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 serving | Products |
|---|---|
| 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 dose | Study 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 |
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 with | Study groups |
|---|---|
| Arginine | 16 |
| HMB | 10 |
| Zinc | 9 |
| Maltodextrin | 7 |
| Vitamin A | 6 |
| Probiotics | 3 |
Benefit Evidence
Barrierâ, permeabilityâ
Inflammationâ, mucositisâ
Absorptionâ, diarrheaâ
Absorption + permeability
-95% permeability; diarrhea
Gut barrier + immune
Reduced proteolysis, better nitrogen balance
+1.5 to +15 g N
Preserved/gained lean mass, weight +3 kg
Stress proteins/immune +HSP70
Injury/infection markers â~30%
Metabolic support, survival +26.7pp
Endurance: +21.6% VO2max
Endurance: +6MWD, stair-climb
Endurance: ammonia lower
Barrierâ, permeabilityâ
Inflammationâ, mucositisâ
Absorptionâ, diarrheaâ
Absorption + permeability
-95% permeability; diarrhea
Gut barrier + immune
Reduced proteolysis, better nitrogen balance
+1.5 to +15 g N
Preserved/gained lean mass, weight +3 kg
Stress proteins/immune +HSP70
Injury/infection markers â~30%
Metabolic support, survival +26.7pp
Research sources
Illness recovery (123)
- 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).
- 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 â improves overall treatment resilience.
- [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 â indicates improved recovery capacity in severe illness.
- 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 â clear overall recovery benefit in that setting.
- 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 scoresâsupports resilience in severe illness.
- Parenteral glutamine protects hepatic function during bone marrow transplantation
PubMed ID: 9720743
Parenteral glutamine preserved hepatic synthetic markers in BMT patientsâevidence of benefit to recovery capability under extreme stress.
- 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.
- 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 6âminute walk distance and psychological outcomes after critical illness â strong realâworld recovery signal (combined intervention).
- 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 alanylâglutamine and fish oil modestly increased lean mass and QoL in heartâfailure patients â modest resilience/recovery benefit albeit confounded.
- The clinical value of parenteral immunonutrition in surgical patients
PubMed ID: 15906909
Immunonutrition including glutamine reduced infections and hospital stay after gastric cancer surgery â supports enhanced recovery (confounded by other nutrients).
- [Impact of microbial immune enteral nutrition on postoperative insulin resistance and infectious complication of patients with abdominal infection]
PubMed ID: 25070447
Perioperative microbialâimmune enteral nutrition (with glutamine) significantly improved immune indices and clinical outcomes after GI perforation â notable overall recovery signal (multiâcomponent).
- [Clinical effect of alanyl glutamine in the treatment of patients with gastrointestinal function obstacle caused by severe phorate poisoning]
PubMed ID: 29081098
Alanylâglutamine improved GI recovery, reduced ICU stay and antidote use in severe poisoning â improved resilience and recovery.
- 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 chemotherapyâassociated diarrhea with alanylâglutamine contributes to better treatment tolerance and recovery though sample small.
- 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 â robust overall recovery benefit.
- 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.
- Outcome of critically ill patients after supplementation with glutamine
PubMed ID: 9263282
Parenteral glutamine in critically ill patients substantially improved 6âmonth survival â strong evidence for improved resilience/recovery.
- 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 â improved clinical recovery outcomes.
- 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.
- 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 â supports recovery/resilience.
- 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 â overall mixed but notable benefits.
- 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.
- 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 â meaningful clinical resilience benefit.
- 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 â„5 days.
- 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 â strong overall recovery signal.
- 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.
- 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 glutamineâenriched nutrition.
- [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 â meaningful clinical recovery benefit.
- [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.
- 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 stemâcell transplant trial: fewer days on IV narcotics and TPN with oral glutamine â clinically meaningful recovery endpoints.
- 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).
- 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.
- [Protective effect of glutamine on intestinal barrier function in patients receiving chemotherapy]
PubMed ID: 16437375
Reduced chemotherapyârelated intestinal permeability and maintained serum glutamine support mucosal integrity and recovery.
- 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 chemotherapyâinduced oral mucositis incidence and severity, indicating improved resilience to mucosal injury.
- Efficacy of glutamine-supplemented parenteral nutrition on short-term survival following allo-SCT: a randomized study
PubMed ID: 18317456
Randomized trial showing markedly better shortâterm survival (D+180) after alloâSCT with glutamineâenriched PN â strong evidence for improved overall recovery/resilience in that setting.
- [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 responseârate improvements in UC when glutamine was added to therapy point to improved diseaseâspecific recovery.
- Glutamine administration in patients undergoing cardiac surgery and the influence on blood glutathione levels
PubMed ID: 19681775
Biochemical improvements (âplasma glutamine, preserved GSH) after cardiac surgery indicate enhanced physiological resilience, though clinical outcomes were not clearly improved.
- [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 ~8âday shorter hospital stay in severe head injury support meaningful overall recovery benefit.
- 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.
- The inflammatory modulation effect of glutamine-enriched total parenteral nutrition in postoperative gastrointestinal cancer patients
PubMed ID: 21396307
Multiple positive postoperative outcomes (reduced ILâ6/CRP, improved nutrition, fewer infections) indicate improved overall recovery.
- [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).
- 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 infectionsâlongâterm resilience signal.
- 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.
- [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 complicationsâimproved recovery in neonates.
- [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 stayâstrong recovery signal.
- 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
Headâandâneck CRT patients had less mucositis, lower pain and shorter opioid/tube feeding needs with oral glutamine.
- 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.
- 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.
- 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).
- 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.
- 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 glutamineâTPN.
- Influence of enteral glutamine on inflammatory and hormonal response in patients with rectal cancer during preoperative radiochemotherapy
PubMed ID: 28272402
Glutamine reduced ILâ6 and cortisol during radiochemotherapy, suggesting improved physiologic resilience.
- Randomised placebo-controlled trial of dietary glutamine supplements for postinfectious irritable bowel syndrome
PubMed ID: 30108163
Large RCT in post-infectious IBSâD: glutamine normalized gut permeability and improved symptoms dramaticallyâtranslates to marked improvement in patient resilience/quality of life.
- A Phase 3 Trial of l-Glutamine in Sickle Cell Disease
PubMed ID: 30021096
Phase 3 trial in sickle cell disease: lâglutamine reduced number of pain crises and hospitalizations over 48 weeksâstrong clinical evidence for improving disease-related resilience/recovery.
- 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 ILâ6 in severe pancreatitis; mechanistic recovery signals though hard clinical endpoints were unchanged.
- 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 lossâmeaningful improvement in treatment tolerance and recovery.
- 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.
- 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.
- 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 chemoârelated oral mucositis and pain, enhancing tolerance of cancer therapy and recovery.
- 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 kidneyâinjury biomarkers after cardiac surgery â supports organ resilience in the perioperative period.
- 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 lowâEF patients, indicating enhanced recovery potential.
- Clinical, Functional, and Nutritional Efficacy of a Glutamine-Enriched Oligomeric Diet in Patients with Rectal Cancer
PubMed ID: 37994411
Glutamineâenriched diet reduced treatmentârelated GI toxicity in rectal cancer patients, contributing to overall treatment resilience.
- 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 Lâglutamine in children with sickle cell disease significantly reduced VOC frequency and hospitalizations and improved QoL â strong overall resilience/recovery benefit.
- 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 radiationâinduced mucositis severity and symptoms â clinically relevant for recovery in cancer patients.
