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Ornithine

14 benefits mapped to clinical evidence across supplements.

Dose per serving from products

54 products in our catalogue print how much Ornithine a serving holds.

Most common: 250 mg to 500 mg, 41% of 54 products.

Dose per servingProducts
10 mg or less
2
10 mg to 25 mg
2
25 mg to 50 mg
2
50 mg to 100 mg
3
100 mg to 250 mg
8
250 mg to 500 mg
22
500 mg to 1 g
6
1 g to 2.5 g
7
over 2.5 g
2

Dose per serving from research

13 study groups in 8 studies say how much Ornithine participants took a day.

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

Most common: 5 g to 10 g and 10 g to 25 g, 31% of 13 study groups each.

Daily doseStudy groups
250 mg to 500 mg
3
500 mg to 1 g
0
1 g to 2.5 g
0
2.5 g to 5 g
0
5 g to 10 g
4
10 g to 25 g
4
25 g to 50 g
2

See every study group

Benefit Evidence

Nutrition recovery +127g N

Ammonia/HE recovery -41.6h

2,347 people
Endurance
Strong

Ammonia↓, cognition↑

Recovery↑, stay↓

2,140 people

Ammonia ↓, HE better

+25% recovery

+31.8% HE risk

1,909 people

Ammonia↓, cognition↑

Recovery↑, mortality↓

1,769 people

Ammonia↓, clarity↑

-15.4% recurrence

1,359 people
Metabolism
Moderate

Polyamine depletion: -60.8%

Tumor prevention: -70%

2,126 people

Healed faster; +127g N

More collagen; better repair

821 people

Ornithine ↑; lymphocytes ↑

Infections ↓; stay ↓

Immune markers ↑

596 people

Fatigue↓, sleep↑

Nitrogen balance↑, weight↑

351 people

Nitrogen balance +127g

Muscle protein synthesis +20%

Protein breakdown reduced

346 people

Appetite/weight ↑

Mood/sleep ↑

237 people

Less catabolism, better balance

Burn healing 23.7 vs 39.9

114 people

Sleep + mood; ratio↓

Sleep +15 min

Sleep modestly improved

52 people

↓ cortisol/DHEA-S, better sleep

↓ anger-hostility

52 people

Research sources

Illness recovery (19)
  1. Early enteral administration of a formula (Impact) supplemented with arginine, nucleotides, and fish oil in intensive care unit patients: results of a multicenter, prospective, randomized, clinical trial

    PubMed ID: 7874893

    Arginine‑containing enteral formula associated with shorter hospital stays (clinical recovery outcome; formula multi‑component).

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

    PubMed ID: 12192323

    Arginine‑containing mix (raising ornithine) increased collagen deposition in implanted wound models in older adults (supports tissue recovery).

  3. Effects of long-term continuous use of immune-enhancing enteral formula on nutritional and immunologic status in non-surgical patients

    PubMed ID: 16815486

    Long‑term enteral immune‑enhancing formula raised IGF‑I while increasing plasma arginine/ornithine (multi‑nutrient intervention showing hormonal change).

  4. Efficacy and safety of ornithine alpha-ketoglutarate in heel pressure ulcers in elderly patients: results of a randomized controlled trial

    PubMed ID: 19621198

    Ornithine‑containing OKG modestly accelerated early wound closure in smaller heel ulcers (randomized trial subgroup effect).

  5. Ornithine alpha-ketoglutarate improves wound healing in severe burn patients: a prospective randomized double-blind trial versus isonitrogenous controls

    PubMed ID: 10890617

    OKG shortened wound healing time and reduced protein hypercatabolism in burn patients.

  6. Nutritional and clinical efficacy of ornithine alpha-ketoglutarate in severe burn patients

    PubMed ID: 10601539

    Double‑blind trial in severe burns: OKG preserved weight and greatly improved nitrogen balance—strong recovery signal.

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

    PubMed ID: 9482764

    Enteral OKG in burn patients markedly improved nitrogen balance and shortened time to last graft.

  8. A two-centre, randomized, double-blind trial of ornithine oxoglutarate in 194 elderly, ambulatory, convalescent subjects

    PubMed ID: 7976777

    OGO improved appetite, weight and independence in elderly convalescents—practical recovery benefit.

  9. Pharmacokinetics/pharmacodynamics of L-ornithine phenylacetate in overt hepatic encephalopathy and the effect of plasma ammonia concentration reduction on clinical outcomes

    PubMed ID: 35238476

    Clear dose‑dependent ammonia lowering and shorter time to ammonia normalization (statistically significant)—mechanistically supportive of faster biochemical/clinical recovery from hyperammonemia.

