Arginine's Effect on GH

iForce Dave

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This was posted elsewhere... thought you guys might want to see this:

The effects of Arginine on GH levels when taken preworkout:

See, Growth hormone, arginine and exercise. Kanaley JA. Curr Opin Clin Nutr Metab Care. 2008 Jan;11(1):50-4. (At rest oral L-arginine ingestion will enhance the growth hormone response and the combination of arginine plus exercise increases growth hormone, but this increase may be less than seen with exercise alone. This diminished response is seen in both in both younger and older individuals.)

see also, Oral arginine does not stimulate basal or augment exercise-induced GH secretion in either young or old adults. Marcell TJ, et al, J Gerontol A Biol Sci Med Sci. 1999 Aug;54(8):M395-9. ("we concluded that oral Arg does not stimulate GH secretion and may impair GH release during resistive exercise.");

see also, Oral arginine attenuates the growth hormone response to resistance exercise. Collier SR, et al, J Appl Physiol. 2006 Sep;101(3):848-52. (full text at: Oral arginine attenuates the growth hormone response to resistance exercise -- Collier et al. 101 (3): 848 -- Journal of Applied Physiology ) (Oral arginine alone (7 g) stimulated GH release, but a greater GH response was seen with exercise alone. The combined effect of arginine before exercise attenuates the GH response.)

As you can see from the following graphs, exercise alone will produce a significantly greater growth hormone response than adding supplemental Arginine to your workout (The GH response was 50% higher on the exercise only day than the (exercise + arginine) day, and 65% higher than on the (arginine + no exercise) day.)


(Integrated GH concentrations on each study day. *P < 0.05 vs. placebo. **P < 0.05 vs. exercise. P < 0.05 vs. arginine + exercise.)

Poison where are you? lol. Thread is not meant to bash, just showing some studies, hoping for some good discussion.
 

Unclebuck

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I can't post a link to this as I don't have enough posts.
Pub Med : Arginine/orthinine supplementation increases growth hormone and insulin like growth factor-1 serum levels after heavy resistance in strength trained athletes.

Just saying........
 
cgoode

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if u take 10 grams arginine it raises GH...Im not a big fan of the whole GH around a workout.....idk if I go zero carb for 3 hours I feel like ****, get dizzy and have crappy workouts....
 
cgoode

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/\ above is more in regards to products like powerfull that i can only take before bed those types are to hard to use, i need to eat close to my workout idk how ppl can function in the gym without food
 
schwellington

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a study was done showing that pure unflavored gelatin boosts GH by 50 %- study was 6 months long done in males- I picked sum up at krogers- I have all the side effects of increased GH output- deeper sleep, more vivid dreams- better recovery etc
 
poison

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Arginine

Arginine is one of the more popular amino acid HGH secretagogues. Evidence exists indicating that oral doses of 5 and 9 grams of arginine could significantly increase HGH levels in resting individuals12. In a classic study completed by Collier et al., the effects of arginine on resting and exercise (including post-exercise) HGH levels were examined13. Their study involved 8 males (man age- 20.4 years) who participated in the following four sessions:

Rest + Placebo
Rest + l-Arginine (7 g)
Exercise + Placebo
Exercise + l-Arginine (7 g)
Circulating HGH levels were measured after each exercise or resting session. With respect to stimulating HGH release, results were as follows:

(In descending order of greatest HGH stimulation over entire measuring time frame)

#1: Exercise + Placebo

#2a. Exercise + Arginine

#2b. Rest + Arginine

#3. Rest + Placebo

Supplementing with arginine did increase HGH vs. baseline values. However, the greatest HGH levels were found after exercise-placebo session, followed by exercise-arginine session. Let me put this another way. Arginine + exercise actually DECREASED HGH (by 50 %) vs. exercise alone when measured over the entire recording period. Additionally, as seen in Figure 4, Arginine also blunted the peak HGH release normally seen during exercise.



Figure 4 Percent increase in HGH levels vs. baseline after arginine consumption and exercise.4 All of these increases were significantly greater than baseline measurements.

