Complete clinical monograph for L-Citrulline — the superior nitric oxide precursor for cerebral blood flow, cardiovascular health, and neurovascular optimization in NTRPX Neuraldrink Sol
The bioavailability breakthrough that makes arginine obsolete. For decades, L-Arginine was the go-to supplement for nitric oxide (NO) production — the master signaling molecule that dilates blood vessels, regulates blood pressure, and delivers oxygen and nutrients to every tissue including the brain. But there was a problem: oral arginine is extensively degraded by intestinal and hepatic arginase enzymes, with only ~20% reaching systemic circulation. Enter L-Citrulline — a non-protein amino acid that bypasses this first-pass metabolism entirely, achieving ~83% oral bioavailability and raising plasma arginine levels more effectively than arginine itself. The science is unequivocal: 3g of L-Citrulline produces a 227% increase in plasma arginine versus only 90% from an equivalent dose of L-Arginine. But the story doesn’t end at the periphery. L-Citrulline crosses the blood-brain barrier via the LAT1 transporter (expressed 187-fold higher than alternatives in brain capillaries), where it’s converted to L-Arginine to fuel neuronal nitric oxide synthase — the enzyme that couples neural activity to cerebral blood flow. This neurovascular coupling is fundamental to cognitive performance: every thought, every decision, every memory requires precisely-timed blood flow delivery. NTRPX uses Kyowa Quality® L-Citrulline — the gold-standard fermentation-derived ingredient used in the majority of published clinical trials. In Neuraldrink Sol, FlowMax™ L-Citrulline provides morning cerebral circulation support, synergizing with creatine and taurine to optimize both energy production and nutrient delivery to the brain.
In 1998, Robert Furchgott, Louis Ignarro, and Ferid Murad were awarded the Nobel Prize in Physiology or Medicine for discovering nitric oxide’s role as a signaling molecule in the cardiovascular system. Their work revealed that NO:
Discovery
Implication
Endothelium-derived relaxing factor = NO
Blood vessels actively regulate their own diameter
L-Citrulline addresses NO deficiency at its root — providing sustained substrate for NO synthesis:
Population
NO Status
L-Citrulline Benefit
Healthy young adults
Optimal
Performance enhancement
Middle-aged adults
Declining
Maintenance/restoration
Older adults
Compromised
Significant improvement
Hypertensives
Impaired
Blood pressure support
Athletes
High demand
Recovery & endurance
Key Insight: Unlike pharmaceutical NO donors (e.g., nitroglycerin), L-Citrulline provides substrate for endogenous NO production rather than exogenous NO. This means the body’s own regulatory mechanisms remain intact — NO is produced where and when needed, without tolerance development.
Mechanism of Action
L-Citrulline’s superiority stems from its unique metabolic pathway:
Citation: Schwedhelm E, et al. Pharmacokinetic and pharmacodynamic properties of oral L-citrulline and L-arginine. Br J Clin Pharmacol. 2008;65(1):51-59. PMC2291275
L-Citrulline reaches the brain via specific transporters:Citation: Lee NY, Kang YS. Characteristics of L-citrulline transport through blood-brain barrier in the brain capillary endothelial cell line (TR-BBB cells). J Biomed Sci. 2017;24(1):28. PMC5387336
Citation: Yabuki Y, Shioda N, Yamamoto Y, et al. Oral L-citrulline administration improves memory deficits following transient brain ischemia through cerebrovascular protection. Brain Res. 2013;1520:157-167. Link:PubMed PMID: 23685189
Parameter
Detail
Model
Mouse bilateral common carotid artery occlusion (BCCAO)
Intervention
L-Citrulline 50, 75, or 100 mg/kg p.o. for 10 days
Key Findings
Prevented neuronal cell death; prevented capillary loss in hippocampus
Mechanism
Restoration of eNOS expression
Significance: First demonstration that oral L-Citrulline provides cerebrovascular protection and cognitive preservation through eNOS restoration.
Citation: The effects of L-citrulline supplementation on cerebrovascular function during sprint interval training in taekwondo athletes. PMC. 2024. Link:PMC12137154
Parameter
Detail
Design
Double-blind, randomized, crossover
N
20 male taekwondo athletes (18-30 years)
Intervention
8.8g L-Citrulline vs. placebo × 5 days
Protocol
4 × 30-second maximal sprints
Assessment
Transcranial Doppler (TCD)
Primary Outcomes:
Measure
L-Citrulline
Placebo
Interpretation
ΔBHI (Breath-Holding Index)
Recovery to baseline
Declined
Accelerated cerebrovascular recovery
ΔPI (Pulse Index)
No difference
—
Peripheral resistance unchanged
Key Finding: L-Citrulline specifically improved cerebral vascular recovery without affecting peripheral vascular resistance — suggesting targeted benefit for brain blood flow after intense exercise.