  10. A multicentre, randomised, non-inferiority clinical trial comparing a nifurtimox-eflornithine combination to standard eflornithine monotherapy for late stage Trypanosoma brucei gambiense human African trypanosomiasis in Uganda

    PubMed ID: 29471865

    Ugandan NECT trial: non-inferior cure and fewer lab AEs — supports efficient clinical recovery in that disease context.

  11. Nifurtimox-eflornithine combination therapy for second-stage African Trypanosoma brucei gambiense trypanosomiasis: a multicentre, randomised, phase III, non-inferiority trial

    PubMed ID: 19559476

    NECT produced non-inferior cure rates for late-stage sleeping sickness — robust evidence of clinical recovery with eflornithine-based therapy.

  12. Nifurtimox-eflornithine combination therapy for second-stage Trypanosoma brucei gambiense sleeping sickness: a randomized clinical trial in Congo

    PubMed ID: 17990225

    Eflornithine-containing regimens produce high cure rates for second-stage HAT — clear clinical recovery endpoint (disease context).

  13. Randomised controlled trial of the effects of L-ornithine on stress markers and sleep quality in healthy workers

    PubMed ID: 24889392

    L-ornithine reduced cortisol/DHEA-S ratio (stress hormone balance) in workers — supports modulation of recovery/stress hormones.

  14. L-ornithine L-aspartate in acute treatment of severe hepatic encephalopathy: A double-blind randomized controlled trial

    PubMed ID: 34822189

    Large RCT: IV LOLA markedly increased recovery rates, shortened recovery time and reduced 28-day mortality in severe HE.

  15. Secondary prophylaxis of hepatic encephalopathy in cirrhosis of liver: a double-blind randomized controlled trial of L-ornithine L-aspartate versus placebo

    PubMed ID: 29727385

    6‑month oral LOLA reduced HE recurrence and improved neurophysiology — supports faster/stronger long‑term recovery.

  16. L-ornithine L-aspartate in bouts of overt hepatic encephalopathy

    PubMed ID: 28749571

    IV LOLA added to standard care sped recovery from overt HE (mean recovery time reduced ≈0.6 days).

  17. Randomised clinical trial: L-ornithine-L-aspartate reduces significantly the increase of venous ammonia concentration after TIPSS

    PubMed ID: 24832463

    Short prophylactic LOLA after TIPSS reduced ammonia rises and improved mental tests during early post‑procedure period.

  18. Efficacy of L-ornithine-L-aspartate as an adjuvant therapy in cirrhotic patients with hepatic encephalopathy

    PubMed ID: 22078345

    LOLA added to standard care in cirrhotics led to more patients improving and shorter hospital stays.

  19. Early enteral supplementation with key pharmaconutrients improves Sequential Organ Failure Assessment score in critically ill patients with sepsis: outcome of a randomized, controlled, double-blind trial

    PubMed ID: 18007263

    Early pharmaconutrition speeded organ‑function recovery (SOFA decline) while increasing arginine/ornithine (multi‑nutrient intervention with clinical effect).

Endurance (18)
  1. A randomized controlled trial comparing lactulose, probiotics, and L-ornithine L-aspartate in treatment of minimal hepatic encephalopathy

    PubMed ID: 21646910

    Oral LOLA lowered arterial ammonia and aided recovery from mild HE vs no treatment.

  2. Efficacy of L-ornithine-L-aspartate as an adjuvant therapy in cirrhotic patients with hepatic encephalopathy

    PubMed ID: 22078345

    LOLA adjunct improved encephalopathy rates and shortened hospitalization; arterial ammonia data supportive though modest.

  3. Effect of rifaximin, probiotics, and l-ornithine l-aspartate on minimal hepatic encephalopathy: a randomized controlled trial

    PubMed ID: 25038208

    LOLA improved neurophysiologic endpoints in MHE with reported ammonia decreases vs placebo (numeric data partially NR).

  4. Randomised clinical trial: L-ornithine-L-aspartate reduces significantly the increase of venous ammonia concentration after TIPSS

    PubMed ID: 24832463

    Prophylactic short-course LOLA after TIPSS markedly reduced fasting and post-prandial ammonia rises vs control.

  5. L-ornithine L-aspartate in bouts of overt hepatic encephalopathy

    PubMed ID: 28749571

    Multicenter IV LOLA RCT: venous ammonia reduced and faster recovery from overt HE vs placebo.

  6. Secondary prophylaxis of hepatic encephalopathy in cirrhosis of liver: a double-blind randomized controlled trial of L-ornithine L-aspartate versus placebo

    PubMed ID: 29727385

    6‑month RCT: oral LOLA markedly lowered arterial ammonia vs placebo and reduced HE recurrence — strongest support for ammonia lowering.

