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L-Glutamine untuk Crohn's Disease

C

Small RCTs show glutamine (0.5 g/kg/day) improves intestinal permeability and morphology in Crohn's patients. Evidence limited by small sample sizes.

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C

Kesimpulan

Small RCTs show glutamine (0.5 g/kg/day) improves intestinal permeability and morphology in Crohn's patients. Evidence limited by small sample sizes.

Key Study Findings

Other
Multiomics reveals microbial metabolites as key actors in intestinal fibrosis in Crohn's disease.
Dose: None vs: None Outcome: Gut microbiota composition Efek: None None

Populasi: Crohn's disease patients

Controlled Clinical Trial
Washed microbiota transplantation for Crohn's disease: A metagenomic, metatranscriptomic, and metabolomic-based study.
Dose: Washed microbiota transplantation (WMT) vs: Pre-treatment baseline Outcome: Clinical remission and multi-omics changes Efek: None None

Populasi: Patients with Crohn's disease

Other
Multi-Omics Reveals the Effects of Cannabidiol on Gut Microbiota and Metabolic Phenotypes.
Dose: None vs: None Outcome: Cholesterol levels Efek: None None

Populasi: Mouse model

Observational Study n=262
Gut Microbiome-Generated Phenylacetylglutamine from Dietary Protein is Associated with Crohn's Disease and Exacerbates Colitis in …
Dose: Phenylacetylglutamine (PAGln, measured) vs: Healthy controls (n=126) Outcome: PAGln association with CD and colitis Efek: None None

Populasi: New-onset treatment-naive CD (n=136) + controls

In Vitro
Constitutively active autophagy in macrophages dampens inflammation through metabolic and post-transcriptional regulation of cytokine production.
Dose: Beclin1 constitutive activation (genetic) vs: Wild-type mice Outcome: Cytokine production in macrophage activation Efek: None None

Populasi: Beclin1 variant mice + AIEC infection

Review
[Regulation of inflammatory bowel disease by amino acids].
Dose: None vs: None Outcome: None Efek: None None

Populasi: IBD patients

Key Statistics

3

Studi

200

Peserta

Positive

C

Peringkat

Referenced Papers

The Cochrane database … 2018 425 sitasi
Gastroenterology clinics of … 2018 67 sitasi
Current opinion in … 2017 37 sitasi
The Cochrane database … 2016 37 sitasi
The Cochrane database … 2007 192 sitasi
Current opinion in … 2005 22 sitasi
Clinical nutrition (Edinburgh, … 2004 18 sitasi
Alimentary pharmacology & … 2003 179 sitasi
Revista do Hospital … 2002 39 sitasi
Current opinion in … 2002 1 sitasi
Current opinion in … 2002
The Cochrane database … 2001 149 sitasi
Current opinion in … 2000 21 sitasi
Zeitschrift fur Gastroenterologie 1998 18 sitasi
Schweizerische medizinische Wochenschrift. … 1996

Dosage & Usage

mg = milligrams · mcg = micrograms (1,000× smaller) · IU = International Units

Dosis yang Umum Digunakan

general:
5-15 g/day
ibsdsupport:
5 g three times daily (15 g/day total)
postexercisegut:
0.25-0.9 g/kg before intense exercise
gutbarriersupport:
0.5 g/kg/day (approximately 30-40 g/day for adults)

Batas atas: Generally well-tolerated up to 0.5 g/kg/day; caution above 40 g/day

Dosis yang Diteliti dalam Penelitian

Dosis Durasi Efek N
None -- Positive --
Washed microbiota transplantation (WMT) -- Positive --
None -- Positive --
Phenylacetylglutamine (PAGln, measured) -- Negative 262
Beclin1 constitutive activation (genetic) -- Positive --
None -- Mixed --
None -- Negative --
None -- Mixed --

Waktu terbaik diminum: Between meals or before exercise; divide doses throughout the day

Safety & Side Effects

Efek Samping yang Dilaporkan

  • Mild gastrointestinal discomfort at high doses
  • Headache
  • Dizziness at very high doses
  • Potential glutamate excitotoxicity concerns in neurological conditions (theoretical)

Interaksi yang Diketahui

  • Lactulose (glutamine may reduce the efficacy of lactulose for hepatic encephalopathy)
  • Anti-seizure medications (glutamine converts to glutamate; theoretical concern)
  • Chemotherapy agents (glutamine may protect cancer cells; discuss with oncologist)

Asupan atas yang dapat ditoleransi: Generally well-tolerated up to 0.5 g/kg/day; caution above 40 g/day

Selalu konsultasikan dengan tenaga kesehatan Anda sebelum memulai suplemen apa pun.Selalu konsultasikan dengan penyedia layanan kesehatan Anda sebelum memulai suplemen apa pun.

Frequently Asked Questions

Does L-Glutamine help with Crohn's Disease?
Based on 3 studies with 200 participants, there is limited but promising evidence that L-Glutamine may support Crohn's Disease management. Our evidence grade is C (Some Evidence).
How much L-Glutamine should I take for Crohn's Disease?
Studies have used various dosages. A commonly studied range is 5-15 g/day. Always consult your healthcare provider before starting any supplement regimen.
Are there side effects of L-Glutamine?
Reported side effects may include Mild gastrointestinal discomfort at high doses, Headache, Dizziness at very high doses, Potential glutamate excitotoxicity concerns in neurological conditions (theoretical). Most side effects are mild and dose-dependent. Consult your doctor if you experience any adverse reactions.
How strong is the evidence for L-Glutamine and Crohn's Disease?
We rate the evidence as Grade C (Some Evidence). This rating is based on 3 peer-reviewed studies with 200 total participants. The overall direction of effect is positive.

Related Evidence

Penafian FDA: Pernyataan-pernyataan ini belum dievaluasi oleh Food and Drug Administration. Produk dan informasi di situs web ini tidak dimaksudkan untuk mendiagnosis, mengobati, menyembuhkan, atau mencegah penyakit apa pun. Peringkat bukti yang disajikan didasarkan pada analisis kami terhadap penelitian yang ditinjau sejawat dan tidak merupakan saran medis. Selalu konsultasikan dengan penyedia layanan kesehatan Anda sebelum memulai regimen suplemen apa pun.