An essential amino acid that most people already get in adequate amounts from protein-rich food. Extra intake is well tolerated with a wide safety margin, but added benefit is modest and largely unproven: small studies show a minor easing of muscle stiffness, while its promise for gut health and healthy aging rests mainly on animal research. (Full Review)
| Marker | Target | Why |
|---|---|---|
| AST / ALT | ≤ 25 U/L | Detect the minor, non-specific liver-enzyme rise reported at higher doses |
| Creatine kinase (CK) | 40–200 U/L | Screen for the transient muscle-marker elevation seen at 9 g/day |
| eGFR | > 90 mL/min/1.73m² | Confirm kidney capacity to clear the nitrogen load before higher-dose use |
| BUN | 10–16 mg/dL | Gauge nitrogen load from amino-acid intake |
| Plasma amino-acid panel (threonine) | Within lab reference interval | Confirm adequacy or repletion, especially on low-protein diets |
Cadence: Not required for low-dose use; for higher-dose or higher-risk users, baseline then ~4–8 weeks after starting and every 6–12 months, or sooner if symptoms arise