Changes in Resistance Training Performance, Rating of Perceived Exertion, and Blood Biomarkers After Six Weeks of Supplementation with L-Citrulline vs. L-Citrulline DL-Malate in Resistance-Trained Men

Six weeks of L-citrulline at 8 g or citrulline malate at 12 g raised total upper-body repetitions to failure against placebo and raised post-exercise nitric oxide metabolites, with no gain in maximal strength and no difference between the two forms.
Summary

Thirty-three resistance-trained men took 8 g of L-citrulline, 12 g of citrulline malate, or a placebo each day while following the same 6 week training program. Both citrulline groups completed more total upper-body repetitions to failure than the placebo group and showed a higher post-exercise nitric oxide response. Maximal strength, rating of perceived exertion and lower-body repetitions to failure did not differ between the groups.

Context Note
No gain in maximal strength, perceived exertion or lower-body endurance. The benefit was specific to upper-body repetitions to failure.

Study breakdown

Why this study was done

L citrulline is an amino acid the body converts to arginine, which is used to make nitric oxide. Nitric oxide widens blood vessels, so more of it should mean more oxygen reaching working muscle. Citrulline is sold as pure L citrulline and as citrulline malate, a salt of citrulline and malic acid. Little research existed on taking either form for weeks alongside training.

How it was run

Thirty six resistance trained men were recruited and 33 completed the study: 11 on L citrulline, 12 on citrulline malate and 10 on placebo. The design was randomized, double blind and placebo controlled. The L citrulline group took 8 g per day, the citrulline malate group 12 g per day at a 2 to 1 ratio of citrulline to malate. Both groups and placebo followed the same program, four sessions a week for six weeks.

Measures before and after were maximal strength on hack squat and bench press, repetitions to failure on four lifts, perceived exertion, and blood lactate, urea and nitric oxide metabolites.

What they found

Strength was a null result. All three groups got significantly stronger over six weeks (p less than 0.001 for both lifts), but there was no group effect and no group by time interaction for the hack squat (p equals 0.763) or the bench press (p equals 0.517).

Upper body endurance was where a difference appeared. For total upper body repetitions to failure, the change from baseline was greater than placebo for L citrulline (difference 5.590 repetitions, 95% CI 2.94 to 8.24, p less than 0.001) and for citrulline malate (difference 4.458, 95% CI 0.52 to 8.40, p equals 0.026).

Lower body endurance did not separate cleanly. The overall test was significant (p equals 0.035), but the only pairwise result was a trend for L citrulline against placebo (p equals 0.070).

Nitric oxide metabolites rose over time in the L citrulline group (p equals 0.014) and the citrulline malate group (p equals 0.003) but not in placebo (p equals 0.450). At the end of the study, post exercise nitric oxide was higher than placebo for citrulline malate (p equals 0.009) and marginally so for L citrulline (p equals 0.057).

Limitations

The sample is small: 33 men across three groups, so 10 to 12 people per arm. Diets were not standardized and were assessed only by three day food records. Only recreationally resistance trained men took part, so the findings do not extend to women or advanced lifters, as the authors state.

The supplements were not independently tested. The team relied on the manufacturer's certificate of analysis, and notes the citrulline malate group may have received about 0.4 g more citrulline. The placebo doses weighed less than the active doses, which may have weakened blinding. When asked afterwards, roughly a third of each group guessed their allocation correctly.

One author owns the gym where training took place. Another provides consulting services to dietary supplement manufacturers through his own company, though not to the makers of the products used here. The authors report no funding for the work.

What it means in practice

The result is mixed. Six weeks of either form of citrulline produced more repetitions to failure on upper body lifts than placebo, and raised a blood marker of nitric oxide. Everything else was null: strength, lower body endurance, perceived exertion, lactate and urea.

The two forms performed the same, so there is no reason here to prefer one over the other. The study does not show improved strength, muscle size or protein synthesis, and it does not apply to women, who were not included. The endurance finding needs replication in a larger trial.

Study Type
Randomized Controlled Trial
Published
2025
Journal of the International Society of Sports Nutrition
Participants
33 resistance-trained men, 6 weeks
Dose Studied
8 g per day L-citrulline or 12 g per day L-citrulline DL-malate
Health Focus
Strength & Power
Endurance
Ingredients
L-Citrulline
Citrulline Malate

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