  7. Primary Prophylaxis to Prevent the Development of Hepatic Encephalopathy in Cirrhotic Patients with Acute Variceal Bleeding

    PubMed ID: 30079329

    LOLA given early after variceal bleed substantially reduced incidence/severity of HE (ammonia-related outcome).

  8. [Ornithine aspartate and naloxone combined therapy for hepatic encephalopathy affects cognitive function, prognosis, and neuropeptide levels]

    PubMed ID: 24025143

    Ornithine‑aspartate + naloxone trial in hepatic encephalopathy produced clear reductions in blood ammonia.

  9. [Effect of Acupuncture at Thirteen Evil Acupoints on Liver Function, and the Contents of Blood Ammonia and β-endorphin in Patients with Hepatic Encephalopathy]

    PubMed ID: 29072017

    Study including ornithine‑aspartate as part of HE therapy showed ammonia reductions versus control.

  10. An Open-Label Randomized Controlled Non-Inferiority Trial of Arginine Glutamate Injection for the Treatment of Mild Hepatic Encephalopathy

    PubMed ID: 40545706

    Arginine-glutamate was non-inferior to LOLA in improving ammonia and clinical HE outcomes—relevant ammonia-lowering evidence.

  11. Therapeutic efficacy of L-ornithine-L-aspartate infusions in patients with cirrhosis and hepatic encephalopathy: results of a placebo-controlled, double-blind study

    PubMed ID: 9185752

    7-day IV LOLA lowered fasting/postprandial ammonia and improved psychometrics in chronic HE.

  12. Oral L-ornithine-L-aspartate therapy of chronic hepatic encephalopathy: results of a placebo-controlled double-blind study

    PubMed ID: 9625322

    Two-week oral LOLA reduced ammonia and improved clinical/psychometric outcomes vs placebo.

  13. [Therapeutic effect of L-ornithine-L-aspartate on liver cirrhosis complicated by hepatic encephalopathy]

    PubMed ID: 15958319

    IV LOLA added to standard care decreased ammonia and improved hepatic measures in cirrhotics.

  14. L-ornithine L-aspartate in acute treatment of severe hepatic encephalopathy: A double-blind randomized controlled trial

    PubMed ID: 34822189

    IV LOLA RCT reported greater reductions in blood ammonia alongside clinical benefit and lower mortality in severe HE.

  15. Intravenous versus oral 'L-ornithine-L-aspartate' in overt hepatic encephalopathy: a randomized comparative study

    PubMed ID: 38789596

    Comparative oral vs IV LOLA study: both routes produced significant ammonia reductions over 5 days.

  16. Efficacy and Safety of Ornithine Phenylacetate for Treating Overt Hepatic Encephalopathy in a Randomized Trial

    PubMed ID: 33069881

    Ornithine‑phenylacetate showed ammonia lowering in some analyses and faster improvement in a central‑lab hyperammonemia subgroup—moderate evidence for reducing ammonia buildup.

  17. Pharmacokinetics/pharmacodynamics of L-ornithine phenylacetate in overt hepatic encephalopathy and the effect of plasma ammonia concentration reduction on clinical outcomes

    PubMed ID: 35238476

    Strong PK/PD evidence: dose‑dependent, statistically significant plasma ammonia reductions and shorter time to ammonia normalization—highly relevant to preventing ammonia buildup.

  18. L-ornithine-L-aspartate infusion efficacy in hepatic encephalopathy

    PubMed ID: 18983791

    IV LOLA improved ammonia handling and clinical encephalopathy signs in overt HE.

Liver support (17)
  1. [Therapeutic effect of L-ornithine-L-aspartate on liver cirrhosis complicated by hepatic encephalopathy]

    PubMed ID: 15958319

    IV LOLA added to standard care decreased ammonia and improved liver-related measures in cirrhotics.

  2. Oral L-ornithine-L-aspartate therapy of chronic hepatic encephalopathy: results of a placebo-controlled double-blind study

    PubMed ID: 9625322

    Oral LOLA reduced ammonia and improved liver-associated encephalopathy indices.

  3. Therapeutic efficacy of L-ornithine-L-aspartate infusions in patients with cirrhosis and hepatic encephalopathy: results of a placebo-controlled, double-blind study

    PubMed ID: 9185752

    IV LOLA improved ammonia and clinical measures in chronic HE—strong support for liver-related benefit.

