Can beta-alanine (β-alanine) supplementation improve muscle endurance when returning to running after a long hiatus?

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Beta-Alanine for Muscle Endurance When Returning to Running

Beta-alanine supplementation has limited evidence supporting its effectiveness for improving muscle endurance when returning to running after a long hiatus, with modest and inconsistent benefits across studies. 1

Mechanism and Effectiveness

  • Beta-alanine works by increasing intramuscular carnosine levels, which acts as a buffer against acid buildup during high-intensity exercise 1, 2
  • Evidence regarding beta-alanine's effectiveness is contradictory and less robust than for other supplements like caffeine and creatine 1
  • Beta-alanine may be more effective for:
    • Isometric strength endurance (showing ~17% improvement in time-to-exhaustion) 2
    • Sprint performance at the end of endurance exercise (showing 11.4% increase in peak power output) 3
  • However, beta-alanine has shown no significant effect on:
    • Sprint endurance at supramaximal intensities 4
    • Isotonic or isokinetic strength endurance 2
    • 5000m running performance (despite increasing PAT1 expression) 5

Dosing Protocol

  • Recommended dosage: approximately 65 mg/kg body weight daily, up to 6.4g/day 1
  • Should be ingested via a split-dose regimen to minimize paresthesia (tingling sensation) 1, 6
  • Supplementation should continue for 4-12 weeks for optimal results 1, 7
  • Individual responses vary significantly, so effects should be monitored during training before competition 1

Alternative Nutritional Strategies for Endurance

  • Carbohydrate intake is more firmly established as beneficial for endurance performance:
    • The American College of Sports Medicine recommends 30-60g of carbohydrates during endurance events lasting longer than 1 hour 6
    • Carbohydrate loading days before an event has been shown to improve performance in exercises lasting longer than 1.5 hours 6
  • Proper hydration is critical for endurance performance:
    • Athletes should maintain fluid balance during exercise, aiming to lose no more than 2-3% of bodyweight 6
    • Hypertonic fluids with carbohydrates and sodium improve water absorption efficiency 6

Safety Considerations

  • Beta-alanine supplementation can cause skin tingling (paresthesia), which is harmless but may be uncomfortable 6
  • There are significant concerns about supplement contamination in general, with studies showing 15-25% of sports supplements may contain undeclared prohibited substances 1, 6
  • Choose products that have undergone third-party testing to minimize contamination risk 1

Practical Recommendations

  • For returning to running after a long hiatus, focus first on proper carbohydrate intake and hydration strategies 6
  • If considering beta-alanine supplementation:
    • Start with a lower dose to assess individual response 1
    • Use a split-dose regimen to minimize paresthesia 1, 6
    • Continue supplementation for at least 4 weeks before expecting results 1, 7
    • Monitor for performance improvements in training 1
  • Consider the cost-benefit ratio given the modest and inconsistent performance effects 1

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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