topicCitrulline Hydration Exercise Meta-Analysis
claimNext, we integrate evidence on the ergogenic effects of various dietary interventions with existing knowledge on the perception of effort.
evidence level4
citationStrasser B (2026)
sourceDietary interventions interact with the perception of effort and enhance endurance performance: a brief narrative review.
topicCitrulline Hydration Exercise Meta-Analysis
claimBeta-alanine, caffeine or carbohydrate mouth rinsing are examples of evidence-based ergogenic aids.
evidence level4
citationStrasser B (2026)
sourceDietary interventions interact with the perception of effort and enhance endurance performance: a brief narrative review.
topicCitrulline Hydration Exercise Meta-Analysis
claimConclusion While current evidence supports a key role for dietary interventions on endurance performance by influencing individuals' perceived effort, more research is needed to determine the optimal doses and precise formulations for different sports, in order to employ a personalized strategy.
evidence level4
citationStrasser B (2026)
sourceDietary interventions interact with the perception of effort and enhance endurance performance: a brief narrative review.
topicCitrulline Hydration Exercise Meta-Analysis
claimBackground Exercise tolerance is a pivotal factor in determining athletic competitive success, as well as mobility and quality of life in elderly individuals and those afflicted by chronic ailments.
evidence level4
citationStrasser B (2026)
sourceDietary interventions interact with the perception of effort and enhance endurance performance: a brief narrative review.
topicCitrulline Hydration Exercise Meta-Analysis
claimAlthough generally considered safe, their combined use with high-intensity training may increase the risk of exertional rhabdomyolysis and secondary liver or kidney injury.
evidence level4
citationChowaniec P (2026)
sourceExercise-Induced Rhabdomyolysis With Supplements (Creatine, β-Alanine, Citrulline Malate, and β-Ecdysterone).
topicCitrulline Hydration Exercise Meta-Analysis
claimLaboratory evaluation revealed markedly elevated creatine kinase (>120,000 U/L) and increased aminotransferases (aspartate aminotransferase (AST) 1,275 U/L; alanine aminotransferase (ALT) 337 U/L), with preserved renal function (creatinine 1.0 mg/dL; estimated glomerular filtration rate (eGFR) 108 mL/min/1.73 m²).
evidence level4
citationChowaniec P (2026)
sourceExercise-Induced Rhabdomyolysis With Supplements (Creatine, β-Alanine, Citrulline Malate, and β-Ecdysterone).
topicCitrulline Hydration Exercise Meta-Analysis
claimCreatine and β-alanine enhance exercise capacity through complementary mechanisms involving adenosine triphosphate (ATP) resynthesis and intracellular buffering, potentially enabling greater training loads and increasing risk of muscle injury.
evidence level4
citationChowaniec P (2026)
sourceExercise-Induced Rhabdomyolysis With Supplements (Creatine, β-Alanine, Citrulline Malate, and β-Ecdysterone).
topicCitrulline Hydration Exercise Meta-Analysis
claimDietary supplements such as creatine, β-alanine, citrulline malate (CM), phosphatidic acid (PA), and β-ecdysterone are widely used to enhance exercise performance and muscle hypertrophy.
evidence level4
citationChowaniec P (2026)
sourceExercise-Induced Rhabdomyolysis With Supplements (Creatine, β-Alanine, Citrulline Malate, and β-Ecdysterone).