Creatine is often seen as a bodybuilder's supplement. The reality is more nuanced: it is one of the most studied ingredients in sports nutrition, with over 1,000 published clinical studies and documented effects well beyond the gym.
Definition: what is creatine monohydrate?
Creatine is a molecule naturally synthesised by the body, mainly by the liver, kidneys and pancreas, from three amino acids: arginine, glycine and methionine. It is stored as phosphocreatine (PCr) primarily in skeletal muscles (~95%) and in small amounts in other tissues (brain, heart).
It is also found in animal foods: red meat (~2–5 g/kg), fish (~3–4 g/kg). Vegetarians and vegans obtain virtually none from food.
Creatine monohydrate is the reference form. Its bioavailability, safety profile and efficacy are better documented than all other forms (Kre-Alkalyn, creatine HCl, etc.).
How does creatine work in the body?
During short, intense effort (sprint, resistance set), muscles consume ATP faster than the aerobic pathway can supply. Phosphocreatine (PCr) acts as an immediate energy reserve: it donates a phosphate to ADP to regenerate ATP within milliseconds.
Supplementation increases PCr stores in muscles, improving the ability to sustain repeated high-intensity efforts.
This mechanism is direct, measurable and recognised by EFSA: "Creatine improves physical performance during successive bursts of short-term, high-intensity exercise" (EU health claim no. 737, Regulation 432/2012).
What the science says: EFSA-validated effects
EFSA has validated two health claims for creatine monohydrate:
- Physical performance during repeated high-intensity exercise, with a daily intake of 3 g.
- Muscle strength in adults over 55: creatine enhances the effect of resistance training on muscle strength.
An ISSN meta-analysis covering over 500 studies confirms efficacy on maximal strength, explosive power and body composition. Creatine is considered the most effective nutritional ergogenic available for athletes.
Creatine and the brain: an emerging field
The brain holds about 5% of total body creatine stores. Some studies explore potential benefits for working memory, concentration and resistance to mental fatigue, particularly in vegetarians, vegans and perimenopausal women. These cognitive effects are under ongoing scientific evaluation and have not yet received EFSA validation.
→ Creatine and the brain: effects on memory and concentration
Who benefits? Best-documented populations
Athletes (weightlifting, CrossFit, sprinting, team sports): effects on performance are best established.
Adults over 55: supplementation combined with resistance training helps maintain muscle strength, a documented strategy against sarcopenia.
Vegetarians and vegans: their creatine stores are naturally lower (~70–80% of omnivores). They tend to respond more strongly to supplementation.
Women: data suggest slightly lower stores than men, with interest documented around perimenopause and menopause for muscle mass and cognitive function.
Dietary sources and natural intake
| Food | Creatine content |
|---|
| Red meat | ~2–5 g/kg |
| Fish (herring, salmon, tuna) | ~3–4.5 g/kg |
| Pork, chicken | ~3–3.5 g/kg |
| Plant foods | ~0 g/kg |
Omnivores obtain roughly 1–2 g/day from food, well below the 3–5 g/day needed to saturate muscle stores.
Creatine monohydrate is the only form with a robust clinical evidence base and a validated EFSA health claim. Alternatives (Kre-Alkalyn, creatine HCl, ethyl ester) have not demonstrated superiority in comparative studies.
Creapure® is a patented creatine monohydrate produced in Germany by AlzChem, with guaranteed purity ≥99.9% and rigorous testing for impurities.
→ Creatine monohydrate vs other forms: which to choose?
Dosage and protocol
Maintenance dose (recommended): 3–5 g per day continuously.
Loading phase (optional): 20 g/day split into 4 doses for 5–7 days, then 3–5 g/day.
Timing: after training with carbohydrates marginally improves absorption, but consistency matters most.
Duration: creatine can be taken long-term safely.
Creatine Creapure®: 99.9% pure Creapure® monohydrate, micronised powder, German manufacturing. Dose: 3.4 g/day.
Brain Creatine: 100% pure creatine monohydrate, no additives, formulated in France. Vegan, lactose-free, gluten-free. Dose: 3.4 g/day.