predicted severe acute pancreatitis- A randomized controlled trial

    PubMed ID: 31612309

    Enteral glutamine in severe acute pancreatitis improved gut permeability and reduced IL‑6, supporting improved gut barrier/function.

  18. Randomised placebo-controlled trial of dietary glutamine supplements for postinfectious irritable bowel syndrome

    PubMed ID: 30108163

    Large RCT in post-infectious IBS-D: 15 g/day glutamine for 8 weeks normalized intestinal permeability and dramatically improved symptoms and stool frequency—strong digestive benefit.

  19. [The effects of enteral administration of glutamine enriched solution in very low birth weight infants on reducing the symptoms of feeding intolerance. A prospective, randomized pilot study]

    PubMed ID: 23378398

    Very low birth weight infants given enteral glutamine had significantly less feeding intolerance.

  20. [Effect of early enteral nutrition supplemented with glutamine on postoperative intestinal mucosal barrier function in patients with gastric carcinoma]

    PubMed ID: 21713704

    Enteral nutrition with glutamine improved intestinal barrier biomarkers (DAO, L/M ratio) after gastric cancer surgery.

  21. Effects of glutamine on gastrointestinal motor activity in patients following gastric surgery

    PubMed ID: 21279511

    Postoperative oral glutamine increased duodenal interdigestive motor activity — direct improvement in gut motility.

  22. Bifidobacterium regulates premature infant gut metabolites, reducing serum inflammatory factors: a randomised controlled trial

    PubMed ID: 39271904

    Probiotic increased intestinal glutamine and reduced feeding intolerance in preterm infants — supports gut function indirectly via glutamine.

  23. [Effect of retention enema with combination of compound glutamine entero-soluble capsule and glucocorticoids for treatment of ulcerative colitis]

    PubMed ID: 18822919

    Compound glutamine added to enema therapy improved UC symptoms (bloody stool, DAI) — supports gut symptom improvement and digestion-related benefit.

  24. Randomized, placebo-controlled trial of Saforis for prevention and treatment of oral mucositis in breast cancer patients receiving anthracycline-based chemotherapy

    PubMed ID: 17154160

    Oral glutamine significantly reduced incidence/severity of chemotherapy‑induced oral mucositis—mucosal/digestive benefit.

  25. [Protective effect of glutamine on intestinal barrier function in patients receiving chemotherapy]

    PubMed ID: 16437375

    Oral glutamine during chemotherapy raised serum glutamine and significantly reduced intestinal permeability (urine L/M ratio).

  26. Oral glutamine ameliorates chemotherapy-induced changes of intestinal permeability and does not interfere with the antitumor effect of chemotherapy in patients with breast cancer: a prospective randomized trial

    PubMed ID: 17168431

    Oral glutamine before chemotherapy raised plasma glutamine and reduced chemo‑induced intestinal permeability.

  27. Effect of glutamine supplementation on diarrhea, interleukin-8 and secretory immunoglobulin A in children with acute diarrhea

    PubMed ID: 15097437

    Oral glutamine in young children with acute diarrhea shortened illness duration by ≈1.2 days (double‑blind RCT).

  28. [Analysis of the therapeutic effect and the safety of glutamine granules per os in patients with severe burns and trauma]

    PubMed ID: 15447818

    Burn/trauma RCT improved gut‑barrier markers (DAO, endotoxin, L/M), indicating better gut function.

  29. Enteral glutamine supplementation and morbidity in low birth weight infants

    PubMed ID: 12838195

    VLBW infants: enteral glutamine reduced gastrointestinal dysfunction (secondary outcome).

  30. The effect of supplemental enteral glutamine on plasma levels, gut function, and outcome in severe burns: a randomized, double-blind, controlled clinical trial

    PubMed ID: 12903886

    Burn patients: improved gut permeability (lactulose/mannitol) with enteral glutamine.

  31. Oral glutamine in the prevention of fluorouracil induced intestinal toxicity: a double blind, placebo controlled, randomised trial

    PubMed ID: 11115819

    Colorectal chemo RCT: oral glutamine reduced chemo-induced permeability changes and reduced loperamide use.

  32. Enteral glutamine supplementation for very low birth weight infants decreases morbidity

    PubMed ID: 9403648

    VLBW infants had better feeding tolerance with enteral glutamine.

  33. Ameliorative Potential of L-Alanyl L-Glutamine Dipeptide in Colon Cancer Patients Receiving Modified FOLFOX-6 Regarding the Incidence of Diarrhea, the Treatment Response, and Patients' Survival: A Randomized Controlled Trial

    PubMed ID: 35334570

    IV L‑alanyl‑L‑glutamine cut chemo‑induced diarrhea incidence/severity → direct improvement in gastrointestinal tolerability.

  34. [Clinical effect of alanyl glutamine in the treatment of patients with gastrointestinal function obstacle caused by severe phorate poisoning]

    PubMed ID: 29081098

    Alanyl‑glutamine added to standard care in severe poisoning shortened GI recovery time → clinically meaningful gut recovery benefit.

  35. Effect of microbiological and immunological enteral nutrition on intestinal function and immune status in the patients with long-term use of antibiotics

    PubMed ID: 24089227

    Enteral formula with L‑glutamide + probiotics/fish oil reduced abdominal pain/distension/diarrhea vs standard formula (confounded ingredients).

  36. A randomized, controlled trial of parenteral glutamine in ill, very low birth-weight neonates

    PubMed ID: 14581795

    IV glutamine in very low birth‑weight infants shortened time to full enteral feeds by ~8 days → clear digestive/gut functional benefit in neonates.

  37. [Influence of rhubarb on gastrointestinal motility and intestinal mucosal barrier in patients with severe burn]

    PubMed ID: 22224253

    Burn patients given rhubarb+glutamine had faster return of gut function and higher gut-hormone levels (small, confounded study).

  38. Elemental diet plus glutamine for the prevention of mucositis in esophageal cancer patients receiving chemotherapy: a feasibility study

    PubMed ID: 26266659

    Glutamine plus elemental diet significantly reduced oral mucositis and improved DAO and weight during chemo.

  39. [Effect of total parenteral nutrition with supplementation of glutamine on the plasma diamine oxidase activity and D-lactate content in patients with multiple organ dysfunction syndrome]

    PubMed ID: 17038253

    Glutamine-supplemented TPN in MODS patients lowered DAO and D-lactate, biomarkers of mucosal injury.

  40. A randomised, double-blinded, placebo-controlled, pilot study of parenteral glutamine for allogeneic stem cell transplant patients

    PubMed ID: 16186995

    SCT parenteral glutamine did not change primary sugar-permeability tests but improved daily gut scores and citrulline/albumin signals.

  41. The effect of oral glutamine on 5-fluorouracil/leucovorin-induced mucositis/stomatitis assessed by intestinal permeability test

    PubMed ID: 16949180

    Oral glutamine markedly reduced chemotherapy-induced intestinal permeability and severe mucositis.

  42. Tryptophan, glutamine, leucine, and micronutrient supplementation improves environmental enteropathy in Zambian adults: a randomized controlled trial

    PubMed ID: 31504110

    Amino‑acid supplement including glutamine modestly increased villus height and surface area in environmental enteropathy (improved mucosal structure).

  43. Combined enteral infusion of glutamine, carbohydrates, and antioxidants modulates gut protein metabolism in humans

    PubMed ID: 18996864

    Oral formula containing Ala‑Gln doubled duodenal protein synthesis and reduced proteolysis — supports improved gut digestive/absorptive tissue protein turnover (product contained glutamine peptide).

Body composition (44)
  1. 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/Arg/Gln led to gains in body weight and lean mass in HIV-wasting patients — clear preservation/gain but cannot isolate glutamine.

  2. Reversal of cancer-related wasting using oral supplementation with a combination of beta-hydroxy-beta-methylbutyrate, arginine, and glutamine

    PubMed ID: 11975938

    HMB/Arg/Gln increased fat-free mass in cancer patients — supports preservation, though multi-nutrient product.

  3. Oral Supplementation with Beta-Hydroxy-Beta-Methylbutyrate, Arginine, and Glutamine Improves Lean Body Mass in Healthy Older Adults

    PubMed ID: 29672184

    Six-month HMB/Arg/Gln trial showed consistent increases in total lean body mass in older adults.