  4. An Open-Label Randomized Controlled Non-Inferiority Trial of Arginine Glutamate Injection for the Treatment of Mild Hepatic Encephalopathy

    PubMed ID: 40545706

    Arginine-glutamate was non-inferior to LOLA for improving mild HE and lowering ammonia—relevant to liver function support.

  5. [Effect of Acupuncture at Thirteen Evil Acupoints on Liver Function, and the Contents of Blood Ammonia and β-endorphin in Patients with Hepatic Encephalopathy]

    PubMed ID: 29072017

    Study including ornithine‑aspartate as part of standard therapy for HE produced better biochemical/liver outcomes.

  6. Randomised clinical trial: L-ornithine-L-aspartate reduces significantly the increase of venous ammonia concentration after TIPSS

    PubMed ID: 24832463

    Short prophylactic LOLA after TIPSS markedly reduced ammonia rises — practical liver/prophylactic support.

  7. L-ornithine L-aspartate in bouts of overt hepatic encephalopathy

    PubMed ID: 28749571

    Multicenter RCT: IV LOLA sped HE recovery and lowered ammonia as an add-on to standard care.

  8. Secondary prophylaxis of hepatic encephalopathy in cirrhosis of liver: a double-blind randomized controlled trial of L-ornithine L-aspartate versus placebo

    PubMed ID: 29727385

    Well-powered 6‑month RCT: oral LOLA reduced recurrence of overt HE, lowered arterial ammonia and improved neuro tests in cirrhotics — strong liver-related benefit.

  9. Primary Prophylaxis to Prevent the Development of Hepatic Encephalopathy in Cirrhotic Patients with Acute Variceal Bleeding

    PubMed ID: 30079329

    Early prophylactic LOLA after variceal bleed reduced incidence and severity of overt HE — clinically relevant liver protection.

  10. L-ornithine L-aspartate in acute treatment of severe hepatic encephalopathy: A double-blind randomized controlled trial

    PubMed ID: 34822189

    Large double-blind RCT: IV LOLA added to usual care for severe HE improved HE grade, reduced time to recovery and decreased 28‑day mortality; supports liver/HE therapy.

  11. Intravenous versus oral 'L-ornithine-L-aspartate' in overt hepatic encephalopathy: a randomized comparative study

    PubMed ID: 38789596

    Small trial: oral and IV LOLA produced comparable ammonia drops and HE improvement.

  12. Pharmacokinetics/pharmacodynamics of L-ornithine phenylacetate in overt hepatic encephalopathy and the effect of plasma ammonia concentration reduction on clinical outcomes

    PubMed ID: 35238476

    Strong PK/PD evidence that OP dose‑dependently lowers plasma ammonia and speeds normalization—directly relevant to managing hyperammonemia from liver dysfunction.

  13. Effect of rifaximin, probiotics, and l-ornithine l-aspartate on minimal hepatic encephalopathy: a randomized controlled trial

    PubMed ID: 25038208

    LOLA improved neurophysiologic endpoints in minimal HE; ammonia decrease reported — relevant to liver encephalopathy care.

  14. [Ornithine aspartate and naloxone combined therapy for hepatic encephalopathy affects cognitive function, prognosis, and neuropeptide levels]

    PubMed ID: 24025143

    Ornithine‑aspartate plus naloxone lowered blood ammonia and improved cognition in hepatic encephalopathy.

  15. Efficacy of L-ornithine-L-aspartate as an adjuvant therapy in cirrhotic patients with hepatic encephalopathy

    PubMed ID: 22078345

    LOLA added to standard care improved encephalopathy rates and shortened hospitalization in cirrhotics.

  16. A randomized controlled trial comparing lactulose, probiotics, and L-ornithine L-aspartate in treatment of minimal hepatic encephalopathy

    PubMed ID: 21646910

    Oral LOLA improved mild HE recovery and lowered ammonia vs no treatment — supports hepatic encephalopathy management.

  17. L-ornithine-L-aspartate infusion efficacy in hepatic encephalopathy

    PubMed ID: 18983791

    IV LOLA improved ammonia handling and clinical encephalopathy in overt HE patients.

Detoxification (15)
  1. Randomised clinical trial: L-ornithine-L-aspartate reduces significantly the increase of venous ammonia concentration after TIPSS

    PubMed ID: 24832463

    Post-TIPSS prophylactic LOLA markedly reduced fasting/post-prandial ammonia rises — direct detox effect.

  2. [Ornithine aspartate and naloxone combined therapy for hepatic encephalopathy affects cognitive function, prognosis, and neuropeptide levels]

    PubMed ID: 24025143

    Ornithine‑aspartate lowered blood ammonia and improved cognition in HE — detoxification benefit.

