| Lysine |
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| Also Known As: |
amino acid K, L-lysine |
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| Overview |
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Lysine is an essential amino acid, which means that
it is essential to human health but cannot be
manufactured by the body. For this reason, lysine must
be obtained from food. Amino acids are the building
blocks of protein. Lysine is important for proper growth
and it plays an essential role in the production of
carnitine, a nutrient responsible for converting fatty
acids into energy and helping to lower cholesterol.
Lysine appears to help the body absorb and conserve
calcium and it plays an important role in the formation
of collagen, a substance important for bones and
connective tissues including skin, tendon, and
cartilage.
If there is too little lysine in the diet, kidney
stones and other health related problems may develop
including fatigue, nausea, dizziness, loss of appetite,
agitation, bloodshot eyes, slow growth, anemia, and
reproductive disorders. It is extremely rare, however,
to obtain insufficient amounts of lysine through the
diet. Generally, only vegetarians who follow a
macrobiotic diet and certain athletes involved in
frequent vigorous exercise are at risk for lysine
deficiency. For vegetarians, legumes (beans, peas and
lentils) are the best sources of lysine.
Lysine is involved in the browning reaction, or
carmelization, in foods such as pastries, doughnuts,
cookies and cereals. In this process, lysine and sugar
become linked together in a way that makes lysine
difficult for the body to absorb. As a result, a diet
high in cereals and baked goods, especially those that
contain a lot of simple sugars, can result in low lysine
intake.
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| Uses |
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Herpes and Shingles
L-lysine can be used to treat mouth and genital
lesions caused by herpes simplex virus as well as
shingles caused by herpes zoster viruses. Taking lysine
supplements can speed recovery time and reduce the
chance of recurrent breakouts of the herpes infection.
Osteoporosis
L-lysine helps improve the absorption of calcium
from the digestive tract and prevent loss of calcium in
the urine. In so doing, some researchers speculate that
L-lysine may help prevent bone loss associated with
osteoporosis. In addition, test tube studies suggest
that L-lysine in combination with L-arginine (another
amino acid) increases the activity of bone-building
cells and enhances production of collagen.
Other
Certain forms of lysine and/or lysine bound to
anti-inflammatory medications may help alleviate pain
following an episiotomy (a procedure performed during
labor that involves cutting the vaginal area to enlarge
the vaginal opening and facilitate delivery). These
forms of lysine may also relieve migraine headaches and
painful periods. Whether L-lysine and other readily
available lysine supplements also offer these benefits
is not known.
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| Dietary Sources |
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Good sources of lysine are foods rich in protein
including meat (specifically red meat, pork, and
poultry), cheese (particularly parmesan), certain fish
(such as cod and sardines), nuts, eggs, soybeans
(particularly tofu, isolated soy protein, and defatted
soybean flour), spirulina, and fenugreek seed.
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| Available
Forms |
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Lysine is available in tablets, capsules, creams, and
liquids, and is usually sold in the L-lysine form.
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| How to Take It |
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A healthcare provider can help determine whether your
diet provides enough lysine. If your diet does not
contain sufficient lysine, a healthcare practitioner may
recommend lysine supplements as part of a complete amino
acid replacement.
The daily recommended dietary allowances (RDA) of
lysine are listed below:
Pediatric
 | Birth to 4 months: 103 mg per kilogram of body
weight per day
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 | Children 5 months to 2 years: 69 mg per kilogram
of body weight per day
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 | Children 3 to 12 years: 44 mg per kilogram of body
weight per day |
Adult
 | 13 and older: 12 mg per kilogram of body weight
per day |
Some experts suggest that adults may need up to 30 mg
per kilogram of body weight per day.
Adults with herpes simplex should follow these
guidelines:
 | To treat symptoms: 3,000 – 9,000 mg per day in
divided doses
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 | To prevent recurrences: 500 – 1,500 mg per day |
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| Precautions |
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Because of the potential for side effects and
interactions with medications, dietary supplements
should be taken only under the supervision of a
knowledgeable healthcare provider.
Lysine supplements are considered safe and nontoxic.
However, one animal study found that chicks fed with
L-lysine developed elevated cholesterol and triglyceride
levels. For this reason, individuals with cardiovascular
disease and those with elevated cholesterol and/or
triglyceride levels should consult a healthcare
practitioner before taking lysine supplements.
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| Possible
Interactions |
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There are no reports in the scientific literature to
suggest that lysine interacts with any conventional
medications.
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| Supporting
Research |
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Bruzzese N, Sica G, Iacopino F, et al. Growth
inhibition of fibroblasts from nasal polyps and normal
skin by lysine acetylsalicylate. Allergy.
1998;53:431–434.
Civitelli R, Villareal DT, Agnusdei D, Nardi P,
Avioli LV, Gennari C. Dietary L-lysine and calcium
metabolism in humans. Nutrition.