- 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 â meaningful improvement in postâoperative recovery/resilience.
- Bifidobacterium regulates premature infant gut metabolites, reducing serum inflammatory factors: a randomised controlled trial
PubMed ID: 39271904
Probioticâdriven intestinal glutamine increases were associated with reduced inflammation and feeding intolerance in preemies â supports resilience via gut immunity and nutrition.
- 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 â contributes to overall patient recovery.
- Intervention and Mechanisms of Alanyl-glutamine for Inflammation, Nutrition, and Enteropathy: A Randomized Controlled Trial
PubMed ID: 32826717
Oral AlaâGln improved gut barrier and transient weight measures in undernourished childrenâsupporting shortâterm recovery of mucosal/nutritional status.
- [Clinical effect of alanyl-glutamine-enriched nutritional support in the treatment of children with abdominal Henoch-Schönlein purpura]
PubMed ID: 30782281
AlaâGln reduced steroid use and weight loss in pediatric illnessâmeaningful clinical recovery benefit.
- A randomized controlled trial of alanyl-glutamine supplementation in peritoneal dialysis fluid to assess impact on biomarkers of peritoneal health
PubMed ID: 30360960
AlaâGln in PD patients improved membrane health and immune biomarkersâsupports clinical resilience in chronic therapy setting.
- The influence of parenteral glutamine supplementation on glucose homeostasis in critically ill polytrauma patients--A randomized-controlled clinical study
PubMed ID: 24931756
Parenteral AlaâGln reduced hyperglycemia and insulin needs in polytrauma ICU patients (clinical recovery metric).
- 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 AlaâGln improved metabolic/inflammatory markers and sped recovery after colon surgery.
- 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 â supports improved resilience to infection in a specific context.
- 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 AlaâGln.
- 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 AlaâGln increased plasma glutathione (antioxidant) suggesting improved physiological resilience.
- [Effect of glutamine on serum interleukin-8 and tumor necrosis factor-alpha levels in patients with severe pancreatitis]
PubMed ID: 18227044
In severe pancreatitis AlaâGln raised glutamine, lowered inflammatory cytokines and associated with shorter stay and lower mortality.
- The role of parenteral glutamine supplement for surgical patient perioperatively: result of a single center, prospective and controlled study
PubMed ID: 18712409
Perioperative AlaâGln reduced inflammation and immune suppression after GI surgery (supports resilience).
- 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 â supports improved recovery.
- 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 â overall recovery benefit.
- 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 â strong evidence of improved overall recovery/resilience.
- [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 â supports resilience in critical illness.
- 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 â meaningful recovery/resilience in that population.
- [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 â aids overall recovery during treatment.
- [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 â clear recovery benefit.
- 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 â„9 days (clinically meaningful resilience effect).
- 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: AlaâGln in PN improved nitrogen balance, gut permeability and shortened hospital stay (strong overall recovery evidence).
- 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.
- [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.
- 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.
- [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.
- 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.
- 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.
- 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.
- 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 patientsâstrong evidence for improved recovery/resilience.
- 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.
- 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.
- [Effect of alanyl-glutamine in postoperative total parenteral nutrition on postoperative immunosuppression and morbidity. Preliminary results of a prospective randomized study]
PubMed ID: 9931687
Alanylâglutamine substitution in TPN was associated with less inflammation, faster immune recovery and fewer complicationsâstrong evidence for improved overall postoperative resilience.
- 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 aminoâacid support blunted postoperative proteolysis and improved nitrogen balance in infantsâsupports overall recovery.
- [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 AlaâGln and intensive insulin in burns improved glycemic/hemodynamic measuresâsupports better overall physiologic recovery (confounded).
- 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 AlaâGln translates to substantial improvement in surgical recovery and outcomes.
- Effects of Ala-Gln dipeptide parenteral nutrition on rehabilitation and infection of liver transplantation patients
PubMed ID: 40996178
Parenteral AlaâGln after liver transplant improved nutrition markers, shortened ICU/hospital stay and reduced infectionsâstrong overall recovery signal.
- 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 â strong evidence for improved overall recovery in severe injury.
- 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 â supports long-term resilience benefits in malnutrition contexts.
- 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 â strong support for resilience in critical illness.
- 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 organâinjury and intestinal permeability markers â broad clinical recovery benefits.
- 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 burnsâbroad benefits to recovery.
- 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 indexâsupports improved recovery after major surgery.
- 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 â strong clinical recovery signal (multi-nutrient).
- Randomised trial of glutamine-enriched enteral nutrition on infectious morbidity in patients with multiple trauma
PubMed ID: 9737282
Trauma RCT with glutamineâenriched enteral nutrition produced large reductions in infectious complications â major contribution to overall recovery/resilience.
- 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 â supports postoperative resilience (multiânutrient formula).
- 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 â indicates resilience under stress.
- 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 â supports improved overall postoperative resilience.
- 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 â broad recovery benefit.
- 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.
- 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.
- Effect of administration of ÎČ-hydroxy-ÎČ-methyl butyrate-enriched formula after liver transplantation: A pilot randomized controlled trial
PubMed ID: 32593895
Postâtransplant improvements in strength, muscle mass, and shorter LOS indicate enhanced overall recovery with HMB/Arg/Gln-containing formula.
- 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 â strong overall recovery signal.
- 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 â supports broader recovery and resilience (combination product).
- 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 â clinically meaningful resilience benefit (combination).
- 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 â strong multi-domain recovery/resilience signal (multi-ingredient).
- 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 â strong evidence of improved overall recovery in that setting (direct glutamine RCT).
- [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).
- Tryptophan, glutamine, leucine, and micronutrient supplementation improves environmental enteropathy in Zambian adults: a randomized controlled trial
PubMed ID: 31504110
Aminoâacid supplement including glutamine improved smallâbowel villus morphology and barrier leak modestly in environmental enteropathy (supports mucosal resilience).
- 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 heatâstressed broilers improved growth and reduced stress biomarkers â preclinical evidence of resilience benefits.
Immune support (84)
- 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.
- 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).
- 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.
- 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
Alanineâglutamine in TPN reduced ventilatorâassociated pneumonia and UTIs in ICU RCT.
- 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
AlaâGlnâsupplemented PN maintained gut barrier and attenuated postoperative immune depression (large RCT).
- 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.
- 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.
- 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).
- 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.
- 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.
- [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.
- Clinical application of immune-enhanced enteral nutrition in patients with advanced gastric cancer after total gastrectomy
PubMed ID: 22788925
Postâgastrectomy EN+glutamine increased CD4+, NK cells and IgM/IgG vs control.
- 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 infectionsâindirect evidence of immune protection.
- The inflammatory modulation effect of glutamine-enriched total parenteral nutrition in postoperative gastrointestinal cancer patients
PubMed ID: 21396307
Postoperative glutamineâenriched TPN lowered ILâ6/CRP and reduced infectious complications.
- 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 infectionsâclear immuneârelated clinical benefit.
- Glutamine-supplemented total parenteral nutrition improves immunological status in anorectic patients
PubMed ID: 20122815
Glutamineâsupplemented TPN produced large increases in neopterin and lymphocytes, indicating strong immune activation.
- 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 shortâterm immune stimulation.
- Efficacy of glutamine-supplemented parenteral nutrition on short-term survival following allo-SCT: a randomized study
PubMed ID: 18317456
Glutamineâenriched PN improved survival after alloâSCT, plausibly via immuneârelated mechanisms (clinical immuneârelevant outcome).