  3. [Effect of Acupuncture at Thirteen Evil Acupoints on Liver Function, and the Contents of Blood Ammonia and β-endorphin in Patients with Hepatic Encephalopathy]

    PubMed ID: 29072017

    Adjunctive therapy including ornithine‑aspartate improved ammonia and liver markers (detox relevance).

  4. An Open-Label Randomized Controlled Non-Inferiority Trial of Arginine Glutamate Injection for the Treatment of Mild Hepatic Encephalopathy

    PubMed ID: 40545706

    Arginine-glutamate matched LOLA for ammonia reduction in mild HE—supports detox equivalence of ornithine-containing therapy.

  5. Therapeutic efficacy of L-ornithine-L-aspartate infusions in patients with cirrhosis and hepatic encephalopathy: results of a placebo-controlled, double-blind study

    PubMed ID: 9185752

    IV LOLA lowered ammonia and improved encephalopathy—evidence for enhanced detoxification of ammonia.

  6. Oral L-ornithine-L-aspartate therapy of chronic hepatic encephalopathy: results of a placebo-controlled double-blind study

    PubMed ID: 9625322

    Oral LOLA reduced ammonia and improved neuropsychiatric signs—supports detox function.

  7. [Therapeutic effect of L-ornithine-L-aspartate on liver cirrhosis complicated by hepatic encephalopathy]

    PubMed ID: 15958319

    IV LOLA plus routine care decreased ammonia—evidence of improved detox in cirrhotics.

  8. L-ornithine-L-aspartate infusion efficacy in hepatic encephalopathy

    PubMed ID: 18983791

    IV LOLA improved ammonia handling in overt HE—supports detoxification capacity.

  9. A randomized controlled trial comparing lactulose, probiotics, and L-ornithine L-aspartate in treatment of minimal hepatic encephalopathy

    PubMed ID: 21646910

    Oral LOLA lowered ammonia and improved recovery in mild HE vs no treatment.

  10. Effect of rifaximin, probiotics, and l-ornithine l-aspartate on minimal hepatic encephalopathy: a randomized controlled trial

    PubMed ID: 25038208

    LOLA improved neurophysiology in MHE and reportedly decreased ammonia vs placebo — supports detoxification.

  11. L-ornithine L-aspartate in bouts of overt hepatic encephalopathy

    PubMed ID: 28749571

    IV LOLA sped recovery from OHE and reduced ammonia — consistent with improved detoxification.

  12. Secondary prophylaxis of hepatic encephalopathy in cirrhosis of liver: a double-blind randomized controlled trial of L-ornithine L-aspartate versus placebo

    PubMed ID: 29727385

    Oral LOLA lowered arterial ammonia substantially over 6 months — demonstrates improved ammonia detoxification in cirrhotics.

  13. L-ornithine L-aspartate in acute treatment of severe hepatic encephalopathy: A double-blind randomized controlled trial

    PubMed ID: 34822189

    IV LOLA RCT: greater reductions in blood ammonia and inflammatory markers — supports detox (ammonia clearance) and reduced systemic toxin burden.

  14. Pyridoxamine reduces methylglyoxal and markers of glycation and endothelial dysfunction, but does not improve insulin sensitivity or vascular function in abdominally obese individuals: A randomized double-blind placebo-controlled trial

    PubMed ID: 36655410

    Pyridoxamine reduced plasma methylglyoxal and protein‑bound MG‑H1 (an imidazolonyl‑ornithine AGE) and lowered some adhesion molecules — direct biochemical reduction of an ornithine‑containing AGE supports a detoxification effect on reactive metabolites.

  15. Pharmacokinetics/pharmacodynamics of L-ornithine phenylacetate in overt hepatic encephalopathy and the effect of plasma ammonia concentration reduction on clinical outcomes

    PubMed ID: 35238476

    Demonstrated dose‑dependent plasma ammonia reduction and faster ammonia normalization; mechanistically strong evidence for improving ammonia detoxification.

Mental clarity (13)
  1. L-ornithine-L-aspartate infusion efficacy in hepatic encephalopathy

    PubMed ID: 18983791

    IV LOLA improved clinical signs and ammonia handling in overt HE, with improved mental state.

  2. Oral L-ornithine-L-aspartate therapy of chronic hepatic encephalopathy: results of a placebo-controlled double-blind study

    PubMed ID: 9625322

    Oral LOLA reduced ammonia and improved NCT and mental state vs placebo.

  3. Therapeutic efficacy of L-ornithine-L-aspartate infusions in patients with cirrhosis and hepatic encephalopathy: results of a placebo-controlled, double-blind study

    PubMed ID: 9185752

    IV LOLA improved ammonia and psychometric tests in cirrhosis—strong evidence for improved cognition/clarity.

