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Creatine: how much to take, when and for whom

Creatine is one of the best-studied sports supplements: 3-5 g of creatine monohydrate a day is enough to support strength and muscle, a loading phase is optional and timing matters little. In healthy adults it is safe according to the ISSN position stand, and the most commonly reported effect is a pound or two of weight gain, mostly water.

What is creatine and what does it do?

Creatine is a nitrogen-containing compound your body makes itself (in the liver and kidneys) and tops up in smaller amounts from meat and fish. More than 95% of it sits in muscle as phosphocreatine, which quickly regenerates ATP, the muscle’s energy currency, during short, intense efforts such as heavy sets and sprints. You break down roughly 1-2 g of creatine a day and replace it. The extra 3-5 g from a supplement saturates your muscle stores, and that is what shows up as a little more strength and a few more reps.

Without training it does nothing. Creatine does not build muscle; it helps you squeeze out an extra rep or two in the gym, and over months that adds up to more growth.

How much creatine should you take a day?

According to the ISSN the maintenance dose is 3-5 g a day. The health claim authorised in the EU (creatine increases performance in successive bursts of short-term, high-intensity exercise) is also tied to 3 g a day. If you want to saturate your muscles faster, the loading scheme is 0.3 g per kg of body weight a day for 5-7 days, then the maintenance dose.

Loading and maintenance dose by body weight (ISSN)
Body weightLoading (0.3 g/kg, 5-7 days)Maintenance
60 kg18 g a day (split into 4 doses)3-5 g
70 kg21 g a day (split into 4 doses)3-5 g
80 kg24 g a day (split into 4 doses)3-5 g
90 kg27 g a day (split into 4 doses)5 g
100 kg30 g a day (split into 4 doses)5 g

Loading is not necessary. On 3 g a day you end up in the same place after about 4 weeks, just more slowly. If you do load, split it into 4-5 doses: more than 5 g at once upsets many people’s stomachs. Larger athletes may need 5 g to maintain; most people never need more.

When to take creatine

Creatine works by saturation: it is not today’s dose that works today but the store you build over weeks. So the time of day is secondary; what counts is taking it every day. Research suggests post-workout intake may be slightly better than pre-workout, but the difference is small and inconsistent. If you want a rule: take it with your biggest meal or after training, and on rest days too.

It may absorb a little better alongside carbs and protein, so stirring it into a shake or your breakfast oats is a convenient habit. Our protein powder guide covers what to look for in a shake.

Creatine monohydrate: why this form?

The great majority of studies used creatine monohydrate, so it has the most data on both effect and safety. Pricier versions (creatine hydrochloride, buffered creatine, creatine ethyl ester and others) often promise “better absorption” or “no water retention”, but according to the ISSN there is no evidence that any of them beats monohydrate.

What to look for on the label

Water, weight and creatine side effects

Creatine draws water into muscle cells, so a 1-2 kg (2-4 lb) weight gain in the first weeks is common. It is not fat and not water under the skin but fluid inside the muscle. According to the ISSN creatine does not cause dehydration or cramps, though it is sensible to drink a bit more than usual. If you compete in a weight class or have to hit a number on the scale, factor it in.

Beyond that side effects are rare: large doses taken at once (over 5 g) can cause bloating, diarrhoea or stomach upset. If that happens, split the dose, take it with food, or skip loading and go straight to the maintenance dose.

Creatine and the kidneys: what is true in the myth?

The ISSN review found no evidence that short or long-term creatine use at recommended doses harms the kidneys of healthy adults. The myth comes from a lab value: creatine breaks down into creatinine, which doctors use to measure kidney function. On creatine your blood creatinine can rise without your kidneys losing any function.

Creatine for women, vegetarians and teenagers

Creatine and caffeine: is the myth true?

The idea started with a small 1996 study in which caffeine blunted creatine’s effect. Later research has not confirmed it consistently, and the ISSN does not advise against using the two together. With a coffee or two a day there is no reason to avoid creatine. We cover the upper limits for caffeine on our supplements page.

Who benefits, and who can skip it

If you lift regularly and the basics are in order (enough calories, a daily protein target from the protein calculator, sleep), creatine is one of the few supplements with proven benefit. If you do not train, or your diet is not sorted yet, it is not the next step. You can take it while cutting too: in a calorie deficit it may help you hold on to strength.

Frequently asked questions

When should you take creatine?

Any time, as long as you take it daily. If you must choose: after training or with your biggest meal, alongside carbs and protein. Take your usual dose on rest days too.

How much creatine should I take a day?

3-5 g of creatine monohydrate. Loading (0.3 g/kg for 5-7 days) speeds up saturation but is not required: on 3 g a day you get to the same place in about 4 weeks.

What is creatine monohydrate and why is it recommended?

The oldest and most studied form of creatine. Its effect and safety have been tested the most, and no pricier version has been shown to be better.

What are the side effects of creatine?

The most common is weight gain (1-2 kg, mostly water inside the muscle). Large single doses can cause bloating or stomach upset. In healthy adults the ISSN found nothing more serious.

Is creatine bad for your kidneys?

There is no such evidence in healthy adults. Creatine can raise blood creatinine, which is used to assess kidney function, so tell your doctor before a blood test. People with kidney disease need medical advice first.

Does creatine cause hair loss?

There is no direct evidence. One small study measured higher DHT but did not show hair loss. If you are prone to hair loss, ask your dermatologist.

Do you need to cycle creatine?

No. According to the ISSN there is no evidence that cycling is needed, and continuous long-term use in studies did not cause problems in healthy people.

Can women and vegetarians take creatine?

Yes, at the same dose. Vegetarians and vegans start with lower muscle creatine, so the effect is often more noticeable for them.

Sources

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It plans your week to your calorie and protein target, with recipes and a shopping list. Creatine is the extra, not the foundation.

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