Ornithine ketoglutarate

amino-acidsalt

At a glance

Best for
hospitalized or malnourished patients recovering from burns, trauma, or surgery
Typical dose
5-10 g/day (clinical settings have used up to ~20-30 g/day enterally)
Time to effect
Weeks
Main caution
most evidence is in clinical nutrition settings, not healthy users or athletes
Evidence strength: Limited; some clinical-nutrition trials in burns and malnutrition, little in healthy populations

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?

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

GoalEvidenceEffectBest fitTime
recovery in burns and traumaLimitedModest improvements in wound healing and nitrogen balanceseverely burned or post-trauma patients in clinical nutrition programsWeeks

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

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

Typical dose
5-10 g/day for general nutritional support
Higher studied dose
up to ~20-30 g/day has been used enterally in burn and malnutrition studies
Timing
with meals or as part of enteral feeding
With food
with food
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

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

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

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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.