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Food & Nutrition Science

L-Glutamine for Gut Health: Can L-Glutamine Help Your Leaky Gut?

May 23, 2023
By Sasha Aparicio, M.S.

L-Glutamine is a key nutrient for gut health, playing a vital role in maintaining and repairing the intestinal lining. It acts as a primary fuel source for intestinal cells, supports gut barrier integrity, and helps reduce inflammation. Research suggests that supplementing with L-Glutamine may aid in healing leaky gut syndrome, improving digestion, and enhancing nutrient absorption.

Whether you’re dealing with gut health concerns or guiding clients as a Gut Health Nutrition Specialist, understanding the benefits of L-Glutamine can be an essential step in promoting long-term digestive wellness. Like all supplements, L-Glutamine should be taken under the guidance of a healthcare professional. 

What is Leaky Gut Syndrome?

Increased gut permeability, commonly referred to as “leaky gut syndrome,” is a condition in which the lining of the small intestine becomes damaged, allowing undigested food particles, toxins, and bacteria to pass through the intestinal wall and enter the bloodstream. This can trigger inflammation and may contribute to various health issues, including digestive problems, autoimmune disorders, and chronic fatigue.

There are several factors that can contribute to the development of leaky gut syndrome, including poor diet, chronic stress, certain medications, and infections. Addressing these underlying causes and supporting gut health through proper nutrition, lifestyle, and supplementation may help to restore intestinal integrity and improve overall well-being.

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What are the Main Causes of Leaky Gut? 

While genetics may play a part, several lifestyle factors can contribute to the development of increased gut permeability. Additionally, environmental factors such as exposure to toxins or food sensitivities can also affect gut health. These external triggers, combined with an unhealthy gut microbiome, can create a perfect storm that leads to the breakdown of the intestinal barrier and the development of leaky gut syndrome.

  • Poor diet: Diets high in refined sugars, unhealthy fats, and processed foods can contribute to the development of leaky gut. These types of foods can cause inflammation in the gut, damage the intestinal lining, and disrupt the balance of gut bacteria. 
  • Chronic stress: Prolonged exposure to stress can negatively affect the gut, leading to increased permeability. Stress can cause changes in gut bacteria, increase gut inflammation, and weaken the intestinal barrier. 
  • Medications: Certain medications, such as nonsteroidal anti-inflammatory drugs (NSAIDs), can increase the risk of developing leaky gut. These medications can damage the intestinal lining and disrupt the balance of gut bacteria, leading to increased permeability. 
  • Infections and gut imbalances: Gut infections and imbalances in gut bacteria can also contribute to leaky gut. An overgrowth of harmful bacteria, parasites, or fungi can damage the intestinal lining and cause increased permeability.ย 

What is L-Glutamine, and How is it Related to Gut Health?  

L-Glutamine is a conditionally essential amino acid, meaning that while the body can usually synthesize it, there are certain situations where it needs to be obtained from the diet. It is the most abundant amino acid in the human body and plays a crucial role in various physiological processes, including protein synthesis, immune function, and maintaining the integrity of the gut lining.

The connection between L-Glutamine and gut health stems from its role as the primary fuel source for enterocytesโ€”the cells that make up the intestinal lining. These cells rely on L-Glutamine to function properly, repair damage, and maintain a strong intestinal barrier. Research suggests that adequate L-Glutamine intake can help reduce gut permeability, preventing harmful substances from leaking into the bloodstream. Additionally, L-Glutamine plays a key role in modulating the immune response in the gut, helping to balance pro-inflammatory and anti-inflammatory cytokines. This balance is essential for reducing inflammation and protecting the gut lining from damage, making L-Glutamine a valuable nutrient for overall digestive wellness.

Is L-Glutamine Supplementation Effective for Gut Repair? 

L-Glutamine has been studied for its potential to support gut health and promote gut repair. Research suggests that L-Glutamine supplementation may help improve intestinal barrier function, reduce gut permeability, and promote healing of the gut lining. 

