Creatine Expert: Creatine Is The Secret To Weight Loss

Transcript from https://podmenti.com/t/eec8589d1b7eda35

A healthy brain likely doesn't need any creatine.
But what if you're stressed? What about sleep deprivation? Night shift workers, university students cramming for a midterm, then all of a sudden the healthy brain becomes a metabolically stressed brain. And most people fall into the stressed environment.
And that's where creatine comes to the rescue. And we'll talk about how much, but the more stressed it is, the higher the dull seems to come into play.
And is there anyone that shouldn't take creatine? Well, I've published over 120 papers just on creatine alone. And we've done at least 30 to 40 studies in our lab, and I can't find anybody that can't or shouldn't take creatine. So for example, at recommended dosages, creatine can not only have potential anti-cancer properties, but really speed up rehabilitation, and there's a lot of hope, especially around Alzheimer's.
And what about kids? The current body of evidence suggests they want to get at least one gram per day because in children they want to have optimization for bone health as well as muscle development. And so I'm fascinated that this nutrient discovered in 1832 was like boring for the longest time as having these profound benefits we never even thought would happen. And so your viewers today will be surprised about some of the things I'm going to talk about.
about including micro dosing. And we've got this thing here in front of us. This is the dosing dilemma. And I want to talk about how much I need to take for all these things. And I want to talk about nutrition, protein, weight training, etc. But before that, you've got five myths in front of you. Can you reveal one by one what they are? So this is oh I can't believe you did this one to me. Creatine causes hair loss.
I was going ball before I started taking creatine. Myth number two. Oh, so this is by far the biggest myth, and that is
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Uh
Doctor Darren.
Kind of.
What is the
Mission.
That you're on.
In your life?
I think right now would be to promote health.
And make people live longer free of disease. It's fascinating how we've transcended our understanding of weight training, and now weight training is seeming to have these profound effects that cardiovascular exercise has and it gives you a bit more so
really focusing now on the benefits of lifting things around the house and how exercise and then of course nutrition, we're gonna talk about creatine, but also how other macronutrients, especially protein, come into play. And then when you combine those two, are we doing enough?
to optimize longevity and we hope that we are, yeah.
And so what are the reference points you're drawing on?
H how do you know the things you know? Are you doing your own research? So I did my uh graduate school in Canada, uh cell biology degree, and then I moved into my master's and PhD looking in kinesology. So it's interesting that I fell into creating supplementation research by accident. I was doing my master's on an amino acid called glutamine.
And at the time, about 20, 30 years ago, glutamine was the biggest rage. Everybody was taking this nonessential amino acid and hoping that it would have body composition improvements. Uh, and I sort of determined it was worthless in young healthy individuals from a body composition uh standpoint. And at the same time, a good colleague of mine was doing creatine.
And I started to notice these young biological males were getting bigger, stronger, faster.
And then another study.
Bigger, stronger, faster.
And then when you go to the research on creatine, it was very stimulating in a sense that
We're now improving things that we know with aging go down. So then I turn my focus completely to healthy aging and trying to get, you know, grandparents and great grandparents and your parents to live longer free of disease, but wait.
Let's start young. Start as early as you can and move forward, yeah.
And so you got really compelled by creatine. I want to talk about all these things, nutrition, protein.
Weight training, etc.
But on the subject of creatine, what was it that compelled you so much to start you you did start doing your own research on creatine. I did, and I started to take creatine. So you know, it was this natural metabolite that we're synthesizing in the liver and brain. If you take a little bit more, not a lot, just a little bit more than what we're probably taking in from the food.
uh sources such as red meat and seafood, can it have benefits? And sure enough, it's now the most researched supplement out there. It's overtaken protein and caffeine uh from an ergogenic perspective.
And it's gone global, not just for males, but of course uh females and and centurions and elderly. So it's very fascinating the explosion in this research project.

What is the sort of um not evolutionary backdrop, but I guess physiological backdrop of why humans need creatine, but also why they might not be getting optimal amounts. Yeah, that's a great
Question. So uh adenosine triphosphate or ATP is the energy currency of all our cells. And think of your muscle doing work or shoveling the driveway or walking. You're using your muscles and you need to maintain that level of energy to to maintain exercise. Well, creatine comes to the rescue to help maintain your energy currency. So if
Batman, which gets all the press, is ATP. Robin is creatine. Creatine comes to the rescue with his best friend to help maintain these levels. Now
When you exercise at a high intensity, you know, sprinting, weightlifting, those ATP stores do become jeopardized, and that's why creatine sort of sacrifices itself uh to come to the rescue. So that's why anaerobic sports, the world cup just started. These individuals will be using a lot of creatine stores in their muscle. The question is, do they have enough?
