Creatine: Expert Recommendations and Evidence-Based Benefits [2024]

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Creatine is widely regarded as one of the most cost-effective and beneficial supplements available.

It is also one of the most extensively researched supplements, with numerous studies supporting its safety and various physical and mental benefits.

Today, we will take a deep dive into the scientific evidence behind creatine supplementation, exploring its potential benefits and examining research-backed protocols for optimal use.

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What Is Creatine?

Andrew Huberman creatine, man with supplements

Creatine is a natural substance made in the body and found in foods like meat and fish.

It helps your muscles produce energy, especially during short, intense activities like sprinting or weightlifting.

People often take creatine supplements to improve athletic performance.

In simple terms, creatine helps replenish the energy source in your cells, making it easier for you to perform high-intensity, short-duration activities.

Some studies also suggest that creatine could have benefits in cognitive functions and mental health wellness.

The usual dose is about 3 to 5 grams per day, and it’s generally considered safe for most people.

However, it can cause water retention and, in rare cases, may upset your stomach or affect your kidneys.

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How Does Creatine Work?

Creatine turns into something called phosphocreatine in your muscles.

This helps quickly make ATP, the energy your muscles use.

Having more phosphocreatine means you can make ATP faster, giving you extra energy for quick, intense activities like weightlifting or sprinting.

In simpler terms, taking creatine helps you have more ‘quick energy,’ so you can lift more weights or sprint faster.

TermExplanation
CreatineA substance your body uses to make quick energy for your muscles.
PhosphocreatineWhat creatine turns into; helps make ATP quickly.
ATPThe energy currency for your cells, especially muscles.
Creatine KinaseThe enzyme that helps turn creatine into phosphocreatine.

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Creatine Benefits

Andrew Huberman creatine benefits

Creatine offers a variety of advantages that extend beyond athletic performance to include cognitive and potential long-term health benefits.

Here’s a rundown based on the latest scientific evidence.

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Muscle Performance

Creatine supplementation is widely known for its role in enhancing muscle performance.

It increases the creatine content within muscles, which in turn supports the generation of ATP, our body’s primary energy source.

This is especially beneficial for high-intensity, short-duration activities like sprinting or weightlifting.

Studies have shown improvements in power output ranging from 1% to 20% in such activities.

Hydration and Mass Increase

Creatine has a unique ability to improve cellular hydration.

It draws water into muscle cells, which not only supports muscle function but can also increase muscle size.

Over time, this water influx may also contribute to muscle growth by supporting protein synthesis.

Reduced Fatigue

Reducing fatigue is vital for athletes and anyone involved in prolonged physical activities.

Various studies have demonstrated that creatine plays a significant role in reducing the onset of fatigue.

This likely occurs due to improved ATP production, giving your muscles more energy to work with during strenuous exercise.

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Cognitive Enhancement

Creatine isn’t just beneficial for physical performance; it has also shown promise in enhancing cognitive functions.

The brain, like muscles, requires substantial energy to operate efficiently.

Creatine is an energy source for neurons, particularly those involved in tasks requiring focus and quick thinking.

Bone Mineral Density

Preliminary research suggests that creatine might have a beneficial impact on bone mineral density.

While more research is needed, early findings indicate a positive correlation between creatine supplementation and improved bone health.

This could be due to its effects on muscle mass and function or direct effects on bone cells.

Potential Neurodegenerative Disease Benefits

While not a cure or preventive measure for conditions like Alzheimer’s or Parkinson’s, some studies suggest that creatine may offer some benefits.

These benefits likely stem from its role in cellular energy metabolism, which is crucial for the function of neurons.

Creatine Recommendation

Creatine has a number of important functions throughout the body and brain.

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It’s popular in the fitness world because it can draw more water into muscles and increase power output, enhancing physical performance.

However, creatine also has interesting effects on mood.

Studies have shown that creatine can increase levels of activation and mood overall, which could benefit someone with major depression. (source #1) (source #2)

It’s been shown to improve the symptoms of major depression and can potentially enhance the effects of antidepressant medication.

That being said, creatine isn’t right for everyone.

It’s been reported to promote hair loss in some individuals and increase mania in people who are already manic.

Creatine Dosage

In regards to creatine dosing, many users report personally taking 5g of creatine each day.

Some follow the protocol of a creatine loading phase, where you take up to 25g per day for roughly a week before dropping the dosage back down to 10 to 15g daily.

During this time, you may consider taking creatine with fruit juice to aid in the transportation of creatine into the muscles.

This protocol was particularly geared toward bodybuilding.

PhaseDaily DosageDurationNotes
Loading Phase20 grams, divided into 4 servings5-7 daysDivided into 4 servings of 5g each; helps to saturate muscles quickly
*Maintenance Phase3-5 gramsLong-term (months)Daily dose to maintain saturation; individual needs may vary
Special Considerations (Elderly, Athletes)2-10 gramsAs advisedMay require more or less based on activity level and medical condition; consult physician if kidney problems

However, he no longer follows this protocol and now takes 5g of creatine daily.

Creatine Timing

You can take creatine either in the morning or prior to a workout.

Dr. Andy Galpin, said the following regarding creatine.

“The timing doesn’t matter. Totally irrelevant. Take it in the morning, breakfast, take it at night, take it anytime you want.”

Dr. Andy Galpin

FAQ

Should I take creatine every day?

If it’s safe for you, creatine is most effective when taken every day.

Be sure to consult your healthcare professional first to determine whether it’s safe to supplement creatine.

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About the Author

Drew Wilkins is a fitness and nutrition expert with a Master's in Biokinesiology (emphasis in Sports Science) from the University of Southern California and over a decade of experience as a personal trainer, nutrition consultant, and wellness coach. An avid surfer and soccer player, he brings a unique perspective to his research, advocating for a balanced approach to health that includes physical fitness, nutrition, and mental well-being.

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