One study found that L-Glutamine supplementation reduced gut permeability in individuals with inflammatory bowel disease (IBD), a condition characterized by chronic inflammation and damage to the intestinal lining. Another study found that L-Glutamine supplementation had the potential to heal intestinal damage caused by chemotherapy in cancer patients. 

In addition, several studies have found that L-Glutamine supplementation can help support the growth and function of the cells lining the gut, called enterocytes. One study found that L-Glutamine supplementation improved the survival and function of enterocytes in rats with intestinal injury. Another study found that L-Glutamine supplementation increased the growth and proliferation of enterocytes in vitro. 

Overall, while more research is needed to fully understand the effects of L-Glutamine supplementation on gut repair, the existing evidence suggests that it may be a promising intervention for improving intestinal barrier function, reducing gut permeability, and promoting gut healing. 

5 Things L-Glutamine Supplements Can Do for the Gut 

Based on research, here are some of the ways that L-Glutamine supplements may benefit gut health: 

  1. Promote gut healing: L-Glutamine may help to repair damage to the gut lining and promote the growth of new cells.ย 
  2. Reduce gut permeability: Foundational research shows that L-Glutamine can help to improve the integrity of the intestinal barrier and reduce gut permeability, which may help to prevent harmful substances from leaking into the bloodstream.ย 
  3. Support gut immune function: L-Glutamine may help to modulate the immune response in the gut, which is essential for maintaining a healthy balance of pro- and anti-inflammatory cytokines.ย 
  4. Alleviate symptoms of gut disorders: L-Glutamine supplementation has been shown to improve symptoms in individuals with inflammatory bowel disease (IBD), such as Crohn’s disease and ulcerative colitis. However, note that there is not a scientific consensus on its effectiveness.ย ย 
  5. Support gut microbiome balance: L-Glutamine can help to promote the growth of beneficial gut bacteria, which are essential for maintaining gut health.ย 

Glutamine, D-Glutamine, and L-Glutamine Supplements: Whatโ€™s the Difference?  

Glutamine is an amino acid that can exist in two different molecular forms: L-glutamine and D-glutamine. L-glutamine is the biologically active form and the form that is most commonly used in dietary supplements, including those for gut health. 

D-glutamine, on the other hand, is a mirror image of L-glutamine and has a different chemical structure. It is not commonly found in dietary supplements and is not used by the body in the same way as L-glutamine. In fact, D-glutamine may have negative effects on the body when consumed in large amounts, as it can interfere with the absorption and utilization of L-glutamine. 

While some supplements may contain a mixture of L-glutamine and D-glutamine, this is not recommended for individuals with liver or kidney problems, as the liver and kidneys are responsible for converting D-glutamine into L-glutamine and may not be able to do so effectively. 

In short, L-glutamine is the biologically active form of glutamine that is commonly used in dietary supplements for gut health. D-glutamine is not used by the body in the same way and may have negative effects on gut health when consumed in large amounts.  

Benefits of L-Glutamine, a Powerful Amino Acid 

Besides its effects on leaky gut syndrome, L-Glutamine is involved in many other essential physiological processes throughout the body. As the most abundant amino acid in the bloodstream, L-Glutamine plays a crucial role in immune support, muscle recovery, brain function, and overall tissue repair. Whether through dietary intake or supplementation, maintaining adequate L-Glutamine levels may contribute to improved overall health and well-being. Here are some of its key benefits:

  • Supports immune function: L-Glutamine is essential for the proper function of immune cells and can help to modulate the immune response. 
  • Promotes muscle growth and recovery: It plays a key role in muscle protein synthesis, aiding, aiding in muscle repair and reducing soreness after exercise.
  • Improves cognitive function: L-Glutamine can help to support brain function and improve cognitive performance. 
  • Supports wound healing: As an important component of tissue repair, L-Glutamine helps accelerate wound healing and recovery from injuries.
  • Reduces inflammation: L-Glutamine can help to reduce inflammation throughout the body, which may help to prevent chronic diseases. 