  4. An Open-Label Randomized Controlled Non-Inferiority Trial of Arginine Glutamate Injection for the Treatment of Mild Hepatic Encephalopathy

    PubMed ID: 40545706

    Arginine-glutamate was non-inferior to LOLA for improving mild HE and cognition—supports cognitive benefit of ornithine-containing therapy.

  5. [Effect of Acupuncture at Thirteen Evil Acupoints on Liver Function, and the Contents of Blood Ammonia and β-endorphin in Patients with Hepatic Encephalopathy]

    PubMed ID: 29072017

    Acupuncture + standard therapy (including ornithine‑aspartate) improved cognitive outcomes in HE patients.

  6. [Ornithine aspartate and naloxone combined therapy for hepatic encephalopathy affects cognitive function, prognosis, and neuropeptide levels]

    PubMed ID: 24025143

    Ornithine‑aspartate + naloxone in hepatic encephalopathy lowered ammonia and improved cognitive scores.

  7. Efficacy of L-ornithine-L-aspartate as an adjuvant therapy in cirrhotic patients with hepatic encephalopathy

    PubMed ID: 22078345

    LOLA added to standard care improved encephalopathy scores and psychometry vs placebo.

  8. Effect of rifaximin, probiotics, and l-ornithine l-aspartate on minimal hepatic encephalopathy: a randomized controlled trial

    PubMed ID: 25038208

    Randomized trial in MHE: LOLA improved CFF and neuropsychometric endpoints vs placebo.

  9. Randomised clinical trial: L-ornithine-L-aspartate reduces significantly the increase of venous ammonia concentration after TIPSS

    PubMed ID: 24832463

    Prophylactic LOLA after TIPSS reduced ammonia rise and improved cognitive tests vs no LOLA.

  10. L-ornithine L-aspartate in bouts of overt hepatic encephalopathy

    PubMed ID: 28749571

    Large IV LOLA RCT in overt HE: faster clinical recovery and ammonia lowering with better daily HE grades — supports clearer cognition.

  11. Secondary prophylaxis of hepatic encephalopathy in cirrhosis of liver: a double-blind randomized controlled trial of L-ornithine L-aspartate versus placebo

    PubMed ID: 29727385

    6‑month oral LOLA RCT: marked improvements in CFF and PHES (neuropsych) and lower ammonia — strong evidence for improved mental function.

  12. The effect of L-ornithine L-aspartate and branch chain amino acids on encephalopathy and nutritional status in liver cirrhosis with malnutrition

    PubMed ID: 21339541

    In malnourished cirrhotics, LOLA improved critical flicker frequency (a cognitive measure) over 2 weeks.

  13. A randomized controlled trial comparing lactulose, probiotics, and L-ornithine L-aspartate in treatment of minimal hepatic encephalopathy

    PubMed ID: 21646910

    Oral LOLA improved mild HE recovery, lowered ammonia and improved QoL/psychometry vs no treatment.

Metabolism (10)
  1. Modulation of biologic endpoints by topical difluoromethylornithine (DFMO), in subjects at high-risk for nonmelanoma skin cancer

    PubMed ID: 11801552

    Topical DFMO reduced actinic keratoses and lowered tissue spermidine and p53‑positive cells — strong local metabolic and clinical effects on polyamine metabolism.

  2. A phase II breast cancer chemoprevention trial of oral alpha-difluoromethylornithine: breast tissue, imaging, and serum and urine biomarkers

    PubMed ID: 12374678

    12‑month oral DFMO reduced urinary total polyamines by ~28% in high‑risk women — clear modulation of polyamine metabolism.

  3. Chemoprevention of human actinic keratoses by topical 2-(difluoromethyl)-dl-ornithine

    PubMed ID: 11142412

    Six months topical DFMO reduced actinic keratoses (~24%) and lowered skin spermidine with no systemic exposure — clear local metabolic and clinical effects.

  4. Randomized phase I chemoprevention dose-seeking study of alpha-difluoromethylornithine

    PubMed ID: 8478959

    Phase I DFMO study showed dose‑dependent inhibition of induced skin ODC activity with clear pharmacodynamics; relevant to ornithine/polyamine metabolism.

  5. Variants downstream of the ornithine decarboxylase gene influence risk of colorectal adenoma and aspirin chemoprevention

    PubMed ID: 21930798

    Genetic association near ODC affects adenoma risk and aspirin response — indicates ODC/polyamine pathway relevance to human metabolism.

