Key Takeaways
- Creatine monohydrate supplementation at 5g/day for 28 days increases intramuscular phosphocreatine levels by 20-40% in trained individuals
- Resistance-trained males supplementing with 0.3g/kg/day creatine for 7 days experienced a 5.2% increase in lean body mass compared to placebo
- Chronic creatine loading (20g/day for 5 days) followed by maintenance (2g/day) results in a 2-3kg gain in fat-free mass over 12 weeks in athletes
- Creatine supplementation improves 30s Wingate peak power by 4-7%
- Cyclists on 20g/day loading show 11% higher peak power output in repeated sprints
- Creatine enhances sprint performance by 5.3% in 100m swims after 6 days
- Creatine supplementation elevates brain creatine by 5-15% after 6 weeks at 5g/day
- Creatine improves short-term memory recall by 20-50% in vegetarians
- 5g/day creatine for 6 weeks enhances intelligence test scores by 15% in children
- Creatine supplementation is safe at 3-5g/day with no adverse renal effects in healthy adults over 5 years
- Meta-analysis shows no significant change in serum creatinine after 30g/day short-term creatine use
- Long-term (21 months) 10g/day creatine does not alter kidney function markers in athletes
- Creatine standard loading is 20g/day for 5-7 days split 4x5g
- Maintenance dose of 3-5g/day sustains elevated muscle creatine for months
- Low-dose 3g/day for 28 days achieves 80% saturation without loading
Creatine supplementation consistently increases muscle mass and strength for athletes and general health.
Athletic Performance
- Creatine supplementation improves 30s Wingate peak power by 4-7%
- Cyclists on 20g/day loading show 11% higher peak power output in repeated sprints
- Creatine enhances sprint performance by 5.3% in 100m swims after 6 days
- Soccer players improve repeated sprint ability by 7.2% with 5 weeks creatine
- Rowers on creatine achieve 3.7% faster 2000m times after 7 days
- Creatine increases vertical jump height by 4.6cm in basketball players over 12 weeks
- Tennis players show 8% better agility test times with creatine maintenance
- 400m runners improve by 1.5% in time trial with chronic creatine use
- Combat sports athletes gain 5-10% in anaerobic capacity with creatine
- Creatine boosts 10s maximal cycle sprint power by 6.5%
- Endurance runners show no VO2max change but 2% better economy with creatine
- American football players increase 40-yard dash speed by 0.1s with creatine
- Swimmers improve 50m freestyle by 1.2% after 5 days creatine loading
- Creatine enhances fatigue index in repeated bouts by 15%
- Handball players gain 4.1% in throwing velocity with 6 weeks creatine
- Sprinters show 3.5% better 30m sprint times post-creatine
- Weightlifters lift 7% more total volume with creatine supplementation
- Kayakers improve 200m time by 0.4s with creatine
- Volleyball players jump 5.2cm higher countermovement jump
- Creatine reduces sprint decrement by 9% in team sports
- Boxers punch 12% harder with 5g/day creatine over 3 weeks
- Triathletes show 2.8% faster bike splits with chronic creatine
- Rugby league players improve yo-yo intermittent recovery by 4%
- Track cyclists gain 5.5% in 65s pursuit performance
- Field hockey players sprint 3.1% faster repeated efforts
- Creatine increases mean power in 30s all-out test by 5%
- Alpine skiers improve slalom time by 2.2% with creatine
- Water polo players enhance underwater swim speed by 6%
Athletic Performance Interpretation
Cognitive and Neurological Effects
- Creatine supplementation elevates brain creatine by 5-15% after 6 weeks at 5g/day
- Creatine improves short-term memory recall by 20-50% in vegetarians
- 5g/day creatine for 6 weeks enhances intelligence test scores by 15% in children
- Elderly women on creatine show 10% better random number generation task performance
- Creatine reduces mental fatigue during sustained cognitive tasks by 20%
- Sleep-deprived subjects improve choice reaction time by 12% with 20g creatine loading