It should be noted that some studies have failed to find any benefit of arginine on HGH levels. This was seen in a study completed by Marcell et al. who gave ~ 4 grams of arginine to both young (mean age-22) and older (mean age- 68.5) participants14. In contrast to Collier et al.13, Marcell et al.14 failed to find any stimulatory effect for arginine on HGH levels in subjects at rest. Arginine also came up short with respect to enhancing exercising HGH levels. These results were observed in both the older and younger age groups. It should be mentioned that no placebo pill was given in this study. Rather, they just compared HGH levels during and following an exercise only session vs. arginine(4g) + exercise session.
The mechanism for the increase in GH with arginine is suspected to be by inhibition of endogenous somatostatin release [43]. Although the mechanism has not been specifically outlined, it is speculated that if arginine induces GH release via somatostatin and if the exercise-induced GH release is preferentially mediated by somatostatin withdrawal then potentially these two methods should be additive. Oral arginine taken about 30 min prior to exercise may cause an autonegative feedback on the somatotrope; thus it does not respond as efficiently as it would to just the exercise alone. The somatotrope is also known to have a refractory period when subjected to repeated GHRH stimulation due the autonegative feedback [44?47] and possibly the 30-min time period falls within that refractory period, and this becomes an issue of appropriate timing between the arginine ingestion and the exercise.

But I posted studies in the other thread :wink: that showed the opposite.
 

narraboth

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a study was done showing that pure unflavored gelatin boosts GH by 50 %- study was 6 months long done in males- I picked sum up at krogers- I have all the side effects of increased GH output- deeper sleep, more vivid dreams- better recovery etc
yeah, that article is also in 'supplement articles' sub-forum.
but you need to drink it without any carb and fat to have the best effect.

I got some in supermarket and found it not very easy to dissolve, so in the end I got to swallow some big sticky clots....

My friend used expensive collagen from health shop and said he got smoother skin (also a sign of higher GH) and bigger volume of semen lol
 
DAdams91982

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yeah, that article is also in 'supplement articles' sub-forum.
but you need to drink it without any carb and fat to have the best effect.
That is with ANY GH booster.

Man Dave, you REALLY hate people using Arg huh?
 
crazyfool405

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This was posted elsewhere... thought you guys might want to see this:

The effects of Arginine on GH levels when taken preworkout:



Poison where are you? lol. Thread is not meant to bash, just showing some studies, hoping for some good discussion.
Where do you think this leaves things like NorValine and products alike?
 
iForce Dave

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if u take 10 grams arginine it raises GH...Im not a big fan of the whole GH around a workout.....idk if I go zero carb for 3 hours I feel like ****, get dizzy and have crappy workouts....
thats way too long... I perform best w carbs bookending my workouts as well

I can't post a link to this as I don't have enough posts.
Pub Med : Arginine/orthinine supplementation increases growth hormone and insulin like growth factor-1 serum levels after heavy resistance in strength trained athletes.

Just saying........
keyword: AFTER training, not before ;)

But I posted studies in the other thread :wink: that showed the opposite.
that was taken preworkout? If so then that is pretty wierd :/

That is with ANY GH booster.

Man Dave, you REALLY hate people using Arg huh?
I just think there are a LOT of better options

Where do you think this leaves things like NorValine and products alike?
Norvaline is great... along w citrulline, agmatine, nitrates, etc these are great ingredients
 
crazyfool405

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thats way too long... I perform best w carbs bookending my workouts as well



keyword: AFTER training, not before ;)



that was taken preworkout? If so then that is pretty wierd :/



I just think there are a LOT of better options



Norvaline is great... along w citrulline, agmatine, nitrates, etc these are great ingredients
is it arginine alone or is its action on NO what causes the decrease GH output?
 
iForce Dave

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is it arginine alone or is its action on NO what causes the decrease GH output?
Good question, I believe it is the arginine, because as far as im concerned and everything that I have seen arginine has no effect on NO levels, this has been proven several times now... although some ppl dont want to believe haha
 
crazyfool405

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Good question, I believe it is the arginine, because as far as im concerned and everything that I have seen arginine has no effect on NO levels, this has been proven several times now... although some ppl dont want to believe haha
hmm something to read into .. i think they all have something to due with arginase.... soo, if thats the case then wouldnt none of them be a good choice PWO, and maybe something simple that acts like a vasodialoter be better...?
 
iForce Dave

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hmm something to read into .. i think they all have something to due with arginase.... soo, if thats the case then wouldnt none of them be a good choice PWO, and maybe something simple that acts like a vasodialoter be better...?
I dont think none of them are a good option, but it would be cool to see the comparison on NO levels w various ingredients.

