Research suggests that L-arginine supplementation has limited direct evidence for improving exercise performance in humans, with a 2023 narrative review finding that typical doses did not meaningfully enhance physical performance or increase nitric oxide production in either recreational or trained athletes. Studies indicate that whatever benefits exist in the nitric oxide pathway appear more reliably attributed to dietary nitrate sources like beetroot and, to some extent, L-citrulline rather than L-arginine itself, a finding echoed across multiple reviews and a 2021 meta-analysis of 118 randomized controlled trials. Some supportive animal research, including a 2024 mouse study showing improved endurance and muscle fiber composition changes and a 2017 rat study showing performance gains with supplementation, offers mechanistic interest but cannot be directly applied to human athletic populations. Overall, the body of evidence leans toward neutral to unsupportive for L-arginine as a standalone exercise performance aid in humans, with researchers noting that responses may vary by fitness level, sex, and study design, and that further well-controlled human trials are needed before stronger conclusions can be drawn.
Citations from PubMed and preprint sources. Match score (0-100) reflects automated search ranking, not clinical appraisal.
| Title | Type | Year | Direction | Match |
|---|---|---|---|---|
| Effect of food sources of nitrate, polyphenols, L-arginine and L-citrulline o... | Meta-analysis | 2021 | — | 100 |
| Dietary Nitrate and Physical Performance. | Other | 2018 | Neutral | 95 |
| Dietary Arginine and Citrulline Supplements for Cardiovascular Health and Ath... | Review | 2023 | — | 90 |
| Muscle Fiber- and Cell Type-Specificity of Training Adaptation in Male Mice | Other | 2025 | Neutral | 85 |
| Dietary Nitrate and Nitric Oxide Metabolism: Mouth, Circulation, Skeletal Mus... | Review | 2021 | Neutral | 85 |
| The effects of varying intensities of unilateral handgrip fatigue on bilatera... | Other | 2024 | Neutral | 80 |
| Effects of Citrulline Supplementation on Exercise Performance in Humans: A Re... | Systematic review | 2020 | Neutral | 80 |
| <i>In vivo</i>Treatment of a Severe Vascular Disease via a Bespoke CRISPR-Cas... | Other | 2024 | Neutral | 75 |
| Arginine Regulates Skeletal Muscle Fiber Type Formation via mTOR Signaling Pa... | Other | 2024 | Supports | 75 |
| Parkin R274W mutation affects muscle physiology via the PARIS-PGC-1α pathway | Other | 2023 | Neutral | 70 |
| l-Arginine supplementation improves rats' antioxidant system and exercise per... | Other | 2017 | Supports | 70 |
| PIEZO1 force sensing controls global lipid homeostasis | Other | 2023 | Neutral | 65 |
| Salvianolic acid A alleviates heart failure with preserved ejection fraction ... | Other | 2023 | Neutral | 65 |
| Epilepsy-linked kinase CDKL5 phosphorylates voltage-gated calcium channel Cav... | Other | 2022 | Neutral | 60 |
| Influence of L-citrulline and watermelon supplementation on vascular function... | Review | 2017 | Mixed | 60 |
| Acute effects of combined supplementation of L-arginine and citrulline malate... | RCT | 2025 | Mixed | 55 |
| Metabolic snapshot of plasma samples reveals new pathways implicated in SARS-... | Other | 2021 | Neutral | 55 |
| Tiger team: a panel of human neutralizing mAbs targeting SARS-CoV-2 spike at ... | Other | 2020 | Neutral | 50 |
| Endothelial, Cardiovascular, and Performance Responses to L-Arginine Intake a... | Other | 2019 | — | 50 |
| <i>De novo</i>design of site-specific protein interactions with learned surfa... | Other | 2022 | Neutral | 45 |
| Oral L-arginine modulates blood lactate and interleukin-6 after exercise in H... | RCT | 2014 | — | 45 |
| CryoEM and AI reveal a structure of SARS-CoV-2 Nsp2, a multifunctional protei... | Other | 2021 | Neutral | 40 |
| Nitrate supplementation and human exercise performance: too much of a good th... | Review | 2015 | — | 40 |
| l-Citrulline supplementation improves O2 uptake kinetics and high-intensity e... | RCT | 2015 | — | 35 |
| Arginine and citrulline supplementation in sports and exercise: ergogenic nut... | Review | 2012 | Mixed | 30 |