Nine building blocks the body cannot make, taken as free-form supplements to signal muscle building and repair. The best-supported effect is a short-term boost in muscle building, with modest strength and function gains when paired with resistance training — most useful for older adults, people losing weight, and those who struggle to eat enough protein. Long-term aging trade-offs stay unresolved. (Full Review)
| Marker | Target | Why |
|---|---|---|
| eGFR | ≥ 90 mL/min/1.73m² | Confirms kidneys can handle added amino acid load |
| BUN | ~10–18 mg/dL | Tracks nitrogen waste from protein/amino acid intake |
| Fasting glucose | 75–90 mg/dL | Screens for glucose dysregulation linked to branched-chain amino acids |
| HbA1c | < 5.4% | Detects longer-term glucose impact |
| ALT | < 25 U/L (men), < 20 U/L (women) | Confirms liver can process amino acid load |
| Fasting insulin | 2–5 µIU/mL | Flags insulin resistance relevant to the metabolic risk debate |
| Plasma branched-chain amino acids | Mid-normal, not elevated | Contextualizes the insulin-resistance association |
Cadence: Recheck at 8–12 weeks after starting sustained use, then every 6–12 months; more frequent with kidney, liver, or glucose concerns.