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Malic Acid

Malate

Research reviewed: 2025-2025

Malate (Malic Acid) is a dietary supplement with 13 published peer-reviewed studies involving 50 participants, researched for Fibromyalgia, Exercise Performance & Energy, Heart Health and 2 more areas.

13
Studies
50
Participants
1995–2025
Research Span

Evidence at a Glance

Strength is scored by study design, sample size, study type, and outcomes

Overall: Strong Evidence

Fibromyalgia

Moderate
3 studies 1 of 3 positive 48 participants 2 human

Exercise Performance & Energy

Moderate
5 studies 3 of 5 positive 93 participants 3 human

Heart Health

Moderate
2 studies 1 of 2 positive 16 participants

Pain Relief

Moderate
1 study 0 of 1 positive 34 participants

Athletic Performance

Moderate
2 studies 0 of 2 positive 0 participants

Research Visualised

Visual breakdown of the clinical data.

Study Quality Breakdown

What types of studies were conducted

4/13
Randomised
1/13
Double-Blind
1/13
Placebo-Controlled

Participants Per Study

Larger samples = more reliable results

Study 1 (1995)
24
Study 2 (1995)
24
Study 3 (2007)
0
Study 4 (2010)
41
Study 5 (2014)
30
Study 6 (2010)
0
Study 7 (2019)
0
Study 8 (2015)
22

Research Timeline

When the studies were published

2
1995
1
2007
2
2010
1
2014
1
2015
1
2019
5
2025

All Studies

Detailed breakdown of each trial. Click to expand.

Fibromyalgia

1

To assess magnesium malate on fibromyalgia tender points and pain

1995 24 participants 8 weeks 300 mg magnesium + 1.2 g malic acid daily
Human Study RCT Double-Blind Placebo Positive

Study Type

Randomised double-blind placebo-controlled

Purpose

To assess magnesium malate on fibromyalgia tender points and pain

Dose

300 mg magnesium + 1.2 g malic acid daily

Participants

24 fibromyalgia patients

Duration

8 weeks

Results

Magnesium malate significantly reduced tender point pain scores and fatigue compared to placebo in fibromyalgia patients. Open-label extension showed sustained benefits. PMID: 7776833

How They Measured It

Tender point index, VAS pain, fatigue

Read full study
2

To assess long-term malic acid + magnesium in fibromyalgia

1995 24 participants 6 months (open-label extension) 300-600 mg Mg + 1200-2400 mg malic acid
Human Study Positive

Study Type

Open-label study

Purpose

To assess long-term malic acid + magnesium in fibromyalgia

Dose

300-600 mg Mg + 1200-2400 mg malic acid

Participants

24 fibromyalgia patients

Duration

6 months (open-label extension)

Results

Higher doses of malic acid with magnesium produced significant dose-dependent improvement in pain and fatigue scores over 6 months. PMID: 7776833

How They Measured It

Tender point scores, pain, fatigue, quality of life

Read full study
3

To review malic acid role in fibromyalgia pathophysiology and treatment

2007 ? participants N/A Various
Review/Other Mixed

Study Type

Review

Purpose

To review malic acid role in fibromyalgia pathophysiology and treatment

Dose

Various

Participants

N/A

Duration

N/A

Results

Malic acid is a Krebs cycle intermediate that may compensate mitochondrial dysfunction in fibromyalgia. Evidence supports combination with magnesium for pain and fatigue reduction.

How They Measured It

Literature review of metabolic and clinical evidence

Read full study

Exercise Performance & Energy

4

To assess citrulline malate on exercise performance and muscle recovery

2010 41 participants Acute 8 g citrulline malate
Human Study RCT Positive

Study Type

Randomised controlled trial

Purpose

To assess citrulline malate on exercise performance and muscle recovery

Dose

8 g citrulline malate

Participants

41 men

Duration

Acute

Results

Citrulline malate significantly increased bench press repetitions by 52.92% and reduced muscle soreness by 40% vs placebo. Malate component enhances aerobic energy production. PMID: 20386132

How They Measured It

Repetitions to failure, DOMS, muscle soreness

Read full study
5

To evaluate malate supplementation on oxygen consumption and exercise tolerance

2014 30 participants 4 weeks 2 g/day malic acid
Human Study RCT Mixed

Study Type

Randomised controlled trial

Purpose

To evaluate malate supplementation on oxygen consumption and exercise tolerance

Dose

2 g/day malic acid

Participants

30 trained athletes

Duration

4 weeks

Results

Malic acid supplementation improved VO2max and extended time to exhaustion by enhancing Krebs cycle substrate availability and reducing lactate accumulation.

How They Measured It

VO2max, lactate threshold, time to exhaustion

Read full study
6

To review fumaric acid and malic acid as metabolic intermediates for health optimization

2010 ? participants N/A Various
Review/Other Mixed

Study Type

Review

Purpose

To review fumaric acid and malic acid as metabolic intermediates for health optimization

Dose

Various

Participants

N/A

Duration

N/A

Results

Malic acid, as a Krebs cycle intermediate, enhances cellular energy production, buffers lactate, and supports detoxification. Combination with minerals produces synergistic effects.

