What are the benefits of creatine (creatine monohydrate) supplementation for athletic performance?

Medical Advisory BoardAll articles are reviewed for accuracy by our Medical Advisory Board
Educational purpose only • Exercise caution as content is pending human review
Article Review Status
Submitted
Under Review
Approved

Last updated: June 23, 2025View editorial policy

Personalize

Help us tailor your experience

Which best describes you? Your choice helps us use language that's most understandable for you.

From the Guidelines

Creatine monohydrate supplementation is a highly effective and well-researched method for enhancing athletic performance, with benefits including increased strength and power output, enhanced sprint performance, and improved recovery between intense exercise sets. The recommended dosage is typically 3-5 grams daily, which can be taken at any time of day with water, as suggested by the UEFA expert group statement on nutrition in elite football 1. For faster results, some athletes use a loading phase of 20 grams daily (divided into 4 doses) for 5-7 days, followed by the standard maintenance dose.

Key Benefits of Creatine Supplementation

  • Increased strength and power output (typically 5-15% improvement)
  • Enhanced sprint performance
  • Greater muscle mass gains when combined with resistance training
  • Improved recovery between intense exercise sets
  • Reduced fatigue during repeated high-intensity efforts

Safety and Side Effects

While creatine is generally safe for healthy individuals, it may cause minor side effects like water retention or digestive discomfort in some people, as noted in a study on the use of dietary supplements in living kidney donors 1. However, it's essential to stay well-hydrated while supplementing to minimize potential side effects. Additionally, the use of creatine supplementation in patients with a solitary kidney did not alter kidney function, but creatinine clearance measurements were incorrect, leading to a misclassification of acute kidney injury due to influences of creatine supplementation on creatinine clearance measurements 1.

Dosage and Administration

The dosage of creatine supplementation can be tailored to individual needs, with a maintenance phase of 3-5 g/day (single dose) for the duration of the supplementation period, as recommended by the UEFA expert group statement on nutrition in elite football 1. Lower dose approaches (2-5 g/day) for 28 days may avoid the associated increase in body mass. It's also important to note that concurrent consumption with a mixed protein/CHO source (~50 g of protein and CHO) may enhance muscle creatine uptake via insulin stimulation 1.

Conclusion is not allowed, so the answer just ends here.

From the Research

Benefits of Creatine Supplementation

The benefits of creatine supplementation for athletic performance are numerous and well-documented. Some of the key benefits include:

  • Increased strength and power [(2,3,4,5)]
  • Enhanced muscle morphology and fat-free mass [(2,3,5)]
  • Improved high-intensity exercise performance [(2,3,4,5)]
  • Faster regeneration of adenosine triphosphate between high-intensity exercises [(2,4)]
  • Increased muscle creatine storage [(2,3,4,5)]
  • Improved training adaptations at a cellular and sub-cellular level 2
  • Mitigated muscle damage and faster recovery time between bouts of intense exercise 4

Specific Performance Outcomes

Creatine supplementation has been shown to improve specific performance outcomes, including:

  • Maximal strength and power production [(4,5)]
  • Sprint performance and jumping ability [(4,5)]
  • Cycling performance 5
  • Fat-free mass and muscle morphology [(2,3,5)]

Safety and Adverse Effects

Creatine supplementation is generally considered safe and well-tolerated, with few adverse effects reported [(2,3,5,6)]. The most common adverse effect is transient water retention in the early stages of supplementation 6. However, further studies are needed to evaluate the potential long-term adverse effects of creatine supplementation [(2,6)].

References

Guideline

Guideline Directed Topic Overview

Dr.Oracle Medical Advisory Board & Editors, 2025

Research

Creatine supplementation with specific view to exercise/sports performance: an update.

Journal of the International Society of Sports Nutrition, 2012

Research

[Creatine: the nutritional supplement for exercise - current concepts].

Archivos latinoamericanos de nutricion, 2002

Research

Creatine supplementation and exercise performance: recent findings.

Sports medicine (Auckland, N.Z.), 2005

Research

Creatine supplementation.

Current sports medicine reports, 2013

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

Have a follow-up question?

Our Medical A.I. is used by practicing medical doctors at top research institutions around the world. Ask any follow up question and get world-class guideline-backed answers instantly.