Citrulline malate
The 2026 review finds a small effect with low or very low certainty; it does not establish reliable dosing or timing.
What it is for
A possible small performance benefit in some contexts; a consistent reduction in perceived exertion has not been demonstrated.
How it works
A precursor to arginine → nitric oxide → vasodilation; it also supports ammonia clearance.
Dosing
L-citrulline and citrulline malate doses are not equivalent: check actual citrulline content. No universal dose has a consistent benefit.
When to take it
Trials have used pre-exercise intake, but no optimal timing with reliable benefit has been established.
Safety
May cause digestive discomfort; short trials do not establish long-term safety.
Side effects
Rare digestive discomfort.
Interactions
Caution with vasodilator/blood pressure medication.
Contraindications
Check with your doctor if you take blood pressure medication.
Who it has been studied in
Small, heterogeneous findings cannot be generalized to all people or sports.
Frequently asked
Does it give noticeable results?
Effects are small and variable; long-term safety is poorly studied.
- Evidence tier
- C
- Quality
- Low or very low (2026 synthesis)
- Studies
- Several small RCTs
- Consensus
- No firm consensus
- Controversy
- Dose and form (malate vs L-citrulline) are debated
- Reviewed
- 2026
Strength of evidence out of 5.