Powder vs. Pill L-Glutamine Supplements: Is One Better than the Other? 

 L-Glutamine supplements are available in various forms, including powder and pill forms. While both forms can provide similar benefits, there are some differences in their absorption, dosage, and convenience. Powdered L-Glutamine supplements are often preferred by athletes and bodybuilders due to their ability to easily mix into beverages and foods. The powder form also allows for more precise dosage control, as users can measure out the desired amount with a measuring spoon or scale. Additionally, powdered supplements may be more cost-effective per serving than pill supplements. 

On the other hand, pill forms of L-Glutamine may be more convenient for some users who prefer to take their supplements on-the-go or who do not want to deal with the taste or texture of a powder.ย While some studies suggest that L-Glutamine in powder form may be absorbed more quickly and efficiently than pill supplements, most experts agree that there is no significant difference in bioavailability between the two forms. Ultimately, the choice between powder and pills depends on personal preference, lifestyle, and factors like taste, ease of use, and budget.

Supplement Timing: When Should I Take L-Glutamine for Gut Health? 

 The timing of L-Glutamine supplementation may impact its effectiveness for gut health. While there is no one-size-fits-all approach to supplement timing, research suggests that taking L-Glutamine at specific times may enhance its benefits. One study found that taking L-Glutamine before and after exercise helped to reduce gut permeability and inflammation in athletes. Another study found that taking L-Glutamine before and during a period of intense training helped to prevent the decline in immune function that typically occurs with intense exercise. 

In addition to timing, how L-Glutamine is consumed may also impact its effectiveness. One study found that taking four doses of L-Glutamine throughout the day was more effective than taking one large dose in improving gut permeability in individuals with IBD. However, it is important to note that a recent study found that low dose (0.3 g/kg of bodyweight) glutamine did not protect against gut permeability in a physically stressful situation. Additionally, taking L-Glutamine with carbohydrates has been shown to improve its absorption and increase muscle glycogen levels, particularly in athletes. Ultimately, the best supplementation strategy will depend on individual health goals, lifestyle, and specific gut health concerns.

How Long Does It Take L-Glutamine to Show Results in Gut Healing? 

The time it takes for L-Glutamine to support gut healing varies based on individual health conditions, dosage, and other factors. Research indicates that benefits may start appearing within days to weeks after beginning supplementation. For instance, one study found that just three days of L-Glutamine supplementation helped improve gut permeability in athletes following intense exercise. Another study showed that taking L-Glutamine for four weeks reduced inflammation and improved symptoms in individuals with irritable bowel syndrome (IBS).

For individuals with more severe gut health concerns, such as inflammatory bowel disease (IBD), results may take longer. A systematic review suggested that two months of L-Glutamine supplementation had the potential to reduce gut permeability and alleviate IBD symptoms, though results varied among studies. Additionally, research indicates that dosage plays a role in effectivenessโ€”one study found that a higher dose (0.5 g/kg body weight) over four weeks was more effective at improving gut permeability in athletes than a lower dose (0.1 g/kg body weight). While individual responses differ, consistent supplementation over several weeks or months may yield the best results.

What Happens When You Start Taking L-Glutamine?

 When beginning L-Glutamine supplementation for gut health, individuals may experience different effects based on their health conditions, dosage, and overall lifestyle. While some may notice mild digestive adjustments, others might experience positive changes in gut health, immune function, or exercise recovery. Here are some common effects that can occur when starting L-Glutamine:

  • Mild gastrointestinal symptoms such as bloating, gas, and diarrhea. 
  • Potential improvements in gut health symptoms such as inflammation, pain, and diarrhea. 
  • Possible reduction in inflammation and improvements in symptoms over time for individuals with IBD. 
  • Increased muscle glycogen levels in athletes when taken with carbohydrates. 
  • Potential improvements in immune function during intense exercise. 
  • Enhanced recovery from exercise-induced gastrointestinal permeability and inflammation when taken before and after exercise.

 What Are the Side Effects of L-Glutamine? 

