Berberine
supplementA plant compound sold as a supplement for blood sugar and weight. It is not a GLP-1 drug.
L-glutamine is a supplement that is sold over the counter.
Also known as Glutamine
Glutamine is the most abundant amino acid in the body and a key fuel for intestinal cells and immune cells. It is sold for gut health and workout recovery, and a prescription form (Endari) is approved for sickle cell disease.

Sold without a prescription. Supplements are not reviewed by the FDA before sale, so third-party testing matters. Sold as a dietary supplement; a separate prescription product is FDA-approved for sickle cell disease.
As of September 23, 2026.
Key takeaways
Glutamine fuels the cells lining your intestine and many immune cells. Your body makes plenty of it, but needs rise during severe illness, burns or major surgery.
In sickle cell disease, the prescription form may help red blood cells handle oxidative stress, though FDA's label says the mechanism is not fully understood.



A 2024 meta-analysis found it may reduce gut permeability in some clinical settings; evidence for healthy people and for exercise recovery is weak.
Glutamine has a real prescription use in sickle cell disease. Evidence for gut health and exercise in healthy people is weak.
FDA approved Endari in 2017 for people 5 and older with sickle cell disease, after a 48-week trial showed fewer pain crises and hospitalizations.
FDA (July 2017): FDA approves new treatment for sickle cell diseaseA 2024 meta-analysis found no significant overall effect of glutamine on intestinal permeability.
Glutamine supplementation and intestinal permeability: meta-analysis (Amino Acids 2024)NIH's Office of Dietary Supplements says glutamine has no effect or only a small benefit for strength training, with little evidence for performance.
NIH ODS: Dietary supplements for exercise and athletic performance (consumer)A 2024 meta-analysis found enteral glutamine is unlikely to help critically ill adults beyond a modestly shorter hospital stay.
Enteral glutamine in critically ill adults: meta-analysis (Clin Nutr 2024)Summaries of published guidelines, drug labels, regulators and reviews, each attributed to its source. DiscoverMedica does not employ clinicians.
Only a licensed clinician who knows your history can decide whether it is right for you.
These save with the compound when you add it to My Journal, so they’re on the printout for your visit.

No prescription is needed. Supplement brands and retailers sell it online and in stores.
Check with a clinician or pharmacist first if you take prescription medication or have a chronic condition.
Choose a product with independent testing, such as NSF Certified for Sport or USP Verified, because FDA does not check supplements before they are sold.
Endari, the prescription form for sickle cell disease, comes through your hematology team.
10 providers list L-glutamine on DiscoverMedica, lowest listed price first.
† Prices as listed by the provider when we checked; they change.
A 2024 meta-analysis found no significant overall effect on gut permeability. Talk to a clinician about what is behind your symptoms.
NIH says evidence for exercise performance and recovery is weak.
A prescription L-glutamine powder FDA-approved to reduce complications of sickle cell disease.
Supplement glutamine does not need a prescription. Endari is prescribed by your own clinician.
This is not a complete list of risks. Talk to a licensed clinician or pharmacist about your own situation. If you have a severe reaction, call 911. You can report side effects to the FDA through MedWatch at 1-800-FDA-1088.
Guide reviewed September 23, 2026.
Educational information only, not medical advice. It does not replace a conversation with a licensed clinician.
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