Creatine

Creatine Monohydrate (Cr·H₂O) — Phosphocreatine Energy System

Creatine is the most-studied, most-validated sports supplement in history — and one of the cheapest. Synthesized naturally in the liver from glycine and arginine, it is stored predominantly in skeletal muscle as phosphocreatine (PCr): the fuel reservoir behind every explosive movement, from a sprint to a back squat. The International Society of Sports Nutrition designates it "the most effective ergogenic nutritional supplement for increasing high-intensity exercise capacity and lean body mass during training." More than 500 RCTs back this up. The story doesn't stop at the gym. A decade of accumulating research on brain creatine has produced compelling 2025–2026 data on cognitive performance, depression augmentation, and even a first-in-human Alzheimer's pilot trial that confirmed creatine crosses the blood-brain barrier in meaningful amounts. Meanwhile, decades of feared side effects — kidney damage, cancer, dehydration, hair loss — are being systematically addressed by controlled trials and expert reviews, with most concerns either quantified as minor or debunked entirely. Standard dosing: 3–5 g/day continuously, with or without a loading phase.

Last updated
2026-06-02

How to read this sphere

The percentage on each node is the confidence level that a particular benefit or side effect is actually real — higher means more high-quality studies back it up. Once confidence crosses ~80%, the effect is considered Pacified: generally accepted as true by the scientific community.

Position reflects confidence: nodes closer to the center have stronger evidence; nodes near the edge are still speculative. As more studies are published, nodes migrate inward — or disappear entirely if the evidence collapses.

Creatine's Core is unusually dense — 500+ RCTs have settled the muscle and performance story beyond reasonable doubt. What's interesting right now is the brain: 2025 research confirms creatine crosses the blood-brain barrier in AD patients, active trials are testing it in concussion recovery, and the depression augmentation signal is building. The outer ring will change faster than any other sphere here.

8
Benefits
4
Malefices
22
Sources
65%
Avg. Confidence
BENEFITSMALEFICESCore80–100%Inner Mantle60–80%Outer Mantle40–60%Crust10–40%Traumatic Brain … (C.L. 24%)Alzheimer's & Br… (C.L. 32%)Mood & Depression (C.L. 50%)Cognitive Perfor… (C.L. 65%)Older Adults & S… (C.L. 76%)Sprint & Anaerob… (C.L. 85%)Lean Muscle Mass (C.L. 91%)Strength & Power… (C.L. 97%)DHT Elevation / … (C.L. 20%)Kidney & Safety … (C.L. 72%)GI Side Effects (C.L. 74%)Water Retention … (C.L. 90%)

All Sources

Phase III RCT6 sources
Meta-Analysis14 sources
Observational Study2 sources

Last updated: 2026-06-02 · Data compiled from PubMed, ClinicalTrials.gov, FDA, and EMA databases.