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What Causes What
Lifestyle & environment

Creatine supplementation

g/day

Creatine monohydrate taken as a daily powder, usually a few grams. Trials treat that dose as its own exposure, separate from a gym session or a multivitamin.

Most trials use creatine monohydrate, often with a short loading week and then a smaller daily dose. Inside the body it shows up as phosphocreatine in muscle and as creatine in the brain. Resistance training can change strength on its own; this page is the powder.

Also called creatine monohydrate, Cr.

Connected relationships

MECHANISM? CONDITIONAL

Randomized trial · Contested

Creatine supplementation→Cognitive performance

Higher Creatine supplementation moves Cognitive performance only in some conditions. Read the mechanism.

McMorris 2008 found that 20 g a day of creatine for one week, after a placebo week, improved random-number, recall, and long-term memory tasks versus continued placebo in 32 older adults, except backward number recall. Toniolo 2018 then found that 6 g a day as an adjunct in 18 people with bipolar depression moved only verbal fluency.

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MECHANISM? CONDITIONAL

Randomized trial · Contested

Creatine supplementation→Depression

Higher Creatine supplementation moves Depression only in some conditions. Read the mechanism.

Toniolo 2019 found that 6 g a day of creatine monohydrate as an add-on for six weeks did not beat placebo on the change in Montgomery-Åsberg score among 35 people already treated for a bipolar depressive episode (P=0.560), while a secondary remission cut (score of 12 or less) favored creatine (52.9 percent versus 11.1 percent).

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MECHANISM? CONDITIONAL

Randomized trial · Contested

Creatine supplementation→Muscle strength

Higher Creatine supplementation moves Muscle strength only in some conditions. Read the mechanism.

Assigned creatine raised predicted one-rep strength more than lifting alone in 45 older adults (Amiri 2023) and raised fat-free mass in a five-day load (Mihic 2000), but a two-year postmenopausal trial found no extra one-rep max (Chilibeck 2023).

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Sources