  4. Effect of administration of ÎČ-hydroxy-ÎČ-methyl butyrate-enriched formula after liver transplantation: A pilot randomized controlled trial

    PubMed ID: 32593895

    Post-liver transplant HMB (with glutamine) improved skeletal muscle mass index and strength.

  5. 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 during chemoradiation mitigated weight loss — suggests preservation of body mass (multi-ingredient).

  6. [Impact of glutamine, eicosapntemacnioc acid, branched-chain amino acid supplements on nutritional status and treatment compliance of esophageal cancer patients on concurrent chemoradiotherapy and gastric cancer patients on chemotherapy]

    PubMed ID: 26080850

    Glutamine+EPA+BCAA supplement in cancer patients preserved fat‑free mass and muscle weight versus controls (clinical evidence, combined product).

  7. Elemental diet plus glutamine for the prevention of mucositis in esophageal cancer patients receiving chemotherapy: a feasibility study

    PubMed ID: 26266659

    Glutamine plus elemental diet markedly reduced oral mucositis and helped maintain body weight during chemo (objective preservation of mass).

  8. The effects of intravenous, enteral and combined administration of glutamine on malnutrition in sepsis: a randomized clinical trial

    PubMed ID: 24561970

    Combined IV+enteral glutamine in malnourished septic patients improved creatinine/height index and nutrition proxies—consistent with lean-mass preservation in catabolic illness.

  9. Supplementation of l-Alanyl-l-Glutamine and Fish Oil Improves Body Composition and Quality of Life in Patients With Chronic Heart Failure

    PubMed ID: 26269566

    Alanyl‑glutamine + fish oil produced a small but statistically significant increase in lean body mass in heart‑failure patients (confounded).

  10. Clinical and metabolic efficacy of glutamine-supplemented parenteral nutrition after bone marrow transplantation. A randomized, double-blind, controlled study

    PubMed ID: 1567096

    Glutamine‑supplemented IV nutrition after BMT improved nitrogen balance and reduced infections/hospital stay — supports preservation of lean body protein under severe stress.

  11. A cost-evaluation of glutamine-supplemented parenteral nutrition in adult bone marrow transplant patients

    PubMed ID: 7963169

    Glutamine in PN improved nitrogen balance (objective marker) and shortened hospitalization with reduced infections — supports lean mass preservation.

  12. Combination of recombinant human growth hormone and glutamine-enriched total parenteral nutrition to surgical patients: effects on circulating amino acids

    PubMed ID: 11883998

    GH with glutamine improved nitrogen balance vs glutamine alone after surgery — supports lean-mass preservation in combo therapy.

  13. Decreased mortality and infectious morbidity in adult burn patients given enteral glutamine supplements: a prospective, controlled, randomized clinical trial

    PubMed ID: 14530749

    Burn study with reduced infections and mortality suggests preservation of overall clinical/lean status.

  14. The effect of supplemental enteral glutamine on plasma levels, gut function, and outcome in severe burns: a randomized, double-blind, controlled clinical trial

    PubMed ID: 12903886

    Severe burn trial associated glutamine with biochemical normalization and shorter stay — linked to better muscle/nutritional outcomes.

  15. [Effects of glutamine granules on protein metabolism in trauma patients]

    PubMed ID: 15144667

    Oral glutamine raised plasma levels, reduced urine nitrogen excretion and improved wound healing — consistent with lean‑mass preservation.

  16. Clinical and protein metabolic efficacy of glutamine granules-supplemented enteral nutrition in severely burned patients

    PubMed ID: 15774291

    Enteral glutamine in severe burns reduced markers of whole‑body proteolysis (urine N, 3‑MTH) and shortened hospital stay.

  17. L-Glutamine Supplementation Enhances Strength and Power of Knee Muscles and Improves Glycemia Control and Plasma Redox Balance in Exercising Elderly Women

    PubMed ID: 33809996

    Improvements in knee extensor/flexor peak torque and power in older women suggest preservation/improvement of functional lean mass.

  18. Nitrogen balance, 3-methylhistidine excretion, and plasma amino acid profile in infants after cardiac operations for congenital heart defects: the effect of early nutritional support

    PubMed ID: 9434700

    Postoperative parenteral amino acids improved nitrogen balance and decreased urinary 3‑methylhistidine (less muscle proteolysis) in infants.

  19. L-alanyl-L-glutamine-supplemented parenteral nutrition improves infectious morbidity in secondary peritonitis

    PubMed ID: 14757388

    Better nitrogen balance and higher albumin indicate protein-sparing/preservation of lean mass after severe abdominal infection.

  20. Effects of glutamine supplementation on patients undergoing abdominal surgery

    PubMed ID: 19382426

    Smaller postoperative drop in albumin and preserved GSH suggest better nutritional/protein status.

  21. Comparison of Intradialytic Parenteral Nutrition with Glucose or Amino Acid Mixtures in Maintenance Hemodialysis Patients

    PubMed ID: 27271658

    Amino‑acid infusions in hemodialysis patients raised albumin, suggesting improved protein status.

  22. The impact of alanyl-glutamine on clinical safety, nitrogen balance, intestinal permeability, and clinical outcome in postoperative patients: a randomized, double-blind, controlled study of 120 patients

    PubMed ID: 10483898

    Large randomized double‑blind study showed improved nitrogen balance over 6 days with Ala‑Gln‑supplemented PN.

  23. Glutamine granule-supplemented enteral nutrition maintains immunological function in severely burned patients

    PubMed ID: 16725264

    Burn patients had higher plasma glutamine and improved nutritional/immune markers with shorter hospitalization, suggesting preservation of lean tissue.

  24. [Effects of glutamine-enriched enteral nutrition on nutritional status and prognosis of patients with severe head injury]

    PubMed ID: 19951555

    Randomized study in severe head‑injury patients found preservation of upper arm circumference/muscle circumference with added glutamine — strong direct evidence.

  25. The inflammatory modulation effect of glutamine-enriched total parenteral nutrition in postoperative gastrointestinal cancer patients

    PubMed ID: 21396307

    Improved prealbumin and nitrogen balance with glutamine‑enriched TPN after GI surgery.

  26. Evaluation of the effects of a preoperative 2-hour fast with maltodextrine and glutamine on insulin resistance, acute-phase response, nitrogen balance, and serum glutathione after laparoscopic cholecystectomy: a controlled randomized trial

    PubMed ID: 22235107

    Glutamine beverage reduced postoperative nitrogen loss (better nitrogen balance), indicating preserved lean mass potential.

  27. [Effects of glutamine combined with ulinastatin on inflammatory response of patients with severe burn injury]

    PubMed ID: 24351534

    Burn patients receiving glutamine+ulinastatin had improved nitrogen balance and better wound outcomes, consistent with lean mass preservation.

  28. Effect of Glutamine's nutrition support on the postoperative nutrition and immune function in malignant tumor of gynecology patients

    PubMed ID: 25016261

    Postoperative enteral immune nutrition containing glutamine improved nutrition indices by day 9.

  29. Enteral glutamine supplementation in surgical patients with head and neck malignancy: A randomized controlled trial

    PubMed ID: 24992652

    Enteral glutamine after head/neck surgery increased fat‑free mass and serum albumin vs control.

  30. Application of Glutamine-enriched nutrition therapy in childhood acute lymphoblastic leukemia

    PubMed ID: 27401338

    Children with ALL on glutamine-enriched nutrition maintained protein markers and T‑cell counts with less edema.

  31. Oral glutamine supplements reduce concurrent chemoradiotherapy-induced esophagitis in patients with advanced non-small cell lung cancer

    PubMed ID: 30813149

    In NSCLC patients on chemoradiation, 30 g/day glutamine markedly prevented weight loss vs placebo—supports preservation of body mass during catabolic treatment.

  32. Efficacy Oral Glutamine to Prevent Oral Mucositis and Reduce Hospital Costs During Chemotherapy in Children with Acute Lymphoblastic Leukemia

    PubMed ID: 32711440

    In pediatric ALL undergoing high-dose MTX, peri-treatment glutamine markedly reduced mucositis and shortened hospitalization—indirect evidence for preserving nutritional/lean-status by reducing complications and length of stay.

  33. Cost containment through L-alanyl-L-glutamine supplemented total parenteral nutrition after major abdominal surgery: a prospective randomized double-blind controlled study

    PubMed ID: 11104589

    Clear improvement in nitrogen balance and normalization of plasma glutamine after major abdominal surgery — supports lean-mass preservation.

