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L-Glutamine
The tub promises gut healing, immune protection, and faster recovery. In healthy people who train, the trials find none of it: the strength studies are flat, the immunity idea failed to replicate, and most of an oral dose gets eaten by your own gut before it reaches your blood. Two exceptions are real medicine: sickle cell disease, where it's FDA-approved, and a narrow post-stomach-bug diarrhoea. For everyone else, closing the tab costs you nothing, because it was doing nothing.
Do ยท Daily Evidence Mixed Chapter Supplements

Glutamine is the most common loose amino acid in your body, and you make plenty on your own. Two mechanisms look real on paper: the cells lining your gut burn it for fuel 1, and your white blood cells use it while they work. After a marathon, blood glutamine drops about 20% 2, and the industry built a category on that dip.

In healthy lifters, the story falls apart. Six weeks of resistance training with glutamine or placebo gave the same strength and lean mass 3; in a post-workout shake, it adds nothing above the protein alone 4. The round-up of every athlete trial found nothing on performance, body composition, or immunity 5.

The immune claim didn't hold up. Topping the blood back up after that marathon dip changes nothing, and the most-cited review calls the hypothesis unsupported by trials 6. Salivary antibodies after hard exercise don't budge either 7.

Where it works, the populations are narrow. A 230-person trial cut sickle cell pain crises by about a quarter, earning FDA approval as Endari 8. And in 106 people whose diarrhoea started after a stomach infection and who tested positive for a leaky gut barrier, eight weeks dropped symptoms in four of five, against one in twenty on placebo 9.

Screen yourself before you buy. Work out which bucket you're in.

What you gain by stopping. Week one: about $80 a year stays in your account and the morning loses a step that did nothing. Month three: the next podcast guest who pairs "leaky gut" with "tight junctions" gets caught, because you know that trial was 106 people with a specific diagnosis. And the readers in the two indicated groups stop walking past their own medicine.

For recovery, spend on protein near 1.6 g/kg and creatine. For general IBS, the low-FODMAP diet. For immunity around hard training, sleep is the dominant lever.

The fine print โ€” when to skip it, and what people get wrong

"Your blood drops after exercise, so replace it." The dip is real; topping it up changes nothing 6. "It heals leaky gut." Only the narrow post-infection kind with a positive lab test 9, not vague bloating and fatigue.

Skip it with cirrhosis or serious liver failure (glutamine becomes ammonia a failing liver can't clear), serious kidney disease, or in pregnancy. Critically ill ICU patients on high-dose IV glutamine had higher death rates, which is why guidance backed off 10.

References
  1. 1Rao R, Samak G (2012). Role of Glutamine in Protection of Intestinal Epithelial Tight Junctions. Journal of Epithelial Biology and Pharmacology. link
  2. 2Castell LM, Poortmans JR, Newsholme EA (1996). Does glutamine have a role in reducing infections in athletes? European Journal of Applied Physiology and Occupational Physiology. link
  3. 3Candow DG, Chilibeck PD, Burke DG, Davison KS, Smith-Palmer T (2001). Effect of glutamine supplementation combined with resistance training in young adults. European Journal of Applied Physiology. link
  4. 4Wilkinson SB, Kim PL, Armstrong D, Phillips SM (2006). Addition of glutamine to essential amino acids and carbohydrate does not enhance anabolism in young human males following exercise. Applied Physiology, Nutrition, and Metabolism. link
  5. 5Ramezani Ahmadi A, Rayyani E, Bahreini M, Mansoori A (2019). The effect of glutamine supplementation on athletic performance, body composition, and immune function: A systematic review and meta-analysis of clinical trials. Clinical Nutrition. link
  6. 6Gleeson M (2008). Dosing and efficacy of glutamine supplementation in human exercise and sport training. Journal of Nutrition. link
  7. 7Krzywkowski K, Petersen EW, Ostrowski K, et al. (2001). Effect of glutamine and protein supplementation on exercise-induced decreases in salivary IgA. Journal of Applied Physiology. link
  8. 8Niihara Y, Miller ST, Kanter J, et al. (2018). A Phase 3 Trial of L-Glutamine in Sickle Cell Disease. New England Journal of Medicine. link
  9. 9Zhou Q, Verne ML, Fields JZ, et al. (2019). Randomised placebo-controlled trial of dietary glutamine supplements for postinfectious irritable bowel syndrome. Gut. link
  10. 10Heyland D, Muscedere J, Wischmeyer PE, et al. (2013). A randomized trial of glutamine and antioxidants in critically ill patients (REDOXS). New England Journal of Medicine. link
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