- Glutamine supplementation influences immune development in the newly weaned piglet
PubMed ID: 16697041
Piglet study showed gutâassociated immune modulation (Th1 responses), supporting an immune role (animal model).
- [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 (multiânutrient confounder).
- 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.
- [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).
- 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 Typeâ1 Tâcell IFNâÎł responses by day 14âclear immunomodulation.
- [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 gutâbarrier and immune indices (large RCT).
- Randomized, double-blind, controlled study of glycyl-glutamine-dipeptide in the parenteral nutrition of patients with acute leukemia undergoing intensive chemotherapy
PubMed ID: 14990264
Glycylâglutamine shortened neutropenia and sped neutrophil recovery in a chemo subgroupâdirect immunologic/hematologic benefit.
- 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).
- 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 â associated immune benefits and fewer complications.
- 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.
- 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 6âmonth survival in adequately fed patients.
- 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.
- 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 HLAâDR (immune marker).
- Enteral glutamine supplementation for very-low-birth-weight infants decreases hospital costs
PubMed ID: 9829607
Enteral glutamine in VLBW infants lowered morbidity and costs â consistent immune benefit.
- 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.
- [Effect of alanyl-glutamine in postoperative total parenteral nutrition on postoperative immunosuppression and morbidity. Preliminary results of a prospective randomized study]
PubMed ID: 9931687
Alanylâglutamine added to TPN accelerated recovery of immune markers and reduced postoperative complications.
- Enteral glutamine supplementation for very low birth weight infants decreases morbidity
PubMed ID: 9403648
Enteral glutamine in VLBW infants reduced hospital-acquired sepsis â strong immune benefit.
- Outcome of critically ill patients after supplementation with glutamine
PubMed ID: 9263282
Parenteral glutamine in critically ill increased 6âmonth survival, consistent with improved resilience/immune outcomes.
- 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 â strong clinical immune-related benefit.
- 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 â strong immune-support signal.
- [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 (multiâcomponent intervention).
- [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).
- 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).
- 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 Lâglutamide (glutamine derivative) plus probiotics and fish oil improved immune cell counts vs standard formula (multi-component).
- 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.
- 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).
- 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.
- 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).
- [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 infectionârelated complications (clinical benefit but combined product).
- 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).
- 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 (ILâ6, CRP, ILâ1) â strong anti-inflammatory/immune-modulating signal (combination product).
- 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 â immune-related surgical benefit.
- 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
Postâgastrectomy immunonutrition (arginine, glutamine, omegaâ3, nucleotides) increased immune cell counts and decreased inflammatory markers.
- 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.
- 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.
- 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 â supports immune-modulating effects.
- 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 â clinically relevant immune effect (multi-nutrient).
- 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.
- 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/omegaâ3) improved immune cell function and lowered inflammatory markers (multiânutrient but relevant).
- Randomised trial of glutamine-enriched enteral nutrition on infectious morbidity in patients with multiple trauma
PubMed ID: 9737282
Randomized trauma trial: glutamineâenriched enteral nutrition markedly reduced pneumonia, bacteraemia and sepsis â strong clinical immune benefit.
- 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.
- 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 organâinjury biomarkers and gut permeability â likely reduces infection risk and supports immune resilience.
- 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 Tâcell measures in radiation enteritis but multiâingredient product limits attribution.
- 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.
- [The change of intestinal mucosa barrier in chronic severe hepatitis B patients and clinical intervention]
PubMed ID: 19874691
Oral glutamine reduced endotoxin and gutâdamage markers in chronic hepatitis Bâindirectly supports immune state by lowering endotoxemia.
- Effects of Ala-Gln dipeptide parenteral nutrition on rehabilitation and infection of liver transplantation patients
PubMed ID: 40996178
Postâtransplant parenteral AlaâGln lowered infections and improved immune/nutrition markersâstrong clinical immune benefit.
- [Clinical effect of alanyl-glutamine-enriched nutritional support in the treatment of children with abdominal Henoch-Schönlein purpura]
PubMed ID: 30782281
AlaâGln in children with HenochâSchönlein reduced steroid use and symptom recurrence, indicating reduced inflammatory burden.
- A randomized controlled trial of alanyl-glutamine supplementation in peritoneal dialysis fluid to assess impact on biomarkers of peritoneal health
PubMed ID: 30360960
AlaâGln in PD fluid increased exâvivo stimulated ILâ6/TNFα and reduced systemic ILâ8âdirect immuneâcompetence improvements.
- 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).
- 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.
- 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 â direct immune/infection benefit in that context.
- 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.
- 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.
- 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 â clinically meaningful immune/antiâinfective benefit.
- 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 â supports gutâimmune interactions mediated by glutamine.
- Clinical trial: prophylactic intravenous alanyl-glutamine reduces the severity of gastrointestinal toxicity induced by chemotherapy--a randomized crossover study
PubMed ID: 19549287
Prophylactic IV AlaâGln during chemotherapy raised glutamine and reduced endotoxin and GI symptoms.
- [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 AlaâGln lowered proinflammatory cytokines (ILâ8, TNFâα) and improved outcomes.
- The role of parenteral glutamine supplement for surgical patient perioperatively: result of a single center, prospective and controlled study
PubMed ID: 18712409
Perioperative AlaâGln reduced markers of inflammation and attenuated postoperative immune suppression.
- 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).
- 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).
- [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).
- 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).
- 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 â supports immune resilience in ICU subgroup.
- 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).
- [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).
- 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)
- 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 â clinically meaningful acceleration of recovery.
- 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 â supports faster/better healing outcomes in severe illness.
- 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 organâinjury and gutâpermeability biomarkers â strong evidence of accelerated physiologic recovery/healing.
- 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 woundâhealing markers in burn patientsâgood evidence for faster healing.
- 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 CABGâsupports faster organâlevel recovery.
- Randomised trial of glutamine-enriched enteral nutrition on infectious morbidity in patients with multiple trauma
PubMed ID: 9737282
Glutamineâenriched enteral nutrition in trauma patients markedly reduced pneumonia/sepsis â clinically meaningful faster recovery and fewer complications.
- 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 â direct evidence of augmented wound repair (multi-nutrient).
- 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.
- 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 â faster resolution of mucocutaneous injury.
- 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 â strong surgical wound-healing benefit.
- 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 â clinically meaningful healing outcome.
- 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 â strong clinical healing/protection effect (combination).
- 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 â direct mucosal healing/protection RCT.
- 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 treatmentârelated nerve injury severity).
- 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 â clinically meaningful healing support for mucosa.
- 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 â supports faster mucosal recovery.
- Parenteral glutamine protects hepatic function during bone marrow transplantation
PubMed ID: 9720743
Parenteral glutamine preserved markers of hepatic synthetic function after BMTâsupports improved recovery from severe treatment-related injury.
- 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 â supports faster postoperative healing (multiânutrient).
- [Impact of microbial immune enteral nutrition on postoperative insulin resistance and infectious complication of patients with abdominal infection]
PubMed ID: 25070447
Perioperative microbialâimmune enteral formula with glutamine improved immune indices and halved postoperative infections â faster clinical recovery/healing.
- [Clinical effect of alanyl glutamine in the treatment of patients with gastrointestinal function obstacle caused by severe phorate poisoning]
PubMed ID: 29081098
Alanylâglutamine shortened GI recovery and ICU stay in severe poisoning â evidence of accelerated recovery/healing.
