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What amino acid increases blood flow? Unpacking the role of L-arginine and L-citrulline

5 min read

According to a 2023 study, chronic L-citrulline supplementation can enhance nitric oxide (NO) synthesis, which is critical for improved blood flow and oxygen delivery. So, what amino acid increases blood flow, and how do you incorporate it into your diet? The primary amino acids responsible are L-arginine and its precursor, L-citrulline.

Quick Summary

L-arginine and L-citrulline are the key amino acids that increase blood flow by boosting nitric oxide production. This promotes vasodilation, relaxes blood vessels, and supports circulation for better heart health and exercise performance. Understanding the differences between these two amino acids and their dietary sources is crucial for optimizing cardiovascular function.

Key Points

  • L-Arginine is the direct precursor for nitric oxide (NO): This semi-essential amino acid is converted into NO, which signals blood vessels to relax and widen, increasing blood flow.

  • L-Citrulline is more effective for boosting arginine levels: When supplemented orally, L-citrulline bypasses liver metabolism and is converted to L-arginine in the kidneys, leading to a more sustained and effective increase in blood arginine and NO.

  • Enhanced blood flow supports cardiovascular health: Increased nitric oxide production helps lower blood pressure, improves circulation in conditions like peripheral arterial disease, and may assist with erectile dysfunction.

  • Dietary intake versus supplementation: While a balanced diet provides sufficient amino acids for most, supplementation may offer benefits for specific conditions or performance goals. L-citrulline is often preferred for supplementation due to better absorption.

  • Nitric oxide also improves exercise performance: By increasing blood flow to muscles, nitric oxide improves oxygenation and nutrient delivery, which can enhance endurance and aid in muscle recovery.

  • Caution is advised with supplements: Individuals with pre-existing heart conditions, those on blood pressure medication, or with a history of herpes should consult a doctor before taking L-arginine supplements.

  • Other amino acids also influence blood pressure: Some studies suggest a link between high dietary intake of certain amino acids, like phenylalanine, and an increased risk of hypertension, while glycine has been associated with lower blood pressure.

In This Article

The role of amino acids in healthy circulation

Your circulatory system is a complex network of blood vessels responsible for delivering oxygen and nutrients to every cell in your body. The ability of your blood vessels to relax and widen, a process known as vasodilation, is critical for maintaining healthy blood flow and blood pressure. This function is largely dependent on a signaling molecule called nitric oxide (NO). When NO is produced, it signals the smooth muscles surrounding blood vessels to relax, allowing blood to flow more freely. A balanced diet rich in specific amino acids can help optimize your body’s natural production of NO, supporting overall cardiovascular health.

L-Arginine: The direct precursor to nitric oxide

L-arginine is a semi-essential amino acid that serves as the direct substrate for nitric oxide synthase (NOS), the enzyme that creates nitric oxide. Because of its direct role in NO production, L-arginine has been widely studied for its effects on circulation.

How L-arginine works

When consumed, L-arginine is converted into NO, which then diffuses into the smooth muscle cells of blood vessels. This cascade of events causes the muscles to relax and the vessels to widen, leading to increased blood flow. This improved circulation can benefit several areas of health, including:

  • Cardiovascular function: Some studies show oral L-arginine may help lower blood pressure in people with hypertension.
  • Exercise performance: Increased blood flow to muscles can improve oxygen delivery and endurance during physical activity.
  • Erectile dysfunction (ED): By improving blood flow to the penis, L-arginine supplements may help with ED caused by physical factors.

Dietary sources of L-arginine

Many protein-rich foods contain L-arginine, making it relatively easy to obtain through a balanced diet. Top sources include:

  • Meat and poultry: Red meat, chicken, and turkey.
  • Nuts and seeds: Pumpkin seeds, walnuts, almonds, and peanuts.
  • Legumes: Soybeans and chickpeas.
  • Dairy: Milk, yogurt, and cheese.

L-Citrulline: The more effective pathway

Despite L-arginine's direct role, research suggests that oral supplementation with L-citrulline may be a more effective way to increase blood arginine levels and, consequently, boost NO production. L-citrulline is another amino acid that is converted into L-arginine in the kidneys.

The advantage of L-citrulline

One key advantage of L-citrulline is that it bypasses a significant portion of the digestive system's metabolic processes that break down L-arginine before it can reach the bloodstream. This superior bioavailability allows L-citrulline to steadily raise plasma L-arginine levels, leading to a more sustained and effective increase in NO. This is sometimes referred to as the “L-arginine paradox,” where direct L-arginine supplementation doesn't always translate to increased NO production due to metabolic limitations.

