The Science Behind Pure Creatine
                    
		
		
		
		
		
		
		
		Creatine 
                      Monohydrate  is a nutrient found naturally in the human body, where it 
                      is crucial to muscular contraction. It is formed in the 
                      liver by a metabolic pathway that requires the amino acids 
                      glycine, arginine, and methionine. It can also be obtained 
                      from foods such as red meat, fish, and chicken. It has an 
                      amino acid structure, but it is not a building block for 
                      protein. Creatine is produced synthetically by combining 
                      the salts sarcosine and cyanamide in a hot water bath, and 
                      dehydrating the product to produce a pure crystalline creatine 
                      powder. 
	
	
	
	
	
	
	
	
		
		
		Effects 
                      of Creatine Monohydrate
	
	
	
	
	
	
	
	To understand 
                      how creatine functions as a performance-enhancing supplement, 
                      it is necessary to review the physiology and energetics 
                      of muscle contraction. Each individual muscle fiber contains 
                      two types of protein filaments: thick filaments, comprised 
                      of myosin strands, and thin filaments, comprised mostly 
                      of actin strands. Each muscle fiber consists of many thick 
                      and thin filaments in series with each other. Fibers, in 
                      turn, group together to form the body of a muscle. The contraction 
                      of the muscle is due to the shortening of individual muscle 
                      fibres as these filaments slide together. 
	
	
	
	
	
	
	
	Myosin 
                      strands consist of long ‘tails’ connected to globular ‘head’ 
                      regions, which stick out from the side of the thick filament. 
                      Muscle contraction occurs as the myosin heads attach to 
                      the thin filament, slide the filaments together, and then 
                      release the thin filament. Only energized myosin heads are 
                      capable of this process during muscle contraction, and this 
                      energy must come in the form of ATP (adenosine triphosphate). 
                      The energy stored in ATP is transferred to myosin, resulting 
                      in energized myosin and ADP, as outlined below. 
	
	
	
	
	
	
	
	
ATP 
                      + myosin ---> ADP + energized myosin 
	
	
	
	
	
	
	
	Once 
                      the energized myosin head has pulled the filaments together, 
                      it must be re-energized with a new molecule of ATP before 
                      the process can be repeated. The pool of available ATP in 
                      the muscle cell is very rapidly depleted, however, and new 
                      ATP must be produced for muscular contraction to continue 
                      (the ATP pool contains only enough energy to sustain contraction 
                      for about 1-2 seconds). A deficit of ATP in contracting 
                      muscle results in fatigue and decreased strength, power, 
                      and endurance. 
	
	
	
	
	
	
	
	The 
                      fastest way in which ATP is regenerated in the muscle cell 
                      is through the high-energy molecule creatine phosphate (CrP). 
                      This molecule, which comprises about two thirds of the creatine 
                      found in muscle cells, rapidly regenerates ATP from ADP, 
                      as outlined below. The ATP produced is then available to 
                      fuel further muscle contraction. 
	
	
	
	
	
	
	
	Creatine 
                      phosphate + ADP ---> Creatine + ATP 
	
	
	
	
	
	
	
	Creatine 
                      moves into the mitochondria, where it is re-energized to 
                      CRP before moving back into the cytosol. Published reports 
                      estimate that the pool of creatine phosphate will be depleted 
                      within approximately 10 seconds during high intensity muscular 
                      contraction. Increasing the amount of available creatine 
                      phosphate increases the rate at which ATP is made available 
                      to contracting muscle cells. 
	
	
	
	
	
	
	
	Creatine 
                      is perhaps the most effective natural performance-enhancing 
                      supplement on the market today. Researchers have proven 
                      that oral supplementation with creatine monohydrate increases 
                      plasma concentration of creatine by up to 30%, and muscular 
                      concentration of creatine phosphate by up to 20%. The increased 
                      concentration of CRP results in a higher rate of ATP synthesis 
                      from ADP. 
The higher availability of ATP allows muscles 
                      to work at maximal output for a longer duration than possible 
                      without creatine supplementation. 
	
