Supplement Signals

Creatine

Monohydrate · Performance

The most studied sports supplement there is. More strength and muscle from the same training, and a growing case for the brain.

Thiago’s take: Core · 5 g every morning

Your body makes about a gram of creatine a day from three amino acids and gets roughly another gram from meat and fish. Most of it sits in muscle as phosphocreatine, which rebuilds ATP during short, hard efforts; supplementing tops those stores up by around 20 to 40 percent.

My take

  1. Core
  2. Situational
  3. Trying
  4. Researching
  5. Not taking

S-tier. If you don’t know where to start, start here.

Dose
5 ga day
Timing
Morningor before training
Since
20197 years
Brand I use
Santa Cruz Paleo

Where it fits my day

  1. Morning with breakfast

  2. Training 30 minutes before

    • Electrolytes
    • HMB
  3. Evening with dinner

  4. Bed 30 minutes before

    • Sleep blend

If you’re starting

  1. What to buy Plain creatine monohydrate. It's the form in nearly every study, and the cheapest.
  2. How to take it 5 g a day with water, any time. Loading isn't needed: it only fills your stores in a week instead of a month.
  3. What to expect A kilo or two of water weight in muscle early on. Strength shows up over weeks of training, not days.

What the studies show

2 Strong6 Preliminary

Each segment is one studyBetterNo changeWorse

Strong: at least one pooled review or three randomised trials among the counted studies, and at least three in four of them better. Preliminary: everything else. Better is green in a Strong finding and ochre in a Preliminary one.

Better means a statistically significant change in the claimed direction at a normal dose. Each study counts once: a pooled review speaks for the trials inside it.

Strength

1,937 people, Kazeminasab 2025 · clearest in younger adults and men

7 of 7 studies better

Creatine adds more strength than training alone, though the gain varies by lift, age and sex. The reviews split on older adults: most found small to moderate gains, but one found no significant gain.

Strong

Strength

What these 7 studies found. Pooled reviews: 7 better.

  1. BetterPubMed

    Stronger bench press and squat, but no significant gain in the leg press or grip, nor in adults over 50.

    Kazeminasab 2025 Nutrients

    • Meta-analysis
    • 69 trials · 1,937 people
  2. BetterPubMed

    More strength than training alone, from 31 of its 63 trials for the upper body and 34 for the lower; a moderate effect, larger in studies of younger people.

    Wang 2026 Journal of the International Society of Sports Nutrition

    • Meta-analysis
    • 63 trials · 1,489 people
  3. BetterPubMed

    In men aged 18 to 30, a stronger squat by 11.9 kg (16 of its 37 trials) but no significant gain in the leg press (12 trials); it pooled end-of-study values rather than changes.

    Gu 2026 Frontiers in Nutrition

    • Meta-analysis
    • 37 trials · 1,015 people
  4. BetterPubMed

    In older adults, more chest press and leg press strength from resistance training.

    Chilibeck 2017 Open Access Journal of Sports Medicine

    • Meta-analysis
    • 22 trials · 721 people
  5. BetterPubMed

    In postmenopausal women, 7.5 kg more on the leg press, from 3 of its 7 trials (111 women), all with resistance training; the bench press gain was not significant.

    Naddafha 2026 Journal of the International Society of Sports Nutrition

    • Meta-analysis
    • 7 trials · 608 people
  6. BetterPubMed

    In adults under 50, about 4 kg more on upper-body lifts and 11 kg more on lower-body lifts; women's gains were not significant.

    Wang 2024 Nutrients

    • Meta-analysis
    • 23 trials · 509 people
  7. BetterPubMed

    In adults aged 60 and over, a small gain in strength over training alone, with moderate certainty.

    Yao 2026 Frontiers in Nutrition

    • Meta-analysis
    • 11 trials · 326 people

Lean mass

3,655 people, Pashayee-Khamene 2024 · only alongside resistance training

6 of 8 studies better

With resistance training, creatine adds about 1 kg more lean mass than training alone, but no clear gain without exercise. Scans of muscle size show barely any gain, and the reviews split on older adults.

Strong

Muscle

What these 8 studies found. Pooled reviews: 6 better, 2 no change.

  1. BetterPubMed

    About 0.8 kg more fat-free mass, pooled from 95 effect sizes: 1 kg with resistance training and no significant gain without exercise; high certainty.

    Pashayee-Khamene 2024 Journal of the International Society of Sports Nutrition

    • Meta-analysis
    • 143 trials · 3,655 people
  2. BetterPubMed

    More lean mass than training alone, a small-to-moderate effect, with no significant change in fat mass.