  34. The effect of glutamine-supplemented total parenteral nutrition on nitrogen economy depends on severity of diseases in surgical patients

    PubMed ID: 12127929

    Nitrogen-balance benefit in higher-severity patients suggests preservation of body protein under stress.

  35. [The prospective study on application of parenteral nutrition with alanyl-glutamine dipeptide in chemotherapy of gastrointestinal neoplasms patients]

    PubMed ID: 16965691

    Parenteral Ala-Gln helped preserve albumin and nutrition markers in GI cancer patients on chemo (supports lean-mass/nutrition preservation).

  36. Wasting and intestinal barrier function in children taking alanyl-glutamine-supplemented enteral formula

    PubMed ID: 17325559

    Enteral Ala-Gln in undernourished children produced better short-term weight gains (preservation/restoration of lean mass implied).

  37. L-alanyl-L-glutamine-supplemented parenteral nutrition decreases infectious morbidity rate in patients with severe acute pancreatitis

    PubMed ID: 18596311

    Improved nitrogen balance in severe acute pancreatitis with glutamine suggests protein/lean-mass sparing.

  38. Frequent intravenous pulses of growth hormone together with glutamine supplementation in prolonged critical illness after multiple trauma: effects on nitrogen balance, insulin resistance, and substrate oxidation

    PubMed ID: 18496372

    GH+Ala‑Gln arm showed marked nitrogen‑sparing (GH confound but nitrogen effect present).

  39. Nutrition support with glutamine dipeptide in patients undergoing liver transplantation

    PubMed ID: 20005375

    Liver transplant patients receiving Ala‑Gln had better nutrition indices (prealbumin/PNI) indicating lean mass preservation.

  40. [Clinical effect of alanyl-glutamine-enriched nutritional support in the treatment of children with abdominal Henoch-Schönlein purpura]

    PubMed ID: 30782281

    Ala‑Gln in children with abdominal Henoch‑Schönlein reduced steroid need and prevented in‑hospital weight loss—supports preservation of mass.

  41. Effects of Ala-Gln dipeptide parenteral nutrition on rehabilitation and infection of liver transplantation patients

    PubMed ID: 40996178

    Parenteral Ala‑Gln after liver transplant improved nutritional markers (prealbumin/albumin/transferrin)—supports restoration/preservation of lean tissue.

  42. Apolipoprotein E4 influences growth and cognitive responses to micronutrient supplementation in shantytown children from northeast Brazil

    PubMed ID: 22249475

    Growth/anthropometric improvements in children receiving glutamine suggest preservation/promotion of lean mass in malnourished settings.

  43. Glutamine and alpha-ketoglutarate prevent the decrease in muscle free glutamine concentration and influence protein synthesis after total hip replacement

    PubMed ID: 7666798

    Perioperative glutamine prevented postoperative muscle glutamine loss and preserved protein synthesis—strong evidence for lean‑mass preservation.

  44. A randomized controlled trial of the influence of the mode of enteral ornithine alpha-ketoglutarate administration in burn patients

    PubMed ID: 9482764

    OKG improved nitrogen balance and reduced markers of proteolysis in burn patients—consistent with lean mass preservation.

Metabolism (30)
  1. Effects of 6-month supplementation with ÎČ-hydroxy-ÎČ-methylbutyrate, glutamine and arginine on vascular endothelial function of older adults

    PubMed ID: 26306566

    Combined amino-acid supplement improved endothelial function (FMD) in older adults, an aspect of metabolic/cardiovascular health.

  2. Ingestion of glutamine and maltodextrin two hours preoperatively improves insulin sensitivity after surgery: a randomized, double blind, controlled trial

    PubMed ID: 23348639

    Glutamine+dextrinomaltose preop drink improved insulin sensitivity and reduced postoperative hyperglycemia.

  3. Evaluation of the effects of a preoperative 2-hour fast with maltodextrine and glutamine on insulin resistance, acute-phase response, nitrogen balance, and serum glutathione after laparoscopic cholecystectomy: a controlled randomized trial

    PubMed ID: 22235107

    Glutamine drink markedly improved postoperative insulin resistance (HOMA‑IR) and nitrogen balance.

  4. [Effects of glutamine-enriched enteral nutrition on nutritional status and prognosis of patients with severe head injury]

    PubMed ID: 19951555

    In head‑injured patients glutamine lowered fasting glucose at day 7 and shortened hospital stay — metabolic and clinical benefits reported.

  5. [Effects of glutamine granules on protein metabolism in trauma patients]

    PubMed ID: 15144667

    Large trauma/burn trial showed raised plasma glutamine and reduced nitrogen loss—improved protein/nitrogen metabolism.

  6. [Impact of microbial immune enteral nutrition on postoperative insulin resistance and infectious complication of patients with abdominal infection]

    PubMed ID: 25070447

    Microbial‑immune enteral formula containing glutamine lowered fasting insulin and HOMA‑IR postoperatively (confounded regimen).

  7. [Application of microbiological and immunological enteral nutrition in patients with gastrointestinal cancer complicated with diabetes mellitus]

    PubMed ID: 22648843

    Enteral nutrition with probiotics, glutamine and fish oil reduced insulin resistance (lower fasting insulin/HOMA‑IR) in GI cancer patients (multi‑component).

  8. Cellular mechanisms underlying the protective effects of preoperative feeding: a randomized study investigating muscle and liver glycogen content, mitochondrial function, gene and protein expression

    PubMed ID: 20622656

    Preop carb drink containing glutamine raised liver glycogen and reduced muscle PDK4 (mRNA/protein) — direct human metabolic effects though intervention had multiple components.

  9. Perioperative perturbations in carnitine metabolism are attenuated by preoperative carbohydrate treatment: Another mechanism by which preoperative feeding may attenuate development of postoperative insulin resistance

    PubMed ID: 22444237

    Carbohydrate drink with glutamine attenuated postoperative carnitine changes, suggesting metabolic modulation.

  10. Metabolite Profiles of Diabetes Incidence and Intervention Response in the Diabetes Prevention Program

    PubMed ID: 26861782

    Higher baseline glutamine:glutamate ratio associated with lower incident diabetes risk in a large cohort (observational link implicating glutamine metabolism and metabolic health).

  11. Functional and metabolic effects of omega-3 polyunsaturated fatty acid supplementation and the role of ÎČ-hydroxy-ÎČ-methylbutyrate addition in chronic obstructive pulmonary disease: A randomized clinical trial

    PubMed ID: 39181037

    HMB+EPA/DHA increased whole-body glutamine production and promoted fat loss — indicates metabolic effects linked to glutamine kinetics (multi-ingredient).

  12. Plasma arginine levels and blood glucose control in very preterm infants receiving 2 different parenteral nutrition regimens

    PubMed ID: 23474648

    Observational neonatal PN analysis linked low plasma glutamine/arginine to higher blood glucose and more insulin-treated hyperglycemia — indicates metabolic relevance.

  13. Myocardial Protecting Role of Glutamine in Patients with Low Ejection Fraction Undergoing Elective On-Pump Coronary Artery Bypass Graft Surgery

    PubMed ID: 35411147

    Perioperative IV glutamine lowered lactate, troponin and raised cardiac index after CABG—improves metabolic/organ perfusion parameters.

  14. Glutamine relieves the hypermetabolic response and reduces organ damage in severe burn patients: A multicenter, randomized controlled clinical trial

    PubMed ID: 34973853

    In severe burns glutamine attenuated the hypermetabolic response — direct evidence of metabolic modulation in a catabolic state.

  15. Efficacy of Perioperative Infusion of N(2)-L-alanyl-L-glutamine in Glycemic Control for Patients With Uncontrolled Diabetes Mellitus Presented for Urgent Coronary Artery Bypass Surgery: A Randomized Controlled Trial

    PubMed ID: 37537132

    Preop Ala‑Gln infusion in diabetics markedly lowered intra/post‑op glucose and sharply reduced insulin requirements—strong metabolic effect.

  16. [A prospectively randomized controlled study of the effects of intensive insulin therapy combined with glutamine on nutritional metabolism, inflammatory response, and hemodynamics in severe burn patients]

    PubMed ID: 34645147

    Ala‑Gln added to intensive insulin in severe burns was associated with lower blood glucose and improved hemodynamics—metabolic benefit though confounded by insulin regimen.