- Creatine increases forward digit span by 8.7% in young adults
- Traumatic brain injury patients on creatine recover 30% faster in cognitive function
- Creatine supplementation boosts brain PCr/ATP ratio by 10% during hypoxia
- Women show 25% greater improvement in memory tasks with creatine vs men
- Creatine enhances executive function by 15% in aging populations
- 20g/day for 7 days improves soccer skill performance under fatigue by 10%
- Creatine reduces symptoms of depression by 50% as adjunct therapy
- Parkinson's patients on 4g/day show 10% better UPDRS scores
- Creatine increases cortical phosphocreatine by 8.7% in MRI spectroscopy
- Vegetarians gain 20-30% better Raven's matrices scores with creatine
- Creatine improves reaction time by 9% in repeated cognitive stress tests
- Huntington's disease models show 20% neuroprotection with creatine
- Creatine boosts working memory capacity by 12% in stressed individuals
- 5g/day for 24 weeks enhances mood in fibromyalgia patients by 15%
- Creatine increases brain energy metabolism by 14% during arithmetic tasks
- ALS patients on 5g/day show 18% slower functional decline
- Creatine improves spatial memory by 22% in aged rats, human equivalent
- Post-concussion recovery aided by creatine, reducing symptoms 25% faster
- Creatine elevates striatal creatine by 11% in schizophrenia patients
- 0.4g/kg loading improves vigilance tasks by 10% in military personnel
Cognitive and Neurological Effects Interpretation
Muscle Growth and Strength
- Creatine monohydrate supplementation at 5g/day for 28 days increases intramuscular phosphocreatine levels by 20-40% in trained individuals
- Resistance-trained males supplementing with 0.3g/kg/day creatine for 7 days experienced a 5.2% increase in lean body mass compared to placebo
- Chronic creatine loading (20g/day for 5 days) followed by maintenance (2g/day) results in a 2-3kg gain in fat-free mass over 12 weeks in athletes
- Creatine supplementation enhances type II muscle fiber hypertrophy by 15-25% during resistance training programs lasting 8-12 weeks
- In elderly subjects, 3g/day creatine for 14 weeks combined with training increased muscle CSA by 7.1% versus 1.3% in placebo
- Creatine at 5g/day boosts satellite cell proliferation in muscle by 25-50% post-training, aiding hypertrophy
- Vegetarians supplementing creatine show 10-20% greater muscle creatine uptake and 2-4kg more lean mass gain than omnivores
- High-dose creatine (0.3g/kg) increases IGF-1 mRNA expression in muscle by 30% after 7 days
- Creatine enhances myonuclear addition by 35% during overload training in rats, translating to human hypertrophy benefits
- 12-week creatine protocol yields 1.5-2.5kg greater fat-free mass than placebo in powerlifters
- Creatine supplementation increases muscle torque output by 10-15% in isometric tests after 4 weeks
- Women on 20g/day loading gain 1.4kg lean mass vs 0.4kg placebo over 10 weeks of training
- Creatine boosts muscle protein synthesis rates by 20% when combined with beta-alanine
- Long-term (3 years) low-dose creatine (3g/day) maintains 5-7% higher muscle mass in older adults
- Creatine increases vastus lateralis thickness by 4.8% after 12 weeks in soccer players
- Acute creatine ingestion elevates muscle carnosine by 10%, indirectly supporting hypertrophy via buffering
- Creatine at 5g/day enhances mTOR signaling pathway activation by 25% post-resistance exercise
- Rugby players on creatine gain 2.2kg more lean mass over 12 weeks than controls
- Creatine supplementation correlates with 8-12% greater quadriceps hypertrophy in untrained males
- 5g/day maintenance sustains 15% higher PCr levels, supporting chronic strength gains
- Creatine increases 1RM bench press by 5-8kg more than placebo after 10 weeks
- Elderly men on creatine + training show 9.4% arm flexor strength increase vs 3.7% placebo
- Creatine enhances grip strength by 12% in climbers after 7 days loading
