Supplement

Creatine Monohydrate

3 to 5 grams a day. Highest-evidence supplement in the muscle-and-strength category.

What it does

Creatine monohydrate has one of the deepest, most replicable human evidence bases of any supplement. It supports strength, lean mass, and recovery in trained and untrained adults, and the cognitive evidence is becoming credible. It earns a place as a default, not an experiment.

Creatine raises phosphocreatine stores in muscle, which speeds ATP regeneration during hard efforts. The same effect draws water into muscle cells, contributing to lean-mass gains.

  • muscle phosphocreatine / ATP regeneration
  • strength
  • lean mass

What the evidence shows

Overall evidence strength: High certainty

Who it's for, who should skip

Anyone doing resistance or high-intensity training who wants the highest-evidence, lowest-cost option. Older adults and the sleep-deprived may also see a cognitive benefit.

Running it

Form
oral
Dose
3–5 g · daily · any time — consistency matters more than timing
Titration
no loading phase required at the standard dose
Cycling
none required

Safety

  • raises serum creatinine as a lab assay artifact — not kidney stress; flag before interpreting a renal panel

Access & cost

Available over the counter. Look for: creatine monohydrate — avoid HCl, ethyl-ester, buffered, or micronized "advanced" variants.

Citations

  • creatine reliably increases strength, lean mass, and high-intensity performance in randomized trials rct

Last reviewed 27 August 2026.