i have done a lot of "in-house" testing.. and nothing beats norvaline, citrulline, agmatine. I tried using arginine/ornithine/ and some other stuff but that combo was always the strongest
 
crazyfool405

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I dont think none of them are a good option, but it would be cool to see the comparison on NO levels w various ingredients.

i have done a lot of "in-house" testing.. and nothing beats norvaline, citrulline, agmatine. I tried using arginine/ornithine/ and some other stuff but that combo was always the strongest
i believe agmantine effects the NDMA receptor... in a not so good way.
http://www.sciencedirect.com/science?_ob=ArticleURL&_udi=B6T1K-406184J-G&_user=10&_coverDate=05/01/2000&_rdoc=1&_fmt=high&_orig=search&_sort=d&_docanchor=&view=c&_searchStrId=1423375633&_rerunOrigin=scholar.google&_acct=C000050221&_version=1&_urlVersion=0&_userid=10&md5=bea4a1f352eb320939a7451204ca8e21

http://content.karger.com/ProdukteDB/produkte.asp?Doi=127004
 
Harry Manback

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Are you suggesting we destroy the worlds supply of L-Arg? Surely there must be some positive use for it?
 
iForce Dave

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Bingo, touting agmantine while chastising arginine is pretty ridiculous.
Why?

You think supplementing with arginine is more effective than agmatine?
 
DAdams91982

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Why?

You think supplementing with arginine is more effective than agmatine?
Are you saying Arg is useless? Especially after the last thread? Agmatine doesnt have the safety profile of Arg, especially knowing the receptors that it work at.
 
poison

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I dont think none of them are a good option, but it would be cool to see the comparison on NO levels w various ingredients.

i have done a lot of "in-house" testing.. and nothing beats norvaline, citrulline, agmatine. I tried using arginine/ornithine/ and some other stuff but that combo was always the strongest

OMG, the irony. So you're content to keep harping on arginine, which is 1) highly studied, and 2) has millions of satisfied users with extensive feedback; but you'll tout agmatine based almost solely on your personal 'in-house' testing, despite the virtually non-existence of studies on human performance, the lack of feedback from users (what feedback there is is mediocre at best), and the questionable safety thereof?

That's rich. There's a reason almost no-one has jumped on the agmatine bandwagon: it doesn't live up to the hype. And I recall reading that the only reason it was included in DominATP was because they had a small amount of agmatine, and didn't really have any other use for it.

My personal, 'in-house' testing, with BluePrint and DominATP, shows agmatine is useless.It also shows arginine does exactly what companies claim it does, even if the exact mechanism of action isn't perfectly clear.


May I refer you to this thread? You might want to keep some TP handy, in case you **** yourself.

http://anabolicminds.com/forum/supplements/138866-agmatine.html
 
rochabp

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i honestly dont give a sh1t weather it raises GH or not its not like im gonna get huge off of some lil GH released, plus arg makes me feel awesome. so im gonna keep using it along with hema
 
poison

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Why?

You think supplementing with arginine is more effective than agmatine?

Are you saying Hemavol gives outstanding pumps because of the 1000mg of agmatine, or could it just possibly be because of the 5000mg citrulline, 2000mg glycerol, and fat 250mg norvaline, hmmm? ;) I guarantee you a gram of arginine in there would have more effect, and the feedback would be even better: "wowzers, my biceps almost xplode from teh swollolol!!1!1".

DominATP worked great, but not because of the agmatine. The people who say BluePrint is good go on to describe the exact effects of a good dose of RALA, and nothing more. How interesting. :ponder:
 
schwellington

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for pumps and blood flow i like gplc
 
iForce Dave

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Are you saying Arg is useless? Especially after the last thread? Agmatine doesnt have the safety profile of Arg, especially knowing the receptors that it work at.
the point of the thread was to show the info saying arginine lowers GH when taken preworkout.

Are you saying Hemavol gives outstanding pumps because of the 1000mg of agmatine, or could it just possibly be because of the 5000mg citrulline, 2000mg glycerol, and fat 250mg norvaline, hmmm? ;) I guarantee you a gram of arginine in there would have more effect, and the feedback would be even better: "wowzers, my biceps almost xplode from teh swollolol!!1!1".
No i think its a combination of those ingredients, but this thread isnt about Hemavol.

