When asked in the gym which supplement one should take in addition to sports, a response comes up quite frequently: Creatine. The molecule, with extensive research background not only offers benefits in (strength) sports but can also influence cognitive performance. Even astronauts are recommended this endogenous substance for space missions. What benefits creatine brings you, how to take it, and how longevity research evaluates the molecule will be explained in this article.
Where is creatine found in the body?
First of all, we need to clarify the question of what creatine actually is. To do this, let's take a closer look at the molecule. Creatine consists of three amino acids: Arginine, Glycine and Methionine.Our body produces the molecule itself from these three building blocks. The place of origin is mainly in the liver. In smaller amounts, it is also produced in the kidneys and the pancreas.
From the liver, creatine is then transported to its main site of action: the muscles. There, it serves as an energy store in the form of creatine phosphate. You can think of it like a short-acting but very powerful battery. When we want to move our muscles, z.B. in the gym while bench pressing, our muscles consume a large amount of energy in the form of ATP. After a few seconds, the ATP stores are empty, and our muscle can no longer contract further.
This is where creatine comes into play by donating its phosphate groups and regenerating ADP (two phosphate groups) back to ATP (three phosphate groups).Without this "battery boost," we couldn't lift heavy weights as effectively or sprint quickly over short distances. Once creatine phosphate is used up, creatinine is produced as a "waste product."
Did you know? The amino acid glycine is a true all-rounder in the human body. It is involved in many important metabolic processes. Some of these also affect longevity. For example, glycine can act as a methyl group donor for better DNA repair, or in combination with NAC, strengthen your mitochondria. The combination GlyNAC is also available as a supplement. When glycine is combined with hyaluron the molecule can also contribute to better skin health.
Creatine, creatinine, creatine monohydrate or creatine citrate – what is the difference?
Admittedly, there are many similarly sounding names and these can cause confusion. Therefore, we will give you a brief overview of the most important molecules. This will also help us later with the question of whether creatine is harmful to the kidneys.
But everything in due order:
- Creatine (spelled Creatine in English) is our starting molecule. We can obtain this through food, supplement it, and the body can produce it from the building blocks itself.
- Creatinine (written as Creatinin in English) is the breakdown product of creatine. It is excreted through the kidneys
- Creatine Monohydrate: There are various options for supplementation. The most researched and effective is creatine monohydrate. Here, the creatine molecules are bound to a water molecule. This combination is particularly suitable for dietary supplementation because the bioavailability is over 99%.
- Creatine Citrate: Is another option for creatine supplementation. In contrast to the monohydrate, the creatine molecules are bound to citric acid (citrate). However, the creatine content is lower and there are fewer studies.

The myth of kidney damage
Even long-term use of creatine has not been linked to kidney damage in studies. Why does this question still arise so often?
This is because the breakdown product, creatinine, is used in medicine to measure kidney function. The supplementation of creatine leads to an increase in the creatinine level in the blood. This raised concerns that kidney function might be impaired. However, several studies (R,R,R) have shown that there is no kidney damage. Therefore, while the creatinine level is elevated, it is not due to kidney problems.
Power for your muscles – the supplement for more strength
The main effect of creatine as a supplement is evident in sports. Especially during fast, high-intensity sessions, the molecule can help, as studies have shown an increase in strength compared to placebos. Additionally, the intake of creatine reduces body fat percentage in athletes.
The molecule can also increase the water content in the body. This "side effect" is particularly desired in strength sports, as this water is mainly stored in the muscle. With regular intake, one should expect to gain about 1-2 kilograms in weight.
While the data for strength sports is clear, it is somewhat mixed in endurance sports.In sprints, the developed strength increased, but in longer runs, creatine seems to have no directly measurable effect at least. Nevertheless, it can be sensible to supplement even as an endurance athlete, as intake after the training session supported a shorter recovery phase. Did you know? Creatine is the most common and best-researched supplement among athletes. In addition, there are other molecules that promote longevity alongside your performance. One of them is alpha-ketoglutarate (AKG). In addition to research on animals, human studies showed that the intake of AKG in the form of Calcium Alpha-Ketoglutarate supports muscle regeneration.In addition to this very interesting effect for athletes, this study made another exciting discovery. After 7 months of taking a supplement containing AKG, the biological age of the participants was reduced by a full 8 years!