  17. The influence of parenteral glutamine supplementation on glucose homeostasis in critically ill polytrauma patients--A randomized-controlled clinical study

    PubMed ID: 24931756

    Parenteral Ala‑Gln in polytrauma reduced hyperglycemia incidence and lowered insulin requirements (clinical RCT).

  18. Intravenous alanyl-L-glutamine balances glucose-insulin homeostasis and facilitates recovery in patients undergoing colonic resection: a randomised controlled trial

    PubMed ID: 24374803

    Perioperative IV Ala‑Gln improved insulin sensitivity and attenuated peak glucose and FFA/TNFα (RCT).

  19. L-alanyl-glutamine pretreatment attenuates acute inflammatory response in children submitted to palatoplasty

    PubMed ID: 21971662

    Preoperative Ala‑Gln in children blunted postoperative glucose rise (improved perioperative glycemic control).

  20. Nutrition support with glutamine dipeptide in patients undergoing liver transplantation

    PubMed ID: 20005375

    After liver transplant Ala‑Gln improved nutrition markers and reduced liver injury with shorter stay (metabolic/organ support).

  21. Parenterally administered dipeptide alanyl-glutamine prevents worsening of insulin sensitivity in multiple-trauma patients

    PubMed ID: 16424718

    Parenteral alanyl-glutamine improved insulin-mediated glucose disposal (insulin sensitivity) in multiple-trauma patients (robust metabolic effect).

  22. Cost containment through L-alanyl-L-glutamine supplemented total parenteral nutrition after major abdominal surgery: a prospective randomized double-blind controlled study

    PubMed ID: 11104589

    Improved nitrogen economy and normalized plasma glutamine indicates favorable metabolic support after major surgery.

  23. Safety, Tolerability, and Biologic Activity of AXA1125 and AXA1957 in Subjects With Nonalcoholic Fatty Liver Disease

    PubMed ID: 34382947

    Multi‑AA formula including glutamine improved liver fat and HOMA‑IR (multi‑ingredient product).

  24. Oral Glutamine Supplementation Reduces Obesity, Pro-Inflammatory Markers, and Improves Insulin Sensitivity in DIO Wistar Rats and Reduces Waist Circumference in Overweight and Obese Humans

    PubMed ID: 30832230

    Short glutamine course reduced waist circumference and lowered insulin in obese subgroup.

  25. The effect of L-alanyl-L-glutamine dipeptide supplemented total parenteral nutrition on infectious morbidity and insulin sensitivity in critically ill patients

    PubMed ID: 21336131

    Alanine‑glutamine in TPN improved glycemic control and reduced insulin requirements in ICU patients.

  26. L-alanyl-L-glutamine dipeptide-supplemented total parenteral nutrition reduces infectious complications and glucose intolerance in critically ill patients: the French controlled, randomized, double-blind, multicenter study

    PubMed ID: 16505644

    In ICU trial, glutamine improved metabolic tolerance (fewer hyperglycemia/insulin-requiring cases) along with fewer infections.

  27. Glutamine supplementation can reduce some atherosclerosis markers after exhaustive exercise in young healthy males

    PubMed ID: 34844156

    Oral glutamine reduced leptin, total cholesterol and oxidized‑LDL after exhaustive exercise — clear metabolic biomarker improvements.

  28. L-Glutamine Supplementation Enhances Strength and Power of Knee Muscles and Improves Glycemia Control and Plasma Redox Balance in Exercising Elderly Women

    PubMed ID: 33809996

    Glutamine improved fructosamine and plasma GSH in older women while enhancing muscle strength — metabolic/antioxidant improvements.

  29. The effect of encapsulated glutamine on gut peptide secretion in human volunteers

    PubMed ID: 26541888

    Encapsulated glutamine raised GLP‑1 and insulin modestly in healthy volunteers, though effects on glucose tolerance were inconsistent.

  30. Effect of glutamine supplementation on cardiovascular risk factors in patients with type 2 diabetes

    PubMed ID: 25466655

    30 g/day for 6 weeks reduced body fat and waist in T2DM patients — direct metabolic benefit.

Stress resilience (30)
  1. [Analysis of the therapeutic effect and the safety of glutamine granules per os in patients with severe burns and trauma]

    PubMed ID: 15447818

    Glutamine improved gut barrier, protein metabolism and immune indices in severe burn/trauma patients—improved physiologic recovery after stress.

  2. A Phase 3 Trial of l-Glutamine in Sickle Cell Disease

    PubMed ID: 30021096

    In sickle cell disease, oral l‑glutamine reduced pain crises and hospitalizations—clinical benefit consistent with improved resilience to disease stressors.

  3. Influence of enteral glutamine on inflammatory and hormonal response in patients with rectal cancer during preoperative radiochemotherapy

    PubMed ID: 28272402

    Glutamine reduced cortisol and IL‑6 during radiochemotherapy, indicating reduced physiologic stress.

  4. Glutamine effects on heat shock protein 70 and interleukines 6 and 10: Randomized trial of glutamine supplementation versus standard parenteral nutrition in critically ill children

    PubMed ID: 25701159

    Higher HSP‑70 preserved and IL‑6 reduced in critically ill children on glutamine, suggesting improved cellular stress response.

  5. [Influence of glutamine and growth hormone intensified nutrition support on immunomodulation in critically ill elderly patients]

    PubMed ID: 17038243

    Critically ill elderly receiving intensified nutrition including glutamine + rhGH had improved nutritional/immune markers and clinical scores (combined therapy).

  6. Glutamine granule-supplemented enteral nutrition maintains immunological function in severely burned patients

    PubMed ID: 16725264

    Burn patient trial showed better immune function and shorter hospital stay—strong evidence of improved recovery from severe physiologic stress.

  7. Clinical and protein metabolic efficacy of glutamine granules-supplemented enteral nutrition in severely burned patients

    PubMed ID: 15774291

    In severe burns enteral glutamine reduced proteolysis and hospital stay—supports recovery from physiologic stress.

  8. [Effects of glutamine granules on protein metabolism in trauma patients]

    PubMed ID: 15144667

    Raised plasma glutamine, improved nitrogen balance and wound healing after trauma — evidence of enhanced recovery from injury/stress.

  9. Infection, multiple organ failure, and survival in the intensive care unit: influence of glutamine-supplemented parenteral nutrition on acquired infection

    PubMed ID: 12093428

    ICU parenteral glutamine reduced infections and associated with better 6‑month survival in adequately fed patients.

  10. Effect of a glutamine-enriched enteral diet on intestinal permeability and infectious morbidity at 28 days in critically ill patients with systemic inflammatory response syndrome: a randomized, single-blind, prospective, multicenter study

    PubMed ID: 12297203

    SIRS trial: fewer nosocomial infections with enteral glutamine — better recovery under critical stress.

  11. Glutamine-enriched enteral nutrition increases HLA-DR expression on monocytes of trauma patients

    PubMed ID: 12221212

    Trauma patients restored plasma glutamine and immune marker HLA‑DR with glutamine feeding — aids stress response.

  12. Clinical and metabolic efficacy of glutamine-supplemented parenteral nutrition after bone marrow transplantation. A randomized, double-blind, controlled study

    PubMed ID: 1567096

    BMT patients had improved nitrogen balance and fewer infections with glutamine‑supplemented PN → better recovery from treatment stress.

  13. [Clinical effect of alanyl glutamine in the treatment of patients with gastrointestinal function obstacle caused by severe phorate poisoning]

    PubMed ID: 29081098

    Alanyl‑glutamine improved GI recovery, reduced ICU/antidote needs in severe poisoning — supports resilience to toxic stress.

  14. Dietary supplementation with glutamine and Îł-aminobutyric acid improves growth performance and serum parameters in 22- to 35-day-old broilers exposed to hot environment

    PubMed ID: 25980810

    Dietary glutamine and GABA in heat‑stressed broilers reduced physiological stress markers (corticosterone) and improved growth (strong preclinical signal).

  15. 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

    Preop HMB/Arg/Gln attenuated inflammatory stress-response markers post-surgery — supports physiological stress recovery (combination).

  16. Effect of administration of ÎČ-hydroxy-ÎČ-methyl butyrate-enriched formula after liver transplantation: A pilot randomized controlled trial

    PubMed ID: 32593895

    Improved post-transplant strength and shorter LOS suggest faster recovery from surgical stress with HMB/glutamine-containing formula.