I dont think a gram of Arginine would have done anything
 
DAdams91982

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These anti-arg threads are great bathroom reading. Gives me a good laugh each time.
 
iForce Dave

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These anti-arg threads are great bathroom reading. Gives me a good laugh each time.
i really dont get why poison and you get so defensive...

and i think its funny how on one board arginine is complete sh*t and no one uses it, and then on another board people still think its great.

doesnt bother me its not like any of our products are GH products, which is what this thread was about, and I didnt even make the post, someone else did on another board, and I thought it was cool and had lots of data that we could look at. really no need to turn the thread into a battle
 
poison

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J Strength Cond Res. 2010 Mar 17

Arginine and Ornithine Supplementation Increases Growth Hormone and Insulin-Like Growth Factor-1 Serum Levels After Heavy-Resistance Exercise in Strength-Trained Athletes.
Zajac A, Poprzęcki S, Zebrowska A, Chalimoniuk M, Langfort J.

1Department of Sports Training, Academy of Physical Education, Katowice, Poland; 2Department of Biochemistry, Academy of Physical Education, Katowice, Poland; 3Department of Physiology, Academy of Physical Education, Katowice, Poland; 4Department of Cellular Signaling, Mossakowski Medical Research Center, Polish Academy of Sciences, Warsaw, Poland; and 5Department of Experimental Pharmacology, Mossakowski Medical Research Center, Polish Academy of Sciences, Warsaw, Poland.

Zajac, A, Poprzecki, S, Zebrowska, A, Chalimoniuk, M, and Langfort, J. Arginine and ornithine supplementation increases GH and IGF-1 serum levels after heavy-resistance exercise in strength-trained athletes. J Strength Cond Res 24(x): 000-000, 2010-This placebo-controlled double-blind study was designed to investigate the effect of arginine and ornithine (arg and orn) supplementation during 3-week heavy-resistance training on serum growth hormone/insulin-like growth factor-1/insulin-like growth factor-binding protein 3 (GH/IGF-1/IGFBP-3), testosterone, cortisol, and insulin levels in experienced strength-trained athletes. The subjects were randomly divided between a placebo group (n = 8) and the l-Arg/l-Orn-supplemented group (n = 9), and performed pre and posttraining standard exercise tests with the same absolute load, which consisted of the same exercise schedule as that applied in the training process. Fasting blood samples were obtained at rest, 2 minutes after the cessation of the strength exercise protocol, and after 1 hour of recovery. The resting concentrations of the investigated hormones and IGFBP-3 did not differ significantly between the study groups. In response to exercise test, all the hormones were elevated (p < 0.05) at both time points. Significant increases (p < 0.05) were observed in both GH and IGF-1 serum levels after arg and orn supplementation at both time points, whereas a significant decrease was seen in IGFBP-3 protein during the recovery period. Because there was no between-group difference in the remaining hormone levels, it appears that the GH/IGF-1/IGFBP-3 complex may be the major player in muscle tissue response to short-term resistance training after arg and orn supplementation.

PMID: 20300016 [PubMed - as supplied by publisher]


White Flood uses arginine and ornithine, BTW, and interestingly, my workout first thing in the morning in a fasted state, with White Flood, are awesome. Better than with WF at any other time or under other conditions. Hmmm.



Now show me one study, placebo double blind, or otherwise, on agmatine, in healthy athletes.


Listen, Dave, I get it: you don't include arginine in your supplement line because you think agmatine is better. Starting these anti-arg threads is a good way to highlight that fact. That's fine. Your goal is to sell product, as it should be. I just disagree with your anti-arginine status, as well as your pro-agmatine status. If you started a thread 'iforce rocks, and we use agmatine instead of arginine because..', I'd probably leave it alone. But you start with 'arg sucks because...', so I'm happy to jump in, and show the opposite side.

There's a reason arginine caught on like wildfire when MRI brought out NO2. Pure AAKG, sickpumps. People loved it, and it's still super-popular. No, I don't think it provides performance benefits, but I guarantee if you tak3 3gr 2-3 times a day on an empty stomach, you'll look significantly different. Agmatine hasn't caught on, because it does...nothing perceptible by way of performance, or asthetics.

It's that simple. You like it, you use it, people like your products. Hey, you include large amounts of OTHER effective ingredients, and they work. Kick ass.
 
poison

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Arginine is considered a semi-essential amino acid. It’s one of three amino acids (the others being methionine and glycine) that are the precursors, or starting substances, of creatine synthesis in the body. Arginine also plays a pivotal role in the urea cycle, which involves the elimination of protein metabolic by-products—toxic protein by-product ammonia converts into harmless urea in the liver, enabling the kidneys to excrete it.

