Horme

Citrulline malate

The 2026 review finds a small effect with low or very low certainty; it does not establish reliable dosing or timing.

  • Tier C — Preliminary or mixed — it might work, it might not
  • Performance

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.

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