- 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 â supports recovery from treatmentârelated injury.
- Clinical and metabolic efficacy of glutamine-supplemented parenteral nutrition after bone marrow transplantation. A randomized, double-blind, controlled study
PubMed ID: 1567096
PostâBMT improved nitrogen balance and fewer infections â faster recovery after intensive therapy.
- 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 â clinically meaningful faster recovery/healing signal.
- 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.
- 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 â suggests accelerated recovery/healing.
- 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 â clinical healing benefits.
- 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 â supports faster healing of mucosa and immunity.
- [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).
- 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.
- [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.
- 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.
- 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 chemoâinduced oral mucositis incidence/severity, demonstrating faster mucosal healing.
- Efficacy of glutamine-supplemented parenteral nutrition on short-term survival following allo-SCT: a randomized study
PubMed ID: 18317456
Glutamineâenriched PN after alloâSCT significantly improved D+180 survival and D+100 survival â suggests faster/better recovery/healing postâtransplant.
- [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.
- The inflammatory modulation effect of glutamine-enriched total parenteral nutrition in postoperative gastrointestinal cancer patients
PubMed ID: 21396307
Glutamineâenriched TPN lowered ILâ6/CRP and reduced postoperative infection rates after GI cancer surgery â supports faster recovery/healing.
- [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).
- Clinical application of immune-enhanced enteral nutrition in patients with advanced gastric cancer after total gastrectomy
PubMed ID: 22788925
Postâgastrectomy EN+Gln shortened hospitalization and improved nutritional/immune markers â faster postoperative recovery.
- [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).
- [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.
- 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 â clinically meaningful mucosal healing.
- 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 infectionsâstrong healing/recovery signal.
- 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 surgeryâsupports recovery/healing.
- 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).
- The role of glutamine supplemented total parenteral nutrition (TPN) in severe acute pancreatitis
PubMed ID: 27775778
Severe acute pancreatitis: glutamineâsupplemented TPN associated with fewer complications, lower mortality, and shorter stay.
- Randomised placebo-controlled trial of dietary glutamine supplements for postinfectious irritable bowel syndrome
PubMed ID: 30108163
Normalization of intestinal permeability and symptom resolution in IBSâD indicate mucosal recovery/healing.
- 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 ILâ6 in pancreatitis indicate enhanced recovery of gut integrity, though hard clinical endpoints (mortality, infected necrosis) were unchanged.
- 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 chemoradiationâsupports faster mucosal recovery.
- 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 highâdose MTX showed dramatic reductions in oral mucositis incidence and severity, shorter treatment durationâstrong evidence of faster mucosal healing.
- 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 chemoârelated oral mucositis, pain and dryness â clear healing/repair benefit for oral mucosa.
- 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 kidneyâinjury biomarkers, suggesting faster organ recovery/repair.
- 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 lowâEF CABG patients lowered troponin, improved cardiac index and reduced histologic myocardial injury â strong organ healing signal.
- Clinical, Functional, and Nutritional Efficacy of a Glutamine-Enriched Oligomeric Diet in Patients with Rectal Cancer
PubMed ID: 37994411
Glutamineâenriched diet reduced GI toxicity and improved stool outcomes in rectal cancer patients â supports mucosal recovery during treatment.
- 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 Lâglutamine in children with sickle cell disease reduced painful crises and hospitalizations â clinically meaningful reduction in acute illness events.
- 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 â supports faster symptomatic recovery of mucosa.
- 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 â clinically meaningful restorative effect on mucosal health and complications.
- Effects of L-glutamine and hyaluronic acid associated with photobiomodulation on oral mucositis: a randomized clinical trial
PubMed ID: 40295318
Topical Lâglutamine + HA reduced severe oral mucositis and improved symptom scores in radiochemotherapy â evidence of accelerated symptom resolution/healing.
- [Effect of alanyl-glutamine in postoperative total parenteral nutrition on postoperative immunosuppression and morbidity. Preliminary results of a prospective randomized study]
PubMed ID: 9931687
Alanylâglutamine in postoperative TPN decreased systemic inflammation, sped immune recovery and reduced complicationsâsupports faster healing.
- 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.
- 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.
- 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.
- 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.
- [Cardioprotective effects of glutamine in patients with ischemic heart disease operated under conditions of extracorporeal blood circulation]
PubMed ID: 22834281
Perioperative alanineâglutamine lowered troponin and improved early cardiac hemodynamics postâCPB.
- [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.
- 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 AlaâGln improved gut barrier and shortened hospital stay suggesting faster recovery/healing.
- [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).
- 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.
- 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 â supports faster recovery/healing from severe injury.
- The role of parenteral glutamine supplement for surgical patient perioperatively: result of a single center, prospective and controlled study
PubMed ID: 18712409
Perioperative AlaâGln attenuated postoperative inflammatory suppressionâconsistent with faster physiologic recovery.
- Nutrition support with glutamine dipeptide in patients undergoing liver transplantation
PubMed ID: 20005375
After liver transplant AlaâGln improved liver injury markers and reduced hospital stay (supports healing).
- [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 inâhospital recurrence in pediatric HenochâSchönlein imply faster clinical recovery.
- A randomized double-blind controlled proof-of-concept study of alanyl-glutamine for reduction of post-myomectomy adhesions
PubMed ID: 37023559
Intraperitoneal AlaâGln dramatically reduced postoperative adhesions in RCTâstrong surgical healing benefit.
- Effects of Ala-Gln dipeptide parenteral nutrition on rehabilitation and infection of liver transplantation patients
PubMed ID: 40996178
Parenteral AlaâGln after liver transplant shortened ICU/hospital stay and reduced infectionsâconsistent with expedited recovery/healing.
Gut health (66)
- [Effects of glutamine combined with ulinastatin on inflammatory response of patients with severe burn injury]
PubMed ID: 24351534
Burn study showed lower Dâlactate/DAO and better gut markers, supporting intestinal barrier benefits (given with ulinastatin).
- Oral supplementation with L-glutamine alters gut microbiota of obese and overweight adults: A pilot study
PubMed ID: 25933498
Oral glutamine altered gut microbiota compositionâpotentially beneficial for mucosal health.
- 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.
- 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
AlaâGln in PN improved intestinal permeability (L/M ratio) in a large RCT (direct clinical evidence of gut barrier support).
- [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).
- 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 â direct gut-lining benefit.
- Clinical trial: prophylactic intravenous alanyl-glutamine reduces the severity of gastrointestinal toxicity induced by chemotherapy--a randomized crossover study
PubMed ID: 19549287
IV AlaâGln reduced endotoxin and GI symptoms during chemotherapy (supports mucosal protection).
- Improvement of intestinal permeability with alanyl-glutamine in HIV patients: a randomized, double blinded, placebo-controlled clinical trial
PubMed ID: 23657308
Short AlaâGln supplements improved mannitol excretion and permeability in people with HIV (RCT).
- A randomized controlled trial of alanyl-glutamine supplementation in peritoneal dialysis fluid to assess impact on biomarkers of peritoneal health
PubMed ID: 30360960
AlaâGln improved peritoneal membrane biomarkers (CAâ125) and reduced protein lossâsupports membrane integrity in PD context.
- Intervention and Mechanisms of Alanyl-glutamine for Inflammation, Nutrition, and Enteropathy: A Randomized Controlled Trial
PubMed ID: 32826717
Oral AlaâGln in undernourished children improved intestinal barrier (reduced lactulose excretion) in doseâdependent fashion.