In recent years arginine supplements have been associated with boosting nitric oxide. Arginine is the immediate precursor of NO synthesis in the body by way of NO synthase enzymes. Before the advent of NO supplements, however, the most popular bodybuilding use of arginine was as a growth hormone booster.

Providing arginine in an infusion of 30 grams so reliably promoted GH release that it was used as a provocative challenge to determine GH deficiency. GH release is controlled by two opposing substances. The first, growth-hormone-releasing hormone, as the name implies, promotes the release of GH from the anterior portion of the pituitary gland; GH makes up 8 percent of the gland’s weight. In the body’s typical yin-yang balancing fashion, another substance, somatostatin, puts the brakes on GH release. GH release decreases in most people as they age because the release of growth-hormone-releasing hormone dwindles, allowing somatostatin to dominate; hence the lowered GH release when people get past age 40.

Arginine blocks somatostatin activity. That means it should set in motion a rapid and significant release of GH, and it does—when provided in infusion form. But studies that have examined the fate of orally taken arginine in relation to GH release have largely been equivocal, with the majority showing little or no effect.

Various explanations have been suggested. First, whatever you eat must be processed in the liver before it’s released into the blood. The liver contains high levels of the enzyme arginase, which degrades arginine. Some have tried to overcome that formidable liver barrier by taking bigger doses of arginine in an effort to mimic the 30-gram-dose arginine infusions that we know lead to GH release. The problem is that large doses of arginine produce nausea and gastrointestinal discomfort. (If you vomit that huge oral dose of arginine, you can’t realistically expect a GH response.)

There are other problems too. For example, you can’t take any other amino acids or protein with arginine, since free amino acids compete for uptake. The presence of other amino acids in the blood is enough to blunt GH release. The same holds true for fat and carbohydrate, as GH is best released when your blood glucose and blood fat are low. That explains why taking a GH-boosting supplement before bed with any type of food renders it useless.

Even under the best conditions, only 60 percent of orally taken arginine is absorbed, and of that 10 percent is rapidly metabolized in the liver, which leaves 50 percent of the dose in the blood plasma. That’s seven times less than the dose you need to induce GH secretion.

Recent research examining the relationship between arginine and GH has produced interesting results. For example, one study looked at what happened when rats were given consistently high levels of arginine in their drinking water.1 The rats showed an increase in the gene expression of GH in the pituitary gland, along with an increase in insulin resistance. GH promotes insulin resistance by opposing the actions of insulin. Yet paradoxically, from an anabolic perspective, insulin is synergistic with GH, since GH promotes protein synthesis, while insulin prevents excess protein breakdown in muscle.

Arginine itself promotes insulin release, and that may have been a factor in the insulin resistance that turned up in the study subjects. As indicated in the rat study, arginine aids in the synthesis of GH in the pituitary gland by increasing the gene activity that governs the process. That’s significant because it shows that arginine, besides blocking somatostatin release, also favors GH release.

Another new study also looked at the effects of taking arginine prior to a weight-training workout.2 Eight healthy males were observed under four conditions:


1) Placebo

2) Arginine alone

3) Placebo and exercise

4) Arginine and exercise
The subjects provided blood samples every 10 minutes for 3 1/2 hours. After giving a baseline sample, they took either seven grams of arginine or a placebo in a random, blinded protocol. On the exercise days the subjects did three sets of nine exercises, using weights equal to 80 percent of their one-rep-maximum lifts.

Exercise promotes GH release via several mechanisms. One involves the heightened release of a brain neurotransmitter called acetylcholine. That blunts the release of somatostatin, leading to higher GH levels. In addition, intense exercise promotes the release of growth-hormone-increasing hormone from the hypothalamus, further increasing GH release.

In the new study, oral arginine increased GH release when the subjects were at rest (double baseline levels), but training alone produced a greater release of GH than arginine alone (sixfold over resting levels).

Interestingly enough, the amino acid offers significant benefits to humans with diabetes, as a new study demonstrates.3 Thirty-three obese diabetic patients followed a low-calorie diet and trained on an exercise program for 21 days. They were divided into two groups, with one group on a placebo, the other on 8.3 grams of arginine a day.