    Wang 2026 Journal of the International Society of Sports Nutrition

    • Meta-analysis
    • 63 trials · 1,489 people
  3. BetterPubMed

    In men aged 18 to 30, 1.8 kg more lean body mass (16 of its 37 trials) and 2.3 kg more fat-free mass (15 trials), gains significant only with resistance training; it pooled end-of-study values rather than changes.

    Gu 2026 Frontiers in Nutrition

    • Meta-analysis
    • 37 trials · 1,015 people
  4. BetterPubMed

    In older adults, 1.4 kg more lean tissue with resistance training.

    Chilibeck 2017 Open Access Journal of Sports Medicine

    • Meta-analysis
    • 22 trials · 721 people
  5. BetterPubMed

    In postmenopausal women, 0.37 kg more lean mass from 5 of its 7 trials (338 women); the gain came only in the trials with resistance training.

    Naddafha 2026 Journal of the International Society of Sports Nutrition

    • Meta-analysis
    • 7 trials · 608 people
  6. BetterPubMed

    In adults under 50, 1.1 kg more lean mass than training alone, with no difference between trained and untrained lifters.

    Desai 2024 Journal of Strength and Conditioning Research

    • Meta-analysis
    • 12 trials · 362 people
  7. No changePubMed

    Scans of muscle size found a very small gain, but its 95% range included no gain.

    Burke 2023 Nutrients

    • Meta-analysis
    • 10 trials · 358 people
  8. No changePubMed

    In adults aged 60 and over, the gain in muscle mass, from 6 of its 11 trials, was not significant; low certainty.

    Yao 2026 Frontiers in Nutrition

    • Meta-analysis
    • 11 trials · 326 people

Repeated sprints and short all-out efforts

1,937 people, Kazeminasab 2025 · Wingate gains in men, not women

4 of 6 studies better

Creatine adds peak power in the 30-second all-out Wingate test, in men but not clearly in women. The evidence on sprints themselves is weaker: reviews in soccer players and swimmers found no significant gain.

Preliminary

Performance

What these 6 studies found. Pooled reviews: 3 better, 2 no change. Trials: 1 better.

  1. BetterPubMed

    More peak power in the 30-second Wingate test, from 12 of its 69 trials; the gain was significant in its arms taking more than 8 g a day, which its table shows as 10 to 35 g a day for 2 to 7 days, and not in those taking 8 g a day or less.

    Kazeminasab 2025 Nutrients

    • Meta-analysis
    • 69 trials · 1,937 people
  2. BetterPubMed

    In men aged 18 to 30, 71 W more peak power and 40 W more mean power in the Wingate test (12 and 11 of its 37 trials), with or without resistance training; high certainty for peak power.

    Gu 2026 Frontiers in Nutrition

    • Meta-analysis
    • 37 trials · 1,015 people
  3. No changePubMed

    In active women, 4 of its 17 trials of sprint and other anaerobic tests found a gain over placebo, and the review judged the evidence inconsistent.

    Tam 2025 Nutrients

    • Systematic review
    • 26 trials · 492 people
  4. No changePubMed

    In swimmers, no gain in single sprints or repeated sprint sets.

    Huang 2024 Sports Medicine - Open

    • Meta-analysis
    • 17 trials · 361 people
  5. BetterPubMed

    In soccer players, better Wingate test results (2 of its 9 trials), but no significant gain in repeated sprints (3 trials) or single sprints (3 trials).

    Mielgo-Ayuso 2019 Nutrients

    • Meta-analysis
    • 9 trials · 168 people
  6. BetterPubMed

    In 20 young soccer players in its monohydrate and placebo arms, 5 g a day through 4 weeks of sprint training gave faster 20 m sprints and more Wingate peak power than placebo, but no more mean power.

    Duan 2026 Journal of the International Society of Sports Nutrition

    • Randomised trial
    • 40 young soccer players
    • 5 g a day · 4 weeks

Strength and soreness after hard exercise

469 people, Doma 2022 · no faster recovery of strength or soreness

3 of 8 studies better

Two pooled reviews found strength and soreness recovered no faster with creatine after hard exercise. Newer small trials split: three found faster recovery, two found none and one found more soreness.

Preliminary

Recovery

What these 8 studies found. Pooled reviews: 2 no change. Trials: 3 better, 2 no change, 1 worse.

