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Head-to-head evidence comparison — which supplement is right for you?
Citrulline Malate wins 2 of 3 categories. Both are solid choices — the best pick depends on your specific goals.
Verdict
Likely helps
3 of 4 studies with measurable effects showed benefit.
Top outcomes
Verdict
Probably helps
3 of 5 studies with measurable effects showed benefit.
Top outcomes
6-8g citrulline malate pre-workout
30-60 minutes before exercise, Empty stomach or with light carbs
Citrulline Malate 2:1 powder
2-6g daily
Before exercise for fatigue reduction, Before bed for sleep support
L-Ornithine HCl
Acute (within session)
Acute
24-48 hours
Acute
During prolonged exercise
Hours post-exercise
1-2 weeks
Immediate
Acute Effect of Citrulline Malate on Repetition Performance During Strength Training: A Systematic Review and Meta-Analysis
International Journal of Sport Nutrition and Exercise Metabolism (2021) · Meta analysis · n=198
Small ergogenic effect (SMD=0.196)
Impact of Chronic Nitrate and Citrulline Malate Supplementation on Performance and Recovery in Spanish Professional Female Soccer Players: A Randomized Controlled Trial
Nutrients (2025) · Rct · n=60
Plasma NO3- concentrations significantly increased from baseline in the NIT + CM group and remained elevated 24 h after the final dose, confirming sustained systemic exposure.
Effects of Acute Citrulline Malate Supplementation on CrossFit(®) Exercise Performance: A Randomized, Double-Blind, Placebo-Controlled, Cross-Over Study
Nutrients (2024) · Crossover · n=21
The results indicated no significant difference in the number of rounds completed between the CM and placebo conditions (13.5 ± 5.2 vs. 13.8 ± 6.7 rounds, respectively; p = 0.587).
Comparative Efficacy of Treatment Options for Minimal Hepatic Encephalopathy: A Systematic Review and Network Meta-Analysis
Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association (2020) · Meta analysis · n=1563
In a meta-analysis of data from 25 trials, we found rifaximin and lactulose to be most effective for reversal of minimal HE in patients with cirrhosis.
Safety assessment of L-ornithine oral intake in healthy subjects: a systematic review
Amino acids (2025) · Systematic review
The main observed adverse events were gastrointestinal disorders.
Efficacy of L-ornithine L-aspartate for minimal hepatic encephalopathy in patients with cirrhosis: A meta-analysis of randomized controlled trials
Arab journal of gastroenterology : the official publication of the Pan-Arab Association of Gastroenterology (2024) · Meta analysis · n=292
LOLA has significant beneficial effects on reversal of MHE and prevention of OHE in patients with cirrhosis compared with placebo or no intervention.
Meta-analysis showed small effect (SMD=0.196) with ~3 additional reps. Several individual studies showed mixed results including null findings. Effect appears inconsistent across different exercise modalities.
Evidence specific to L-ornithine L-aspartate form in cirrhosis patients. Meta-analysis of 292 patients showed significant benefit vs placebo. GI adverse events noted as main side effect. Limited applicability to healthy populations.
AI-estimated from published studies. Interpret as directional guidance.
Citrulline Malate has a higher evidence score (6/10 vs 5/10) and wins in 2 of 3 categories.
For improve endurance, Citrulline Malate has a higher relevance score (75 vs 65).
No known interactions between Citrulline Malate and Ornithine have been documented in our database. However, always consult a healthcare provider before combining supplements.