And if they had more, could they play better? And so d our body makes creatine naturally. That's correct. It is making about one to three grams a day, but only in two areas. So this will be quite shocking for people. We're only actually making it in the liver and the brain.
We don't make it in skeletal muscle, but you store ninety five percent in our muscle. So when it's being made in the liver or brain.
The brain will keep it there.
But in the liver it will get transported in the blood up to your or skeletal muscle. The question is, well, what if we need more?
And that's where dietary creatine from red meat or seafood or supplementation comes into play.
So
Are we deficient in creatine?
They're small populations with, unfortunately, they were born with the inability to synthesize creatine. Uh they would have a deficiency and they are required to take supplementation. The other unique population is vegans and vegetarians. So vegan and vegetarian diet is extremely healthy.
The downfall though is they're not getting any dietary creatine, because creatine is only found in animal based flesh, so red meat, seafood, and poultry. They're naturally synthesizing about one to two, maybe even three grams a day through amino acids in their food.
But vegans and vegetarians respond
Literally s the best on the planet because now they're taking in a supplement to allow that in. And is it thought that historically we wouldn't actually have consumed more creatine? That's a good point. So back, you know, hunter and gatherer age a lot of meat, they were consuming quite a bit through dietary products. Just say if you only wanted to get three grams of creatine through food.
You'd have to eat quite a bit of meat to do that, and then it comes into the dilemma of what if you don't eat meat or you just can't afford it. Yeah.

Creatine has exploded over the recent over the c last couple of years. I I saw a start that said it I think in women it had gone up to about three percent of women take the cr creatine.
Um in minutes slightly higher.
It's still a little bit lower in terms of consumption in women from the stats that I saw. And I think that in part is because there's still some prevailing myths about creatine. When I when I speak to some of my friends, people know that I interview a lot of um health experts and scientists and PhDs on that have done research and supplements.
They ask me the first question I get asked a lot is what other supplements shall I definitely take? Yes. And when I mentioned creatine, it's always met with
A certain set of rebuttals because there's some prevailing myth.
You've got some myths. Yes.
about creatine on the cards in front of you. Can you reveal one by one what they are?
So this is definitely the number one myth. Creatine damages your kidneys. So when you take in creatine to the body, it gets stored as creatine, but when you metabolize it, sort of sort of thinking leaking from the muscle, it gets leaked out as creatinine.
And most people watching is like oh that was on my blood requisition form and right below creatinin was something called EGFR. So glomer filtration rate is an estimation of your kidney health. So the problem is
when individuals on creatine supplementation, they go to their doctor for their annual blood work, their creatinine might be a little bit elevated, and that's only from the breakdown of the m uh the compound. And then unfortunately their uh filtration rate is lower. So then their doctor gets really surprised and they're like, stop taking creatine because it's hurting your kidneys.
What typically happens is they go back all are stopping creatine and then they check their kidneys again and it's fine. So I would say 99 out of a hundred times uh that it's a false positive. So this is by far the biggest uh myth.
And there's been randomized control trials for several years showing that creatine causes no detrimental effects to the kidneys. I had exactly that twice on my tests. Yes. And if you're also creatinine can be elevated if you're on a high meat diet, a little bit dehydrated. So uh those that are exercising uh it's very, very elevated. So always tell your doctor you're on creatine supplementation because your creatinine could be a little bit higher. Okay.
Yeah.
Myth number two.
Creatine makes you retain water. So this is really important. And I think this is one of the main reasons females were really hesitant to take creatine. If you take too much too soon, it can lead to an increase in water retention.
So you've probably heard of the creatine loading phase. This is where supplement companies want you to take about twenty or thirty grams a day for about five or seven days. That has been shown to increase water retention acutely.
So maybe it'll reside there for about three to five days, but after that, when you go on a maintenance phase of about three to five grams a day, uh that water retention goes away. So
In the initial stages, if done improperly or too much, it can cause a little bit of water retention. The good news for everybody watching is after about the first week that water's inside our muscle.
So now we're volumizing the size of our muscle sort of like a balloon here. It's full of water. Now after a while the water's now going into our muscle, it's a lot bigger.
compared to a deflated balloon or muscle that didn't have any water.
So creatine is osmotic.
Water likes to follow creatine, so by taking it into the muscle, it gets a lot bigger, and that's good because a swollen muscle stimulates protein synthesis to get bigger and stronger.
Oh really? Swollen muscle
Stimulates protein synthesis. Synthesis yeah. So when you have water coming in, that's a really good thing.
