Benefits
Resistance Training Performance
Pérez-RCT showed citrulline malate 8 g pre-workout significantly increased reps to failure on bench press (+18%) vs placebo. Multiple subsequent trials confirm modest performance benefits in resistance training.
Reduced Post-Exercise Soreness
Pérez-Guisado 2010 also showed 40% reduction in muscle soreness at 24-48 hours post-exercise vs placebo. Mechanism: improved blood flow, ammonia clearance, ATP regeneration support via malate.
Endurance / Aerobic Performance Modest Effects
Some trials show modest endurance improvements; effect smaller than resistance training benefits. trial showed improved cycling time-trial performance.
Increased Plasma Arginine and NO
Citrulline raises plasma arginine more effectively than oral arginine itself (citrulline bypasses first-pass intestinal arginase). Increased arginine supports nitric oxide synthesis. Foundational pharmacology for vasodilation and 'pump' effects.
Erectile Function (Modest)
trial showed L-citrulline 1.5 g/day improved mild erectile dysfunction. Mechanism: NO pathway support. Effect smaller than PDE5 inhibitors but reasonable for mild ED.
Mechanism of action
Citrulline-to-Arginine Conversion
Oral L-CITRULLINE is converted to L-ARGININE in the kidney via argininosuccinate synthase + lyase. Bypasses intestinal arginase that breaks down oral arginine — citrulline raises plasma arginine MORE effectively than oral arginine itself. Arginine is substrate for nitric oxide synthase.
Nitric Oxide / Vasodilation
Increased arginine → increased nitric oxide → vasodilation, increased blood flow, improved nutrient and oxygen delivery to muscles. Mechanism for 'pump' effects and endurance support.
Malate / Krebs Cycle Substrate
Malate (malic acid) is intermediate in Krebs cycle (citric acid cycle) — supports ATP regeneration. Theoretical contribution to fatigue resistance.
Ammonia Clearance (Urea Cycle)
Citrulline is intermediate in urea cycle; supplemental citrulline supports clearance of ammonia (a fatigue metabolite). May contribute to performance effects.
Clinical trials
Crossover RCT of citrulline malate (8 g, 60 min pre-workout) vs placebo for chest workout performance.
41 men.
Significant 18% increase in repetitions to failure on bench press; 40% reduction in soreness at 24-48 hours. Foundational evidence; widely-cited in supplement formulation.
RCT of citrulline malate (12 g/day for 7 days) on cycling time trial performance.
12 men.
Modest improvement in 4-km time trial performance and reduced perceived exertion. Effect smaller than resistance training benefits.