  6. Ornithine decarboxylase-1 polymorphism, chemoprevention with eflornithine and sulindac, and outcomes among colorectal adenoma patients

    PubMed ID: 20798393

    Genotype-stratified analysis showed DFMO+sulindac lowered tissue polyamines and adenoma risk — metabolism/polyamine pathway evidence.

  7. Difluoromethylornithine plus sulindac for the prevention of sporadic colorectal adenomas: a randomized placebo-controlled, double-blind trial

    PubMed ID: 18841250

    Phase III DFMO+sulindac trial produced large reductions in adenoma recurrence and demonstrates strong biological activity on polyamine metabolism.

  8. The effect of difluoromethylornithine on decreasing prostate size and polyamines in men: results of a year-long phase IIb randomized placebo-controlled chemoprevention trial

    PubMed ID: 18268112

    Year-long DFMO lowered prostate putrescine and blunted prostate growth — clear effect on polyamine metabolism.

  9. Phase III randomized study of postradiotherapy chemotherapy with combination alpha-difluoromethylornithine-PCV versus PCV for anaplastic gliomas

    PubMed ID: 12631596

    Randomized trial adding DFMO to PCV improved PFS/OS in anaplastic glioma — clinically meaningful outcomes likely mediated via polyamine metabolic effects.

  10. Levels of rectal mucosal polyamines and prostaglandin E2 predict ability of DFMO and sulindac to prevent colorectal adenoma

    PubMed ID: 20538001

    Large randomized DFMO+sulindac trial produced sustained suppression of tissue polyamines (downstream of ornithine) that predicted chemopreventive benefit — direct effect on polyamine metabolism.

Tissue repair (8)
  1. A randomized controlled trial of the influence of the mode of enteral ornithine alpha-ketoglutarate administration in burn patients

    PubMed ID: 9482764

    Bolus OKG markedly shortened wound healing time in burn patients (large clinical effect).

  2. Nutritional and clinical efficacy of ornithine alpha-ketoglutarate in severe burn patients

    PubMed ID: 10601539

    Strong RCT in severe burns: OKG preserved weight, improved nitrogen balance and visceral proteins—supports muscle repair.

  3. Ornithine alpha-ketoglutarate improves wound healing in severe burn patients: a prospective randomized double-blind trial versus isonitrogenous controls

    PubMed ID: 10890617

    Randomized trial: OKG group had substantially shorter wound‑healing times vs control.

  4. Efficacy and safety of ornithine alpha-ketoglutarate in heel pressure ulcers in elderly patients: results of a randomized controlled trial

    PubMed ID: 19621198

    OKG (ornithine‑containing) modestly accelerated early wound area reduction and closure rates in smaller heel ulcers (randomized multicenter data, subgroup effect).

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

    PubMed ID: 12192323

    Arginine‑containing amino acid mix increased collagen deposition in implanted wound models (supports healing/repair).

  6. L-ornithine supplementation in periodontitis treatment yields greater benefits than L-arginine after one year: Part II of a randomized controlled pilot study

    PubMed ID: 40614877

    L-ornithine adjunct to periodontal care produced larger long-term clinical improvements in bleeding and macrophage markers—evidence for faster/local healing.

  7. Nifurtimox-eflornithine combination therapy for second-stage Trypanosoma brucei gambiense sleeping sickness: a randomized clinical trial in Congo

    PubMed ID: 17990225

    Eflornithine regimens high cure rates for HAT demonstrate healing from infection; not relevant to general tissue healing via supplementation.

  8. Nifurtimox-eflornithine combination therapy for second-stage African Trypanosoma brucei gambiense trypanosomiasis: a multicentre, randomised, phase III, non-inferiority trial

    PubMed ID: 19559476

    NECT regimen cured late-stage HAT — clinical resolution of severe disease = definitive healing in that context (not general wound healing).

Immune support (5)
  1. L-ornithine supplementation in periodontitis treatment yields greater benefits than L-arginine after one year: Part II of a randomized controlled pilot study

    PubMed ID: 40614877

    Adjunctive L-ornithine in periodontitis increased macrophage markers and reduced bleeding—direct immune-modulatory evidence.

  2. Randomized clinical trial of the effects of perioperative use of immune-enhancing enteral formula on metabolic and immunological status in patients undergoing esophagectomy

    PubMed ID: 17653789

    Perioperative immune‑enhancing enteral feeding (including ornithine‑raising ingredients) increased lymphocyte counts after esophagectomy.

  3. Early enteral administration of a formula (Impact) supplemented with arginine, nucleotides, and fish oil in intensive care unit patients: results of a multicenter, prospective, randomized, clinical trial

    PubMed ID: 7874893

    ICU trial of an arginine‑containing formula raised ornithine and was associated with fewer infections and shorter stays (strong clinical signal, formula contained multiple nutrients).