  17. Oral Supplementation with Beta-Hydroxy-Beta-Methylbutyrate, Arginine, and Glutamine Improves Lean Body Mass in Healthy Older Adults

    PubMed ID: 29672184

    Functional and lean-mass gains in older adults imply improved recovery from physiologic stressors over six months.

  18. Enriched enteral nutrition may improve short-term survival in stage IV gastric cancer patients: A randomized, controlled trial

    PubMed ID: 28336107

    Enriched enteral feeding reduced early postoperative deaths after gastrectomy, indicating enhanced resilience to surgical stress.

  19. 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 ICU patients receiving enteral pharmaconutrition (glutamine dipeptides + antioxidants) had faster organ-dysfunction recovery (SOFA slope), implying stress-recovery benefits.

  20. Myocardial Protecting Role of Glutamine in Patients with Low Ejection Fraction Undergoing Elective On-Pump Coronary Artery Bypass Graft Surgery

    PubMed ID: 35411147

    Perioperative IV glutamine reduced myocardial injury/lactate and improved cardiac output—evidence of improved stress recovery after cardiac surgery.

  21. Glutamine relieves the hypermetabolic response and reduces organ damage in severe burn patients: A multicenter, randomized controlled clinical trial

    PubMed ID: 34973853

    Glutamine reduced the hypermetabolic response to severe burn stress — direct evidence of improved physiologic stress recovery.

  22. Effects of enteral supplementation with glutamine granules on intestinal mucosal barrier function in severe burned patients

    PubMed ID: 15019120

    Burn patients recovered faster (shorter LOS) with glutamine — supports stress-recovery benefits.

  23. Efficacy of Perioperative Infusion of N(2)-L-alanyl-L-glutamine in Glycemic Control for Patients With Uncontrolled Diabetes Mellitus Presented for Urgent Coronary Artery Bypass Surgery: A Randomized Controlled Trial

    PubMed ID: 37537132

    Preop Ala‑Gln in diabetics lowered perioperative glucose and insulin needs—may reduce metabolic stress of surgery.

  24. [A prospectively randomized controlled study of the effects of intensive insulin therapy combined with glutamine on nutritional metabolism, inflammatory response, and hemodynamics in severe burn patients]

    PubMed ID: 34645147

    In severe burns, Ala‑Gln (with intensive insulin) improved glycemic control and hemodynamics—supports physiologic stress recovery (confounded by insulin regimen).

  25. Glutamine is cardioprotective in patients with ischemic heart disease following cardiopulmonary bypass

    PubMed ID: 22167767

    Perioperative Ala‑Gln lowered troponin I and improved hemodynamics after cardiac surgery—evidence of reduced organ stress/injury.

  26. Impact of alanyl-glutamine dipeptide on severe acute pancreatitis in early stage

    PubMed ID: 18200673

    Early Ala-Gln in severe pancreatitis shortened organ-failure durations and reduced mortality — major stress-recovery benefit in acute illness.

  27. [Effect of early enriched parenteral alanyl-glutamine on heat shock protein 70 (HSP70) expression in critical patients]

    PubMed ID: 17708846

    Early parenteral glutamine raised HSP70 and glutamine and was associated with fewer organ dysfunctions (stress/resilience effect).

  28. Parenteral L-alanyl-L-glutamine improves 6-month outcome in critically ill patients

    PubMed ID: 12352037

    Restored plasma glutamine and improved 6-month survival in patients treated ≄9 days indicates improved resilience in prolonged critical illness.

  29. [Effects of ulinastatin combined with glutamine on early hemodynamics in patients with severe burns]

    PubMed ID: 32114728

    Burn‑patient combo therapy improved hemodynamic responses to severe physiologic stress.

  30. [Cardioprotective effects of glutamine in patients with ischemic heart disease operated under conditions of extracorporeal blood circulation]

    PubMed ID: 22834281

    Perioperative glutamine improved hemodynamics after cardiopulmonary bypass (physiologic stress model).

Protein source (27)
  1. Catabolism in Critical Illness: A Reanalysis of the REducing Deaths due to OXidative Stress (REDOXS) Trial

    PubMed ID: 35220340

    Reanalysis linked higher urea/creatinine (nitrogen load) to glutamine‑associated mortality in critical illness — strong signal about amino‑acid/nitrogen balance and safety.

  2. Oral supplementation with L-glutamine alters gut microbiota of obese and overweight adults: A pilot study

    PubMed ID: 25933498

    Oral L‑glutamine changed gut microbiota and was associated with shifts in amino‑acid composition.

  3. Comparison of Intradialytic Parenteral Nutrition with Glucose or Amino Acid Mixtures in Maintenance Hemodialysis Patients

    PubMed ID: 27271658

    Intradialytic amino‑acid or glucose infusions altered plasma glutamine and overall amino‑acid profiles.

  4. Effect of the route of nutrition and L-alanyl-L-glutamine supplementation in amino acids' concentration in trauma patients

    PubMed ID: 28980034

    Alanyl‑glutamine produced clear, significant increases in plasma glutamine, alanine and citrulline.

  5. Prognostic value of perioperative changes in serum primary metabolites in patients after major surgery under general anesthesia: an exploratory secondary analysis of the TAPIR trial

    PubMed ID: 40586833

    Large perioperative metabolomics study found consistent postoperative glutamine depletion linked to complications (strong observational signal).

  6. 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

    Overweight subjects had lower fasting and blunted postprandial glutamine—evidence of altered AA balance in metabolic states.

  7. Cost containment through L-alanyl-L-glutamine supplemented total parenteral nutrition after major abdominal surgery: a prospective randomized double-blind controlled study

    PubMed ID: 11104589

    Ala-Gln improved nitrogen balance and normalized plasma glutamine after major abdominal surgery (direct amino-acid balance effect).

  8. Parenteral L-alanyl-L-glutamine improves 6-month outcome in critically ill patients

    PubMed ID: 12352037

    Parenteral Ala-Gln increased plasma glutamine in ICU patients (direct restoration of amino-acid status).

  9. Glutamine and alpha-ketoglutarate prevent the decrease in muscle free glutamine concentration and influence protein synthesis after total hip replacement

    PubMed ID: 7666798

    Perioperative glutamine prevented muscle glutamine decline—evidence of maintained amino acid pool in muscle.

  10. Myocardial Protecting Role of Glutamine in Patients with Low Ejection Fraction Undergoing Elective On-Pump Coronary Artery Bypass Graft Surgery

    PubMed ID: 35411147

    IV glutamine raised plasma glutamine substantially after CABG—direct evidence of altering systemic amino‑acid balance.

  11. Plasma arginine levels and blood glucose control in very preterm infants receiving 2 different parenteral nutrition regimens

    PubMed ID: 23474648

    Observational neonatal data linked low plasma glutamine/arginine to glycemic dysregulation — indicates the clinical importance of amino-acid balance.

  12. Amino acid homeostasis is a target of metformin therapy

    PubMed ID: 37302544

    Metformin treatment raised circulating glutamine and BCAA (evidence of altered AA handling in humans).

  13. Metabolomic profile of umbilical cord blood plasma from early and late intrauterine growth restricted (IUGR) neonates with and without signs of brain vasodilation

    PubMed ID: 24312458

    Cord-blood metabolomics showed measurable glutamine differences in IUGR infants — direct evidence of glutamine's role in amino-acid profiles.

  14. Effect of parenteral glutamine supplementation on plasma amino acid concentrations in extremely low-birth-weight infants

    PubMed ID: 12600870

    Large randomized trial in ELBW infants showed parenteral glutamine raised plasma glutamine ~30% → clear effect on amino‑acid balance.

  15. Cerebrospinal and plasma amino acid concentrations after administration of i.v. glycyl-glutamine and glycyl-tyrosine containing amino acid solutions in humans

    PubMed ID: 8865110

    IV glycyl‑glutamine increased venous glutamine/dipeptide concentrations, demonstrating ability to modify circulating amino‑acid pools.

  16. Glutamine-enriched enteral nutrition increases HLA-DR expression on monocytes of trauma patients

    PubMed ID: 12221212

    Enteral glutamine restored plasma glutamine in trauma patients — clear amino‑acid repletion evidence.

  17. The effect of supplemental enteral glutamine on plasma levels, gut function, and outcome in severe burns: a randomized, double-blind, controlled clinical trial

    PubMed ID: 12903886

    Raised plasma glutamine to near-normal in burn patients — clear amino-acid balance restoration.