  1. No changePubMed

    Strength and soreness, from 11 of its 23 trials, recovered no faster; blood markers of muscle damage were lower 2 to 4 days after a single hard bout but higher a day after the last session of several weeks' training.

    Doma 2022 Sports Medicine

    • Meta-analysis
    • 23 trials · 469 people
  2. No changePubMed

    Strength, soreness and range of motion, from 7 of its 13 trials, recovered no faster at any point up to 96 hours; creatine kinase in the blood was lower at 48 hours only.

    Northeast 2021 International Journal of Sport Nutrition and Exercise Metabolism

    • Meta-analysis
    • 13 trials · 278 people
  3. BetterPubMed

    In 40 healthy men and women, 3 g a day for 33 days brought strength back faster and eased soreness after hard eccentric arm exercise.

    Yamaguchi 2025 Nutrients

    • Randomised trial
    • 40 healthy men and women
    • 3 g a day · 33 days
  4. No changePubMed

    In 23 professional cyclists at a hard training camp, 20 g a day for a week did not lessen soreness or fatigue or protect jump height.

    Barranco-Gil 2024 Journal of the International Society of Sports Nutrition

    • Randomised trial
    • 23 professional cyclists
    • 20 g a day · 7 days
  5. BetterPubMed

    In 20 healthy men, 3 g a day for 28 days brought strength back faster after hard eccentric arm exercise; soreness did not differ.

    Yamaguchi 2024 Nutrients

    • Randomised trial
    • 20 healthy young men
    • 3 g a day · 28 days
  6. WorsePubMed

    In 14 active men, a week of loading brought more soreness 24 hours after repeated shuttle sprints and no faster recovery over 72 hours, though soreness before the test was lower.

    Ben Maaoui 2025 Nutrients

    • Randomised crossover trial
    • 14 active men
    • 20 g a day · 7 days
  7. No changePubMed

    In 11 active men, one dose of 0.1 g per kg, taken before, during or after a heavy lifting session, left soreness, perceived recovery and jump height soon after the session no different from placebo.

    Ben Maaoui 2026 Nutrients

    • Randomised crossover trial
    • 11 active men
    • 0.1 g per kg, once · one lifting session
  8. BetterPubMed

    In 10 trained men, three days of loading kept jump height higher than placebo 24 hours after a heavy lifting session and again three days later, when leg soreness was also lower.

    Salem 2025 Journal of the International Society of Sports Nutrition

    • Randomised crossover trial
    • 10 resistance-trained men
    • 0.3 g per kg a day · 3 days

Endurance and VO2max

424 people, Gras 2023 · VO2max rose less with creatine

0 of 4 studies better

Creatine showed no clear endurance benefit. A 2023 pooled review of 19 trials found VO2max rose less with it than with placebo, and studies in soccer players and active women found little or no aerobic gain.

Preliminary

Endurance

What these 4 studies found. Pooled reviews: 2 no change, 1 worse. Trials: 1 no change.

  1. No changePubMed

    In active women, 1 of its 5 trials of aerobic tests found a gain over placebo.

    Tam 2025 Nutrients

    • Systematic review
    • 26 trials · 492 people
  2. WorsePubMed

    VO2max rose less with creatine than with placebo across its 19 trials; time to exhaustion did not differ, and in its young, healthy subgroup the ventilatory threshold rose with creatine.

    Gras 2023 Critical Reviews in Food Science and Nutrition

    • Meta-analysis
    • 19 trials · 424 people
  3. No changePubMed

    In soccer players, no gain in aerobic performance tests (5 of its 9 trials).

    Mielgo-Ayuso 2019 Nutrients

    • Meta-analysis
    • 9 trials · 168 people
  4. No changePubMed

    In 20 young soccer players in its monohydrate and placebo arms, 5 g a day through 4 weeks of sprint training raised VO2max no more than placebo.

    Duan 2026 Journal of the International Society of Sports Nutrition

    • Randomised trial
    • 40 young soccer players
    • 5 g a day · 4 weeks

Memory and processing speed

492 people, Xu 2024 · moderate certainty for memory

4 of 6 studies better

A 2024 pooled review of 16 trials found better memory, attention and processing speed. The reviews split on whether older or younger adults gain more, and one found creatine's effect on cognition unclear.

Preliminary

Cognition

What these 12 studies found. The ring counts 6 of them: the other 6 are trials pooled in McMorris 2024, Xu 2024 and Marshall 2026, counted through them. Pooled reviews: 4 better, 1 no change. Trials: 1 no change. Pooled in McMorris 2024: 2 better. Pooled in Xu 2024: 2 no change. Pooled in Marshall 2026: 1 better, 1 no change.