	
	
	
	
	
	
	Oral 
                      supplementation with creatine monohydrate has been proven 
                      in numerous controlled, clinical trials published in peer-reviewed 
                      journals to enhance sport performance through increased 
                      muscular power and endurance during high intensity exercise 
                      (see examples in reference section at the end of this discussion). 
                      
	
	
	
	
	
	
	
	The 
                      elevated rate of ATP re-synthesis has also been proven to 
                      decrease recovery times between bouts of exercise, as less 
                      time is required to re-stock the cellular pool of ATP. Athletes 
                      involved in sports such as weightlifting, sprinting, wrestling, 
                      football, basketball, or any activity which involves bouts 
                      of intense activity, benefit from creatine monohydrate supplementation. 
                      
	
	
	
	
	
	
	
	Supplementation 
                      with creatine monohydrate is reported to increase cellular 
                      hydration, as the absorption of creatine requires concurrent 
                      absorption of water. It has been reported that this increased 
                      hydration is conducive to increased protein synthesis in 
                      muscle cells, and that this may contribute to the observed 
                      increase in performance. It also causes the initial weight 
                      gains noted immediately upon beginning creatine supplementation. 
                     
	
	
	
	
	
	
	
	
		
		
		Recommended 
                      Dosage 
	
	
	
		
	
	
	
		Research 
                      has determined that results are optimized if muscle cells 
                      are saturated with creatine. This is achieved by ingesting 
                      high doses of creatine for the first 5 days of supplementation 
                      (loading phase), and then decreasing the dose to a level 
                      that maintains saturation (maintenance phase). The recommended 
                      dose is 5g four to six times a day for the loading phase 
                      (5 days) and then 5g one to three times a day for the maintenance 
                      phase. These doses are standardized for a person of about 
                      160 pounds. A heavier person should use the high end of 
                      the recommended dosage range, while a lighter person should 
                      go with the low end of the recommended dosage range. You 
                      may need to increase or decrease these doses, depending 
                      on your body type and weight. 
	
	
	
		
	
	
	
		It is 
                      recommended that supplementation be continued for up to 
                      10 weeks followed by 2 weeks off, and then started again 
                      with the loading phase. 
	
	
	
		
	
	
	
		Creatine 
                      is best taken in a beverage, such as grape juice, that contains 
                      simple sugars. The sugar causes a spike in insulin level, 
                      which is known to enhance the absorption of creatine by 
                      muscle cells. There are products on the market that contain 
                      a mixture of creatine and sugar, but the same effect is 
                      achieved by taking pure creatine in juice. 
	
	
	
		
	
	
	
	
		
Safety 
                   
	
	
	
		
	
	
	
		Since 
                      intense study of creatine supplementation began, there have 
                      been no adverse effects documented in the scientific and 
                      medical literature. All published studies have been conducted 
                      on healthy subjects, however, and it is recommended that 
                      people with liver or kidney disease avoid using creatine, 
                      since it may place extra strain on these filtering organs. 
                      Anecdotal evidence suggests that some people may experience 
                      occasional muscle cramps, intestinal discomfort or diarrhea. 
                      Should this occur, decrease your dosage levels until symptoms 
                      are alleviated. 
	
	
	
		
	
	
	
		We recommend 
                      that when taking creatine you increase the volume of water 
                      that you drink each day, especially during the loading phase. 
                      