Dietary sources of L-citrulline

While also produced by the body, L-citrulline can be found in several food sources, most famously watermelon. Other sources include:

  • Watermelon
  • Cucumbers
  • Melons
  • Pumpkin
  • Gourds

Comparing L-Arginine and L-Citrulline

Feature L-Arginine L-Citrulline
Mechanism Direct precursor to nitric oxide via the NOS enzyme. Converted to L-arginine in the kidneys, then produces nitric oxide.
Bioavailability Poor oral absorption; much of it is metabolized in the gut and liver. Excellent oral absorption; bypasses liver metabolism, leading to more efficient conversion to L-arginine.
Source Found in most protein-rich foods like meat, dairy, nuts, and legumes. Found in watermelon, melons, cucumbers, and gourds.
Benefits Direct blood flow improvement, cardiovascular support, exercise performance enhancement. More sustained increase in arginine, enhanced blood flow, reduced fatigue during exercise.
Side Effects Higher doses may cause gastrointestinal distress like diarrhea, bloating, and nausea. Generally well-tolerated, with fewer gastrointestinal side effects at typical doses.
Supplementation May be less effective orally due to poor absorption; more common in combination formulas. Often preferred for supplementation due to superior absorption and bioavailability.

The importance of a balanced diet for circulation

While L-arginine and L-citrulline are powerful for stimulating NO production, they are not the only nutritional factors at play. A balanced diet rich in various nutrients supports healthy blood flow and overall cardiovascular function. For example, some studies suggest that glycine may be associated with lower blood pressure. Dietary nitrates, found in leafy greens like spinach and beetroot, are also converted to NO in the body, providing an alternative pathway. Furthermore, antioxidants like vitamins C and E help protect the NO molecule from oxidative damage, ensuring its availability and function. The best approach to supporting your circulation is to focus on a wholesome diet rather than relying solely on high doses of a single amino acid.

Risks and considerations with supplementation

While L-arginine and L-citrulline from food sources are generally safe, high-dose supplements come with risks and potential interactions. Consult with a healthcare provider before starting any new supplement, especially if you have pre-existing health conditions or take medication. Potential concerns include:

  • Low blood pressure: L-arginine can lower blood pressure, which may cause it to drop too low when combined with blood pressure medications.
  • Increased bleeding risk: It may increase the risk of bleeding when taken with anticoagulants or anti-platelet drugs.
  • Heart attack: L-arginine is not recommended for those with a recent heart attack due to potential increased risk of death.
  • Herpes virus: High levels of L-arginine can potentially trigger cold sores or genital herpes in susceptible individuals.

Conclusion: Optimizing blood flow through diet

L-arginine and L-citrulline are the most prominent amino acids for increasing blood flow by promoting the production of nitric oxide. While L-arginine is the direct precursor, L-citrulline is more efficiently absorbed and converted in the body, making it a potentially superior option for boosting nitric oxide levels. A balanced diet rich in protein, fruits, and vegetables can provide these amino acids naturally, alongside other supportive nutrients. Individuals considering supplementation should do so with caution and after consulting a healthcare professional to avoid potential risks and interactions, particularly with blood pressure medications or heart conditions. For most people, a healthy diet remains the best way to maintain optimal circulatory health and overall well-being..

Other amino acids that influence cardiovascular health

Besides L-arginine and L-citrulline, other amino acids play roles in cardiovascular health. Studies have explored the effects of various amino acids on blood pressure and vascular function, revealing a complex picture. For instance, some evidence suggests that certain amino acid patterns, particularly those high in branched-chain and aromatic amino acids (like phenylalanine), may be associated with an increased risk of hypertension. On the other hand, glycine has been linked to lower blood pressure and improved heart health. This emphasizes that cardiovascular health involves a balance of many nutrients and that diet as a whole is more important than focusing on a single ingredient.


To learn more about the role of specific amino acids in the body and other nutrition topics, see the National Institutes of Health's Office of Dietary Supplements website.

Frequently Asked Questions

For increasing blood arginine levels and promoting nitric oxide production, L-citrulline is often considered more effective than L-arginine when taken orally. This is because L-citrulline has superior bioavailability and bypasses metabolism in the gut and liver.

Nitric oxide (NO) is a signaling molecule that causes the smooth muscles in your blood vessel walls to relax. This process, called vasodilation, widens the blood vessels, which improves blood flow, lowers blood pressure, and ensures better oxygen and nutrient delivery to tissues.

The most famous food source of L-citrulline is watermelon. Other sources include cucumbers, melons, and gourds.

Most people can get sufficient L-arginine from a protein-rich diet that includes meat, poultry, nuts, seeds, and dairy products. However, some individuals with specific health conditions or athletic goals may consider supplementation after consulting a healthcare provider.

Possible side effects of L-arginine supplements include gastrointestinal issues like stomach pain, bloating, and diarrhea, especially at higher doses. It can also interact with certain medications and worsen conditions like asthma or herpes.

No, L-arginine is not safe for everyone. People who have recently had a heart attack, are taking blood pressure medication, or have certain pre-existing conditions should avoid it. Always consult with a doctor before taking any supplements.

Dietary nitrates, found in foods like beetroot and leafy greens, are converted in the body to nitrites and then to nitric oxide (NO). This provides an alternative pathway for boosting NO and is particularly effective for enhancing exercise performance.

References

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Medical Disclaimer

This content is for informational purposes only and should not replace professional medical advice.