- 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 â strong direct evidence for gut barrier support.
- 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).
- 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 â supportive though confounded by GH.
- [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 Bâsupports mucosal integrity.
- 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 Crohnâs remission, although whey produced similar results.
- 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 â strong population-level gut support evidence.
- 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 â robust gut-barrier benefit in acute illness.
- The impact of microbial immune enteral nutrition on the patients with acute radiation enteritis in bowel function and immune status
PubMed ID: 24366547
Glutamineâcontaining enteral formula improved bowel symptoms in radiation enteritis and likely aided mucosal recovery (multiâingredient caveat).
- 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) â strong clinical support for gut barrier protection.
- 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.
- 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 â supports mucosal/gut ecology benefits (preclinical).
- 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 â direct gut-lining benefit.
- 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 â supports mucosal protection (combination product).
- 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 â strong, direct mucosal-lining benefit.
- Combined enteral infusion of glutamine, carbohydrates, and antioxidants modulates gut protein metabolism in humans
PubMed ID: 18996864
Oral formula containing AlaâGln markedly increased duodenal protein synthesis and reduced proteolysis â supports intestinal mucosal support (product contained glutamine peptide).
- Tryptophan, glutamine, leucine, and micronutrient supplementation improves environmental enteropathy in Zambian adults: a randomized controlled trial
PubMed ID: 31504110
Aminoâacid supplement containing glutamine modestly increased duodenal villus height and surface area in adults with environmental enteropathy (RCT evidence).
- 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).
- 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.
- [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 â biomarkers of mucosal damage improved.
- 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 â protective gut lining effects during chemo.
- [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.
- 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 â indicates support for gut maturation/functional recovery.
- 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 Lâglutamide plus probiotics/fish oil improved GI symptoms and immune cells in long-term antibiotic patients (confounded).
- [Impact of microbial immune enteral nutrition on postoperative insulin resistance and infectious complication of patients with abdominal infection]
PubMed ID: 25070447
Microbialâimmune formula with glutamine improved Tâcell/NK counts and lowered infections after GI perforation â gut/mucosal benefit plausible though multiâcomponent.
- 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 alanylâglutamine reduced chemotherapyâinduced diarrhea (less mucosal injury) â supports gut mucosal protection.
- 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 sepsisâsupports gut barrier function.
- 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 â clear gutâbarrier benefit.
- 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 â strong gut-barrier evidence.
- Enteral glutamine supplementation and morbidity in low birth weight infants
PubMed ID: 12838195
VLBW infant trial: reduced gastrointestinal dysfunction â suggests mucosal/gut benefits.
- 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 â mucosal protection.
- [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 gutâbarrier markers (DAO, endotoxin, L/M) and raised plasma glutamine.
- 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.
- 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 stemâcell recipients reduced days on TPN and trended to lower mucositisâsupports mucosal protection.
- [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 gutâlining protection).
- 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 chemoâinduced intestinal permeability and raised plasma glutamine.
- [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 â strong gut barrier support evidence.
- 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 chemotherapyâinduced oral mucositis incidence/severity, indicating mucosal protective/healing effects.
- [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 â strong clinical evidence for mucosal/gutâlining benefit.
- 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 â strong gut mucosal benefit.
- 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 â beneficial to mucosal function.
- [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/TNFâα after gastric cancer surgery â direct mucosal barrier improvements.
- [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.
- 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 headâandâneck CRT â strong mucosal protective evidence.
- 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.
- 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 ILâ6 and cortisol, suggesting mucosal/stressârelated benefit.
- 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 IBSâD symptomsâdirect gutâbarrier support.
- 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 ILâ6 in severe acute pancreatitisâsupports gut mucosal protection/repair.
- 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/severityâsupports mucosal protection.
- Efficacy Oral Glutamine to Prevent Oral Mucositis and Reduce Hospital Costs During Chemotherapy in Children with Acute Lymphoblastic Leukemia
PubMed ID: 32711440
Periâmethotrexate glutamine in pediatric ALL greatly reduced incidence and severity of oral mucositisârobust evidence of mucosal lining protection.
- 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/gutâlining benefit.
- 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 â direct mucosal lining benefit for the oral cavity.
- Clinical, Functional, and Nutritional Efficacy of a Glutamine-Enriched Oligomeric Diet in Patients with Rectal Cancer
PubMed ID: 37994411
Glutamineâenriched enteral diet reduced GI toxicity and improved stool consistency/frequency in rectal cancer patients.
- 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 â clear clinical benefit for mucosal lining integrity in headâandâneck patients.
- 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 â strong clinically relevant mucosal protection.
- 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 â supports gut mucosal health via elevated glutamine.
- Effects of L-glutamine and hyaluronic acid associated with photobiomodulation on oral mucositis: a randomized clinical trial
PubMed ID: 40295318
Topical Lâglutamine + hyaluronic acid reduced severe oral mucositis vs control in radiochemotherapy patients â supports mucosal protection/healing.
Digestive support (43)
- 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 â direct digestive/gut benefit.
- 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 gutârelated biomarkers.
- The impact of microbial immune enteral nutrition on the patients with acute radiation enteritis in bowel function and immune status
PubMed ID: 24366547
Glutamineâcontaining enteral formula improved bowel symptoms in radiation enteritis (multiâingredient formula limits certainty).
- 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.
- 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 â direct gut benefit.
- 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 shortâterm weight gain.
- 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 â direct gut/digestion benefit.
- Intervention and Mechanisms of Alanyl-glutamine for Inflammation, Nutrition, and Enteropathy: A Randomized Controlled Trial
PubMed ID: 32826717
Oral AlaâGln improved intestinal barrier tests and produced small shortâterm weight gains in undernourished children.
- Improvement of intestinal permeability with alanyl-glutamine in HIV patients: a randomized, double blinded, placebo-controlled clinical trial
PubMed ID: 23657308
AlaâGln improved mannitol excretion and permeability/absorption in people with HIV (RCT).
- Clinical trial: prophylactic intravenous alanyl-glutamine reduces the severity of gastrointestinal toxicity induced by chemotherapy--a randomized crossover study
PubMed ID: 19549287
IV AlaâGln during chemotherapy reduced nausea, vomiting and diarrhea (randomized crossover data).
- 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).
- 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
AlaâGln in PN improved intestinal permeability (L/M ratio) postoperatively (large RCT).
- 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 LPSâsuggests improved gut barrier/endotoxin handling.
- Oral supplementation with L-glutamine alters gut microbiota of obese and overweight adults: A pilot study
PubMed ID: 25933498
Oral Lâglutamine changed gut microbiota composition in overweight adults (Firmicutes/Bacteroidetes ratio).
- Clinical, Functional, and Nutritional Efficacy of a Glutamine-Enriched Oligomeric Diet in Patients with Rectal Cancer
PubMed ID: 37994411
Glutamineâenriched oligomeric diet in rectal cancer patients improved stool consistency/frequency and reduced GI toxicity.
- 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 â clear digestive symptom benefit.
- 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 ILâ6, supporting improved gut barrier/function.
- 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 frequencyâstrong digestive benefit.
- [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.
- [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.
- Effects of glutamine on gastrointestinal motor activity in patients following gastric surgery
PubMed ID: 21279511
Postoperative oral glutamine increased duodenal interdigestive motor activity â direct improvement in gut motility.
- 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 â supports gut function indirectly via glutamine.