	
	
	
		
	
	
	
		
                    
		
		
		References 
                    
  
	
	
	
		
		
	
	
	
	
	
	
	
			
		
		
		- Balsom, 
                        et al., 1994. Creatine in Humans with Special Reference 
                        to Creatine Supplementation. Sports Med 18:268-280. 
- Balsom, 
                        et al., 1995. Skeletal muscle metabolism during short 
                        duration high-intensity exercise: influence of creatine 
                        supplementation. Acta Physiol Scand 154:303-310. 
- Brannon, 
                        et al., 1997. Effects of creatine loading and training 
                        on running performance and biochemical properties of rat 
                        skeletal muscle. Med Sci Sports Exerc 29:489-495. 
- Casey, 
                        et al., 1996. Creatine ingestion favorably affects performance 
                        and muscle metabolism during maximal exercise in humans. 
                        Am J Physiol 271:E31-E37. 
- Clark, 
                        1998. Creatine: a review of its nutritional applications 
                        in sport. Nutrition 14:322-324. 
- Earnest, 
                        et al., 1995. The effect of creatine monohydrate ingestion 
                        on anaerobic power indices, muscular strength and body 
                        composition. Acta Physiol Scand 153:207-209. 
- Earnest, 
                        et al., 1997. Effects of Creatine Monohydrate Ingestion 
                        on Intermediate Duration Anaerobic Treadmill Running to 
                        Exhaustion. J Strength and Cond Res 11:234-238. 
- Ekblom, 
                        1996. Effects of Creatine Supplementation on Performance. 
                        Am J Sports Med 24:S38-S39. 
- Engelhardt, 
                        et al., 1998. Creatine supplementation in endurance sports. 
                        Med Sci Sports Exerc 30:1123-1129. 
- Feldman, 
                        1999. Creatine: A dietary supplement and ergogenic aid. 
                        Nutr Rev 57:45-50. 
- Green, 
                        et al., 1996. Carbohydrate ingestion augments skeletal 
                        muscle creatine accumulation during creatine supplementation 
                        in humans. Am J Physiol 271:E821-E826. 
- Greenhaff, 
                        et al., 1993. Influence of oral creatine supplementation 
                        of muscle torque during repeated bouts of maximal voluntary 
                        exercise in man. Clin Sci 84:565-571. 
- Greenhaff, 
                        et al., 1993. The influence of oral creatine supplementation 
                        on muscle phosphocreatine synthesis following intense 
                        contraction in man. J Physiol 467:75P. 
- Greenhaff, 
                        et al., 1994. Effect of oral creatine supplementation 
                        on skeletal muscle phosphocreatine resynthesis. Am J Physiol 
                        266:E725-E730. 
- Kelly 
                        and Jenkins, 1998. Effect of Oral Creatine Supplementation 
                        on Near-Maximal Strength and Repeated Sets of High-Intensity 
                        Bench Press Exercise. J Strength and Cond Res 12:109-115. 
                        
- Mathews 
                        and van Holde, 1991. Biochemistry. The Benjamin/Cummings 
                        Publishing Company, Inc. New York. 
- Matthews, 
                        1991. Cellular Physiology of Nerve and Muscle, 2nd Edition. 
                        Blackwell Scientific Publishing, Boston. 
- Maughan, 
                        1995. Creatine Supplementation and Exercise Performance. 
                        Int J Sports Nutr 5:94-101. 
- Noonan, 
                        et al., 1998. Effects of Varying Dosages of Oral Creatine 
                        Relative to Fat Free Body Mass on Strength and Body Composition. 
                        J Strength and Cond Res 12:104-108. 
- Steenge, 
                        et al., 1998. Stimulatory effect of insulin on creatine 
                        accumulation in human skeletal muscle. Am J Physiol 275:E974-E979. 
                        
- Vandenberghe, 
                        et al., 1997. Long-term creatine intake is beneficial 
                        to muscle performance during resistance training. J Appl 
                        Physiol 83:2055-2063. 
- Van 
                        Leemputte, et al., 1999. Shortening of muscle relaxation 
                        time after creatine loading. J Appl Physiol 86:840-844. 
                        
- Volek, 
                        et al., 1997. Creatine supplementation enhances muscular 
                        performance during high-intensity resistance exercise. 
                        J Am Diet Assoc 97:765-770.