Benefits
Athletic Performance
Increases strength, power, and sprint performance.
Enhances recovery between high-intensity efforts.
Improves anaerobic capacity.
Muscle Growth
Promotes hypertrophy through increased training capacity and cellular hydration.
Enhances recovery, reducing muscle damage markers
Cognitive Function
Improves memory, attention, and mental fatigue resistance, particularly in stressful conditions.
Therapeutic Uses
May improve muscle function in neuromuscular disorders.
Potential adjunct therapy for depression, Parkinson’s, and traumatic brain injury.
General Health
Supports muscle maintenance during immobilization or injury.
Blood Sugar Control
May improve glycemic control in type 2 diabetes (Medicine & Science in Sports & Exercise, 2008).
Mechanism of Action
Muscle Growth and Athletic Performance
Creatine increases water retention in muscle cells, promoting cell volumization, which may enhance protein synthesis and muscle growth.
May influence growth factors like IGF-1 and reduce muscle protein breakdown
Energy and Mitochondrial Support
Phosphocreatine donates a phosphate group to adenosine diphosphate (ADP) to rapidly regenerate adenosine triphosphate (ATP). Enhances glycogen storage in muscles.
Cognition Mechanism
Potential neuroprotective effects by supporting energy metabolism in the brain
Clinical Trials
Creatine Supplementation for Muscle Growth (2012–2021)
Study: A scoping review of randomized clinical trials (RCTs) from 2012 to 2021 investigated creatine’s effects on muscle growth across various populations.
Findings: Creatine is effective for muscle growth in healthy young individuals with adequate resistance training, but results are less consistent in older adults or those with muscular diseases. It enhances maximal strength, power production, and fat-free mass, particularly when combined with resistance training.
Link: PubMed - Creatine Supplementation for Muscle Growth
Creatine and Cognitive Function (2024)
Study: A systematic review and meta-analysis of 16 RCTs (1993–2024) evaluated creatine monohydrate’s effects on cognitive function in adults.
Findings: Creatine showed significant positive effects on memory (SMD = 0.31), attention time (SMD = -0.31), and information processing speed (SMD = -0.51), particularly in adults aged 18–60 and females.
Link: PubMed - Effects of Creatine Supplementation on Cognitive Function
Creatine and Lean Body Mass with/without Resistance Training (2025)
Study: A 12-week RCT (UNSW, Australia) with 63 participants examined creatine monohydrate (5 g/day) effects on lean body mass, with and without resistance training.
Findings: No significant difference in lean body mass was observed between creatine and control groups after 12 weeks of resistance training. Initial gains in the creatine group (especially in females) during a 7-day wash-in phase were attributed to water retention rather than muscle growth. The study suggests that 5 g/day may be insufficient for muscle-building benefits, and higher doses (e.g., 10 g/day) or longer studies are needed.
Link: Nutrients - The Effect of Creatine Supplementation on Lean Body Mass
Safety of Creatine Supplementation (2025)
Study: A review of 685 clinical trials analyzed the safety profile of creatine supplementation, focusing on reported side effects and adverse events.
Findings: No evidence supports creatine impairing kidney function. Gastrointestinal issues (4.9% vs. 4.3% in controls) and muscle cramping (2.9% vs. 0.9%) were slightly higher but not statistically significant. Creatine is deemed safe at doses up to 30 g/day for up to 5 years in healthy and clinical populations.
Link: X Post - Safety of Creatine Supplementation
Creatine and Cognitive Performance During Sleep Deprivation (2024)
Study: A clinical trial investigated a high single dose of creatine monohydrate (0.35 g/kg) during 21 hours of sleep deprivation, using cognitive tests and brain scans (31P-MRS, 1H-MRS).
Findings: Creatine improved cognitive performance and increased cerebral high-energy phosphates, suggesting potential for mitigating sleep deprivation effects. However, central nervous system uptake is limited, requiring long-term supplementation for detectable changes.
Link: Nature - Single Dose Creatine Improves Cognitive Performance
Creatine in Clinical Populations (2017)
Study: The International Society of Sports Nutrition (ISSN) position stand reviewed creatine’s safety and efficacy in exercise, sport, and medicine.
Findings: Creatine increases intramuscular creatine concentrations, improving high-intensity exercise performance and training adaptations. It shows therapeutic potential in neurodegenerative diseases (e.g., muscular dystrophy), heart ischemia, and rehabilitation, with no significant adverse effects at doses up to 30 g/day for 5 years.
Link: JISSN - Safety and Efficacy of Creatine Supplementation
Potential Side Effects
Weight Gain
Due to water retention in muscles (1-3 kg in the first week of loading). Noted in ~70% of users (Journal of Strength and Conditioning Research, 2003).
Gastrointestinal Distress
Bloating, cramping, or diarrhea, especially with high doses or poor dissolution (International Journal of Sport Nutrition, 1999).
Muscle Cramping
Anecdotal reports, though not consistently supported by studies (Journal of Athletic Training, 2001).