Both groups lost bodyfat, but the arginine group lost more. They also experienced improved glucose metabolism and insulin sensitivity; better endothelial, or blood vessel, function; less oxidative stress and a greater sparing of lean mass during the diet. Diabetics, because of damage to the endothelium, often are deficient in NO, which leads to high blood pressure and various cardiovascular complications. Being on arginine seemed to lower blood pressure, likely the result of an improved NO profile.

The authors note that they chose the dose of 8.3 grams a day of arginine because nine grams is the minimum effective dose that avoids side effects. Doses that are too high can lead to cardiovascular problems because of fat oxidation and production of peroxynitrate free radicals that form when high levels of NO are exposed to hydrogen peroxide in the tissues.

An additional and important benefit is that arginine increased the subjects’ adiponectin levels. Adiponectin, which is secreted by fat cells, is a very useful substance because it increases insulin sensitivity and promotes the use of bodyfat as a fuel source. Diabetics and those who are obese usually lack sufficient adiponectin release, which leads to the cluster of symptoms known as the metabolic syndrome.

Speaking of adiponectin, another new study found that giving subjects the B-complex vitamin niacin dramatically increased adiponectin levels.4 Twenty-four people took an extended-release version of niacin. During the first four weeks the daily dose was increased at weekly intervals from 375 milligrams to 1,000 milligrams. The dose was maintained for a month, then increased to 1,500 milligrams a day for another six weeks. Those doses led to a 54 and 94 percent increase in adiponectin levels. Adiponectin not only helps with fat burning but also prevents metabolic syndrome, diabetes and cardiovascular disease.

Niacin, however, should never be taken before a workout, since it blocks the use of fat for fuel, prematurely exhausting limited glycogen stores. The extended-release niacin used in the study has also been linked to liver problems.

What about the NO-boosting supplements? They’re popular, but do they work as advertised? The advertisements suggest they would prove useful by promoting NO synthesis and release, which are involved in the release of various anabolic hormones, such as testosterone, growth hormone and insulin. Since NO dilates blood vessels, using the supplements should also provide greater blood flow to muscle, along with the psychological benefits of having a greater muscle pump. Boosting NO may also upgrade muscle protein synthesis while blunting catabolic effects in muscle.

A new study looked at the absorption, safety and beneficial effects of NO supplements.5 The primary ingredients are arginine and alpha-ketoglutarate, AKG being a by-product of the citric acid energy cycle in cells. Past studies show that when it’s combined with amino acids, such as ornithine, it provides anticatabolic effects in muscle. In most such studies, however, subjects got the combination through feeding tubes rather than orally.
 
poison

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In the first part of the study the safety and absorption characteristics of arginine and alpha-ketoglutarate, or AAKG, as the combination is called, were examined in 10 healthy men, aged 30 to 50. The men fasted for eight hours, then took four grams of either a timed-release or a regular form of AAKG. That portion of the study, as expected, led to a peak in blood levels of arginine, which were higher in the subjects who got the regular than the timed-release form.

The second part of the study involved a training component, in which 35 experienced weight-trained men were randomly assigned to take either a placebo or 12 grams of AAKG daily in three doses of four grams each. They trained four days a week for eight weeks.

The AAKG proved safe, with no effects on liver enzymes, kidney function or blood composition. Those in the AAKG group showed significantly greater gains in their one-rep bench press and anaerobic power tests than those in the placebo group.

The authors can’t explain the strength increase but suggest that it may have been because of an increase in muscle creatine levels—a highly dubious explanation at best. My view is that the strength increase was related to the high arginine intake afforded by the supplement. That may have resulted in a greater NO synthesis, which may have supported the strength gains.

References

1 Barbosa, T., et al. (2006). Chronic oral administration of arginine induces GH gene expression and insulin. Life Sci. 79(15):1444-9.

2 Collier, S., et al. (2006). Oral arginine attenuates the growth hormone response to resistance exercise. J Appl Physiol. 101(3):848-52.

3 Lucotti, P.C., et al. (2006). Beneficial effects of oral L-arginine treatment added to a hypocaloric diet and exercise training program in obese, insulin resistant type-2 diabetic patients. Am J Physiol Endocrin Metab. In press.

4 Westphal, S., et al. (2006). Adiponectin and treatment with niacin. Metabolism. 55:1283-1285.

5 Campbell, B., et al. (2006). Pharmacokinetic, safety, and effects on exercise performance of L-arginine a-ketoglutarate in trained adult men. Nutrition. 22:872-81. IM
 

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