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Should I be taking creatine? The experts answer…

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Written byAmy Bonifas

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Reviewed byHeeral Patel

Female taking a scoop of creatine from a silver tin
It’s the supplement taking over TikTok and gym bags everywhere – we asked the experts about the benefits and whether it’s right for you

Summary

1Why is creatine blowing up?

“I think it’s so popular at the moment as so many experts back it – because it’s so well researched,” says Megan Hallett, women’s health expert...

2What are the benefits of creatine?

“It improves energy supply to muscle tissue and helps to enhance the effect of resistance training on muscle strength during high-intensity exercise..

3Is creatine worth taking?

“It’s a yes from us! Creatine is different to protein powder, so you can use both as part of a healthy supplement routine and especially useful if...

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Once reserved for bodybuilders and pro athletes, creatine has officially gone mainstream, and it’s not just about bulking up.

Fitness influencers, runners and everyday gym-goers are singing its praises, so we asked the experts to break it all down – from the benefits and myths, to how it might work differently for men and women.

What is creatine?

“Creatine is a naturally occurring compound that’s stored in our muscles and brain, where it helps produce ATP1 (adenosine triphosphate), the body’s main energy source,” explains nutritionist, GQ Jordan. “ATP is needed for every muscle contraction and brain function,2 but it depletes quickly, especially during exercise.”

You can get some creatine from your food, especially red meat, poultry and fish. If you’re vegetarian or vegan, or don't get much of these foods in your diet, you can get it in supplement form, too – either powder that you mix with water or pills and gummies.

Why is creatine blowing up on TikTok?

You only need to scratch the surface of #gymtok to find millions of people discussing creatine workout boosters, how-tos, benefits and powder vs gummies.

“I think it’s so popular at the moment as so many experts back it – because it’s so well researched,” says Megan Hallett, women’s health expert and author of The Happy Balance. “There can be a lot of confusion around supplements on social media, but for creatine, there’s evidence it’s a safe and effective supplement.”

“I’ve also noticed more women using creatine,” says GQ. “I think because there’s more education round the fact that creatine doesn’t make women ‘bulky’ – instead people find that it can help grow muscle,3 improve metabolism4 and enhance endurance.”5

What are the benefits of creatine?

Athletes and gym goers have been loving creatine for a while now. But it’s not just helpful for HYROX addicts, it can be useful for anyone who loves high-intensity exercise.

“It can be a really effective tool in boosting performance,” says Megan. “Creatine helps energy production by increasing the availability of ATP1 – our body’s energy currency, especially during short bursts of intense activity,” she explains.

This improves energy supply to muscle tissue and helps to enhance the effect of resistance training on muscle strength during high-intensity exercise and weight-lifting sessions.
Female in the gym lifting weights. Happy expression
Another draw is that some studies6 show it can help us recover and come back stronger. “Creatine might show promise in helping with recovery by reducing muscle damage between bouts of exercise,” explains dietician Jo Travers.

Some emerging research7 suggests it might have cognitive benefits, like improving memory in healthy older adults – handy if you’re doing a more complex workout. However, larger robust clinical trials are needed to fully support this.

Does creatine affect men and women differently?

Research shows8 that women have naturally lower creatine reserves – around 70-80% less than men. “The vast majority of studies have been carried out in men, but there’s emerging evidence that creatine might be more effective in women,” explains Jo. One meta-analysis9 showed that it could even offer a little more performance gains compared to men.

Beyond the workout gains, some emerging evidence suggests it may help peri- and post-menopause symptoms. Changing hormones during the menstrual cycle influences your body’s ability to balance creatine levels, and researchers8 have found that supplementing during your cycle might help ease symptoms and give extra cognitive and sleep benefits Although, creatine in women’s health is an understudied area and requires better quality studies to confirm these potential benefits.

“It might also positively impact bone density, which is a key consideration post-menopause,” says Megan. One recent study8 showed that taking creatine supplements – in combination with resistance training – may counterbalance muscle, bone and strength loss for women with menopause.

While there’s some emerging research in this field, more research in women’s health and creatine is needed to say for sure if these benefits are true. What we do know is that creatine helps increase physical performance in successive bursts of short-term, high intensity exercise and can enhance the effect of resistance training on muscle strength – so male or female you should still be able to get these benefits.

How to take creatine

“I’d recommend taking 3-5g daily,” says Megan. The jury’s still out on the best time to take creatine. “Many brands recommend taking creatine pre-workout, but there’s a lack of evidence to support this,” says Jo. “Just taking it daily seems to give similar benefits to taking it either before, after or during exercise.”

