Heat exposure during strenuous exercise increases core temperature and cardiovascular strain, impairing performance and elevating the risk of heat illness. Standard countermeasures include heat acclimation, cooling, and hydration/electrolyte planning. Taurine is a sulfur-containing amino acid present in excitable tissues and widely used as an oral supplement; emerging human trials suggest it can augment thermoregulation, primarily by enhancing eccrine sweating and evaporative heat loss. This narrative review synthesizes mechanistic and applied evidence on taurine during exercise in hot environments and evaluates potential interactions with acclimation, cooling strategies (pre- and per-cooling), and hydration practices. Across a small number of randomized, mostly double-blind crossover studies, acute (~50 mg/kg) or short-term multi-day supplementation has been associated with earlier sweat onset, higher sweat production, modestly lower core temperature (~0.3–0.4 °C), and, in one multi-arm trial, a large standardized reduction in core temperature (d ≈ 1.9), with improved exercise capacity or performance. Benefits appear to be context-dependent and may be attenuated when sweating is constrained (e.g., impermeable protective clothing) or when heat acclimation is already optimized. Because taurine may increase sweat losses, its use should be paired with individualized fluid and sodium replacement. Current evidence is promising but remains constrained by small samples and heterogeneous protocols; adequately powered field trials are required to establish dose–response, safety and efficacy across populations, and additive value when combined with established heat-mitigation strategies.
Naddafha et al. (Wed,) studied this question.