carnosine is a dipeptide abundantly found in human skeletal muscle, cardiac muscle and neuronal cells having numerous properties that confers performance enhancing effects, as well as a wide-range of potential therapeutic applications. A reliable and valid method for tissue carnosine quantification is crucial for advancing the knowledge on biological processes involved with carnosine metabolism. In this regard, proton magnetic resonance spectroscopy (1H-MRS) has been used as a non-invasive alternative to quantify carnosine in human skeletal muscle. However, carnosine quantification by 1H-MRS has some potential limitations that warrant a thorough experimental examination of its validity. The present investigation examined the reliability, accuracy and sensitivity for the determination of muscle carnosine in humans using in vitro and in vivo experiments and comparing it to reference method for carnosine quantification (high-performance liquid chromatography-HPLC). We used in vitro 1H-MRS to verify signal linearity and possible noise sources. Carnosine was determined in the m. gastrocnemius by 1H-MRS and HPLC to compare signal quality and convergent validity. 1H-MRS showed adequate discriminant validity, but limited reliability and poor agreement with a reference method. Low signal amplitude, low signal-to-noise ratio, and voxel repositioning are major sources of error. Carnosine is a multifunctional dipeptide abundantly found in human skeletal muscle, cardiac muscle, and in some neuronal cells 1. Carnosine has numerous properties that confers performance enhancing effects 2 , as well as a wide-range of potential therapeutic applications 3,4. Such properties include hydrogen cation (H +) buffering 5 , scavenging of reactive species 6 , and protection against glycation end products 7. Several studies have demonstrated the beneficial effects of increased muscle carnosine content (for a comprehensive review, see 1), which can be easily achieved via dietary supplementation of β-alanine, the rate-limiting precursor of carnosine synthesis 8. A reliable and valid method for tissue carnosine quantification is crucial for advancing the knowledge on biological processes involved with carnosine metabolism, including whether its properties translate into relevant roles for normal physiological function and disease prevention. In human skeletal muscle, carnosine has been quantified in biopsy samples followed by chromatography 8,9 or mass-spectrometry 6. Even though obtaining muscle biopsies is a relatively simple and safe procedure 10 , the invasive nature of the muscle biopsy technique limits its application, which warrants the development of valid and reliable non-invasive alternatives.