Place · Level 3 · Supplement
亮氨酸代谢中间产物 · 主作用是抗分解不是促合成 · 老年保肌 + 卧床抗萎缩 B-A 证据 · 健康年轻运动员边际小
synergy · 1
Sarcopenia + elderly combo: creatine increases anabolism; HMB suppresses catabolism. Stronger evidence in acute-illness, bedridden, or chronic-disease low-muscle elderly (Deutz, Bear). Marginal in healthy young.
cofactor · 1
HMB is a metabolite of roughly 5% of leucine and works on the anti-catabolic side; the mTOR synthesis trigger is leucine itself. Different switches — which is why adding HMB on top of adequate protein buys little.
regulates · 1
HMB is a leucine metabolite, 3 g a day. Its strength is blocking breakdown rather than driving synthesis — which is why it fits acute illness, bed rest and undernutrition in older people, and adds little for an ordinary training population.