- [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) â supports gut symptom improvement and digestion-related benefit.
- 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 chemotherapyâinduced oral mucositisâmucosal/digestive benefit.
- [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).
- 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 chemoâinduced intestinal permeability.
- 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 â1.2 days (doubleâblind RCT).
- [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 gutâbarrier markers (DAO, endotoxin, L/M), indicating better gut function.
- Enteral glutamine supplementation and morbidity in low birth weight infants
PubMed ID: 12838195
VLBW infants: enteral glutamine reduced gastrointestinal dysfunction (secondary outcome).
- 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.
- 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.
- Enteral glutamine supplementation for very low birth weight infants decreases morbidity
PubMed ID: 9403648
VLBW infants had better feeding tolerance with enteral glutamine.
- 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 LâalanylâLâglutamine cut chemoâinduced diarrhea incidence/severity â direct improvement in gastrointestinal tolerability.
- [Clinical effect of alanyl glutamine in the treatment of patients with gastrointestinal function obstacle caused by severe phorate poisoning]
PubMed ID: 29081098
Alanylâglutamine added to standard care in severe poisoning shortened GI recovery time â clinically meaningful gut recovery benefit.
- 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 Lâglutamide + probiotics/fish oil reduced abdominal pain/distension/diarrhea vs standard formula (confounded ingredients).
- A randomized, controlled trial of parenteral glutamine in ill, very low birth-weight neonates
PubMed ID: 14581795
IV glutamine in very low birthâweight infants shortened time to full enteral feeds by ~8 days â clear digestive/gut functional benefit in neonates.
- [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).
- 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.
- [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.
- 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.
- 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.
- Tryptophan, glutamine, leucine, and micronutrient supplementation improves environmental enteropathy in Zambian adults: a randomized controlled trial
PubMed ID: 31504110
Aminoâacid supplement including glutamine modestly increased villus height and surface area in environmental enteropathy (improved mucosal structure).
- Combined enteral infusion of glutamine, carbohydrates, and antioxidants modulates gut protein metabolism in humans
PubMed ID: 18996864
Oral formula containing AlaâGln doubled duodenal protein synthesis and reduced proteolysis â supports improved gut digestive/absorptive tissue protein turnover (product contained glutamine peptide).
Body composition (44)
- 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 â clear preservation/gain but cannot isolate glutamine.
- 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 â supports preservation, though multi-nutrient product.
- 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.
- 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.
- 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 â suggests preservation of body mass (multi-ingredient).
- [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 fatâfree mass and muscle weight versus controls (clinical evidence, combined product).
- 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).
- 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 proxiesâconsistent with lean-mass preservation in catabolic illness.
- 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
Alanylâglutamine + fish oil produced a small but statistically significant increase in lean body mass in heartâfailure patients (confounded).
- Clinical and metabolic efficacy of glutamine-supplemented parenteral nutrition after bone marrow transplantation. A randomized, double-blind, controlled study
PubMed ID: 1567096
Glutamineâsupplemented IV nutrition after BMT improved nitrogen balance and reduced infections/hospital stay â supports preservation of lean body protein under severe stress.
- 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 â supports lean mass preservation.
- 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 â supports lean-mass preservation in combo therapy.
- 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.
- 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 â linked to better muscle/nutritional outcomes.
- [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 â consistent with leanâmass preservation.
- 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 wholeâbody proteolysis (urine N, 3âMTH) and shortened hospital stay.
- 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.
- 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 3âmethylhistidine (less muscle proteolysis) in infants.
- 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.
- 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.
- Comparison of Intradialytic Parenteral Nutrition with Glucose or Amino Acid Mixtures in Maintenance Hemodialysis Patients
PubMed ID: 27271658
Aminoâacid infusions in hemodialysis patients raised albumin, suggesting improved protein status.
- 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 doubleâblind study showed improved nitrogen balance over 6 days with AlaâGlnâsupplemented PN.
- 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.
- [Effects of glutamine-enriched enteral nutrition on nutritional status and prognosis of patients with severe head injury]
PubMed ID: 19951555
Randomized study in severe headâinjury patients found preservation of upper arm circumference/muscle circumference with added glutamine â strong direct evidence.
- The inflammatory modulation effect of glutamine-enriched total parenteral nutrition in postoperative gastrointestinal cancer patients
PubMed ID: 21396307
Improved prealbumin and nitrogen balance with glutamineâenriched TPN after GI surgery.
- 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.
- [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.
- 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.
- 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 fatâfree mass and serum albumin vs control.
- 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 Tâcell counts with less edema.
- 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 placeboâsupports preservation of body mass during catabolic treatment.
- 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 hospitalizationâindirect evidence for preserving nutritional/lean-status by reducing complications and length of stay.
- 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 â supports lean-mass preservation.
- 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.
- [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).
- 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).
- 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.
- 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+AlaâGln arm showed marked nitrogenâsparing (GH confound but nitrogen effect present).
- Nutrition support with glutamine dipeptide in patients undergoing liver transplantation
PubMed ID: 20005375
Liver transplant patients receiving AlaâGln had better nutrition indices (prealbumin/PNI) indicating lean mass preservation.
- [Clinical effect of alanyl-glutamine-enriched nutritional support in the treatment of children with abdominal Henoch-Schönlein purpura]
PubMed ID: 30782281
AlaâGln in children with abdominal HenochâSchönlein reduced steroid need and prevented inâhospital weight lossâsupports preservation of mass.
- Effects of Ala-Gln dipeptide parenteral nutrition on rehabilitation and infection of liver transplantation patients
PubMed ID: 40996178
Parenteral AlaâGln after liver transplant improved nutritional markers (prealbumin/albumin/transferrin)âsupports restoration/preservation of lean tissue.
- 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.
- 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 synthesisâstrong evidence for leanâmass preservation.
- 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 patientsâconsistent with lean mass preservation.
Metabolism (30)
- 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.
- 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.
- 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 (HOMAâIR) and nitrogen balance.
- [Effects of glutamine-enriched enteral nutrition on nutritional status and prognosis of patients with severe head injury]
PubMed ID: 19951555
In headâinjured patients glutamine lowered fasting glucose at day 7 and shortened hospital stay â metabolic and clinical benefits reported.
- [Effects of glutamine granules on protein metabolism in trauma patients]
PubMed ID: 15144667
Large trauma/burn trial showed raised plasma glutamine and reduced nitrogen lossâimproved protein/nitrogen metabolism.
- [Impact of microbial immune enteral nutrition on postoperative insulin resistance and infectious complication of patients with abdominal infection]
PubMed ID: 25070447
Microbialâimmune enteral formula containing glutamine lowered fasting insulin and HOMAâIR postoperatively (confounded regimen).
- [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/HOMAâIR) in GI cancer patients (multiâcomponent).
- 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) â direct human metabolic effects though intervention had multiple components.
- 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.
- 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).
- 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 â indicates metabolic effects linked to glutamine kinetics (multi-ingredient).
- 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 â indicates metabolic relevance.
- 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 CABGâimproves metabolic/organ perfusion parameters.
- 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 â direct evidence of metabolic modulation in a catabolic state.
- 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 AlaâGln infusion in diabetics markedly lowered intra/postâop glucose and sharply reduced insulin requirementsâstrong metabolic effect.
- [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
AlaâGln added to intensive insulin in severe burns was associated with lower blood glucose and improved hemodynamicsâmetabolic benefit though confounded by insulin regimen.
