Evidence-based·Last reviewed May 30, 2026·How we grade evidence

Ornithine ketoglutarate

Amino-acidSalt

Useful mainly for hospitalized or malnourished patients recovering from burns, trauma, or surgery.

Quick decision guide

May help most

hospitalized or malnourished patients recovering from burns, trauma, or surgery

Common dosing range

5-10 g/day (clinical settings have used up to ~20-30 g/day enterally)

When to expect effects

Weeks

Watch out for

most evidence is in clinical nutrition settings, not healthy users or athletes

What is it

Ornithine ketoglutarate (OKG) is a salt formed from two molecules of the amino acid ornithine and one of alpha-ketoglutarate. It is used mainly in clinical nutrition to support recovery in catabolic states such as burns, surgery, and malnutrition. It is thought to act as a precursor for glutamine, arginine, and polyamines and to stimulate anabolic hormones.

Is it worth it for you?

Use this as a quick fit check, not a diagnosis.

Worth considering if

you are recovering from major burns, trauma, or surgery under clinical supervision
you are an older malnourished adult needing nutritional support
a clinician is overseeing nutritional recovery

Probably skip if

you are a healthy person seeking muscle gain or performance
you expect benefits proven only in hospitalized catabolic patients
you want a substitute for adequate overall protein and calories

Evidence at a glance

recovery in burns and trauma

Limited Evidence
Effect
Modest improvements in wound healing and nitrogen balance
Best fit
severely burned or post-trauma patients in clinical nutrition programs
Time
Weeks

Evidence for 1 use

AI-assisted evidence assessment — talk to your doctor before relying on any single supplement.

recovery in burns and trauma

Disease adjunct
Limited Evidence

In clinical-nutrition studies of burn patients, enteral OKG has been associated with improved wound healing, better nitrogen balance, and reduced muscle protein breakdown. Trials are relatively small and conducted in supervised hospital settings, limiting generalizability. The proposed mechanism is provision of glutamine and arginine precursors that support tissue repair.

Effect size
Modest improvements in wound healing and nitrogen balance
Time to effect
Weeks
Best fit
severely burned or post-trauma patients in clinical nutrition programs
Less likely
healthy adults

Bottom line: OKG may aid wound healing and reduce catabolism in burn and trauma patients, based on limited clinical-nutrition trials.

How to take it

1. Typical dose
5-10 g/day for general nutritional support
2. Higher studied dose
up to ~20-30 g/day has been used enterally in burn and malnutrition studies
3. Timing
with meals or as part of enteral feeding
4. With food
with food
5. How long to try
weeks, typically under clinical guidance

What to track

wound healing progress
appetite and food intake
lean body mass / weight
functional recovery

Safety

Know the common side effects, key cautions, and who should avoid it.

Common side effects

mild gastrointestinal upset

Who should avoid it

  • people with significant kidney impairment unless supervised
  • people with urea cycle disorders

Pregnancy & breastfeeding

Insufficient data in pregnancy; not recommended without medical supervision.

Choosing a product

What to look for on the label — and what to be skeptical of.

Look for

clearly states ornithine alpha-ketoglutarate content
pharmaceutical/clinical-nutrition grade
no proprietary blends hiding the dose

Be skeptical of

dramatic muscle growth in healthy people
growth-hormone 'boosting' for bodybuilding
anti-aging cures

References by claim

recovery in burns and trauma

Donati et al., 1999PubMed (1999) link

Coudray-Lucas et al., 2000PubMed (2000) link

Track Ornithine ketoglutarate with Pilora

Set up dose reminders, check interactions, and join the community in the Pilora iPhone app.

Coming to App Store
Evidence-based·Last reviewed May 30, 2026·Evidence current as of May 30, 2026·How we grade evidence

Disclaimer: These statements have not been evaluated by the FDA. This page is educational, not a substitute for personalized medical advice. Evidence grades are AI-assisted assessments — talk to your doctor before starting any new supplement, especially if you’re pregnant, breastfeeding, on medications, or managing a chronic condition.