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Creatine monohydrate is the most effective, best-researched, and safe supplement for increasing high-intensity exercise capacity and lean body mass.
Creatine is a compound stored in muscle as phosphocreatine, where it rapidly regenerates ATP during short, intense efforts (see atp-pc-system). Supplementing raises muscle creatine stores, improving repeated high-intensity performance, training volume, and — over time — strength and lean body mass. The ISSN calls creatine monohydrate the most effective ergogenic nutritional supplement available for increasing high-intensity exercise capacity and lean mass during training; monohydrate is the most studied and cost-effective form.
Dosing (ISSN): two equivalent approaches —
Safety: extensively studied and safe in healthy people at recommended doses, with long-term use (up to 30 g/day for 5 years in studies) showing no significant harm; it is also beneficial in several clinical populations. The common early weight gain is mostly intracellular water, not fat. Creatine does not damage kidneys in healthy individuals (those with kidney disease should consult a physician). Pair creatine with progressive resistance training and adequate protein for muscle gains (see muscle-gain-nutrition).
Educational content only — not medical advice. Always consult a qualified professional for individualized guidance, especially around injury, pregnancy, or medical conditions.