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Creatine

Creatine: "Everything You Need To Know"

What is creatine?

Creatine is a naturally occurring compound in small amounts in some foods, such as meat and fish, and it also can be synthesized in the human body. It is important for energy production, especially during short bursts of activity requiring maximum effort. Most people associate creatine with sports and fitness, since creatine supplements are taken to help with improvements in strength, power, and muscle mass.


Chemical Characteristic of Creatine

Creatine is an organic acid containing nitrogen, sharing characteristics with amino acids. It is formed from three amino acids—namely, arginine, glycine, and methionine. Nearly 95% of creatine in the body is found in muscles as phosphocreatine, with the rest (approximately 5%) residing in the brain, kidneys, and liver.


1. The Mechanism of Action for Creatine

Creatine is a source of energy in the form of adenosine triphosphate, or ATP, which otherwise serves as a carrier of a currency of cellular energy. During high-energy activities such as weight lifting or sprinting, the body maximally uses ATP to fuel contractions in muscles. Still, stores of ATP are a finite resource and may be depleted in a matter of seconds under conditions of intense effort.

Creatine aids in the regeneration of ATP, donating a phosphate group to adenosine diphosphate (ADP) to back-convert it to ATP so that muscles can keep contracting at very high intensities for longer. This is particularly relevant in high-power, short-duration activities such as weight lifting, sprinting, and jumping.

Creatine
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2. Perhaps Creatine Helps Suppress

Improves muscle strength and power:

Creatine supplementation has been shown to increase muscle strength and power production, especially during short-duration, high-intensity activities. Studies suggest creatine may improve performance in exercises such as weight lifting, sprinting, and jumping.

More Hypertrophy:

Creatine increases muscle mass by improving the ability to train harder and hence stimulate additional muscle growth. It also floods the muscle with water, leading to an increase in cell volumization. This kind of "cell volumization" effect provides an anabolic environment for muscle growth. Creatine facilitates the expression of specific proteins that influence muscle repair and growth.

Recovery:

Creatine supplementation may reduce the damage and inflammation to muscle after intense exercise. If so, it is correlated with faster recovery times, less muscle soreness, and even less muscle damage in conditions such as prolonged or intensity exercise.

Cognitive benefits:

Recent studies have suggested creatine supplementation may positively impact brain function, particularly during states of sleep deprivation or mental fatigue. The brain, like muscles, utilizes ATP, and creatine increases ATP production, potentially conferring cognitive benefits during tasks requiring high mental exertion.

Increased endurance in repeatedly high-intensity activities:

Creatine may optimize performance in repeated bouts of high-intensity exercise (e.g., repeated sprints in team sports) although it benefits short bursts of activity the most (e.g., weight lifting or sprinting).


3. Types of Creatine

Creatine Monohydrate:

Well-studied and common form of creatine. Inexpensive, effective, and primarily available as powder. Creatine monohydrate is thought to operate by elevating creatine levels in muscle tissue, thus contributing to enhanced performance in high-intensity activities.

Creatine ethyl ester (CEE):

A more bioavailable form of creatine that has the creatine molecule bound to an ester to augment absorption. Some users maintain that it causes less water retention than creatine monohydrate, though scientific evidence demonstrating the greatest effectiveness is sparse. 

Buffered creatine (Kre-Alkalyn):

Buffered creatine is creatine processed at a higher pH for better stability and to decrease conversion of creatine in the stomach to creatinine (a waste product). Some reports state it may work better at lower doses, although there is currently little evidence to support claims that it's any superior than creatine monohydrate.

Creatine Hydrochloride (HCl):

More soluble than monohydrate, better absorption, and less GI discomfort. Therapeutic advantages over creatine monohydrate remain unproven.

Creatine malate and Creatine citrate:

These include creatine molecules bound to other compounds like malic acid or citric acid, potentially enhancing their solubility and limiting water retention; however, they tend to be extremely expensive and confer negligible merit on top of the traditional monohydrate. 


4. Creatine Administration

Loading phase (optional): 

The loading phase is the process of taking high doses of creatine to quickly saturate muscles. A loading dose usually refers to 20 grams per day for 5-7 days (loading), after which the dose is cut to some maintenance amount of about 3-5 grams daily.

Without Loading (Maintenance Only):

Total maintenance dose of 3-5 grams per day, slowly saturating muscle stores over a period of time. It works just as well in the long run, but may take somewhat longer in reaching maximum saturation of the muscle (3-4 weeks). 

Timing of Dosage:

Creatine can be taken any time during the day; however, most people tend to take it immediately after a workout with a protein shake for recovery and muscle gains. A few studies suggest that consuming creatine after a workout when muscles are best primed for the nutrient may yield some slight benefits.

Hydration: 

Creatine draws water into muscle cells, so you should keep hydrated while taking creatine supplements.

Potential Side Effects

Creatine supplements are safe for most people when used in appropriate doses (3–5 grams daily). However, some side effects may occur:

Water retention:

Creatine can cause water retention, which can lead to temporary weight gain and a “bloated” feeling. This normally occurs within muscle tissue and is part of the process that contributes to increasing muscle mass.

Digestive problems:

Some people may experience stomach cramps, nausea, or diarrhea, especially with higher doses or certain forms of creatine (e.g., creatine ethyl ester). To minimize these effects, start with a low dose and increase it slowly.

Kidney stress:

While there are concerns about creatine’s effects on kidney function, studies in healthy individuals show that it has no significant negative effects on kidney health when taken at recommended doses. However, people with some kidney issues should consult a doctor before using it.

Dehydration:

Since creatine increases water retention in the muscles, it is important to drink enough fluids to stay hydrated, especially during intense exercise sessions.Especially during intense exercise sessions.


5. Myths and Misconceptions

Myth 1: Creatine damages the kidneys

There is no conclusive evidence that creatine damages the kidneys in healthy individuals when used correctly. People with pre-existing kidney disease should consult a doctor before using creatine.

Myth 2: Creatine is a steroid

Creatine is not a steroid or a banned substance in most sports. It is a naturally occurring compound that aids in ATP production and muscle function.

Myth 3: You need to cycle creatine

Cycling creatine (taking it for a few weeks and then stopping) is not necessary for most individuals. You can take creatine continuously without any risk of your body “getting used to it.” Although some people choose to cycle for personal reasons, it is not supported by scientific evidence.


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Conclusion: Creatine

Creatine is most researched and helpful supplements. It helps improve high-intensity exercise performance, promotes muscle growth, and may also provide cognitive benefits. While it is generally safe for most people when used as directed, it is important to ensure proper hydration and follow the recommended dosage. If you have any underlying health concerns, especially kidney problems, you should consult a healthcare professional before starting creatine supplementation.

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