  18. Effects on skeletal muscle of intravenous glutamine supplementation to ICU patients

    PubMed ID: 14722645

    IV glutamine normalized plasma glutamine in ICU patients (biochemical restoration of amino‑acid pool) though muscle pools were unchanged.

  19. [Effects of glutamine granules on protein metabolism in trauma patients]

    PubMed ID: 15144667

    Marked plasma glutamine increases and reduced nitrogen loss indicate improved systemic amino‑acid/nitrogen balance.

  20. [Effects on glutathione of patients received glutamine dipeptide enriched parenteral nutrition post abdominal surgery]

    PubMed ID: 16318774

    Preserved glutathione redox and albumin suggest better handling of amino‑acid–derived antioxidant pathways and protein status.

  21. Oral glutamine ameliorates chemotherapy-induced changes of intestinal permeability and does not interfere with the antitumor effect of chemotherapy in patients with breast cancer: a prospective randomized trial

    PubMed ID: 17168431

    Oral glutamine significantly raised plasma glutamine concentrations vs placebo in chemo patients.

  22. Glutamine granule-supplemented enteral nutrition maintains immunological function in severely burned patients

    PubMed ID: 16725264

    Glutamine supplementation raised plasma glutamine ~35% in burn patients, indicating improved amino acid status.

  23. [Protective effect of glutamine on intestinal barrier function in patients receiving chemotherapy]

    PubMed ID: 16437375

    Serum glutamine increased with oral glutamine during chemotherapy (prevention of expected decline), demonstrating impact on amino acid balance.

  24. Role of glutamine administration on T-cell derived inflammatory response after cardiopulmonary bypass

    PubMed ID: 18835506

    Perioperative glutamine produced a clear rise in plasma glutamine despite no T‑cell cytokine change — direct biochemical evidence of changed amino‑acid balance.

  25. Glutamine administration in patients undergoing cardiac surgery and the influence on blood glutathione levels

    PubMed ID: 19681775

    High‑dose IV glutamine increased plasma glutamine and preserved glutathione — direct evidence of altering amino acid/thiol balance.

  26. Glutamatergic system abnormalities in posttraumatic stress disorder

    PubMed ID: 26292802

    Observational data linking serum glutamate and glutamine/glutamate ratio to PTSD severity indicate clinical relevance of the ratio.

  27. Efficacy and Safety of Glutamine-supplemented Parenteral Nutrition in Surgical ICU Patients: An American Multicenter Randomized Controlled Trial

    PubMed ID: 26501700

    Parenteral glutamine reliably raised plasma glutamine by ≈33% (biochemical/AA-balance evidence).

Muscle growth (32)
  1. L-alanyl-L-glutamine-supplemented parenteral nutrition improves infectious morbidity in secondary peritonitis

    PubMed ID: 14757388

    Improved nitrogen balance and higher albumin/IgA in glutamine group after peritonitis indicate anabolic/protein-sparing effects.

  2. L-alanyl-L-glutamine-supplemented parenteral nutrition decreases infectious morbidity rate in patients with severe acute pancreatitis

    PubMed ID: 18596311

    Improved nitrogen balance in severe acute pancreatitis with glutamine (supports protein sparing/anabolism).

  3. Apolipoprotein E4 influences growth and cognitive responses to micronutrient supplementation in shantytown children from northeast Brazil

    PubMed ID: 22249475

    Glutamine associated with anthropometric (growth) improvements in undernourished children (APOE4 subgroup) — suggests support for growth/lean mass in that context.

  4. Glutamine and alpha-ketoglutarate prevent the decrease in muscle free glutamine concentration and influence protein synthesis after total hip replacement

    PubMed ID: 7666798

    Glutamine prevented postoperative decline in muscle protein synthesis markers—supports more effective protein use.

  5. A randomized controlled trial of the influence of the mode of enteral ornithine alpha-ketoglutarate administration in burn patients

    PubMed ID: 9482764

    OKG improved nitrogen balance and reduced 3‑methylhistidine (proteolysis marker) in burns—enhanced protein retention/use.

  6. Myocardial Protecting Role of Glutamine in Patients with Low Ejection Fraction Undergoing Elective On-Pump Coronary Artery Bypass Graft Surgery

    PubMed ID: 35411147

    IV glutamine increased plasma glutamine and improved metabolic markers post‑CABG—supports substrate availability for protein synthesis.

  7. 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/Arg/Gln supplement produced clinically meaningful weight and lean-mass gains in HIV-wasting patients; multi-ingredient limits glutamine-attribution.

  8. Reversal of cancer-related wasting using oral supplementation with a combination of beta-hydroxy-beta-methylbutyrate, arginine, and glutamine

    PubMed ID: 11975938

    Advanced cancer patients taking HMB/Arg/Gln gained fat-free mass versus controls — supports anabolic outcomes but not glutamine-alone effect.

  9. Beta-hydroxy-beta-methylbutyrate supplementation in critically ill trauma patients

    PubMed ID: 17215743

    HMB (with or without Arg/Gln) groups had smaller declines in nitrogen balance than placebo in critically injured patients — supports better protein use.

  10. Oral Supplementation with Beta-Hydroxy-Beta-Methylbutyrate, Arginine, and Glutamine Improves Lean Body Mass in Healthy Older Adults

    PubMed ID: 29672184

    Six months HMB/Arg/Gln increased total lean mass in older adults — supports anabolic/muscle growth effects (multi-ingredient).

  11. Effect of administration of ÎČ-hydroxy-ÎČ-methyl butyrate-enriched formula after liver transplantation: A pilot randomized controlled trial

    PubMed ID: 32593895

    Post‑liver transplant HMB formula (with glutamine) increased muscle mass index and strength.

  12. [Impact of glutamine, eicosapntemacnioc acid, branched-chain amino acid supplements on nutritional status and treatment compliance of esophageal cancer patients on concurrent chemoradiotherapy and gastric cancer patients on chemotherapy]

    PubMed ID: 26080850

    Cancer patients given glutamine+EPA+BCAA maintained/increased fat‑free mass versus control (clinical preservation/gain of muscle, but product combined).

  13. A randomised, double-blinded, placebo-controlled, pilot study of parenteral glutamine for allogeneic stem cell transplant patients

    PubMed ID: 16186995

    Parenteral glutamine in SCT patients improved albumin/CRP and citrulline signals (secondary endpoints) consistent with enhanced protein/visceral recovery.

  14. Supplementation of l-Alanyl-l-Glutamine and Fish Oil Improves Body Composition and Quality of Life in Patients With Chronic Heart Failure

    PubMed ID: 26269566

    Combined alanyl‑glutamine and fish oil modestly increased lean body mass (+1.7 kg) in heart‑failure patients (multi‑component intervention).

  15. Clinical and metabolic efficacy of glutamine-supplemented parenteral nutrition after bone marrow transplantation. A randomized, double-blind, controlled study

    PubMed ID: 1567096

    Improved nitrogen balance in parenteral‑glutamine group after BMT demonstrates enhanced net protein retention/efficiency.

  16. A cost-evaluation of glutamine-supplemented parenteral nutrition in adult bone marrow transplant patients

    PubMed ID: 7963169

    Improved nitrogen balance with glutamine‑supplemented PN suggests better net protein retention/utilization.

  17. [Effects of glutamine granules on protein metabolism in trauma patients]

    PubMed ID: 15144667

    Reduced urine nitrogen excretion and better nitrogen balance in large trauma/burn RCT—evidence of improved protein utilization.

  18. Clinical and protein metabolic efficacy of glutamine granules-supplemented enteral nutrition in severely burned patients

    PubMed ID: 15774291

    Lower whole‑body proteolysis markers (urine N, 3‑MTH) in burn patients — indicates improved protein preservation/utilization.

  19. Glutamine-supplemented total parenteral nutrition attenuates plasma interleukin-6 in surgical patients with lower disease severity

    PubMed ID: 16273650

    Ala‑Gln in TPN correlated with better nitrogen balance (in less‑severe patients) and lower IL‑6 — suggests improved protein economy.

  20. Glutamine granule-supplemented enteral nutrition maintains immunological function in severely burned patients

    PubMed ID: 16725264

    Raised plasma glutamine and improved cellular immunity and wound healing—consistent with enhanced protein utilization in catabolic states.

  21. [Effects of glutamine-enriched enteral nutrition on nutritional status and prognosis of patients with severe head injury]

    PubMed ID: 19951555

    Glutamine added to enteral nutrition in severe head injury preserved measures of lean tissue (upper arm circumference/muscle) indicating support for muscle maintenance/growth.