And creatine does that and that's one of the main mechanisms why it works.
So what does that mean? Does that mean that if I have creatine in my muscle I'm more likely to gain muscle?
That is potentially the the factor because when you're having or trapping water, it turns on all these signaling pathways that are involved in protein synthesis. And and one of the biggest robust evidence is that creatine increases lean tissue mass and regional muscle thickness with weight training over time.
Oh wow, okay. Yeah,'cause a lot of people are concerned that they're gonna put on lots of weight and be bloated.
With crazy.
The interesting thing there is if you take smaller, more micro dosing, there's hardly any effect. And this might come surprising, but if you did a six week study
pre-impulsed after creatine, you only increase mass by point eight six kilograms. Wow. And the majority of that is lean mass.
So at the end of the day, you know, a pound and a half is not a lot. Lean mass. Lean mass, yeah. Which is we think of lean mass, most people think it as muscle, but lean mass in our body that includes water, connective tissue, organs, as well as scaldal muscle. And about fifty percent of our lean mass is muscle. Okay. Yeah. Great.
Okay, myth number three.
Creatine is only for men. Uh this is a hundred percent false.
When you go through the totality of all the evidence, uh females re respond extremely robustly to creatine supplementation. They get profound benefits in strength, endurance, and performance. They lose a little bit of body fat.
So there's another idea that people thought water retention was causing an increase in in fat mass. We've done some meta-analysis now showing that creatine reduces fat mass. Uh females get an increase in lean mass as well. Uh and I'm happy this one came up because
From our lab with bone health, females do respond very favorably with creatine and bone, and we can talk about that as well.
Myth number four.
Five.
I can't believe you did this one to me. Creatine causes hair loss.
So obviously looking at me and uh I I'm a pro prolific uh creatine researcher and taken creatine religiously for like the last two and a half decades, people would look at me and say, Well, obviously looking at him, creatine caused this and
I was going bald before I started taking creatine. This myth came from a study in rugby players decades ago where creatine about twenty to twenty five grams a day for seven days increased a hormone called DHT. It's a precursor for testosterone, which unfortunately has been linked to hair follicle loss and thinning.
Uh, but the ironic thing is when creatine was given to these young males, the hormone went up.
but it was still within the biological range and no measure of hair follicle thinning or loss uh was done.
The cool thing is just a few years ago they started to put this uh uh theory to the test, and five grams in young males for about six to eight weeks of training caused no uh detrimental effect uh from hair thinning, folkl. So my appearance was probably based on something else. So there's no evidence to that as well.
Myth number five. Creatine causes muscle cramps. No, I think this is so overplayed.
When creatine ta is taken into the body and water will follow it, now you're super hydrating the muscle.
So one of the main issues with muscle cramps is it could be, you know, uh dehydration in the muscle. Some people have heard of sodium potassium. That's why Gatorade was invented. But if anything, sodium decreases muscle cramps and it's super hydrate. So in the hotter environments, June, July, August, creatine is going to be one of your best friends.

So there's the five myth. We talked there about weight training. What is this
very curious graph. It seems to show that
Creatine
Help.
Gain muscle mass through
A training regime?
Oh yes. So this is actually showing now that uh when you take creatine supplementation
you're actually getting an improvement in training volume. So when you go in the weight room, you look at the load you're lifting by the reps, by the sets. So it actually goes up. Um, and then when you don't
obviously it would go down over time as well. So the cool thing here is that one of the main reasons you get an enhancement in performance is that creatine seems to enhance training capacity. So a lot of people say I've taken creatine, now I got an increase in the number of reps or uh sets that I can perform. And that probably leads to a stimulation over time. So this is a
Eight week study? That is an eight week study, very short term as well. So you can see that the number of weeks came uh down when they weren't taking creatine and then when they started to take it, it went up as well.
And this leads to another important point. So and it's often not talked about, when you take creatine for at least a month, people say, Well how long does it stay in my muscles if I go on vacation? What if I can't take creatine and in skeletal muscle, it takes about a month for those elevated levels to come back down?
In the brain, we don't have a lot of evidence, but it's speculated it takes about anywhere between five uh weeks to about three months for those elevations to come back down. And this essentially means that if I take creatine
I will be able to train harder. Harder or longer or more frequent. So one of the things with creatine, it allows the muscle to recover quicker. So you might be able to get back to the uh you know, if an athlete's training twice a day.
Um so either one of those seems to be one of the most plausible mechanisms. And why is there a big dip in the middle of this growth? So that is actually showing where the individuals would train and then without creatine and then take it over time as well. Oh okay.