- The influence of parenteral glutamine supplementation on glucose homeostasis in critically ill polytrauma patients--A randomized-controlled clinical study
PubMed ID: 24931756
Parenteral AlaâGln in polytrauma reduced hyperglycemia incidence and lowered insulin requirements (clinical RCT).
- 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 AlaâGln improved insulin sensitivity and attenuated peak glucose and FFA/TNFα (RCT).
- L-alanyl-glutamine pretreatment attenuates acute inflammatory response in children submitted to palatoplasty
PubMed ID: 21971662
Preoperative AlaâGln in children blunted postoperative glucose rise (improved perioperative glycemic control).
- Nutrition support with glutamine dipeptide in patients undergoing liver transplantation
PubMed ID: 20005375
After liver transplant AlaâGln improved nutrition markers and reduced liver injury with shorter stay (metabolic/organ support).
- 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).
- 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.
- Safety, Tolerability, and Biologic Activity of AXA1125 and AXA1957 in Subjects With Nonalcoholic Fatty Liver Disease
PubMed ID: 34382947
MultiâAA formula including glutamine improved liver fat and HOMAâIR (multiâingredient product).
- 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.
- 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
Alanineâglutamine in TPN improved glycemic control and reduced insulin requirements in ICU patients.
- 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.
- Glutamine supplementation can reduce some atherosclerosis markers after exhaustive exercise in young healthy males
PubMed ID: 34844156
Oral glutamine reduced leptin, total cholesterol and oxidizedâLDL after exhaustive exercise â clear metabolic biomarker improvements.
- 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 â metabolic/antioxidant improvements.
- The effect of encapsulated glutamine on gut peptide secretion in human volunteers
PubMed ID: 26541888
Encapsulated glutamine raised GLPâ1 and insulin modestly in healthy volunteers, though effects on glucose tolerance were inconsistent.
- 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 â direct metabolic benefit.
Stress resilience (30)
- [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 patientsâimproved physiologic recovery after stress.
- A Phase 3 Trial of l-Glutamine in Sickle Cell Disease
PubMed ID: 30021096
In sickle cell disease, oral lâglutamine reduced pain crises and hospitalizationsâclinical benefit consistent with improved resilience to disease stressors.
- Influence of enteral glutamine on inflammatory and hormonal response in patients with rectal cancer during preoperative radiochemotherapy
PubMed ID: 28272402
Glutamine reduced cortisol and ILâ6 during radiochemotherapy, indicating reduced physiologic stress.
- 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 HSPâ70 preserved and ILâ6 reduced in critically ill children on glutamine, suggesting improved cellular stress response.
- [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).
- 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 stayâstrong evidence of improved recovery from severe physiologic stress.
- 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 stayâsupports recovery from physiologic stress.
- [Effects of glutamine granules on protein metabolism in trauma patients]
PubMed ID: 15144667
Raised plasma glutamine, improved nitrogen balance and wound healing after trauma â evidence of enhanced recovery from injury/stress.
- 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 6âmonth survival in adequately fed patients.
- 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 â better recovery under critical stress.
- Glutamine-enriched enteral nutrition increases HLA-DR expression on monocytes of trauma patients
PubMed ID: 12221212
Trauma patients restored plasma glutamine and immune marker HLAâDR with glutamine feeding â aids stress response.
- 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 glutamineâsupplemented PN â better recovery from treatment stress.
- [Clinical effect of alanyl glutamine in the treatment of patients with gastrointestinal function obstacle caused by severe phorate poisoning]
PubMed ID: 29081098
Alanylâglutamine improved GI recovery, reduced ICU/antidote needs in severe poisoning â supports resilience to toxic stress.
- 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 heatâstressed broilers reduced physiological stress markers (corticosterone) and improved growth (strong preclinical signal).
- 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 â supports physiological stress recovery (combination).
- 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.
- 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.
- 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.
- 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.
- 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 outputâevidence of improved stress recovery after cardiac surgery.
- 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 â direct evidence of improved physiologic stress recovery.
- 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 â supports stress-recovery benefits.
- 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 AlaâGln in diabetics lowered perioperative glucose and insulin needsâmay reduce metabolic stress of surgery.
- [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, AlaâGln (with intensive insulin) improved glycemic control and hemodynamicsâsupports physiologic stress recovery (confounded by insulin regimen).
- Glutamine is cardioprotective in patients with ischemic heart disease following cardiopulmonary bypass
PubMed ID: 22167767
Perioperative AlaâGln lowered troponin I and improved hemodynamics after cardiac surgeryâevidence of reduced organ stress/injury.
- 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 â major stress-recovery benefit in acute illness.
- [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).
- 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 â„9 days indicates improved resilience in prolonged critical illness.
- [Effects of ulinastatin combined with glutamine on early hemodynamics in patients with severe burns]
PubMed ID: 32114728
Burnâpatient combo therapy improved hemodynamic responses to severe physiologic stress.
- [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)
- 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 glutamineâassociated mortality in critical illness â strong signal about aminoâacid/nitrogen balance and safety.
- Oral supplementation with L-glutamine alters gut microbiota of obese and overweight adults: A pilot study
PubMed ID: 25933498
Oral Lâglutamine changed gut microbiota and was associated with shifts in aminoâacid composition.
- Comparison of Intradialytic Parenteral Nutrition with Glucose or Amino Acid Mixtures in Maintenance Hemodialysis Patients
PubMed ID: 27271658
Intradialytic aminoâacid or glucose infusions altered plasma glutamine and overall aminoâacid profiles.
- Effect of the route of nutrition and L-alanyl-L-glutamine supplementation in amino acids' concentration in trauma patients
PubMed ID: 28980034
Alanylâglutamine produced clear, significant increases in plasma glutamine, alanine and citrulline.
- 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).
- 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 glutamineâevidence of altered AA balance in metabolic states.
- 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).
- 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).
- 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 declineâevidence of maintained amino acid pool in muscle.
- 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 CABGâdirect evidence of altering systemic aminoâacid balance.
- 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 â indicates the clinical importance of amino-acid balance.
- 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).
- 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 â direct evidence of glutamine's role in amino-acid profiles.
- 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% â clear effect on aminoâacid balance.
- 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 glycylâglutamine increased venous glutamine/dipeptide concentrations, demonstrating ability to modify circulating aminoâacid pools.
- Glutamine-enriched enteral nutrition increases HLA-DR expression on monocytes of trauma patients
PubMed ID: 12221212
Enteral glutamine restored plasma glutamine in trauma patients â clear aminoâacid repletion evidence.
- 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 â clear amino-acid balance restoration.
- 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 aminoâacid pool) though muscle pools were unchanged.
- [Effects of glutamine granules on protein metabolism in trauma patients]
PubMed ID: 15144667
Marked plasma glutamine increases and reduced nitrogen loss indicate improved systemic aminoâacid/nitrogen balance.
- [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 aminoâacidâderived antioxidant pathways and protein status.
- 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.
- 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.
- [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.
- 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 Tâcell cytokine change â direct biochemical evidence of changed aminoâacid balance.
- Glutamine administration in patients undergoing cardiac surgery and the influence on blood glutathione levels
PubMed ID: 19681775
Highâdose IV glutamine increased plasma glutamine and preserved glutathione â direct evidence of altering amino acid/thiol balance.
- 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.
- 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 â33% (biochemical/AA-balance evidence).
Muscle growth (32)
- 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.
- 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).
- 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) â suggests support for growth/lean mass in that context.
