Educational information, not medical advice — ask your doctor or midwife.
Track Lysine with reminders and see your options for Cold Sores in the app.
Lysine is one of nine essential amino acids — meaning your body cannot produce it and you must get it from food or supplements. It plays a foundational role in building proteins, repairing tissue, and producing enzymes, hormones, and antibodies. Without enough lysine, the body struggles to maintain muscle mass, heal wounds, and absorb calcium properly.
Lysine works in part by competing with arginine, another amino acid that the herpes virus depends on to replicate — so higher lysine levels effectively slow the virus down. It also acts as a precursor to carnitine, a compound that helps convert fatty acids into energy, and it supports collagen formation by helping stabilize the proline and glycine structure that holds connective tissue together. In the context of calcium and bone health, lysine appears to enhance intestinal calcium absorption and reduce urinary calcium loss.
Capsules and tablets are the most convenient for daily prevention use. Powder form allows flexible dosing and mixes easily into water or smoothies. Topical creams are sometimes used directly on cold sores, though oral supplementation has more clinical backing. L-Lysine HCl is the standard supplement form found in most products.
Lysine was first isolated in 1889 from casein protein. Its role as an essential amino acid was established in the early 20th century, and interest in its antiviral properties — particularly against herpes simplex virus — grew significantly in the 1970s and 1980s as researchers noticed that herpes replication depended on arginine availability.
Stop lysine and call your doctor if you pass less urine than normal. Puffy feet, ankles or legs is another warning sign. Do this within a day, not next week.
Bad belly pain, hard cramps or loose stools also mean you should stop. Call your doctor if these last more than two days. Tell them the exact dose you take each day.
Evidence grades and traditional-use labels are explained in our methodology. Nothing here is medical advice.
Each grade below is for that condition specifically, not for Lysine in general.
The 2 options with the best evidence for Cold Sores, each with its grade and who should avoid it. One email.
Occasional evidence updates after that — unsubscribe any time.