1992;8(6):400-405.
De los Santos AR, Marti MI, Espinosa D, Di Girolamo
G, Vinacur JC, Casadei A. Lysine clonixinate vs.
paracetamol/codeine in postepisiotomy pain. Acta
Physiol Pharmacol Ther Latinoam. 1998;48(1):52–58.
Di Girolamo G, Zmijanovich R, de los Santos AR, Marti
ML, Terragno A. Lysine clonixinate in the treatment of
primary dysmenorrhea. Acta Physiol Pharmacol Ther
Latinoam. 1996;46(4):223-232.
Fini M, Torricelli P, Giavaresi G, Carpi A, Nicolini
A, Giardino R. Effect of L-lysine and L-arginine
osteoblast cultures from normal and osteopenic rats. Biomed
Pharmacother. 2001;55(4):213-220.
Flodin NW. The metabolic roles, pharmacology, and
toxicology of lysine. J Am Coll Nutr.
1997;16:7–21.
Furst P. Dietary L-lysine supplementation: a
promising nutritional tool in the prophylaxis and
treatment of osteoporosis. Nutrition.
1993;9(1):71-72.
Griffith RS, Walsh DE, Myrmel KH, Thmpson RW,
Behforooz A. Success of L-lysine therapy in frequently
recurrent herpes simplex infection. Treatment and
prophylaxis. Dermatologica. 1987;175(4):183-190.
Hugues FC, Lacoste JP, Danchot J, Joire JE. Repeated
doses of combined oral lysine acetylsalicylate and
metoclopramide in the acute treatment of migraine. Headache.
1997;37:452–454.
Krymchantowski AV, Barbosa JS, Cheim C, Alves LA.
Oral lysine clonixinate in the acute treatment of
migraine: a double-blind placebo-controlled study. Arq
Neuropsiquiatr. 2001;59(1):46-49.
Pizzorno JE, Murray MT. Textbook of Natural
Medicine. Vol 1. 2nd ed. Edinburgh: Churchill
Livingstone; 1999.
Schmeisser DD, Kummerow FA, Baker DH. Effect of
excess dietary lysine on plasma lipids of the chick. J
Nutr. 1983;113(9):1777-1783.
Shils ME, Olson JA, Shike M, Ross AC. Modern
Nutrition in Health and Disease. 9th ed. Baltimore,
Md: Williams & Wilkins; 1999:41;1,010.
Tfelf-Hansen P. The effectiveness of combined oral
lysine acetylsalicylate and metoclopramide in the
treatment of migraine attacks. Comparison with placebo
and oral sumatriptan. Funct Neurol. 2000;15(Suppl
3):196-201.
Werbach MR. Nutritional Influences on Illness.
2nd ed. Tarzana, Calif: Third Line Press;
1993:159–160, 384, 434, 494–495, 506, 580,
613–614, 636.
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| Review Date: April
2002 |
Reviewed By: Participants
in the review process include: Jacqueline A. Hart, MD,
Department of Internal Medicine, Newton-Wellesley
Hospital, Harvard University and Senior Medical Editor
Integrative Medicine, Boston, MA; Gary Kracoff, RPh
(Pediatric Dosing section February 2001), Johnson Drugs,
Natick, Ma; Steven Ottariono, RPh (Pediatric Dosing
section February 2001), Veteran's Administrative
Hospital, Londonderry, NH; Margie Ullmann-Weil, MS, RD,
specializing in combination of complementary and
traditional nutritional therapy, Boston, MA. All
interaction sections have also been reviewed by a team
of experts including Joseph Lamb, MD (July 2000), The
Integrative Medicine Works, Alexandria, VA;Enrico Liva,
ND, RPh (August 2000), Vital Nutrients, Middletown, CT;
Brian T Sanderoff, PD, BS in Pharmacy (March 2000),
Clinical Assistant Professor, University of Maryland
School of Pharmacy; President, Your Prescription for
Health, Owings Mills, MD; Ira Zunin, MD, MPH, MBA (July
2000), President and Chairman, Hawaii State Consortium
for Integrative Medicine, Honolulu, HI.
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Copyright © 2004 A.D.A.M., Inc
The publisher does not
accept any responsibility for the accuracy of the
information or the consequences arising from the
application, use, or misuse of any of the information
contained herein, including any injury and/or damage to
any person or property as a matter of product liability,
negligence, or otherwise. No warranty, expressed or
implied, is made in regard to the contents of this
material. No claims or endorsements are made for any
drugs or compounds currently marketed or in
investigative use. This material is not intended as a
guide to self-medication. The reader is advised to
discuss the information provided here with a doctor,
pharmacist, nurse, or other authorized healthcare
practitioner and to check product information (including
package inserts) regarding dosage, precautions,
warnings, interactions, and contraindications before
administering any drug, herb, or supplement discussed
herein.
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