- 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 markersâsupports more effective protein use.
- 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 3âmethylhistidine (proteolysis marker) in burnsâenhanced protein retention/use.
- 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 postâCABGâsupports substrate availability for protein synthesis.
- 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.
- 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 â supports anabolic outcomes but not glutamine-alone effect.
- 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 â supports better protein use.
- 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 â supports anabolic/muscle growth effects (multi-ingredient).
- Effect of administration of ÎČ-hydroxy-ÎČ-methyl butyrate-enriched formula after liver transplantation: A pilot randomized controlled trial
PubMed ID: 32593895
Postâliver transplant HMB formula (with glutamine) increased muscle mass index and strength.
- [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 fatâfree mass versus control (clinical preservation/gain of muscle, but product combined).
- 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.
- 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 alanylâglutamine and fish oil modestly increased lean body mass (+1.7 kg) in heartâfailure patients (multiâcomponent intervention).
- 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 parenteralâglutamine group after BMT demonstrates enhanced net protein retention/efficiency.
- A cost-evaluation of glutamine-supplemented parenteral nutrition in adult bone marrow transplant patients
PubMed ID: 7963169
Improved nitrogen balance with glutamineâsupplemented PN suggests better net protein retention/utilization.
- [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 RCTâevidence of improved protein utilization.
- Clinical and protein metabolic efficacy of glutamine granules-supplemented enteral nutrition in severely burned patients
PubMed ID: 15774291
Lower wholeâbody proteolysis markers (urine N, 3âMTH) in burn patients â indicates improved protein preservation/utilization.
- Glutamine-supplemented total parenteral nutrition attenuates plasma interleukin-6 in surgical patients with lower disease severity
PubMed ID: 16273650
AlaâGln in TPN correlated with better nitrogen balance (in lessâsevere patients) and lower ILâ6 â suggests improved protein economy.
- Glutamine granule-supplemented enteral nutrition maintains immunological function in severely burned patients
PubMed ID: 16725264
Raised plasma glutamine and improved cellular immunity and wound healingâconsistent with enhanced protein utilization in catabolic states.
- [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.
- The inflammatory modulation effect of glutamine-enriched total parenteral nutrition in postoperative gastrointestinal cancer patients
PubMed ID: 21396307
Glutamineâenriched TPN improved prealbumin and nitrogen balance after GI cancer surgery â consistent with supporting lean tissue.
- 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.
- 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.
- 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.
- 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.
- 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 Lâglutamine increased knee extensor/flexor peak torque and power in older women, consistent with support for muscle strength/growth.
- 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.
- Comparison of Intradialytic Parenteral Nutrition with Glucose or Amino Acid Mixtures in Maintenance Hemodialysis Patients
PubMed ID: 27271658
Aminoâacid infusion raised serum albumin suggesting improved protein status/usage.
- 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.
- 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.
- 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)
- 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
Glutamineâcontaining supplements raised erythrocyte GSH and lowered oxidized glutathioneâkey detox pathway.
- 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 â direct detoxification-related endpoint.
- 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 â supports hepatic tolerance/detoxification.
- 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 â direct hepatoprotective/detoxification signal.
- 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)âsupports hepatic functional resilience in toxic/stress states.
- [Clinical effect of alanyl glutamine in the treatment of patients with gastrointestinal function obstacle caused by severe phorate poisoning]
PubMed ID: 29081098
Alanylâglutamine added to therapy for severe organophosphate (phorate) poisoning shortened GI recovery, reduced antidote needs and ICU stay â clinical detoxification/mitigation benefit.
- [Effects on glutathione of patients received glutamine dipeptide enriched parenteral nutrition post abdominal surgery]
PubMed ID: 16318774
Perioperative glutamineâenriched TPN preserved glutathione redox status (higher GSH/GSSG ratio) â supports antioxidant/detox pathways.
- Glutamine administration in patients undergoing cardiac surgery and the influence on blood glutathione levels
PubMed ID: 19681775
Perioperative glutamine preserved wholeâblood glutathione (GSH), a key antioxidant/detoxification molecule â strong biochemical support.
- 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 (multiânutrient).
- 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 â supports detoxification/antioxidant capacity.
- 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 postâcardiac surgery reduced urinary kidneyâinjury biomarkers (TIMPâ2*IGFBP7, KIMâ1, NGAL), implying improved organ resilience/clearance function.
- [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).
- 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.
- 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).
- 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 â direct linkage of glutamine conjugation to detox pathways.
- [The change of intestinal mucosa barrier in chronic severe hepatitis B patients and clinical intervention]
PubMed ID: 19874691
Glutamine reduced endotoxin and gutâdamage markers in chronic hepatitis B, suggesting reduced gutâderived toxic burden.
- L-Alanyl-Glutamine Attenuates Oxidative Stress in Liver Transplantation Patients
PubMed ID: 26518955
Periâoperative AlaâGln reduced hepatic lipid peroxidation (MDA) during liver transplantation (oxidative damage marker).
- 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 AlaâGln in severely traumatized ICU patients increased total plasma glutathione substantially (biochemical detoxification marker).
- 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
AlaâGln modestly improved plasma reduced glutathione in a surgical subgroup (antioxidant support).
- 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 organâinjury biomarkers (LDH, HBD, cTnI) with glutamine â suggests reduced organ stress/toxicity.
Exercise recovery (16)
- 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 burnsâsupports tissue/muscle recovery indirectly.
- 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.
- 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.
- 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.
- 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 organâinjury markers â supportive of systemic recovery including muscle in severe injury.
- 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 synthesisâsupports faster/better muscle recovery after injury/surgery.
- 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 CABGâsupports organ/tissue recovery.
- 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.
- Effect of administration of ÎČ-hydroxy-ÎČ-methyl butyrate-enriched formula after liver transplantation: A pilot randomized controlled trial
PubMed ID: 32593895
Postâtransplant formula improved grip strength and SMI â consistent with improved muscle recovery post-surgery.
- 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 â supports functional muscle recovery (multi-ingredient).
- [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).
- 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 wholeâbody protein economy aiding muscle recovery under severe stress.
- 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 â implies improved overall recovery including muscle protein sparing.
- [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.
- 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.
- 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
Lâglutamine increased muscle strength and power in older women after 30 days, indicating enhanced muscle recovery/adaptation.
Energy & Fatigue (3)
- 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.
- 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 6âminute walk distance after critical illness â functional/energy endurance signal (multiâcomponent trial).
- 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 glycogenâphysiologic basis for supporting short-term fuel stores and sustained energy perioperatively.
Endurance (3)
- Improving rehabilitation after critical illness through outpatient physiotherapy classes and essential amino acid supplement: A randomized controlled trial
PubMed ID: 26004031
Significant improvement in 6âminute walk distance when enhanced rehab was combined with essential AAs including glutamine â functional endurance improvement observed (combined intervention).
- 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.
- 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 â functional endurance benefit (multi-ingredient).
Focus & concentration (2)
- [A randomized, double-blind, placebo-controlled study of the efficacy and safety of ampasse in the treatment of chronic cerebral ischemia]
PubMed ID: 31156217
Glutamineâderived ampasse randomized study reported improved depression, sleep and cognition in chronic cerebral ischemia patients.
- 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 â suggests potential cognitive/mental development benefit.
Hydration (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.
Similar by evidence
Supplements the same benefits carry qualifying findings for â a fact about the evidence graph, not a recommendation to swap.
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 â this is what the field is asking, not what it found.