More than just pure strength – creatine can help you not only in training
In addition to muscle cells, our brain cells require a lot of the daily energy in the form of ATP. Due to the close relationship between creatine and ATP , the hypothesis is obvious that it could also improve cognitive performance. In fact, this has also been proven by studies. The greatest effects were observed in older people, whose body's own creatine production was reduced. With age, the synthesis capacity decreases, which leads some to assume that supplementation can be particularly beneficial in older age. Many well-known figures from the longevity scene, such as Dr. Peter Attia, Dr. Mark Hyman or Bryan Johnson take creatine daily.
Another area currently being researched is the interaction with the immune system. It is now known from model studies that creatine can dampen inflammatory processes in the body. For this reason, it has been suspected that the molecule could mitigate the so-called cytokine storm after a Covid-19 infection.Larger studies on the topic have not yet been published, and we will certainly have to wait a little longer until we have more data.
Does creatine promote muscle growth? Yes and no. It increases the water content in muscle cells, and some studies suggest that the inflammatory processes in the muscle after intense training are dampened by the molecule. Creatine makes the muscle appear fuller due to water retention – however, more muscle mass in the form of fibers is not directly produced.
In addition, there is another molecule that affects the muscle. Betaine, also a derivative of the amino acid glycine, stimulates protein synthesis and the formation of new muscle cells. Additionally, betaine increases the biosynthesis and availability of creatine.Betaine and creatine are therefore ideal partners for building strength!

Creatine in food – is that enough?
We mainly find creatine in meat products. Here are some data on the creatine content of various foods:
- Beef: approx. 4.5g per kilogram
- Chicken: approx. 3.4g per kilogram
- Pork hearts: approx. 1.5g per kilogram
In vegetarian products, creatine is almost nonexistent. However, the amino acids that our body needs to produce the molecule are present. Overall, our body's creatine stores have a capacity of about 120g.
We lose about 1.6-1.7% of it daily in the form of creatinine.This means that we need to produce about 2g of creatine daily to compensate for this loss. A large part of it is synthesized by our body itself, but performance decreases firstly with age and secondly, the loss during sports can be even greater. A pure compensation through food is difficult due to limited food options, which is why a needs-based supplementation is quite sensible.
Creatine Supplementation – not just sensible for men
Most studies on creatine have been conducted on men – particularly male athletes, whose main goal was to improve athletic performance, have been studied more closely. As is often the case in medicine, this results in a rather one-sided picture.
In this study , however, women were explicitly examined.Here it could be shown, in addition to the already known advantages, that especially women after menopause had improved bone mineralization through the combination of creatine and strength training. Falls and bone fractures in old age are common and can often have serious consequences for those affected. Here, the intake of creatine can help preventively. Creatine and Longevity – what does the research say? In addition to its role in sports, studies have shown that creatine may be helpful in depression.In a study , the sole intake could lead to a reduction in depressive symptoms, while in the other studies , the intake/effect of antidepressants was enhanced. Since a stable psyche is important for longevity, creatine could offer an advantage here. However, one should not expect overly large effects.
Another area of research is neurodegenerative diseases, such as Alzheimer’s or Parkinson’s. In mouse studies , researchers observed that daily intake of creatine protected against the development of neurodegenerative diseases. Additionally, a larger number of older mice were examined in this study.Here, a group was given the molecule daily, and the mice in this population lived on average 9% longer. They also showed an improved brain function and their cells contained less lipofuscin, which is also known as "age pigment." These promising results have not yet been reproduced in human studies. It remains exciting to see what the future holds. We hope you now know more about the fascinating molecule. Whether as a supplement for sports or for better cognitive performance, creatine is an ideal and, above all, evidence-based companion for everyday life.
Sources
Literature:
- https://pubmed.ncbi.nlm.nih.gov/11735088/
- https://pubmed.ncbi.nlm.nih.gov/19033611/
- https://pubmed.ncbi.nlm.nih.gov/12945830/
- https://pubmed.ncbi.nlm.nih.gov/25946994/
- https://pubmed.ncbi.nlm.nih.gov/28615996/
- https://pubmed.ncbi.nlm.nih.gov/20976468/
- https://pubmed.ncbi.nlm.nih.gov/10999421/
- https://pubmed.ncbi.nlm.nih.gov/9160426/
- https://pubmed.ncbi.nlm.nih.gov/21390530/
- https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7998865/
- https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7996722/
- https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7649915/
- https://journals.sagepub.com/doi/10.1177/15353702221139189?icid=int.sj-abstract.citing-articles.4
- https://pubmed.ncbi.nlm.nih.gov/21831448/
- https://pubmed.ncbi.nlm.nih.gov/22864465/
- https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8660611/
Grafiken:
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