  1. BetterPubMed

    In older adults, 5 of 6 studies linked creatine to better cognition, mostly memory and attention, but 4 of the 5 were dietary surveys and its one randomised controlled trial found no change; half rated poor quality.

    Marshall 2026 Nutrition Reviews

    • Systematic review
    • 1,542 people
  2. No changePubMed

    Creatine does raise brain creatine, but its effect on cognition is equivocal.

    McMorris 2024 Behavioural Brain Research

    • Systematic review
    • 15 trials · 500 people
  3. BetterPubMed

    Better memory, attention and processing speed; no change in overall cognition or executive function. Certainty for memory: moderate.

    Xu 2024 Frontiers in Nutrition

    • Meta-analysis
    • 16 trials · 492 people
  4. BetterPubMed

    Short-term memory and reasoning may improve; other areas conflicting, and no change in young people.

    Avgerinos 2018 Experimental Gerontology

    • Systematic review
    • 6 trials · 281 people
  5. BetterPubMed

    Better memory overall, driven by adults aged 66 to 76; no effect in people aged 11 to 31.

    Prokopidis 2023 Nutrition Reviews

    • Meta-analysis
    • 8 trials · 225 people
  6. BetterPubMed

    Better memory in vegetarians only; no change in meat-eaters.

    Benton 2011 British Journal of Nutrition

    • Randomised trial
    • 128 young women
    • 20 g a day · 5 days
    • Pooled in McMorris 2024
  7. No changePubMed

    The largest trial: the working memory gain just missed significance; reasoning unchanged.

    Sandkühler 2023 BMC Medicine

    • Randomised crossover trial
    • 123 adults, half vegetarian
    • 5 g a day · 6 weeks
    • Pooled in Xu 2024
  8. No changePubMed

    No change in memory, attention or mood over 24 weeks.

    Alves 2013 PLOS ONE

    • Randomised trial
    • 56 older women
    • 20 g a day for 5 days, then 5 g · 24 weeks
    • Pooled in Marshall 2026
  9. BetterPubMed

    Better working memory and reasoning.

    Rae 2003 Proceedings of the Royal Society B

    • Randomised crossover trial
    • 45 young vegetarians
    • 5 g a day · 6 weeks
    • Pooled in McMorris 2024
  10. No changePubMed

    Sprint power improved; no change on any cognitive test.

    Silva 2026 Research in Sports Medicine

    • Randomised trial
    • 40 active young adults
    • 20 g a day · 1 week
  11. BetterPubMed

    Better on every memory task except backward number recall.

    McMorris 2007 Aging, Neuropsychology, and Cognition

    • Randomised trial
    • 32 older adults
    • 20 g a day · 1 week
    • Pooled in Marshall 2026
  12. No changePubMed

    No change on any of seven cognitive tests.

    Rawson 2008 Physiology & Behavior

    • Randomised trial
    • 22 young adults
    • 0.03 g per kg a day · 6 weeks
    • Pooled in Xu 2024

Thinking clearly on no sleep

63 people, Williams 2026 · favourable but sparse early results

2 of 3 studies better

A few small studies suggest creatine helps thinking hold up through sleep loss, with gains on some tasks, none on others. The largest trial's single dose of about 14 g clearly helped only logic tasks.

Preliminary

Sleep & cognition

What these 3 studies found. Pooled reviews: 1 better, 1 no change. Trials: 1 better.

  1. No changePubMed

    In sleep-deprived adults (2 of its 15 trials, both a week of 20 g a day), equivocal results: a gain on one or two tasks after 24 or 36 hours awake and none on the rest.

    McMorris 2024 Behavioural Brain Research

    • Systematic review
    • 15 trials · 500 people
  2. BetterPubMed

    Its five studies, giving a week of 20 g a day or one dose of 0.05 to 0.35 g per kg, showed a positive trend through acute sleep loss that varied by cognitive domain; it calls the research sparse.

    Williams 2026 Journal of Integrative and Complementary Medicine

    • Systematic review
    • 4 trials · 63 people
  3. BetterPubMed

    In 29 healthy young adults kept awake overnight, one dose of 0.2 g per kg (about 14 g) slowed the decline against placebo, most clearly in logic tasks, its only gain to survive correction for multiple tests; memory did not gain.

