Creatine
Also known as: Creatine monohydrate, Methylguanidinoacetic acid
A compound made from amino acids that fuels short bursts of muscle power and is the most studied sports supplement in the world.
In short
Creatine is a compound your body makes from three amino acids — arginine, glycine, and methionine — and stores mostly in muscle as phosphocreatine. During short, intense efforts like lifting or sprinting, phosphocreatine rapidly regenerates ATP, the cell's energy currency. Creatine monohydrate is the most researched sports supplement available, with decades of evidence showing it increases strength, power, and lean mass when combined with resistance training.
- Stored in muscle as phosphocreatine, which rapidly regenerates ATP
- Also found in red meat and fish; the body makes about 1 g per day
- Standard dose: 3–5 g of creatine monohydrate daily
- Weight gain of 1–3 lb is common and is mostly water in muscle
What is Creatine?
Creatine is one of the most heavily researched dietary supplements in existence, with thousands of studies spanning more than 30 years. Roughly 95% of the body's creatine is stored in skeletal muscle, where it acts as an energy buffer: by donating a phosphate group to ADP, phosphocreatine regenerates ATP faster than other pathways can, powering maximal efforts lasting up to about 10–15 seconds. Vegetarians and vegans tend to have lower muscle creatine stores and often see the largest responses to supplementation.
Where it comes from
Natural sources
- Made in the liver, kidneys, and pancreas from arginine, glycine, and methionine
- Red meat and poultry (about 1–2 g per pound of raw meat)
- Fish such as herring and salmon
How it's made
Supplemental creatine monohydrate is produced synthetically from sarcosine and cyanamide.
What it does in products
Benefits
Strength and power gains
strong evidenceMeta-analyses of hundreds of trials consistently show creatine plus resistance training increases maximal strength and power output more than training alone, across ages and sexes.
Lean mass gains
strong evidenceBy allowing more training volume, creatine supports greater muscle accretion. Typical gains over 4–12 weeks are 2–5 lb, with an initial 1–3 lb from intramuscular water.
High-intensity performance
strong evidenceCreatine improves repeated sprint and high-intensity interval performance, particularly in efforts lasting seconds rather than endurance events.
Brain health and cognition
emerging evidenceThe brain also uses creatine. Early research suggests supplementation may blunt mental fatigue during sleep deprivation and is being studied in concussion recovery and aging populations.
Side effects & safety
Safety considerations
- Creatine has not been studied in pregnancy; standard guidance is to avoid use during pregnancy and breastfeeding out of caution.
- Creatine increases muscle water content; staying hydrated is important, especially in heat.
- Kidney function tests may show elevated creatinine, which is a normal artifact of supplementation, not kidney damage.
- Not for: Pre-existing kidney disease (use only under medical supervision)
How it's used
In supplements
Standard daily dose: 3–5 g of creatine monohydrate. A loading phase of 20 g daily (split into 4 doses) for 5–7 days saturates muscle stores faster but is optional — the same levels are reached in about 3–4 weeks with the daily dose. Timing around workouts is less important than consistency.
Regulatory status
- Dietary supplement regulated by the FDA under DSHEA. Creatine monohydrate has a long safety record and is permitted in international sport, including by the World Anti-Doping Agency.
- GRAS (generally recognized as safe) for food use.
Popular products containing Creatine
- Micronized Creatine Monohydrate — Flavorless powder that dissolves more easilyOptimum Nutrition · supplement
- Creatine — NSF Certified for SportThorne · supplement
- Creatine Monohydrate PowderBulkSupplements · supplement
Product names and brands are shown for reference and belong to their respective owners.
Creatine monohydrate vs other forms
Dozens of creatine variants — hydrochloride, ethyl ester, buffered creatine, creatine nitrate — are marketed as superior. The evidence does not support these claims: creatine monohydrate remains the most studied form and outperforms or matches all alternatives at a fraction of the cost. Any form must raise muscle phosphocreatine stores to work, and monohydrate does this effectively with excellent tolerance.
Frequently asked questions
Do I need to load creatine?
No. Loading (20 g daily for 5–7 days) saturates muscles faster, but taking 3–5 g daily reaches the same saturation in about three to four weeks with fewer stomach issues. For most people, the daily dose is simpler and equally effective in the long run.
Does creatine cause hair loss?
The concern traces to a single small study from 2009 that found creatine raised DHT levels, a hormone linked to male-pattern baldness. No study has ever shown creatine causes hair loss, and the DHT finding has not been replicated. Genetics remain the main predictor.
Is creatine only for men and bodybuilders?
No. Creatine benefits women, older adults, and team-sport athletes equally, and it is increasingly studied for muscle preservation during aging and recovery from disuse. Dosing does not differ by sex.
The bottom line
Creatine monohydrate is the rare supplement with near-universal scientific agreement: it works for strength, power, and lean mass, with an excellent long-term safety record. Three to five grams daily, consistently, is all most people need.
References
- Dietary Supplements for Exercise and Athletic Performance (creatine section). NIH Office of Dietary Supplements. https://ods.od.nih.gov/factsheets/ExerciseAndAthleticPerformance-HealthProfessional/
- International Society of Sports Nutrition position stand: safety and efficacy of creatine supplementation. Journal of the International Society of Sports Nutrition. https://pmc.ncbi.nlm.nih.gov/articles/PMC5469049/
- Creatine compound summary. PubChem (National Library of Medicine). https://pubchem.ncbi.nlm.nih.gov/compound/586
- Creatine supplementation research literature. PubMed (National Library of Medicine). https://pubmed.ncbi.nlm.nih.gov/?term=creatine+monohydrate+supplementation