Supplements · 4 min read ·

Creatine: the best-researched supplement in the gym

Some swear by the results, others worry about their kidneys. What do hundreds of studies show?

In a nutshell

1What it is

The body makes creatine itself and gets some from meat and fish. In muscles it works as a quick energy reserve for short bursts of power — a sprint, a heavy lift, a jump. People who don't eat meat usually have less of it in their muscles and often respond more to a supplement.1

2Does it work?

Strong evidence 3 g a day The European Union permits the health claim that creatine increases physical performance in repeated short bursts of high-intensity exercise — at a daily dose of at least 3 g. Claims are authorised only after an EFSA assessment.2
Strong evidence A review of more than 200 studies: creatine increases its stores in muscle, improves performance during intense exercise and, as a result, training outcomes — strength and muscle mass.1
Strong evidence EFSA confirmed that in people over 55, creatine together with regular strength training improves muscle strength.3

3How much and how

Expert recommendation 3–5 g of creatine monohydrate a day. A “loading phase” (about 20 g a day split into several doses for 5–7 days) fills the muscles faster, but you get the same result without it, just in 3–4 weeks.1

4Is it safe?

Strong evidence In healthy people from teenagers to seniors, studies have shown no serious side effects or kidney damage, even with long-term use. The most common change is slightly higher body weight at the start — muscles hold more water.1

Anyone with kidney disease or taking medicines that strain the kidneys should talk to a doctor first. Creatine also raises blood creatinine, which doctors use to estimate kidney function — mention it before a blood test.1

What to take from this

Sources

Written on , based on studies available at that date. Newer research may change the conclusions.

  1. Kreider R. B. et al. (2017). International Society of Sports Nutrition position stand: safety and efficacy of creatine supplementation in exercise, sport, and medicine. JISSN 14:18. doi.org/10.1186/s12970-017-0173-z
  2. Commission Regulation (EU) No 432/2012 establishing a list of permitted health claims (creatine and physical performance, daily intake of 3 g). eur-lex.europa.eu
  3. EFSA NDA Panel (2016). Creatine in combination with resistance training and improvement in muscle strength in adults aged 55 years and older. EFSA Journal 14(2):4400. doi.org/10.2903/j.efsa.2016.4400

This is general information and does not replace a doctor. Food supplements are not medicines; buy them from reputable sellers.