  4. 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

    Early enteral pharmaconutrition (multi‑nutrient) sped organ‑function recovery in sepsis while increasing arginine/ornithine (clinical improvement but multi‑component).

  5. L-ornithine L-aspartate in acute treatment of severe hepatic encephalopathy: A double-blind randomized controlled trial

    PubMed ID: 34822189

    Large IV LOLA RCT reported greater reductions in IL‑6 and TNF‑α alongside clinical benefit — suggests some immunomodulatory effect.

Energy & Fatigue (4)
  1. Randomised controlled trial of the effects of L-ornithine on stress markers and sleep quality in healthy workers

    PubMed ID: 24889392

    RCT: oral L-ornithine reduced cortisol/DHEA-S ratio and improved sleep/insomnia scores — plausible reduction in fatigue.

  2. A two-centre, randomized, double-blind trial of ornithine oxoglutarate in 194 elderly, ambulatory, convalescent subjects

    PubMed ID: 7976777

    Large RCT in elderly: OGO improved appetite, weight and independence—likely reduces fatigue.

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

    PubMed ID: 9482764

    OKG reduced catabolism in burns and sped recovery—consistent with less fatigue.

  4. Nutritional and clinical efficacy of ornithine alpha-ketoglutarate in severe burn patients

    PubMed ID: 10601539

    Severe burn patients on OKG preserved weight and improved nutrition, which would reduce fatigue.

Muscle growth (4)
  1. A randomized controlled trial of the influence of the mode of enteral ornithine alpha-ketoglutarate administration in burn patients

    PubMed ID: 9482764

    Enteral OKG improved nitrogen balance and reduced muscle catabolism markers in burn patients.

  2. Nutritional and clinical efficacy of ornithine alpha-ketoglutarate in severe burn patients

    PubMed ID: 10601539

    Severe burn RCT: OKG produced large cumulative nitrogen balance improvements and higher visceral proteins.

  3. Ornithine alpha-ketoglutarate improves wound healing in severe burn patients: a prospective randomized double-blind trial versus isonitrogenous controls

    PubMed ID: 10890617

    OKG decreased markers of hypercatabolism and improved nutritional indices in burn patients.

  4. A two-centre, randomized, double-blind trial of ornithine oxoglutarate in 194 elderly, ambulatory, convalescent subjects

    PubMed ID: 7976777

    OGO improved appetite and body weight in elderly convalescents—consistent with better protein/nutritional balance.

Mood balance (2)
  1. A two-centre, randomized, double-blind trial of ornithine oxoglutarate in 194 elderly, ambulatory, convalescent subjects

    PubMed ID: 7976777

    Improved independence/quality‑of‑life in elderly trial suggests mood benefits.

  2. Randomised controlled trial of the effects of L-ornithine on stress markers and sleep quality in healthy workers

    PubMed ID: 24889392

    RCT: L-ornithine reduced anger-hostility (POMS) and improved some mood indices alongside better sleep and lower cortisol ratio.

Muscle soreness (2)
  1. A randomized controlled trial of the influence of the mode of enteral ornithine alpha-ketoglutarate administration in burn patients

    PubMed ID: 9482764

    OKG reduced markers of muscle catabolism in burn patients—plausibly reduces soreness.

  2. Nutritional and clinical efficacy of ornithine alpha-ketoglutarate in severe burn patients

    PubMed ID: 10601539

    Severe burn patients on OKG showed reduced catabolism and preserved weight—consistent with less muscle damage/soreness.

Sleep quality (1)
  1. Randomised controlled trial of the effects of L-ornithine on stress markers and sleep quality in healthy workers

    PubMed ID: 24889392

    Randomized double-blind trial: oral L-ornithine for 8 weeks improved insomnia scores (AIS/OSA-MA) and lowered cortisol/DHEA-S ratio.

Stress & Anxiety (1)
  1. Randomised controlled trial of the effects of L-ornithine on stress markers and sleep quality in healthy workers

    PubMed ID: 24889392

    8-week oral L-ornithine RCT: significant reduction in serum cortisol/DHEA-S ratio and improvements in sleep and some mood scores — strong evidence for reduced physiological stress.

Forms of Ornithine

The form a label may print instead of Ornithine. Each is a different substance with its own identifier, and none of them has research of its own — the studies are the ones on this page.

Similar by evidence

Supplements the same benefits carry qualifying findings for — a fact about the evidence graph, not a recommendation to swap.

Products with Ornithine

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86 products whose verified label declares Ornithine — not every bottle that mentions it in a title.