L-Glutamine supplements are generally well-tolerated, but like any supplement, they can cause side effects in some individuals. Most side effects are mild and occur when taking high doses, but those with certain health conditions should exercise caution. Here are some potential side effects to be aware of: 

  • Gastrointestinal symptoms such as bloating, gas, and diarrhea, particularly at high doses. 
  • Headaches, muscle pain, and changes in mood, although less common and generally mild.  
  • Potential complications in individuals with kidney disease or liver disease.  
  • Potential interactions with certain medications, such as chemotherapy drugs.  

Who Should Not Take L-Glutamine? 

 While L-Glutamine is generally considered safe for most individuals, there are certain populations who should not take L-Glutamine supplements or should use caution when taking them. These include: 

  • Individuals with liver disease: L-Glutamine is metabolized by the liver, and individuals with liver disease may be at increased risk of complications from L-Glutamine supplementation. 
  • Individuals with kidney disease: L-Glutamine is excreted by the kidneys, and individuals with kidney disease may be at increased risk of complications from L-Glutamine supplementation. 
  • Individuals with a history of seizures: L-Glutamine may increase the risk of seizures in individuals with a history of seizures. 
  • Individuals taking certain medications: L-Glutamine may interact with certain medications, such as chemotherapy drugs, and should be used with caution in individuals taking these medications. 
  • Pregnant or breastfeeding women: There is limited research on the safety of L-Glutamine supplements during pregnancy and breastfeeding. Women in these populations should use caution and consult with a healthcare provider before taking L-Glutamine supplements.  

Itโ€™s Not All About Supplements: How Do You Heal Your Leaky Gut in the Long Term? 

 While L-Glutamine supplements may be helpful for improving gut health, it is important to note that there is no one-size-fits-all approach to healing a leaky gut. Long-term healing of a leaky gut involves a multifaceted approach that includes lifestyle and dietary changes. 

  • Eliminate trigger foods: Food sensitivities and intolerances can contribute to leaky gut. Eliminating trigger foods such as gluten, dairy, and processed foods can help reduce inflammation and promote healing in the gut. 
  • Eat a nutrient-dense diet: Eating a diet rich in whole, nutrient-dense foods such as fruits, vegetables, and healthy fats can help support gut health by providing essential nutrients and promoting healthy gut bacteria. 
  • Manage stress: Chronic stress can contribute to leaky gut by increasing inflammation and disrupting gut function. Managing stress through practices such as meditation, yoga, and deep breathing can help promote healing in the gut. 
  • Get enough sleep: Sleep is important for gut health, as it allows the body to repair and regenerate. Getting 7-8 hours of quality sleep per night can help promote healing in the gut. 
  • Address underlying health conditions: Underlying health conditions such as autoimmune disorders, chronic infections, and hormonal imbalances can contribute to leaky gut. Addressing these conditions with the help of a healthcare provider can help promote healing in the gut. 

Healing a leaky gut involves a multifaceted approach that includes dietary and lifestyle changes in addition to supplements. This is where the support of a Gut Health Nutrition Specialist can help. By eliminating trigger foods, eating a nutrient-dense diet, managing stress, getting enough quality sleep, and addressing underlying health conditions, individuals can promote long-term healing in the gut and improve their overall health. 

Main Takeaways 

While L-Glutamine supplements may be helpful in promoting gut healing, they are not a magic solution for leaky gut or other health issues. Long-term health can only be achieved by adopting healthy behaviors, identifying and addressing underlying health issues, and identifying triggers. It is important to remember that supplements should always be taken under the guidance of a healthcare professional. By taking a holistic approach to gut health, individuals can promote long-term healing in the gut and improve overall health.

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References 

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  17. https://www.tandfonline.com/doi/full/10.1080/23328940.2021.2015227  
  18. https://www.researchgate.net/publication/12684793_Double-Blind_Randomized_Controlled_Trial_of_Glutamine-Enriched_Polymeric_Diet_in_the_Treatment_of_Active_Crohn’s_Disease  
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