Most People Take Too Little Lysine for Cold Sores to Make Any Difference
Lysine is one of the most popular natural remedies for cold sores, but the dose most people take probably isn't doing much. Controlled trials consistently show that doses under 1 gram per day are ineffective for preventing outbreaks. The studies that did find benefits used 1 to 3 grams daily, and even then, results were inconsistent. Lysine isn't useless, but it's far less reliable than standard antiviral medications, and the gap between what works in a lab and what works in your body is wider than supplement labels suggest. The core idea is biologically sound. The herpes simplex virus (HSV-1) that causes cold sores depends on the amino acid arginine to replicate. Lysine competes with arginine, and in laboratory settings, high-lysine, low-arginine environments do inhibit the virus. The problem is translating that clean laboratory result into messy real-world prevention.