Benefits
Anaerobic exercise capacity with creatine and phosphate salts
In a 6-day loading trial in 61 adults, creatine combined with sodium and potassium phosphates raised anaerobic working capacity in men (about 24% at 2 days, 50% at 6 days versus placebo) but not in women. A 30-day trial of one 5 g serving a day in 32 men found no change in capacity. Both products were creatine plus phosphate salts, not phosphocreatine itself.
Leg strength and power with phosphocreatine disodium salts
In 33 young men over 28 days, a blend of phosphocreatine disodium salts (2.5 g creatine) and blueberry extract, and plain creatine monohydrate (2.4 g creatine), each raised leg peak torque and power within the group while placebo did not. The overall group comparison was not significant, the blend did not beat monohydrate, and a study author's company developed it.
Supplies creatine for muscle energy stores
Swallowed phosphocreatine appears to be absorbed as creatine, which muscle then turns back into phosphocreatine. Creatine supplements raise muscle creatine and phosphocreatine by 20% to 40%, a finding from creatine monohydrate research. Because the salt is only about half creatine by weight, it takes roughly 1.7 times the grams to supply the same creatine.
Mechanism of action
The muscle's quick energy reserve
About 95% of the body's creatine is in skeletal muscle, and about two thirds of that is phosphocreatine. Creatine kinase moves the phosphate from phosphocreatine to ADP to rebuild ATP, which helps keep ATP available during maximal sprint type efforts.
Swallowed phosphocreatine arrives as creatine
In rats given oral phosphocreatine, none was found intact in the blood; it appeared as creatine, with about 55% to 62% of the dose accounted for that way. Muscle must then rebuild phosphocreatine from that creatine. No human absorption study was found.
Less creatine per gram
Sodium creatine phosphate is about 51% creatine by weight, compared with about 88% for creatine monohydrate. In the one modern trial, 5 g of the disodium salt supplied 2.5 g of creatine, roughly what 3 g of monohydrate supplies.
Phosphate salts are a separate ingredient
Several creatine phosphate products in trials were creatine plus sodium and potassium phosphates. In a football training trial where both groups drank the same phosphate mix, only the group also given creatine monohydrate gained more lean mass, lifting volume and sprint work. Phosphate loading (usually 3 to 5 g a day for 3 to 6 days) is studied separately; see the sodium phosphate page.
Clinical trials
Double-blind randomized trial of creatine with sodium and potassium phosphates, creatine alone, or placebo, 4 servings a day for 6 days, with anaerobic working capacity measured by the critical power test. (Eckerson et al. 2005, J Strength Cond Res)
61 adults (31 men, 30 women).
In men, the creatine and phosphate blend raised anaerobic working capacity by 23.8% after 2 days and 49.8% after 6 days versus placebo. Women showed no significant change with either supplement. Creatine alone gave 13% to 15% increases that were not statistically significant. Body weight rose over time in all groups without a group difference. The product was creatine combined with phosphate salts, not phosphocreatine.
Double-blind randomized trial of one daily serving of 5 g creatine plus 4 g phosphate versus a 20 g dextrose placebo for 30 days. (Eckerson et al. 2008, J Strength Cond Res)
32 men (17 supplement, 15 placebo).
No significant difference between groups in anaerobic working capacity at 10, 20 or 30 days or 10 days after stopping. Body weight rose by 1.0 kg at 10 days in the supplement group (placebo 0.0 kg) and stayed higher through the study. The authors concluded this regimen raised body weight but did not improve anaerobic capacity.
Randomized three-arm trial of phosphocreatine disodium salts plus blueberry extract, creatine monohydrate, or placebo for 28 days, tested with 50 maximal isokinetic leg extensions. (Anders et al. 2021, J Int Soc Sports Nutr)
33 recreationally trained men about 20 years old (11 blend, 12 monohydrate, 10 placebo).
Peak torque rose from about 100 to 119 N·m with the blend and from 100 to 112 N·m with monohydrate, and average power also rose in both, with no significant change on placebo. The group by time interaction was not significant, and the blend did not differ from monohydrate. More blend users than placebo users passed a meaningful-change threshold for torque. No adverse events. Unfunded; one author manages the company that developed the blend.