Hultman et al (1) examined the effects of supplementation of creatine monohydrate on skeletal muscle creatine accumulation and degradation and on urinary creatinine excretion. A total of 31 male subjects participated in different dosage schemes over different time periods. Group 1 consisted of 6 subjects and ingested 20 g/day for 6 days; muscle creatine content was measured by biopsy on day 0, 7, 21, and 35. Group 2 had 9 subjects and ingested 20 g/day for 6 days and then 2 g/day for 28 days; muscle creatine content was measured on day 0,7, 21, and 35. Group 3 had 9 subjects and ingested 3 g/day for 28 days; muscle creatine content was measured on day 0, 15, and 29. Group 4 had 7 subjects and ingested a placebo (20 g/day for 5 days); urinary creatinine excretion was measured at various intervals. This same group repeated this same experiment with creatine supplementation.
FINDINGS: For groups 1 and 2, there were no significant changes in ATP concentration. Both groups had significant increases in muscle total creatine content. The majority of this increase was due to increases in free creatine. Combined data for groups 1 and 2 also revealed significant increases in muscle phosphocreatine and the phosphocreatine/ATP ratio after the 6 day loading phase. Group 2's levels of free creatine remained significantly elevated after 35 days, but groups 1's levels had returned to baseline levels.
Group 3 showed no significant changes in ATP concentration. After 28 days of supplementation, group 3's total creatine levels had increased by a similar amount as group 1 after 6 days of supplementation.
Group 4 showed greater urinary creatinine excretion over the final 20 days of the study after creatine ingestion when compared to ingestion of a placebo.
IMPLICATIONS: Ingesting creatine monohydrate at 20 g/day for 6 days can increase muscle free creatine, possibly enhancing recovery between short bouts of high intensity exercise. Once muscle saturation is achieved after 6 days, only 2 g/day is necessary to maintain saturated tissue levels of creatine. After supplementation is halted, it takes approximately a month for total creatine in muscle to return to normal levels.
Individuals looking to save money can achieve saturation within a month's time by ingesting only 3 g/day.
1. Hultman, E., K. Soderlund, J.A. Timmons, G. Cederblad, and P.L. Greenhaff. Muscle creatine loading in men. J. Appl. Physiol. 81(1):232-237. 1996.