What Is Creatine and Why Is It the Most Researched Supplement in the World?
Creatine is a natural compound produced by the body from amino acids (arginine, glycine, methionine) and obtained from food — primarily red meat and fish. Muscles store creatine as phosphocreatine (PCr), which is the body's fastest energy source for intense, short-duration efforts.
Creatine has been studied in over 500 scientific studies and is one of the few supplements whose effectiveness is conclusively proven:
- Strength gain: 5-15% improvement in strength parameters (Rawson & Volek, 2003)
- Muscle growth: 1-2 kg additional mass in the first weeks (water + muscle)
- Endurance: Better performance in repeated sprint efforts (Buford et al., 2007)
- Brain function: Studies show improved cognitive performance (Avgerinos et al., 2018)
- Recovery: Faster recovery between workouts
Creatine monohydrate is the gold standard — the most studied, effective, and affordable form. Other forms (HCl, ethyl ester, buffered) have not shown better results.
What Is a Creatine Loading Phase and How Does It Work?
The loading phase is a strategy where creatine is taken in higher doses during the first 5-7 days to quickly saturate muscle creatine stores.
Traditional loading protocol:
- Phase 1 (loading): 20 g creatine monohydrate per day, split into 4 doses (4x5 g), for 5-7 days
- Phase 2 (maintenance): 3-5 g per day continuously
How it works:
Muscles can store a limited amount of creatine. In a normal state, muscles are ~60-80% full. The loading phase saturates stores to 100% within ~5 days.
Without loading, reaching the same level with 3-5 g daily takes ~3-4 weeks.
Scientific evidence:
Hultman et al. (1996) showed that 20 g/day for 6 days increased muscle creatine content by 20-40%. The same result was achieved with 3 g/day, but only after 28 days.
Is a Loading Phase Actually Necessary?
Short answer: not necessary, but accelerates results.
Loading phase advantages:
- Creatine stores fill in 5-7 days (vs. 3-4 weeks)
- You notice strength gains sooner
- Useful when you want fast results (e.g., before a competition period)
Loading phase disadvantages:
- Digestive issues (bloating, gas, diarrhea)
- Greater weight gain in the first days (water retention)
- More creatine consumed (lower cost-efficiency)
- Uncomfortable for some (4x5 g per day)
What does science say?
International Society of Sports Nutrition (ISSN) position stand (Kreider et al., 2017):
- Loading phase is effective for rapidly saturating creatine stores
- However, 3-5 g/day is sufficient to achieve the same results long-term
- Both protocols are safe and effective
What Is the Optimal Creatine Maintenance Dose?
If you decide to skip the loading phase (which is perfectly reasonable), here are the guidelines:
Standard dose: 3-5 g creatine monohydrate per day
Body weight-based dosing:
- Under 70 kg: 3 g per day
- 70-90 kg: 4 g per day
- Over 90 kg: 5 g per day
Timing:
This is a much-debated question. Science says:
- Before vs. after workout: Both work similarly
- On training days: Take before or after workout (with carbs and protein, which improve absorption)
- On rest days: Take anytime during the day
- Most important: Consistency! Take every day, not just on training days
What to take it with?
- With carbohydrates (insulin promotes creatine transport to muscles)
- With a protein shake (convenient and effective)
- With food (improves absorption)
Do You Need to Cycle Creatine (On/Off Periods)?
This is one of the most common creatine myths. Answer: no, you don't.
Why not:
- Long-term studies (up to 5 years) show no negative side effects from continuous use (Kreider et al., 2017)
- Cycling means losing loading benefits and having to restart
- ISSN recommends continuous use
Exceptions where cycling might be considered:
- Weight-class sports (wrestling, boxing) — creatine water retention may affect weight class
- Individual preferences — some people simply prefer cycles
What Are Creatine's Side Effects and Myths?
Actual side effects (rare and mild):
- Water retention: 1-3 kg weight gain (water in muscles, not fat). This is actually a desired effect — muscles are hydrated and larger.
- Digestive issues: Only with large doses (>10 g at once). Solution: split into smaller doses.