Pilot Human Study: Mood & Cognition (Shafqat 2016)
Citation: Shafqat A. Citrulline and its effects on mood and cognitive function. Thesis. 2016.
Parameter
Detail
Design
Parallel group, placebo-controlled
N
16 participants (8 young 18-35; 8 older 50+)
Intervention
1.5g L-Citrulline daily vs. placebo × 4 weeks
Outcomes
NO levels, pulse wave velocity, mood
Results:
Outcome
Young Group
Older Group
Notes
Pulse wave velocity
↓ (p=0.032)
↓ (p=0.030)
Improved arterial compliance
NO levels
↑ (p=0.018)
↑ (p=0.004)
Confirmed NO production
Mood disturbance
Trend ↓
Trend ↓
Non-significant improvement
Significance: Even at 1.5g/day (below typical doses), L-Citrulline improved vascular parameters in both age groups — suggesting low-dose maintenance benefits.
Citation: Barkhidarian B, et al. Effects of L-citrulline supplementation on blood pressure: A systematic review and meta-analysis. Avicenna J Phytomed. 2019;9(1):10-20. Link:PMC6369322
Parameter
Detail
Studies included
8 RCTs (10 data sets)
Total participants
~200
Dose range
3-6g/day
Duration range
1-16 weeks
Overall Results:
Outcome
Effect Size
p-value
Interpretation
Systolic BP
-4.1 mmHg
p=0.037
Significant reduction
Diastolic BP
-2.1 mmHg
p=0.17
Non-significant overall
Subgroup Analysis (Diastolic BP by Dose):
Dose
DBP Change
p-value
<6g/day
-1.5 mmHg
NS
≥6g/day
-2.75 mmHg
p=0.04
Conclusion: Significant SBP reduction at all doses; significant DBP reduction requires ≥6g/day.
Citation: Rhim HC, et al. Effect of citrulline on post-exercise rating of perceived exertion, muscle soreness, and blood lactate levels: A systematic review and meta-analysis. J Sport Health Sci. 2020;9(6):553-561. Link:PubMed PMID: 33308802
Outcome
Effect
p-value
Notes
Rating of Perceived Exertion (RPE)
Significantly ↓
p<0.05
Reduced perceived effort
Muscle Soreness
Significantly ↓
p<0.05
Faster recovery
Blood Lactate
No significant change
NS
Not a primary mechanism
Optimal Dosing for RPE Reduction: ≥3-4g L-Citrulline or 8g Citrulline Malate, taken 1 hour pre-exercise.
Performance Context: Most performance studies use doses of 6-8g/day. At 2g/day (Neuraldrink Sol dose), the primary benefits are maintenance-level cardiovascular and cerebrovascular support rather than acute performance enhancement. For pre-workout performance, higher doses (6-8g) may be added.
Decision: 2,000 mg provides meaningful daily cardiovascular and cerebrovascular support while keeping the Neuraldrink Sol formula practical. Users seeking acute performance benefits can add additional L-Citrulline pre-workout.
Research shows combining L-Citrulline and L-Arginine produces greater effects than either alone:Citation: Morita M, et al. Oral supplementation with a combination of L-citrulline and L-arginine rapidly increases plasma L-arginine concentration. Biosci Biotechnol Biochem. 2017;81(2):372-375. Link:Oxford Academic
Future Optimization: The L-Citrulline + L-Arginine combination offers enhanced acute arginine elevation. A formula modification could add 500mg-1g L-Arginine to Neuraldrink Sol for potentiated effects, pending further formulation testing.
Dietary Recommendation: While consuming watermelon provides modest L-Citrulline along with lycopene and hydration, achieving therapeutic doses (2+ g/day) requires supplementation. Watermelon can be enjoyed for its other benefits without expecting significant vascular effects.
Tier Rationale: Tier 2 (Supported) classification. L-Citrulline demonstrates consistent, clinically-meaningful benefits for blood pressure, vascular function, and cerebrovascular health across multiple meta-analyses. The bioavailability advantage over L-Arginine is well-established. Safety is excellent with GRAS status. Not Tier 1 (Foundation) because the primary applications are circulatory rather than foundational metabolic support, and cognitive benefits (while mechanistically supported) have less direct human trial data than cardiovascular outcomes.