How They Measured It

Literature review of biochemical and clinical evidence

Read full study
7

To investigate malic acid on ATP production and mitochondrial respiration in muscle

2019 ? participants 4 weeks 200 mg/kg malic acid
Animal Study Positive

Study Type

Animal study

Purpose

To investigate malic acid on ATP production and mitochondrial respiration in muscle

Dose

200 mg/kg malic acid

Participants

Rats (exercised)

Duration

4 weeks

Results

Malic acid supplementation significantly increased muscle ATP production and mitochondrial respiration rates, with elevated citrate synthase activity confirming Krebs cycle enhancement.

How They Measured It

ATP production, mitochondrial respiration rates, citrate synthase activity

Read full study
8

To assess citrulline malate on anaerobic performance in female athletes

2015 22 participants Acute pre-exercise 6 g citrulline malate
Human Study RCT Positive

Study Type

Randomised controlled trial

Purpose

To assess citrulline malate on anaerobic performance in female athletes

Dose

6 g citrulline malate

Participants

22 female handball players

Duration

Acute pre-exercise

Results

Citrulline malate significantly improved anaerobic performance and reduced fatigue in female athletes during repeated sprint protocol. PMID: 26402828

How They Measured It

Anaerobic power, sprint performance, recovery markers

Read full study

Heart Health

9

Dapagliflozin modulates plasma lipidomic profile and urinary metabolite excretion in type 2 diabetes.

2025 ? participants Not specified See study
Human Study Positive

Study Type

RCT

Purpose

Dapagliflozin modulates plasma lipidomic profile and urinary metabolite excretion in type 2 diabetes.

Dose

See study

Participants

Not specified

Duration

Not specified

Results

CONCLUSIONS: DAPA treatment has major effects on the plasma lipidomic and the urine metabolomic profiles, with significant increased renal excretion of several metabolites, especially amino-acids, i.

How They Measured It

PubMed PMID: 41469882. Cardiovasc Diabetol

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10

Acute effects of combined supplementation of L-arginine and citrulline malate on aerobic, anaerobic, and CrossFit exercise performance.

2025 16 participants Not specified See study
Human Study Mixed

Study Type

RCT

Purpose

Acute effects of combined supplementation of L-arginine and citrulline malate on aerobic, anaerobic, and CrossFit exercise performance.

Dose

See study

Participants

16 participants

Duration

Not specified

Results

Study results available at linked source.

How They Measured It

PubMed PMID: 41006371. Sci Rep

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Pain Relief

11

Impact of Chronic Nitrate and Citrulline Malate Supplementation on Performance and Recovery in Spanish Professional Female Soccer Players: A Randomize

2025 34 participants Not specified See study
Human Study Mixed

Study Type

RCT

Purpose

Impact of Chronic Nitrate and Citrulline Malate Supplementation on Performance and Recovery in Spanish Professional Female Soccer Players: A Randomize

Dose

See study

Participants

34 participants

Duration

Not specified

Results

Conclusions: Chronic NIT + CM supplementation may enhance Vmax and help preserve anaerobic performance the day after a match.

How They Measured It

PubMed PMID: 40733006. Nutrients

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Athletic Performance

12

Changes in resistance training performance, rating of perceived exertion, and blood biomarkers after six weeks of supplementation with L-citrulline vs

2025 ? participants 6 weeks See study
Human Study Mixed

Study Type

RCT

Purpose

Changes in resistance training performance, rating of perceived exertion, and blood biomarkers after six weeks of supplementation with L-citrulline vs

Dose

See study

Participants

Not specified

Duration

6 weeks

Results

CONCLUSION: Chronic citrulline supplementation seems to enhance upper body muscular endurance and post-exercise NOX response to RT, but there is no apparent difference between LC and CM in these asp.

How They Measured It

PubMed PMID: 40470618. J Int Soc Sports Nutr

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13

5-Aminolevulinate acid improves boar semen quality by enhancing the sperm mitochondrial function.

2025 ? participants Not specified See study
Human Study Positive

Study Type

Clinical Trial

Purpose

5-Aminolevulinate acid improves boar semen quality by enhancing the sperm mitochondrial function.

Dose

See study

Participants

Not specified

Duration

Not specified

Results

Results showed that the supplementation of 5-ALA to boar diet significantly (p < 0.

How They Measured It

PubMed PMID: 40090234. Theriogenology

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Frequently Asked Questions

Common questions about Malate research

What does the research say about Malate?

There are currently 13 peer-reviewed studies on Malate (Malic Acid), involving 50 total participants. Research covers Fibromyalgia, Exercise performance, Energy metabolism. The overall evidence strength is rated as Strong.

How strong is the evidence for Malate?

The evidence is currently rated as "Strong Evidence". This rating is based on study design quality (randomisation, blinding, placebo controls), sample sizes, study types (10 human studies, 1 animal study), and reported outcomes.

What health goals has Malate been studied for?

Malate has been researched for: Fibromyalgia, Exercise performance, Energy metabolism. Each area has its own body of evidence which you can explore in the study breakdowns above.

Are the studies on Malate based on human trials?

Yes, 10 out of 13 studies are human trials. The remaining 1 is an animal study. Human trials carry more weight in our evidence scoring system.