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GMJ News > Ingredients A-Z > Amino acid > L-Citrulline

L-Citrulline

GMJ
Last updated: 02/06/2026 18:43
By
Prof. Giorgi Pkhakadze
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Medically reviewed by Prof. Giorgi Pkhakadze, MD, MPH, PhD — GMJ Editorial Board

5 min read|1,022 words

What is L-Citrulline?

L-Citrulline is a non-essential amino acid that plays a crucial role in the urea cycle and nitric oxide production. Unlike essential amino acids that must be obtained from food, the body can produce L-citrulline naturally, primarily in the liver and intestines. The name derives from Citrullus lanatus, the scientific name for watermelon, where it was first discovered in 1930.

L-Citrulline serves as a precursor to L-arginine, another amino acid involved in protein synthesis and various metabolic processes. What makes L-citrulline particularly interesting is that it can increase L-arginine levels more effectively than taking L-arginine directly, due to better absorption and bypassing first-pass metabolism in the liver.

Health benefits & uses

Exercise performance and muscle fatigue (Moderate evidence): Multiple studies suggest L-citrulline supplementation may reduce muscle fatigue and improve exercise performance. Research indicates it can decrease muscle soreness after resistance training and may enhance power output during high-intensity exercise.

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Cardiovascular health (Moderate evidence): L-citrulline may support healthy blood pressure levels in individuals with prehypertension or mild hypertension. Studies show it can improve arterial stiffness and endothelial function through enhanced nitric oxide production.

Erectile dysfunction (Limited evidence): Some research suggests L-citrulline supplementation may help with mild erectile dysfunction by improving blood flow, though more robust clinical trials are needed to establish definitive benefits.

Immune function (Limited evidence): Preliminary research indicates L-citrulline may support immune system function, particularly in critically ill patients, but more human studies are required.

How it works

L-Citrulline functions through several interconnected mechanisms. After ingestion, it’s absorbed in the intestines and transported to the kidneys, where it’s converted to L-arginine. This process is more efficient than taking L-arginine directly because L-citrulline bypasses hepatic metabolism.

Once converted to L-arginine, it serves as a substrate for nitric oxide synthase, an enzyme that produces nitric oxide (NO). Nitric oxide is a powerful vasodilator that relaxes blood vessel walls, improving blood flow and reducing blood pressure. This enhanced circulation can benefit exercise performance by delivering more oxygen and nutrients to working muscles while facilitating waste product removal.

L-Citrulline also participates in the urea cycle, helping remove toxic ammonia from the body. This process may contribute to reduced fatigue during exercise by clearing metabolic waste products more efficiently.

Dosage

There is no established Recommended Dietary Allowance (RDA) or Upper Limit (UL) for L-citrulline as it’s not an essential nutrient. Typical supplementation ranges vary based on intended use:

Exercise performance: 3-6 grams taken 30-60 minutes before exercise
Cardiovascular support: 3-6 grams daily, often divided into two doses
General supplementation: 1-3 grams daily

L-Citrulline malate (bound to malic acid) is commonly used in exercise supplements, typically at doses of 6-8 grams. Always consult with a healthcare provider before starting supplementation, especially if you have underlying health conditions or take medications.

Food sources

Watermelon is by far the richest natural source of L-citrulline, containing approximately 250mg per cup of fresh fruit. The highest concentrations are found in the white rind rather than the red flesh. Other food sources include:

  • Cucumber
  • Cantaloupe
  • Pumpkin
  • Squash
  • Gourds
  • Legumes (in smaller amounts)
  • Nuts (in smaller amounts)

However, obtaining therapeutic doses through food alone would require consuming large quantities of these foods, making supplementation more practical for specific health goals.

Safety & side effects

L-Citrulline supplementation is generally well-tolerated with few reported adverse effects. Most studies report minimal side effects at typical doses. Potential mild side effects may include:

  • Stomach upset or nausea (usually with higher doses)
  • Diarrhea
  • Changes in urination frequency

These effects are typically dose-dependent and resolve when reducing the amount taken or discontinuing use.

Interactions

Blood pressure medications: L-citrulline may enhance the blood pressure-lowering effects of antihypertensive medications, potentially requiring dosage adjustments under medical supervision.

Nitrates: Combination with nitrate medications used for heart conditions could potentially cause excessive blood pressure reduction.

PDE5 inhibitors: Theoretical interactions may exist with erectile dysfunction medications due to overlapping mechanisms affecting blood flow.

Other NO-boosting supplements: Combining with L-arginine or other nitric oxide enhancing supplements may have additive effects.

Who should be cautious

Individuals with the following conditions should exercise caution and consult healthcare providers before using L-citrulline:

  • Low blood pressure (hypotension)
  • Kidney disease or dysfunction
  • Liver disease
  • Pregnancy or breastfeeding (due to limited safety data)
  • Scheduled for surgery (may affect blood pressure during procedures)
  • Taking blood pressure medications or heart medications

Frequently asked questions

When is the best time to take L-citrulline?

For exercise benefits, take L-citrulline 30-60 minutes before workouts on an empty stomach for optimal absorption. For cardiovascular support, it can be taken at any time, though some prefer splitting doses throughout the day.

How long does it take to see results from L-citrulline?

Acute effects on exercise performance may be noticed within hours of supplementation. For cardiovascular benefits, consistent use for 2-4 weeks is typically needed to observe meaningful changes.

Is L-citrulline better than L-arginine?

Research suggests L-citrulline is more effective at increasing blood arginine levels than L-arginine supplements because it bypasses liver metabolism and is better absorbed.

Can I take L-citrulline daily?

Yes, daily supplementation appears safe for most healthy adults based on current research. However, it’s advisable to take periodic breaks and consult with a healthcare provider for long-term use.

Will L-citrulline help with muscle growth?

While L-citrulline may improve exercise performance and reduce fatigue, direct evidence for muscle growth is limited. Any potential benefits would likely be indirect through enhanced training capacity.

Classification:

Typical dose: — · Studied up to: —

References

Authoritative profile & live regulatory status: L-Citrulline on SupplementIndex →

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ByProf. Giorgi Pkhakadze
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Prof. Giorgi Pkhakadze, MD, MPH, PhD, is Editor-in-Chief of the Georgian Medical Journal and Chair of the Public Health Institute of Georgia (PHIG). He is Professor and Head of the Department of Social and Behavioural Sciences at David Tvildiani Medical University, and Secretary/Treasurer of the UEMS Section of Public Health. ORCID: 0000-0001-7609-4515.

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