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Creatine monohydrate

Among the most studied sports supplements. Daily consistency matters far more than timing.

Supplements

Research records

Historical source snapshot. Not freshly verified, not a recommendation. Study findings, community accounts and app defaults are not interchangeable.

Publication suitability · 2026-10-15: Historical reference only; not a clinical verification. Clinical, regulatory, efficacy, safety and dose claims are not independently established by this review.

Creatine monohydrate

Among the most studied sports supplements. Daily consistency matters far more than timing.

Evidence category: Systematic review. This describes the source category, not approval or certainty.

Regulatory statement in source: Not separately recorded; do not infer approval from the evidence category.

Evidence comes from several systematic reviews and meta-analyses of human trials. A meta-analysis of 23 studies found creatine lowered muscle-damage markers after a single hard exercise bout, but markers were higher after long-term use. A meta-analysis of 13 trials in trained people found no effect on endurance performance. A safety review covering 951 female participants reported no deaths or serious adverse outcomes and no rise in gastrointestinal, kidney or liver problems.

Benefits reported in the imported source

  • A safety review covering 951 female participants found no deaths or serious adverse outcomes.
  • Pooled trials found lower muscle-damage markers after a single hard exercise bout.

Risks and limits

  • After prolonged use, muscle-damage markers were higher than placebo at 24 hours.
  • Pooled trials in trained people found no effect on endurance performance.
  • Gastrointestinal events, creatinine, liver enzymes and weight did not differ from placebo there.

Source bottom line: Creatine looks safe across pooled human trials and blunts acute muscle damage, but does not improve endurance.

Uncertainty: Reference information only. Not medical advice.

Study protocols — reports, not instructions

469 participants across 23 studies of exercise-induced muscle damage

Reported regimen
loading of 20 g/day or 0.3 g/kg/day for 5-7 days, then maintenance of 5 g/day or 0.03-0.1 g/kg/day
Duration
4 to 32 weeks
Reported outcome
Muscle-damage markers were lower than placebo after a single hard bout but higher than placebo at 24 h after prolonged supplementation.
Source
The Paradoxical Effect of Creatine Monohydrate on Muscle Damage Markers: A Systematic Review and Meta-Analysis
Claim provenance

evidence.json#/catalog:supplement:creatine/protocols/0

951 female participants across 29 studies

Reported regimen
loading alone at a median 20 g/day, loading 20 g/day for 5-7 days then 5 g/day, or 5 g/day maintenance alone; overall 1-30 g/day
Duration
4 days to 365 days
Reported outcome
No deaths or serious adverse outcomes; gastrointestinal events, serum creatinine, liver enzymes and body weight did not differ from placebo.
Source
Risk of Adverse Outcomes in Females Taking Oral Creatine Monohydrate: A Systematic Review and Meta-Analysis (availability check 2026-10-15: possible access barrier; not independently inspected; HTTP 200)
Claim provenance

evidence.json#/catalog:supplement:creatine/protocols/1

Community and practice descriptions

Accounts of a practice are not evidence of safety or effectiveness. Words such as “standard”, “safe” or “recommended” describe the source account, not verified consensus or this wiki’s advice. Commercial and self-published citations are retained for traceability, not vendor endorsement or independent clinical corroboration.

Historical research outcome: verified-description · 2026-10-06

Rechecked the previously published description against live source content. The live guide explicitly calls the loading sequence a common approach and distinguishes it from maintenance. The retained text attributes the sequence to the guide rather than prescribing it.

Pharmacokinetic context

No half-life recorded in this source snapshot. No value has been inferred.

Source references

Snapshot provenance

Source ID: catalog:supplement:creatine. Commit: adc7684614f9439b41d91a3312b62e7982c7e20e. Review state: historical-not-reverified. Authored links are retained separately from the canonical evidence links in the public data. App templates/defaults and rejected drafts are archived, not deployed.

Related entries and components

None listed.