Is Creatine a Supplement That Actually Works or Just Hype?

Is Creatine a Supplement That Actually Works or Just Hype?

Walk into any gym, and you’ll see it. That gritty, white powder at the bottom of a shaker bottle. People talk about it like it’s some kind of magic potion or, on the flip side, like it’s a dangerous chemical that’ll ruin your kidneys by lunch. Honestly, the confusion is wild. Is creatine a supplement you should actually care about, or is it just another way for the fitness industry to reach into your wallet?

Most people think it’s some synthetic laboratory creation. It’s not. Your body literally makes it. Your liver and kidneys churn out about a gram a day using amino acids like glycine and arginine. You also eat it. If you had a steak for dinner, you just "supplemented" with creatine. But the reason we talk about it in the context of little plastic tubs is because getting the performance-enhancing dose from food alone is basically impossible unless you plan on eating five pounds of raw beef every single afternoon.

The science is remarkably settled, which is rare in the nutrition world. While "influencers" argue over whether kale is toxic or if coffee extends your life, creatine just sits there with over 500 peer-reviewed studies backing it up. It’s the most researched ergogenic aid in history. Period.

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What is creatine a supplement for, exactly?

To understand why people take it, you have to understand ATP. Adenosine triphosphate. It’s the energy currency of your cells. When you lift something heavy or sprint for a bus, your body burns ATP. But here’s the kicker: your muscles only store enough ATP for a few seconds of high-intensity effort. Once it’s gone, you’re gassed.

This is where creatine steps in. It stores high-energy phosphate groups in the form of phosphocreatine. When your ATP levels drop, phosphocreatine donates a phosphate to turn ADP back into ATP. It’s a literal biological backup battery.

So, is creatine a supplement for getting "huge"? Not directly. It’s a supplement for doing more work. If you can usually do 8 reps of a bench press, creatine might give you the energy to squeeze out 10 or 11. Over six months, those extra reps turn into more muscle mass. It doesn't build the muscle for you; it just gives you the tools to work harder.

The water weight myth and what's really happening

You’ve probably heard that creatine makes you "bloated." This is a half-truth that drives me crazy. Creatine is osmotically active. That means it draws water. But—and this is a big but—it draws that water into the muscle cell, not under the skin.

It’s called intracellular hydration.

When your muscles hold more water, they actually look fuller and more "pumped." It’s not the same as the puffiness you get from eating an entire bag of salty potato chips. That's extracellular edema. Creatine makes your muscles more hydrated, which is actually a signal for protein synthesis. If you step on the scale and see you’ve gained three pounds in a week, don't panic. It's not fat. It's just your muscles soaking up the hydration they need to perform.

Let’s talk about your brain (because athletes aren't the only ones taking this)

This is the part that’s getting really interesting lately. For decades, we thought of this as a meathead supplement. Just for the bros. But new research is looking at the brain. Your brain is an energy hog. It uses about 20% of your body’s total energy despite being a tiny fraction of your weight.

Dr. Eric Rawson, a leading researcher in the field, has highlighted how creatine supplementation can help with mental fatigue. If you’re sleep-deprived, your brain’s creatine levels drop. Taking it might actually help you stay sharper when you’re running on four hours of sleep. There is even some early evidence suggesting it helps with cognitive processing in older adults. We’re moving toward a world where your grandma might be taking creatine alongside her vitamin D.

Does it kill your kidneys?

Short answer: No.

Longer answer: If you have pre-existing, chronic kidney disease, you should talk to a doctor before starting any supplement. But for healthy individuals? The idea that it causes renal failure is a ghost story from the 1990s. It started because creatine can raise levels of creatinine in your blood. Creatinine is a waste product that doctors use as a marker for kidney function. If your creatinine is high, a doctor might think your kidneys are struggling to filter it.

But if you’re taking creatine, your creatinine will be high because you’re putting more in, not because your kidneys are failing. It’s like being surprised there’s more trash in the bin after you throw a party. The bin isn't broken; you just used it more.

