Do creatine supplements affect liver enzyme levels, such as alanine transaminase (ALT) and aspartate transaminase (AST)?

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Last updated: July 1, 2025View editorial policy

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From the Research

Creatine supplements generally do not significantly affect liver enzyme levels such as ALT and AST in healthy individuals when taken at recommended doses. The standard recommended dose is 3-5 grams per day, which is considered safe for most people. Some studies have shown that short-term creatine supplementation (up to 8 weeks) does not alter liver function tests in healthy adults 1. However, individuals with pre-existing liver conditions should exercise caution and consult with a healthcare provider before starting creatine supplementation.

Key Points to Consider

  • The safety profile of creatine is well-established because it is one of the most extensively studied sports supplements 2.
  • Creatine is naturally produced in the liver, kidneys, and pancreas and is also found in foods like meat and fish.
  • When supplemented, creatine primarily affects muscle tissue by increasing phosphocreatine stores, which help regenerate ATP during high-intensity exercise.
  • This metabolic pathway doesn't typically stress the liver in healthy individuals.
  • As with any supplement, it's essential to purchase creatine from reputable manufacturers to ensure product purity and to stay well-hydrated while taking it.

Special Considerations

  • Individuals with pre-existing liver conditions should be cautious and consult with a healthcare provider before starting creatine supplementation.
  • There have been rare reports of liver injury associated with the use of creatine supplements, often in combination with other substances 3.
  • It's crucial to monitor liver function and overall health when taking creatine supplements, especially for individuals with pre-existing medical conditions.

Recommendations

  • Healthy individuals can safely take creatine supplements at recommended doses without significant concerns for liver enzyme levels.
  • Individuals with pre-existing liver conditions or concerns should consult with a healthcare provider before starting creatine supplementation.
  • Always prioritize purchasing supplements from reputable manufacturers and staying well-hydrated to minimize potential risks.

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.

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