How does it Work?

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T H E    E F F I C A C Y   A N D    S A F E T Y    O F    C R E A T I N E    M O N O H Y D R A T E
C R E A T E D    B Y    J O H N    H E T T I A R A C H C H Y,  2003

Updated by Peter Hession, 2006

 

 

Background
How does it Work?
Does it Work?
Does it REALLY Work?
Adverse Effects
References

Endogenous creatine, which is already in skeletal muscle, assists in recharging adenosine triphosphate (ATP), an energy-carrying molecule, by transferring a high-energy phosphate group to adenosine diphosphate (ADP).

Although there has been a considerable amount of research on the properties of creatine, there is no conclusive answer as to exactly how creatine supplements work. However, there are several proposed mechanisms:

  1. Increased intramuscular creatine may help maintain a high ATP/ADP ratio

  2. Creatine phosphate may buffer protons accumulating in the acidic environment of anaerobic exercise

  3. Creatine may help energy transfer from the mitochondria to sites of ATP use in a process described as the creatine phosphate energy shuttle

  4. Excess creatine in the muscle cell may osmotically draw water into the cell and stimulate protein synthesis

  5. Exogenous creatine may be converted back into amino acids and serve as precursors for muscle protein synthesis

As described in subsequent sections, the mechanism of action for creatine may actually be a combination of these proposed mechanisms.

 


© 2003 John Hettiarachchy