“Though some research shows that taking it with carbs or protein may improve the body’s ability to use it,” says Jo. Consistency is also key, so you may as well maximise the power of habit-stacking and pair it with your pre- or post-workout snack.

Is creatine worth taking?

It’s a yes from our experts. “If you train regularly, feel fatigued, or want to support muscle strength and recovery, it’s one of the simplest, safest and most effective supplements you can take,” says GQ. It’s especially useful if you regularly do high-intensity exercise like HIIT, team sports or strength training where you need intermittent bursts of power and help regenerate between reps.

“Creatine is different to protein powder, so you can use both as part of a healthy supplement routine,” says Megan. “Try them both in a post-workout shake or smoothie.”

What are the side effects of creatine?

While experts hail creatine as a safe and well-researched supplement, some people report side effects.

Water retention and weight gain are the most common ones.8 “Some people worry about water retention, but it’s important to clarify where this water is stored,” explains GQ. “Creatine pulls water into muscle cells, not under the skin, which means muscles may look fuller and more hydrated, not bloated.”

Scrimping on the water won’t help – always stay well-hydrated, especially if you’re working out intensely.
Creatine being poured into drink
Taking high doses of creatine10 can cause stomach upset and diarrhoea. Still, you can easily combat this by sticking to the recommended dose, starting on a lower dose, or splitting the dose throughout the day, while your body gets used to it.

Everyone is different so some people can still get side effects if they take the recommended dose – always speak to your doctor before adding a new supplement to your routine.

The final say

It’s officially one of the most well-researched supplements out there, and you can’t argue with its performance-enhancing benefits. “There’s so much evidence to suggest that creatine is safe and effective in a range of population groups,” says Jo.

So, you should be able to safely add this supplement to your roster and reap some big workout and health gains, no matter your life stage. However, speak to your doctor or a healthcare professional before adding any new supplements into your routine to make sure it’s suitable for you.

Keen to get started? Read more about the different types of creatine.

Disclaimer

This article provides informational advice and is not a substitute for medical care. Curated by experts for accuracy, we take great care to ensure the information is up-to-date and relevant. However, you should always consult your GP or healthcare professional before using supplements or alternative products, particularly if you have medical conditions or are under supervision.
 

Sources

1. Brody T. Creatine Phosphate - an overview | ScienceDirect Topics [Internet]. Sciencedirect.com. 2014. Available from: https://www.sciencedirect.com/topics/nursing-and-health-professions/creatine-phosphate
2. Dunn J, Grider MH. Physiology, Adenosine Triphosphate [Internet]. PubMed. Treasure Island (FL): StatPearls Publishing; 2023. Available from: https://www.ncbi.nlm.nih.gov/books/NBK553175/
3. Wu SH. Creatine supplementation for muscle growth: A scoping review of randomized clinical trials from 2012 to 2021. Nutrients [Internet]. 2022 Jan 1;14(6):1255. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8949037/
4. Jaramillo A, Jaramillo L, Castells J, Andrés Beltrán, Mora N, Torres N, et al. Effectiveness of Creatine in Metabolic Performance: A Systematic Review and Meta-Analysis. Cureus [Internet]. 2023 Sep 15;15(9). Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10503229/#REF19
5. Forbes SC, Candow DG, Neto J, Kennedy MD, Forbes JL, Machado M, et al. Creatine Supplementation and Endurance performance: Surges and Sprints to Win the Race. Journal of the International Society of Sports Nutrition. 2023 Apr 25;20(1).
6. Wax B. Creatine for Exercise and Sports Performance, with Recovery Considerations for Healthy Populations. Nutrients [Internet]. 2021 Jun 2;13(6):1915. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8228369/
7. Avgerinos KI, Spyrou N, Bougioukas KI, Kapogiannis D. Effects of creatine supplementation on cognitive function of healthy individuals: A systematic review of randomized controlled trials. Experimental Gerontology. 2018 Jul;108:166–73.
8. Smith-Ryan AE, Cabre HE, Eckerson JM, Candow DG. Creatine Supplementation in Women’s Health: A Lifespan Perspective. Nutrients. 2021 Mar 8;13(3):877.
9. Glenn JM, Gray M, Gualano B, Roschel H. The Ergogenic Effects of Supplemental Nutritional Aids on Anaerobic Performance in Female Athletes. Strength and Conditioning Journal. 2016 Apr;38(2):105–20.
10. Ostojic SM, Ahmetovic Z. Gastrointestinal Distress After Creatine Supplementation in Athletes: Are Side Effects Dose Dependent? Research in Sports Medicine. 2008 Feb 7;16(1):15–22.
 

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