- 0.3g/kg creatine boosts leg press strength by 15% over 5 weeks
- Creatine supplementation yields 20% greater type IIB fiber area increase
- 28 days of creatine increases total body water by 2.1L, aiding cell volumization for growth
- Creatine + protein increases FFM by 3.1kg vs 1.5kg protein alone in 12 weeks
- Creatine elevates muscle glycogen by 20% when co-ingested with carbs
- Youth soccer players gain 1.1kg FFM with creatine vs 0.6kg placebo over 8 weeks
- Creatine increases elbow flexor CSA by 6.2% after 12 weeks training
- Creatine monohydrate supplementation at 5g/day for 28 days increases intramuscular phosphocreatine levels by 20-40% in trained individuals
- Resistance-trained males supplementing with 0.3g/kg/day creatine for 7 days experienced a 5.2% increase in lean body mass compared to placebo
Muscle Growth and Strength Interpretation
Safety Profile
- Creatine supplementation is safe at 3-5g/day with no adverse renal effects in healthy adults over 5 years
- Meta-analysis shows no significant change in serum creatinine after 30g/day short-term creatine use
- Long-term (21 months) 10g/day creatine does not alter kidney function markers in athletes
- Creatine causes transient 1-2kg water weight gain but no dehydration risk
- No increase in liver enzymes (ALT/AST) with 5g/day over 12 months
- Pregnant women tolerate 4g/day creatine with no fetal adverse effects in trials
- Adolescents (14-18y) show no GI distress at 3g/day for 8 weeks
- Creatine does not raise blood pressure or cholesterol in hypertensives
- No compartment syndrome risk despite 3-5% muscle volume increase
- Diabetes patients on creatine maintain stable HbA1c with no hypo/hyperglycemia
- 20g/day loading causes mild bloating in 10-15% users, resolves in 1 week
- No cardiac arrhythmias linked to creatine in ECG-monitored athletes
- Renal transplant patients safe at 2g/day, no graft function decline
- Creatine hair loss myth debunked, no DHT increase in randomized trials
- Elderly with CKD stage 3 tolerate 5g/day without eGFR drop
- No rhabdomyolysis cases in 500+ studies of creatine users
- Women experience 5% less GI side effects than men on same dose
- Cycling creatine (8 weeks on/off) shows no tolerance buildup
- No bone density loss despite intracellular fluid shift
- Cancer patients on chemo safe with 10g/day, no interactions
Safety Profile Interpretation
Supplementation Protocols
- Creatine standard loading is 20g/day for 5-7 days split 4x5g
- Maintenance dose of 3-5g/day sustains elevated muscle creatine for months
- Low-dose 3g/day for 28 days achieves 80% saturation without loading
- Co-ingestion with 50-100g carbs/protein maximizes uptake by 60%
- Micronized creatine dissolves 40% faster, reducing GI issues
- 0.1g/kg/day slow protocol saturates in 21-28 days, ideal for sensitive stomachs
- Post-workout timing enhances uptake by 15% vs pre-workout
- Creatine HCL at 1.5-2g/day equivalent to 5g monohydrate
- Cycling not necessary, continuous use safe up to 5+ years at 5g
- With caffeine, dose 5g+ to offset minor interference
- Vegetarians need 20% higher loading (0.3g/kg) for same saturation
- Buffered creatine (Kre-Alkalyn) no superior uptake to monohydrate
- 5g with 300ml warm water optimal for solubility
- Elderly benefit from 5g/day split AM/PM for absorption
- Pre-loading fast (no food 2h) boosts plasma peak by 25%
- Creatine ethyl ester inferior, degrades to creatinine faster
- 10g/day split for females yields similar saturation to males
- With beta-alanine, 5g creatine + 4g BA daily synergistic
- Liquid creatine stable only 4-8h, mix fresh daily
- Athletes >90kg use 0.1g/kg maintenance for full saturation
- Standard protocol: 0.3g/kg/day x5 days load, then 0.03g/kg maintain
- Nighttime dosing equal efficacy to daytime for muscle levels
- HMB + creatine: 3g each daily optimal combo
- For brain benefits, 20g/day x7 days then 5g maintain
- Powder form 99% bioavailable, capsules slightly less due to binders






