What is the recommended creatine (creatine monohydrate) dosage for a 23-year-old female who exercises 3 times a week at the gym and 1 time a week swimming?

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: October 31, 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.

Benefits and Dosage of Creatine for a 23-Year-Old Female Athlete

For a 23-year-old female who exercises 3 times weekly at the gym and swims once weekly, a creatine monohydrate dosage of 3-5g daily is recommended for optimal performance benefits.

Benefits of Creatine Supplementation

  • Improves high-intensity repeated sprint performance and enhances training capacity 1
  • Increases muscle strength, power, and lean body mass through chronic training adaptations 1
  • May support brain function and cognitive performance 1
  • Enhances the ability to maintain power output during brief periods of high-intensity exercise 2, 3
  • Accelerates the rate of ATP synthesis by increasing muscle creatine and phosphocreatine concentration 3

Recommended Dosing Protocol

Option 1: With Loading Phase

  • Loading phase: 20g/day divided into four equal doses (5g each) for 5-7 days 1
  • Maintenance phase: 3-5g/day (single dose) for the duration of supplementation 1

Option 2: Without Loading Phase

  • Direct maintenance dosing: 3-5g/day without a loading phase 4
  • This approach is equally effective but takes longer to fully saturate muscle creatine stores 4

Important Considerations

  • Concurrent consumption with a mixed protein/carbohydrate source (~50g of protein and carbohydrate) may enhance muscle creatine uptake via insulin stimulation 1
  • Creatine supplementation is generally well-tolerated with few adverse effects reported 4, 5
  • The most common side effect is transient water retention in early stages of supplementation, which may result in 1-2kg body mass increase 1, 4
  • No negative health effects have been documented following appropriate supplementation protocols 1, 5

Safety Profile

  • Creatine is considered a relatively safe supplement when used at recommended doses 4, 5, 6
  • Long-term studies (up to 5 years) have not shown adverse effects on renal function in healthy individuals 5
  • Gastrointestinal disturbances and muscle cramps have been reported occasionally, but these effects are anecdotal 5
  • Quality of creatine products is important - choose reputable brands to minimize risk of contaminants 3

Specific Recommendations for Female Athletes

  • Female athletes should follow the same dosing protocols as recommended for the general athletic population 1
  • Protein requirements for female athletes exercising regularly are 1.2-2g/kg/day, which should be prioritized alongside creatine supplementation 1
  • Consuming creatine with carbohydrates before exercise may be particularly beneficial during the luteal phase of the menstrual cycle when metabolism differs 1

For this specific 23-year-old female with moderate exercise frequency (3 gym sessions + 1 swimming session weekly), a daily maintenance dose of 3-5g creatine monohydrate is appropriate and can be taken without a loading phase for convenience 1, 4.

References

Guideline

Guideline Directed Topic Overview

Dr.Oracle Medical Advisory Board & Editors, 2025

Research

Creatine as nutritional supplementation and medicinal product.

The Journal of sports medicine and physical fitness, 2001

Research

Creatine supplementation.

Current sports medicine reports, 2013

Research

Adverse effects of creatine supplementation: fact or fiction?

Sports medicine (Auckland, N.Z.), 2000

Research

Creatine: a review of efficacy and safety.

Journal of the American Pharmaceutical Association (Washington, D.C. : 1996), 1999

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.