  22. The inflammatory modulation effect of glutamine-enriched total parenteral nutrition in postoperative gastrointestinal cancer patients

    PubMed ID: 21396307

    Glutamine‑enriched TPN improved prealbumin and nitrogen balance after GI cancer surgery — consistent with supporting lean tissue.

  23. Evaluation of the effects of a preoperative 2-hour fast with maltodextrine and glutamine on insulin resistance, acute-phase response, nitrogen balance, and serum glutathione after laparoscopic cholecystectomy: a controlled randomized trial

    PubMed ID: 22235107

    Glutamine drink improved nitrogen balance and reduced postoperative catabolism, indicating support for net protein/muscle anabolism.

  24. Effect of Glutamine's nutrition support on the postoperative nutrition and immune function in malignant tumor of gynecology patients

    PubMed ID: 25016261

    Enteral immune nutrition with glutamine improved nutrition indices by postoperative day 9.

  25. Enteral glutamine supplementation in surgical patients with head and neck malignancy: A randomized controlled trial

    PubMed ID: 24992652

    Postoperative enteral glutamine improved albumin and increased fat-free mass vs control.

  26. Application of Glutamine-enriched nutrition therapy in childhood acute lymphoblastic leukemia

    PubMed ID: 27401338

    Glutamine-enriched nutrition preserved serum protein markers (ALB/PA/RBP) and T-cell counts in children with ALL.

  27. L-Glutamine Supplementation Enhances Strength and Power of Knee Muscles and Improves Glycemia Control and Plasma Redox Balance in Exercising Elderly Women

    PubMed ID: 33809996

    Oral L‑glutamine increased knee extensor/flexor peak torque and power in older women, consistent with support for muscle strength/growth.

  28. Effects of glutamine supplementation on patients undergoing abdominal surgery

    PubMed ID: 19382426

    Attenuation of postoperative albumin loss and preserved glutathione imply improved protein and antioxidant status.

  29. Comparison of Intradialytic Parenteral Nutrition with Glucose or Amino Acid Mixtures in Maintenance Hemodialysis Patients

    PubMed ID: 27271658

    Amino‑acid infusion raised serum albumin suggesting improved protein status/usage.

  30. The impact of alanyl-glutamine on clinical safety, nitrogen balance, intestinal permeability, and clinical outcome in postoperative patients: a randomized, double-blind, controlled study of 120 patients

    PubMed ID: 10483898

    Improved nitrogen balance in PN patients indicates more effective protein utilization clinically.

  31. Cost containment through L-alanyl-L-glutamine supplemented total parenteral nutrition after major abdominal surgery: a prospective randomized double-blind controlled study

    PubMed ID: 11104589

    Improved nitrogen balance and cumulative N balance indicate enhanced utilization of protein/nitrogen with Ala-Gln in TPN.

  32. The effect of glutamine-supplemented total parenteral nutrition on nitrogen economy depends on severity of diseases in surgical patients

    PubMed ID: 12127929

    Improved cumulative nitrogen balance in higher-severity subgroup and increased T cells, suggesting anabolic/repair support in sick patients.

Detoxification (20)
  1. Antioxidant Activity with Increased Endogenous Levels of Vitamin C, E and A Following Dietary Supplementation with a Combination of Glutathione and Resveratrol Precursors

    PubMed ID: 33105552

    Glutamine‑containing supplements raised erythrocyte GSH and lowered oxidized glutathione—key detox pathway.

  2. Effects of postoperative enteral immune-enhancing diet on plasma endotoxin level, plasma endotoxin inactivation capacity and clinical outcome

    PubMed ID: 16196295

    Study showed faster recovery of endotoxin-inactivation capacity (EIC) with immunonutrition including glutamine — direct detoxification-related endpoint.

  3. Protective effect of parenteral glutamine supplementation on hepatic function in very low birth weight infants

    PubMed ID: 20416995

    IV glutamine in VLBW infants lowered liver enzymes and bilirubin — supports hepatic tolerance/detoxification.

  4. Glutamine supplementation in preterm infants receiving parenteral nutrition leads to an early improvement in liver function

    PubMed ID: 24231012

    Parenteral glutamine reduced AST and GGT in preterm infants — direct hepatoprotective/detoxification signal.

  5. Parenteral glutamine protects hepatic function during bone marrow transplantation

    PubMed ID: 9720743

    Parenteral glutamine in bone-marrow transplant patients preserved hepatic synthetic markers (protein C, albumin)—supports hepatic functional resilience in toxic/stress states.

  6. [Clinical effect of alanyl glutamine in the treatment of patients with gastrointestinal function obstacle caused by severe phorate poisoning]

    PubMed ID: 29081098

    Alanyl‑glutamine added to therapy for severe organophosphate (phorate) poisoning shortened GI recovery, reduced antidote needs and ICU stay → clinical detoxification/mitigation benefit.

  7. [Effects on glutathione of patients received glutamine dipeptide enriched parenteral nutrition post abdominal surgery]

    PubMed ID: 16318774

    Perioperative glutamine‑enriched TPN preserved glutathione redox status (higher GSH/GSSG ratio) — supports antioxidant/detox pathways.

  8. Glutamine administration in patients undergoing cardiac surgery and the influence on blood glutathione levels

    PubMed ID: 19681775

    Perioperative glutamine preserved whole‑blood glutathione (GSH), a key antioxidant/detoxification molecule — strong biochemical support.

  9. Oral preoperative antioxidants in pancreatic surgery: a double-blind, randomized, clinical trial

    PubMed ID: 21890323

    Preop supplement containing glutamine increased total endogenous antioxidant capacity and vitamin C after pancreatic surgery (multi‑nutrient).

  10. Evaluation of the effects of a preoperative 2-hour fast with maltodextrine and glutamine on insulin resistance, acute-phase response, nitrogen balance, and serum glutathione after laparoscopic cholecystectomy: a controlled randomized trial

    PubMed ID: 22235107

    Glutamine beverage raised glutathione and antioxidant status postoperatively — supports detoxification/antioxidant capacity.

  11. Effect of Glutamine Administration After Cardiac Surgery on Kidney Damage in Patients at High Risk for Acute Kidney Injury: A Randomized Controlled Trial

    PubMed ID: 36730070

    IV glutamine post‑cardiac surgery reduced urinary kidney‑injury biomarkers (TIMP‑2*IGFBP7, KIM‑1, NGAL), implying improved organ resilience/clearance function.

  12. [The effects of glutamine dipeptide on the improvement of endotoxemia in severely burned patients]

    PubMed ID: 12641984

    Oral glutamine in burn patients lowered early plasma endotoxin levels and sped wound healing (reduced endotoxemia = detox benefit).

  13. Effects of glutamine supplementation on patients undergoing abdominal surgery

    PubMed ID: 19382426

    Glutamine-supplemented TPN preserved plasma/RBC glutathione and GSH/GSSG ratio postoperatively, indicating improved antioxidant/detox capacity.

  14. Effects of perioperative parenteral glutamine-dipeptide supplementation on plasma endotoxin level, plasma endotoxin inactivation capacity and clinical outcome

    PubMed ID: 16054522

    Perioperative Ala-Gln improved endotoxin-inactivation capacity and sCD14 (enhanced detoxification/handling of bacterial products).

  15. Urinary phenylacetylglutamine as dosing biomarker for patients with urea cycle disorders

    PubMed ID: 22958974

    Study in UCD patients: urinary phenylacetylglutamine (a glutamine-conjugate) reliably reflected drug dosing — direct linkage of glutamine conjugation to detox pathways.

  16. [The change of intestinal mucosa barrier in chronic severe hepatitis B patients and clinical intervention]

    PubMed ID: 19874691

    Glutamine reduced endotoxin and gut‑damage markers in chronic hepatitis B, suggesting reduced gut‑derived toxic burden.

  17. L-Alanyl-Glutamine Attenuates Oxidative Stress in Liver Transplantation Patients

    PubMed ID: 26518955

    Peri‑operative Ala‑Gln reduced hepatic lipid peroxidation (MDA) during liver transplantation (oxidative damage marker).

  18. The effect of intravenous alanyl-glutamine supplementation on plasma glutathione levels in intensive care unit trauma patients receiving enteral nutrition: the results of a randomized controlled trial

    PubMed ID: 19608826

    IV Ala‑Gln in severely traumatized ICU patients increased total plasma glutathione substantially (biochemical detoxification marker).

