Creatine
Creatine is stored in muscle cells as phosphocreatine — a rapid ATP resynthesis buffer. When a muscle fires, ATP is consumed in milliseconds; phosphocreatine rebuilds it instantly, before slower metabolic pathways can respond. Saturating this pool through supplementation extends the window of high-intensity output before fatigue sets in.
The most studied supplement in sports science. Safe across the full tested dose range. Only form worth using: creatine monohydrate. All other variants (HCl, ethyl ester, buffered) are marketing — not better absorbed, not better tolerated, just more expensive. Source matters too: only buy from brands that use Creapure or Creavitalis raw material — cheap Chinese-sourced creatine contains toxic synthesis byproducts.
Why creatine
- better energy and endurance
- supports muscle mass and strength
- helps brain function at higher doses
- beneficial equally for men and women
Muscle & performance
- Strength — consistent +5–15% increase in 1RM across compound lifts in the majority of studies
- Power output — faster peak force production; measurable in sprint, jump, and explosive effort tests
- Muscle volume — increased intracellular water retention (cell volumization) and real lean mass gain over training cycles
- Recovery — reduces muscle damage markers (CK, LDH) after hard sessions; faster return to full output
- Endurance buffer — less benefit for pure aerobic work, but helps in high-intensity intervals and repeated sprint protocols
- Equally effective in women
Brain
- Cognitive performance under stress — measurable improvements in reaction time, working memory, and mental fatigue resistance, especially during sleep deprivation or hypoxia; benefit is consistent and replicated
- Older adults — strong effect (SMD ~0.88) in adults 66–76; brain phosphocreatine declines with age and supplementation partially restores it
- Healthy young adults at rest — evidence is weak to null; even 10–20g/day for 6 weeks shows no significant improvement in most RCTs; the brain already operates near its PCr ceiling when unstressed
- Vegetarians — lower brain creatine baseline means larger cognitive response to supplementation
- Neuroprotection — early evidence for reduced damage markers after mild TBI; preliminary
- Mood and depression — several trials showing benefit as an SSRI adjunct, especially in women; linked to brain energy metabolism
Doses
- 3–5g/day — muscle, performance, and general health; no loading required, steady-state saturation in ~4 weeks; ~0.1g/kg/day is a more precise estimate
- 5–10g/day — used in cognitive trials showing benefit in older adults, sleep-deprived individuals, and vegetarians; higher dose does not improve cognition in healthy young adults at rest — context determines whether there is any brain benefit at all
- Loading protocol (optional): 20g/day split into 4 × 5g doses for 5–7 days to saturate faster, then drop to maintenance — reaches the same endpoint as gradual dosing ~3 weeks sooner
- Absorption is enhanced when taken with carbohydrates or electrolytes (insulin-mediated creatine uptake via the SLC6A8 transporter)
Side effects
No serious adverse effects at any studied dose.
- Water retention — 1–3kg bodyweight increase from intracellular volumization, not fat; normalizes if you stop
- GI discomfort — only at high single doses (>10g at once); split doses eliminate this almost entirely
- Creatinine elevation in bloodwork — expected finding in anyone supplementing creatine, not a sign of kidney damage in healthy people
- Kidney concerns — no adverse renal effects in healthy individuals at any studied dose; pre-existing kidney disease: consult a doctor
Sources
⚠️ Only use ultra-clean certified creatine. Raw material source matters — contaminated creatine exists and is widely sold. Two certified manufacturers: Creapure (Germany, AlzChem) and Creavitalis (Netherlands). Any brand is fine as long as they explicitly state one of these as their raw material source.
- China-sourced raw material contains high levels of dicyandiamide (DCD) and dihydrotriazine (DHT) — ☠️ byproducts of cheap synthesis
- most brands just repack bulk raw material — they do not manufacture it themselves; the raw material source is what matters
- check klati✅ for approved sources links
Research
- ISSN Position Stand: safety and efficacy of creatine in exercise, sport, and medicine — Kreider et al. (J Int Soc Sports Nutr 2017 · PMID: 28615996) — comprehensive review; up to 30g/day for 5 years confirmed safe; covers performance, brain, clinical use
- Effects of creatine supplementation on performance and training adaptations — Kreider (Mol Cell Biochem 2003 · PMID: 12701815) — 300+ studies reviewed; +5–15% maximal strength/power, +5–15% sprint work capacity
- Oral creatine monohydrate supplementation improves brain performance — Rae et al. (Proc R Soc Lond B 2003 · PMID: 14561278) — double-blind RCT; significant improvements in working memory and intelligence test scores
- Creatine supplementation and cognitive performance in elderly individuals — McMorris et al. (Neuropsychol Dev Cogn B 2007 · PMID: 17828627) — RCT; significant cognitive benefit across multiple memory and reasoning tasks in elderly
- Effects of creatine on cognitive function of healthy individuals: systematic review of RCTs — Avgerinos et al. (Exp Gerontol 2018 · PMID: 29704637) — 6 RCTs reviewed; short-term memory and intelligence/reasoning improved; benefit strongest in aging and stressed populations
- Creatine supplementation on memory in healthy individuals: systematic review and meta-analysis — Prokopidis et al. (Nutr Rev 2023 · PMID: 35984306) — 10 RCTs; creatine improved memory vs placebo (SMD=0.29, p=0.02); effect much stronger in older adults 66–76y (SMD=0.88, p=0.009); no significant effect in younger adults
- The effects of creatine supplementation on cognitive performance: largest RCT to date — Sandkühler et al. (Nutrients 2023 · PMID: 37968687) — n=123, crossover double-blind, 5g/day 6 weeks; Bayesian evidence for small beneficial effect on working memory; “a small effect could have large benefits when scaled over time and over many people”
- The effects of creatine supplementation on cognitive function in adults: systematic review and meta-analysis — Xu et al. (2024 · PMID: 39070254) — 16 RCTs (n=492); significant improvements in memory (SMD=0.31), attention time, and processing speed; no significant effect on overall cognitive function or executive function; benefit strongest in diseased individuals and females
- Creatine supplementation in depression: mechanisms, efficacy, clinical outcomes — Juneja et al. (2024 · PMID: 39553021) — narrative review; creatine enhances brain energy metabolism, mitochondrial function, and neurotransmitter regulation; reduces depressive symptoms especially as SSRI adjunct; animal and human trials both positive
- Creatine supplementation and the brain: have we put the cart before the horse? — Candow et al. (J Diet Suppl 2026 · PMID: 41556609) — narrative review; brain creatine does increase with supplementation but response is dose/duration dependent; consistent benefit in metabolic stress states; no reliable benefit in healthy young adults at rest; calls for better measurement methodology and more rigorous dose-response trials