L-Citrulline: Clinical Evidence & Substantiation Summary

Clinical Trials
29
Strongest Evidence
Exercise Performance
Typical Dosage
3–8 g/day (L-citrulline) or 6–8 g/day (citrulline malate)
Common Forms
L-Citrulline

What Is L-Citrulline?

L-Citrulline is a non-essential amino acid that serves as a precursor to L-arginine and nitric oxide. It is more effective than direct L-arginine supplementation at raising plasma arginine levels due to superior oral bioavailability and bypassing first-pass hepatic metabolism.

Mechanism of action: L-Citrulline is converted to L-arginine in the kidneys, which is then converted to nitric oxide (NO) by endothelial nitric oxide synthase (eNOS). NO is a vasodilator that improves blood flow, nutrient delivery, and waste product removal. Citrulline also participates in the urea cycle, aiding ammonia clearance during exercise.

Clinical Evidence Summary

Below are 5 key clinical studies on L-Citrulline. Nutra Comp analyses 29+ studies in its full clinical evidence report.

Systematic review and meta-analysis2020PMID: 32182294

Citrulline supplementation and exercise performance: a systematic review

Population: 12 RCTs

Key finding: Citrulline supplementation significantly improved high-intensity exercise performance (p=0.01) and reduced perceived exertion.

Meta-analysis2017PMID: 29099763

L-Citrulline supplementation and blood pressure

Population: 11 RCTs, 476 participants

Key finding: Citrulline supplementation significantly reduced systolic BP by 4.1 mmHg (p<0.01) and diastolic BP by 2.1 mmHg (p=0.02).

RCT, double-blind2017PMID: 28768407

Citrulline malate and resistance exercise

Population: 41 resistance-trained men

Key finding: 8 g citrulline malate pre-exercise significantly increased repetitions to failure (9.4% increase, p<0.05) across multiple sets.

Systematic review2019PMID: 31305906

L-Citrulline and endothelial function

Population: 8 RCTs

Key finding: Citrulline supplementation improved flow-mediated dilation (FMD), a marker of endothelial function, in adults with cardiovascular risk factors.

Citrulline and amino acid metabolism in exercise

Population: 24 cyclists

Key finding: 6 g/day L-citrulline for 7 days significantly increased plasma arginine (+30%) and reduced blood lactate during intense cycling.

Evidence-Based Structure–Function Claims

Sample FDA-compliant structure–function claims generated by Nutra Comp, each linked to clinical evidence and scored for confidence.

9
Supports healthy nitric oxide production and blood flow
Category: Cardiovascular · Confidence: 9/10
8
Supports exercise performance and muscular endurance
Category: Performance · Confidence: 8/10
7
Supports healthy blood pressure already within the normal range
Category: Cardiovascular · Confidence: 7/10

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Related Ingredients

Creatine Monohydrate
186 studies · Muscle Strength & Power
Beta-Alanine
35 studies · Exercise Performance

Key Terms

Randomised Controlled Trial (RCT)BioavailabilityDose-Response Relationship

Frequently Asked Questions

Is L-citrulline FDA approved?

L-Citrulline is sold as a dietary supplement and does not require FDA approval. It is a naturally occurring amino acid found in watermelon and other foods.

What are the most studied benefits of citrulline?

The strongest evidence supports citrulline for nitric oxide production, exercise performance (particularly resistance training volume), and blood pressure support.

What dosage is used in clinical studies?

Pure L-citrulline: 3–6 g/day. Citrulline malate: 6–8 g/day (providing ~3.5–5 g citrulline). For acute exercise benefits, take 30–60 minutes before training.

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