  19. Depletion of plasma antioxidants in surgical intensive care unit patients requiring parenteral feeding: effects of parenteral nutrition with or without alanyl-glutamine dipeptide supplementation

    PubMed ID: 18065204

    Ala‑Gln modestly improved plasma reduced glutathione in a surgical subgroup (antioxidant support).

  20. Glutamine relieves the hypermetabolic response and reduces organ damage in severe burn patients: A multicenter, randomized controlled clinical trial

    PubMed ID: 34973853

    Burn RCT reduced organ‑injury biomarkers (LDH, HBD, cTnI) with glutamine — suggests reduced organ stress/toxicity.

Exercise recovery (16)
  1. A randomized controlled trial of the influence of the mode of enteral ornithine alpha-ketoglutarate administration in burn patients

    PubMed ID: 9482764

    OKG improved nitrogen balance and accelerated wound healing in burns—supports tissue/muscle recovery indirectly.

  2. Cost containment through L-alanyl-L-glutamine supplemented total parenteral nutrition after major abdominal surgery: a prospective randomized double-blind controlled study

    PubMed ID: 11104589

    Improved nitrogen balance after alanyl-glutamine in TPN suggests enhanced muscle protein recovery post-surgery.

  3. The effect of glutamine-supplemented total parenteral nutrition on nitrogen economy depends on severity of diseases in surgical patients

    PubMed ID: 12127929

    Nitrogen-balance improvements in sicker patients imply enhanced muscle recovery under catabolic stress.

  4. L-alanyl-L-glutamine-supplemented parenteral nutrition decreases infectious morbidity rate in patients with severe acute pancreatitis

    PubMed ID: 18596311

    Improved nitrogen balance in severe pancreatitis supports muscle protein preservation/recovery.

  5. Glutamine relieves the hypermetabolic response and reduces organ damage in severe burn patients: A multicenter, randomized controlled clinical trial

    PubMed ID: 34973853

    Burn RCT: glutamine reduced hypermetabolism and organ‑injury markers — supportive of systemic recovery including muscle in severe injury.

  6. Glutamine and alpha-ketoglutarate prevent the decrease in muscle free glutamine concentration and influence protein synthesis after total hip replacement

    PubMed ID: 7666798

    Perioperative glutamine preserved muscle glutamine and protein synthesis—supports faster/better muscle recovery after injury/surgery.

  7. Myocardial Protecting Role of Glutamine in Patients with Low Ejection Fraction Undergoing Elective On-Pump Coronary Artery Bypass Graft Surgery

    PubMed ID: 35411147

    Perioperative IV glutamine improved cardiac output and reduced injury markers after CABG—supports organ/tissue recovery.

  8. Oral Supplementation with Beta-Hydroxy-Beta-Methylbutyrate, Arginine, and Glutamine Improves Lean Body Mass in Healthy Older Adults

    PubMed ID: 29672184

    Six-month supplement improved lean mass and function, indicating enhanced muscle recovery/adaptation in older adults.

  9. Effect of administration of ÎČ-hydroxy-ÎČ-methyl butyrate-enriched formula after liver transplantation: A pilot randomized controlled trial

    PubMed ID: 32593895

    Post‑transplant formula improved grip strength and SMI — consistent with improved muscle recovery post-surgery.

  10. Effects of preoperative beta-hydroxy-beta-methylbutyrate, arginine, and glutamine supplementation on cardiac surgery: A randomized controlled trial

    PubMed ID: 39765161

    Preop HMB/Arg/Gln improved 6MWD and strength measures post-cardiac surgery — supports functional muscle recovery (multi-ingredient).

  11. [Impact of glutamine, eicosapntemacnioc acid, branched-chain amino acid supplements on nutritional status and treatment compliance of esophageal cancer patients on concurrent chemoradiotherapy and gastric cancer patients on chemotherapy]

    PubMed ID: 26080850

    Combined glutamine+EPA+BCAA supplement in cancer patients helped maintain muscle and reduce complications, supporting overall recovery (combined product).

  12. Clinical and metabolic efficacy of glutamine-supplemented parenteral nutrition after bone marrow transplantation. A randomized, double-blind, controlled study

    PubMed ID: 1567096

    Improved nitrogen balance after BMT indicates improved whole‑body protein economy aiding muscle recovery under severe stress.

  13. Clinical and protein metabolic efficacy of glutamine granules-supplemented enteral nutrition in severely burned patients

    PubMed ID: 15774291

    Burn patients showed reduced proteolysis and faster wound healing — implies improved overall recovery including muscle protein sparing.

  14. [Effects of glutamine-enriched enteral nutrition on nutritional status and prognosis of patients with severe head injury]

    PubMed ID: 19951555

    Preservation of muscle circumference and shorter hospital stay after head injury indicate improved muscle recovery/maintenance with enteral glutamine.

  15. Evaluation of the effects of a preoperative 2-hour fast with maltodextrine and glutamine on insulin resistance, acute-phase response, nitrogen balance, and serum glutathione after laparoscopic cholecystectomy: a controlled randomized trial

    PubMed ID: 22235107

    Improved nitrogen balance and lower postoperative catabolism imply better muscle recovery potential.

  16. L-Glutamine Supplementation Enhances Strength and Power of Knee Muscles and Improves Glycemia Control and Plasma Redox Balance in Exercising Elderly Women

    PubMed ID: 33809996

    L‑glutamine increased muscle strength and power in older women after 30 days, indicating enhanced muscle recovery/adaptation.

Energy & Fatigue (3)
  1. Myocardial Protecting Role of Glutamine in Patients with Low Ejection Fraction Undergoing Elective On-Pump Coronary Artery Bypass Graft Surgery

    PubMed ID: 35411147

    Lower lactate and improved cardiac index after periop glutamine infusion could translate to better early postoperative energy/metabolism.

  2. Improving rehabilitation after critical illness through outpatient physiotherapy classes and essential amino acid supplement: A randomized controlled trial

    PubMed ID: 26004031

    Rehab + essential AA (including glutamine) produced the largest improvement in 6‑minute walk distance after critical illness — functional/energy endurance signal (multi‑component trial).

  3. Cellular mechanisms underlying the protective effects of preoperative feeding: a randomized study investigating muscle and liver glycogen content, mitochondrial function, gene and protein expression

    PubMed ID: 20622656

    Preop glutamine-containing drink raised liver glycogen—physiologic basis for supporting short-term fuel stores and sustained energy perioperatively.

Endurance (3)
  1. Improving rehabilitation after critical illness through outpatient physiotherapy classes and essential amino acid supplement: A randomized controlled trial

    PubMed ID: 26004031

    Significant improvement in 6‑minute walk distance when enhanced rehab was combined with essential AAs including glutamine — functional endurance improvement observed (combined intervention).

  2. Oral Supplementation with Beta-Hydroxy-Beta-Methylbutyrate, Arginine, and Glutamine Improves Lean Body Mass in Healthy Older Adults

    PubMed ID: 29672184

    Stair-climb improvement suggests better short-term endurance/functional capacity after supplementation.

  3. Effects of preoperative beta-hydroxy-beta-methylbutyrate, arginine, and glutamine supplementation on cardiac surgery: A randomized controlled trial

    PubMed ID: 39765161

    Marked improvements in 6-minute walk distance pre/post-surgery with pre-op multi-ingredient supplementation — functional endurance benefit (multi-ingredient).

Focus & concentration (2)
  1. [A randomized, double-blind, placebo-controlled study of the efficacy and safety of ampasse in the treatment of chronic cerebral ischemia]

    PubMed ID: 31156217

    Glutamine‑derived ampasse randomized study reported improved depression, sleep and cognition in chronic cerebral ischemia patients.

  2. Apolipoprotein E4 influences growth and cognitive responses to micronutrient supplementation in shantytown children from northeast Brazil

    PubMed ID: 22249475

    Short-term growth/gut improvements with glutamine correlated with better later cognitive scores in APOE4+ children — suggests potential cognitive/mental development benefit.

Hydration (1)
  1. Application of Glutamine-enriched nutrition therapy in childhood acute lymphoblastic leukemia

    PubMed ID: 27401338

    Children on glutamine-enriched nutrition had less edema during chemotherapy, suggesting improved fluid balance.

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Products with Glutamine

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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.