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Understanding Creatine: Functions, Supplementation, and Safety

This session discusses creatine, its role in energy production, the benefits of supplementation for muscle and cognitive performance, and safety considerations. Learn about typical dosage guidelines, potential side effects, and emerging applications beyond sports.


  • what is creatine

  • Creatine is a naturally occurring compound found in the body, primarily in muscle cells, and also in foods such as red meat and seafood1. It plays a pivotal role in energy production, particularly in high-intensity, short-duration exercises by replenishing adenosine triphosphate (ATP), the primary energy carrier in cells2.

    Key Points about Creatine:

    1. Function in the Body: Creatine exists in the body as creatine phosphate (phosphocreatine), which aids in the rapid conversion of adenosine diphosphate (ADP) back into ATP, thus replenishing energy stores during high-intensity activities2.

    2. Supplementation: It is widely used as a dietary supplement, especially in sports and bodybuilding, to enhance muscle mass and improve exercise performance1. Typical supplementation involves a loading phase of 20 grams per day for 5-7 days, followed by a maintenance dose of around 3-5 grams per day3.

    3. Efficacy: Creatine supplementation has been shown to improve muscle strength, power output, and exercise performance. It may also enhance recovery after intense physical activities and has potential benefits for cognitive functions24.

    4. Safety: Generally, creatine is considered safe for both short-term and long-term use, with the most common side effect being temporary water retention3. A few cases of liver and renal complications have been reported at very high doses, but these are uncommon5.

    5. Applications beyond Sports: Emerging research suggests potential benefits of creatine in various health conditions, including muscle disorders, neurodegenerative diseases, and age-related muscle loss14.

    For further detailed reading, you may refer to Mayo Clinic's article on creatine.

    Footnotes

    1. MedlinePlus. "Creatine: MedlinePlus Supplements." MedlinePlus. 2 3

    2. Examine.com. "How does creatine work?" Examine.com. 2 3

    3. Hall, Matthew. "Creatine supplementation - PubMed." PubMed. 2

    4. Kreider, Richard B., et al. "International Society of Sports Nutrition position stand: Safety and efficacy of creatine supplementation in exercise, sport, and medicine." Journal of the International Society of Sports Nutrition, 2017. Journal of the International Society of Sports Nutrition. 2

    5. Poortmans, J R. "Adverse effects of creatine supplementation: fact or fiction?" PubMed.

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