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The "Loading Phase" is usually a waste of time

If you buy a tub of creatine monohydrate, the back of the label will tell you to "load." They want you to take 20 grams a day for a week and then drop to 5 grams.

You can do that. It will saturate your muscles faster. You’ll see results in 7 days instead of 21. But it also causes the most stomach upset. For a lot of people, 20 grams of powder in a day leads to... well, let's just say you won't want to be far from a bathroom.

Honestly? Just take 5 grams a day. Every day. It doesn't matter when. Before the gym, after the gym, with breakfast—it literally doesn't matter. Creatine works via accumulation, not acute timing. It's not caffeine. It doesn't "hit" you. You just want your "tank" to stay full.

Types of Creatine: Don’t get scammed

Go to a supplement store and you’ll see Creatine HCl, Creatine Ethyl Ester, Buffered Creatine, and Liquid Creatine. They all cost twice as much as the standard stuff.

Are they better? No.

Creatine Monohydrate is the gold standard. It has a 99% bioavailability. That means your body absorbs almost all of it. The other versions are marketing "innovations" designed to solve problems that don't exist. Ethyl Ester, for example, has actually been shown to be less effective because it breaks down into waste products before it even reaches your muscles.

Stick to the cheap, boring, white powder. Specifically, look for the "Creapure" trademark if you want to be 100% sure of the purity, though most reputable brands are fine.

Women and Creatine

There’s a weird stigma that creatine is "masculine." That's nonsense. Women have lower natural creatine stores than men, especially during certain parts of the menstrual cycle.

Supplementing can be a game-changer for women who want to tone up or get stronger without getting "bulky" (which is mostly a myth anyway). It helps with power output and recovery. And no, it won't make you look like a bodybuilder overnight. You don't have the testosterone levels for that. It'll just make your workouts feel a little less like a slog.

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The Hair Loss Scare

We have to address the elephant in the room. Does it cause baldness?

This fear comes from one single study done on rugby players in South Africa back in 2009. The study found that creatine increased levels of DHT, a hormone linked to hair loss. However, the study never actually looked at hair loss—only hormone levels. And the levels stayed within the normal range.

Since then, no other study has been able to replicate those results. Most experts, including those at the International Society of Sports Nutrition, don't consider hair loss a side effect of creatine. If you’re genetically predisposed to male pattern baldness, you might be cautious, but there's no direct evidence saying creatine will accelerate it.

Is Creatine a Supplement You Need?

Look, nobody needs supplements. You can live a perfectly healthy life without ever touching a tub of powder.

But if you are someone who trains hard, struggles with recovery, or just wants to maximize your time in the gym, it's the only thing besides protein powder that's actually worth the money. It’s cheap. It’s safe. It works.

I’ve seen people spend $80 on "pre-workout" blends that are basically just flavored caffeine and fairy-dust amounts of useless ingredients. Meanwhile, a $25 bag of creatine monohydrate would actually give them the physiological edge they’re looking for.

Actionable Next Steps:

  1. Check your current diet. If you’re a vegan or vegetarian, you likely have very low natural creatine stores. You will see much more dramatic results from supplementing than a heavy red-meat eater will.
  2. Buy Monohydrate. Don't fall for the fancy "HCL" or "Nitrate" versions. They are just more expensive, not more effective.
  3. Find a 5g scoop. Most tubs come with one. Take one scoop every single day. Consistency is the only way this works. If you skip days, your muscle stores drop, and you lose the benefit.
  4. Drink more water. Since creatine moves water into your muscles, you need to make sure there’s enough to go around. An extra glass or two a day is usually plenty.
  5. Stop overthinking the timing. Throw it in your morning coffee, your post-workout shake, or just mix it in water and chug it. Just get it in.

Creatine isn't a shortcut. It won't replace a bad diet, and it won't lift the weights for you. But as far as tools go? It’s a damn good one to have in the shed. Stop worrying about the "bio-hacker" nonsense and stick to the basics that have worked for forty years.