    Gordji-Nejad 2026 Nutrients

    • Randomised crossover trial
    • 29 healthy young adults
    • 0.2 g per kg, once · one night awake

Depression, alongside treatment

1,093 people, Eckert 2025 · 294 with depression; very low certainty

1 of 2 studies better

Alongside treatment for depression, creatine eased symptoms more than placebo, but on very low-certainty evidence with substantial bias in its favour. A second review found a benefit in 2 of 5 trials.

Preliminary

Mood

What these 3 studies found. The ring counts 2 of them: the other is a trial pooled in Jeryous Fares 2026, counted through it. Pooled reviews: 1 better, 1 no change. Pooled in Jeryous Fares 2026: 1 better.

  1. BetterPubMed

    In people with depression, all taking it alongside their treatment, symptoms eased more than with placebo (294 of its 1,093 people), but not in people without depression taking it alone; it found substantial bias favouring creatine and rated the evidence very low certainty.

    Eckert 2025 British Journal of Nutrition

    • Meta-analysis
    • 11 trials · 1,093 people
  2. No changePubMed

    In people with depression, 2 of its 5 trials found adding it to treatment eased symptoms more than placebo, with escitalopram and with talking therapy, and 3 found no difference; it calls it promising.

    Jeryous Fares 2026 Canadian Journal of Psychiatry

    • Systematic review
    • 5 trials · 238 people
  3. BetterPubMed

    In 100 adults with depression having talking therapy, 5 g a day for 8 weeks lowered depression scores more than placebo.

    Sherpa 2025 European Neuropsychopharmacology

    • Randomised trial
    • 100 adults with depression
    • 5 g a day · 8 weeks
    • Pooled in Jeryous Fares 2026

Dose

3 to 5 g a day, any time of day, with or without food. Loading fills your stores in a week instead of a month; it isn't needed.

Daily3 to 5 g, any time of day

Thiago, 5 g

Loading, optional20 g a day in four doses, 5 to 7 days

Sources: Kreider 2017 · Hultman 1996

Safety

One of the best-studied supplements for safety. What people notice, and what the common worries turn out to be.

  • CommonWater weight

    Expect 1 to 2 kg early on, mostly water drawn into muscle, largest if you load.

    Source: Kreider 2017

  • OccasionalStomach upset

    At 5 g no more than a placebo. In 59 soccer players, one 10 g dose nearly doubled diarrhoea against two doses of 5 g.

    Source: Ostojic 2008

  • Unfounded worryKidneys

    No harm to healthy kidneys in trials up to 5 years. It raises creatinine on blood tests, which can look like a kidney problem, so tell your doctor you take it.

    Sources: Kreider 2017 · Naeini 2025 · de Souza Almeida 2026

  • Unfounded worryCramps and dehydration

    In trials of up to 4 weeks in athletes exercising in the heat, it neither raised body temperature nor upset fluid balance. Over an American college football season, players who chose to take it had fewer cramps.

    Sources: Lopez 2009 · Greenwood 2003

  • UnprovenHair loss

    One 2009 trial in 20 rugby players saw DHT rise, a hormone linked to hair loss. No trial has shown hair loss itself.

    Source: van der Merwe 2009

  • Ask a doctor firstIf you have

    Kidney disease, or medicines that affect the kidneys.

Forms

  • Creatine monohydrate

    The form in nearly every study, and the cheapest.

    This page
  • Creatine HCl

    Dissolves about 38 times better in water. A 2024 trial found no advantage over monohydrate; a small 2026 trial in soccer players found slightly bigger sprint and jump gains.

    Gufford 2010 · Eghbali 2024 · Duan 2026

  • Creatine ethyl ester

    Breaks down before it reaches muscle. A 2009 trial found it worse than monohydrate; a small 2026 trial in soccer players found slightly bigger sprint and jump gains.

    Spillane 2009 · Duan 2026

  • Buffered creatine

    A 2012 trial found no advantage over monohydrate.

    Jagim 2012

How it works

Creatine is fuel for short, hard efforts: the first seconds of a sprint or a heavy set.

  1. ~2 ga day, made and eaten

    Your body makes about 1 g from three amino acids; meat and fish add about 1 g more.

  2. 95%stored in muscle

    Most of it as phosphocreatine. The brain holds a little too.

  3. ~10 sof hard effort

    In the first seconds of a hard effort, phosphocreatine rebuilds ATP, the energy every contraction spends.

  4. +20–40%muscle stores

    What 3 to 5 g a day adds: more fuel for the next rep, more training over weeks.

Source: Kreider 2017