- Muscle cramps: Myth! Studies don't support this. Creatine may actually reduce cramps. Still, drink enough water and add magnesium.
Myths that are NOT true:
"Creatine damages kidneys" — Over 500 studies show no kidney damage in healthy individuals. Creatinine (a creatine breakdown product) rises in blood tests, but this does NOT mean kidney damage. Exception: people with existing kidney disease should consult a doctor.
"Creatine is a steroid" — Creatine is an amino acid compound, not a hormone. It's a natural substance the body produces. WADA does not ban creatine.
"Creatine causes hair loss" — One study (2009) showed a DHT increase, but subsequent studies did not confirm it. Current evidence-based position: no link between creatine and hair loss.
"Creatine is only for young people" — Studies show benefits for elderly (50+) too — maintaining muscle and bone health. Cognitive function improvement in the elderly.
How Do You Combine Creatine with Other Supplements?
Excellent combinations:
- Creatine + protein powder: Classic post-workout shake. Protein + creatine + carbs.
- Creatine + magnesium: Magnesium supports ATP production (the same system creatine uses). 300-400 mg in the evening.
- Creatine + vitamin D: Vitamin D supports muscle function. 2000-4000 IU in Estonian winter.
- Creatine + omega-3: Omega-3 reduces inflammation, creatine improves strength. Complementary effect.
- Creatine + ashwagandha: Ashwagandha supports testosterone and recovery. Studies show greater strength gains when combined with creatine.
Combinations with no conflict but no extra synergy:
- Creatine + BCAAs — BCAAs are unnecessary if protein is sufficient
- Creatine + L-carnitine — different mechanisms, no interaction
Summary: Which Creatine Strategy Should You Choose?
| Strategy | Protocol | Who for | Time to saturation |
|---|---|---|---|
| Loading + maintenance | 20 g/day 7 days then 3-5 g | Those wanting fast results | 5-7 days |
| Maintenance only | 3-5 g/day | Most people | 3-4 weeks |
| Low loading | 10 g/day 10 days then 3-5 g | Compromise between speed and comfort | 10-14 days |
Our recommendation for most trainees:
1. Choose creatine monohydrate — cheapest and most effective form
2. Start with 5 g per day — no loading needed
3. Take every day — including rest days
4. With food — improves absorption
5. Drink enough water — minimum 2-3 liters per day
6. Be patient — stores are full after 3-4 weeks
7. Don't stop — continuous use is safe and effective
Creatine is one of the few supplements that truly works. Don't overcomplicate it — 5 g per day, every day, and results will come.
References
1. Hultman E, Soderlund K, Timmons JA, Cederblad G, Greenhaff PL. (1996). Muscle creatine loading in men. Journal of Applied Physiology, 81(1), 232-237.
2. Kreider RB, Kalman DS, Antonio J, Ziegenfuss TN, Wildman R, Collins R, Candow DG, Kleiner SM, Almada AL, Lopez HL. (2017). 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, 14, 18.
3. Buford TW, Kreider RB, Stout JR, Greenwood M, Campbell B, Spano M, Ziegenfuss T, Lopez H, Landis J, Antonio J. (2007). International Society of Sports Nutrition position stand: creatine supplementation and exercise. Journal of the International Society of Sports Nutrition, 4, 6.
4. Rawson ES, Volek JS. (2003). Effects of creatine supplementation and resistance training on muscle strength and weightlifting performance. Journal of Strength and Conditioning Research, 17(4), 822-831.
5. Avgerinos KI, Spyrou N, Bougioukas KI, Kapogiannis D. (2018). Effects of creatine supplementation on cognitive function of healthy individuals: a systematic review of randomized controlled trials. Experimental Gerontology, 108, 166-173.
See also:
- 30-Day Creatine Challenge — What Actually Happens
- Creatine Guide 2026: Which to Buy, How to Use, Should You Load?
- Best Supplement Stacks for Muscle Building in 2026
---
Read more: Creatine Monohydrate: Complete Guide



