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.
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.
All Sources
- Creatine Monohydrate Pilot in Alzheimer's: Feasibility, Brain Creatine, and Cognition↗Alzheimer's & Dementia: Translational Research & Clinical Interventions2025re: Alzheimer's & Brain Energy
- Eight Weeks of Creatine Monohydrate Supplementation Is Associated with Increased Muscle Strength and Size in Alzheimer's Disease: Data from a Single-Arm Pilot Study↗Nutrients2025re: Alzheimer's & Brain Energy
- Protocol for a Single-Arm, Pilot Trial of Creatine Monohydrate Supplementation in Patients with Alzheimer's Disease↗Frontiers in Aging Neuroscience2024re: Alzheimer's & Brain Energy
- Prevention of Complications Related to Traumatic Brain Injury in Children and Adolescents with Creatine Administration: An Open Label Randomized Pilot Study↗Journal of Child Neurology2006re: Traumatic Brain Injury Recovery
- Three Weeks of Creatine Monohydrate Supplementation Affects Dihydrotestosterone to Testosterone Ratio in College-Aged Rugby Players↗Clinical Journal of Sport Medicine2009re: DHT Elevation / Hair Loss
- Does Creatine Cause Hair Loss? A 12-Week Randomized Controlled Trial↗Journal of the International Society of Sports Nutrition2025re: DHT Elevation / Hair Loss
- ISSN Position Stand: Safety and Efficacy of Creatine Supplementation in Exercise, Sport, and Medicine↗Journal of the International Society of Sports Nutrition2017re: Strength & Power Output
- The Effects of Creatine Supplementation on Upper- and Lower-Body Strength and Power: A Systematic Review and Meta-Analysis↗Nutrients2025re: Strength & Power Output
- Creatine Supplementation and Resistance Training: A Comparison Between Novice and Experienced Lifters — A Systematic Review and Dose-Response Meta-Analysis↗Journal of the International Society of Sports Nutrition2025re: Strength & Power Output
- The Effect of Creatine Supplementation on Resistance Training-Based Changes to Body Composition: A Systematic Review and Meta-Analysis↗Journal of Strength and Conditioning Research2024re: Lean Muscle Mass
- Effects of Creatine Supplementation and Resistance Training on Muscle Strength Gains in Adults <50 Years of Age: A Systematic Review and Meta-Analysis↗Sports Medicine2024re: Lean Muscle Mass
- Creatine for Exercise and Sports Performance, with Recovery Considerations for Healthy Populations↗Nutrients2021re: Sprint & Anaerobic Capacity
- A Short Review of the Most Common Safety Concerns Regarding Creatine Ingestion↗Frontiers in Nutrition2025re: Water Retention & Weight Gain
- Impact of Creatine Supplementation and Exercise Training in Older Adults: A Systematic Review and Meta-Analysis↗European Review of Aging and Physical Activity2025re: Older Adults & Sarcopenia
- The Effects of Creatine Supplementation on Cognitive Function in Adults: A Systematic Review and Meta-Analysis↗Frontiers in Nutrition2024re: Cognitive Performance
- Creatine and Cognition in Aging: A Systematic Review of Evidence in Older Adults↗Nutrition Reviews2025re: Cognitive Performance
- Part II: Common Questions and Misconceptions About Creatine Supplementation — What Does the Scientific Evidence Really Show?↗Journal of the International Society of Sports Nutrition2025re: Cognitive Performance
- Creatine Supplementation Is Safe, Beneficial Throughout the Lifespan, and Should Not Be Restricted↗Journal of the International Society of Sports Nutrition2025re: Kidney & Safety Fears — Addressed
- Creatine Supplementation for Treating Symptoms of Depression: A Systematic Review and Meta-Analysis↗British Journal of Nutrition2025re: Mood & Depression
- The Effect of Creatine Monohydrate on Mental Disorders: A Systematic Review of Randomized Controlled Trials↗Canadian Journal of Psychiatry2026re: Mood & Depression
Last updated: 2026-06-02 · Data compiled from PubMed, ClinicalTrials.gov, FDA, and EMA databases.