Synergy Mechanism: Creatine supports energy production, while L-Citrulline supports nutrient/oxygen delivery. Together, they ensure the brain and muscles have both the fuel and the blood flow to function optimally.
Key Insight: Taurine’s antioxidant properties help preserve nitric oxide bioavailability — NO is rapidly degraded by reactive oxygen species, and taurine reduces oxidative stress.
Mechanism: Vitamin C helps regenerate tetrahydrobiopterin (BH4), an essential cofactor for eNOS. Without adequate BH4, eNOS becomes “uncoupled” and produces superoxide instead of NO.
Yes, for oral supplementation. L-Citrulline has ~83% bioavailability versus ~20% for L-Arginine. L-Citrulline raises plasma arginine levels 2.5× more effectively than an equivalent dose of L-Arginine, with better GI tolerance. L-Arginine has largely been replaced by L-Citrulline in evidence-based formulations.
Will 2g/day improve my athletic performance?
The 2g/day dose in Neuraldrink Sol provides maintenance-level cardiovascular and cerebrovascular support rather than acute performance enhancement. For significant exercise performance benefits (cycling time trials, high-intensity tolerance), studies typically use 6-8g/day. You can add additional L-Citrulline pre-workout for performance goals.
Can L-Citrulline lower my blood pressure too much?
At 2g/day, the blood pressure reduction is modest (~4 mmHg SBP) and well-tolerated in most people. Those on antihypertensive medications or with low baseline blood pressure should monitor and consult their physician. The effect is generally beneficial, not dangerous.
Should I take L-Citrulline with food?
L-Citrulline can be taken with or without food — absorption is not significantly affected. Taking it with Neuraldrink Sol (which may contain some carbohydrates) is perfectly fine.
Why not use Citrulline Malate?
Citrulline Malate contains only ~56% L-Citrulline (the rest is malic acid). While malic acid may have its own benefits for energy production, pure L-Citrulline allows for more precise dosing and a smaller powder volume. For Neuraldrink Sol, pure L-Citrulline is preferred.
Is L-Citrulline safe long-term?
Yes. L-Citrulline is GRAS (Generally Recognized As Safe) and has been studied in trials up to 16 weeks with no adverse effects. Doses up to 15g/day have been tested without safety concerns. L-Citrulline is a naturally occurring amino acid in the body and in foods like watermelon.
Can I take L-Citrulline with PDE5 inhibitors?
Caution is advised. Both L-Citrulline (via NO) and PDE5 inhibitors (sildenafil, tadalafil) cause vasodilation. Combining them may cause excessive blood pressure drop. Consult your physician before combining, or separate doses by several hours.
Will L-Citrulline affect my sleep?
At typical doses, L-Citrulline does not affect sleep in most people. Rare anecdotal reports exist of sleep onset issues, possibly from improved blood flow. This is why NTRPX places L-Citrulline in Sol (morning) rather than Luna (evening).
FlowMax Summary: L-Citrulline (Kyowa Quality® 2,000 mg in Neuraldrink Sol) is the superior nitric oxide precursor for vascular and cerebrovascular health. With ~83% oral bioavailability versus ~20% for L-Arginine, L-Citrulline more than doubles plasma arginine levels at equivalent doses. Meta-analyses confirm significant blood pressure reductions (-4 mmHg SBP) and improved vascular function. L-Citrulline crosses the blood-brain barrier via LAT1 (187× higher expression than alternatives) to support cerebral blood flow and neurovascular coupling — the critical process linking neural activity to nutrient delivery. In Neuraldrink Sol, FlowMax™ L-Citrulline synergizes with creatine (energy production) and taurine (NO preservation) to optimize both what the brain needs and how it gets there. The 2,000 mg dose provides meaningful daily cardiovascular and cerebrovascular maintenance — not acute performance enhancement, but the foundation for sustained circulatory health.
Version: 1.0 | Last Updated: January 23, 2026 | Document Status: Complete Clinical MonographThis monograph establishes the L-Citrulline framework for NTRPX Systems. Kyowa Quality® L-Citrulline was selected based on purity (≥99%), fermentation-derived production, and use in the majority of published clinical trials. The 2,000 mg dose represents a meaningful maintenance level that fits within the Neuraldrink Sol powder format while synergizing with existing stack ingredients (creatine, taurine, electrolytes). Placement in Sol (morning) aligns with daytime cognitive and cardiovascular support goals while avoiding rare evening sleep sensitivity. L-Citrulline is placed exclusively in Sol (not Luna) due to purpose fit and timing alignment.