It's a D training and then taking it again, correct.
Okay, so they start taking it.
Uh taking it at the at week four and then that's where the elevations go up.
Um.
So it goes to show that when you have creatine, everything is elevated. If you stop taking it, it takes about four weeks to come back down, but you'll notice that it was at the same level as the placebo.
And then when they take it again, they get a rebound effect. So I think this has application for people who have injured themselves and they now need to go back and start training. If you take creatine, it can accelerate the rehabilitation program.
Hm.
And it does it.
I guess because it makes your training volume increase. Correct. It makes your muscle mass
Gain increase. It can gain gain increase in muscle mass. It's not great. That's probably gonna be a bit surprising to a lot of people. A lot of people take creatine for huge increases in muscle. You get an increase in lean mass by about 1.2 kilograms.
But as I I said previously, remember only half of that is skeletal muscle. So creatine, yes, can with weight training improve muscle mass, but it has more robust evidence for muscle performance. Is there anything else we need to know about creatine's linked to muscle mass? I think one of the big things is that it decreases something called protein breakdown.
So that might allow the muscle to maintain its integrity or recover quicker. Uh, but overall, when you combine creatine with a standard weight training program, you should expect a greater increase than weight training alone. Absolutely. And that is that's across all ages, which is really important.
Okay. And the studies you've done in your own lab, what are those? How wide varying are those, and how many have you done?
We've oh God, we've done at least thirty to forty studies um in our lab of published over 120 papers just on creatine alone. And the interesting thing is that from young individuals to middle age to older adults, we see a very common uh theme that combined with weight training, uh creatine, about five grams or more.
Uh we use typically a little bit more, seems to have uh beneficial effects on muscle mass, uh, muscle strength, as well as performance. Absolutely. Can you show me what five grams looks like? Absolutely. So this would be a standard five gram dose.
Which is one scoop for now. Now keep in mind
That
Can be found in in meat.
Or seafood, but you're gonna require a lot.
Yeah. So five grams is one scoop. One scoop.
And you're saying we don't necessarily need to do this loading phase that bodybuilders would. Correct. So the loading phase is the most rapid way to saturate y your muscles. Now that's very beneficial, but that would be four scoops.
So four scoops is a loading phase per day.
And it's very effective, but the issue is
Can it cause some adverse GI tract irritation, things like that's where anidole people have report that. But a lot of people from a muscle perspective will start with just five grams a day, and that's very beneficial. And at five grams a day, what benefits am I getting? Five oh across from a skull to muscle perspective if you get a whole plethora. So you definitely get an increase in lean tissue mass or muscle size.
Uh, and then again, muscle performance, uh, muscle strength, power, and endurance. And the other one that never gets a lot of press, which should is functional ability. Uh an older adult to sit to stand. Uh, this has applications, getting off the toilet, out of the bed, out of a car. So as we get older, we're losing muscle strength and performance as well as functionality and creatine and weight training seems to come to the rescue there.
And is there anyone that shouldn't take creatine?
You know
I can't find anybody that can't or shouldn't. The safety profile is exceptional. If they have preexisting medical conditions, they definitely need to speak to their their doctor. Uh besides that, I'm not seeing any reason a healthy individual can't take or shouldn't take creatine. And pregnant women? So that's an interesting uh colleague of mine, Dr. Stacy Elried of Australia, is now finally looking at human
uh trials with pregnancy uh going into breast milk into uh the fetus. So uh it's still in its infancy, the jury's still out, but as it currently stands, it seems to be relatively safe and and well tolerated.
Okay. So
Not all creatine is made the same. There's lots of different types of creatine. People some people take creatine gummies.
Um I mean I have some different types of creatine here, creatine monohydrate.
Creatine hydrochloric. I I remember looking when I was in a sh shelf a couple of months ago and seeing like five or six different types of creatine.
Um what is the
The optimal type of creating to take and why?
So by far creating monohydrate.

And that goes against all the new marketing forms. So creatine monohydrate is simply creatine linked to one wall water molecule. When you take it into the body, the water molecule dissolves, it's identical to uh what's being produced in the liver and the brain.
All the evidence that you ever hear about the safety and efficacy of creatine is based on the old boring from eighteen thirty two creatine monohydrate.
There's new market forms of creatine such as hydrochloride, which does have evidence behind it. There's many other forms, but the only downfall with all these market forms is it's never been shown to be safer or more effective than creatine monohydrate.
The other big thing for your viewers is make sure it has crea pure or some form of creatine monohydrate on uh the label and then and that it's also third party tested. Create pure. Creo pure is from Germany. It has the highest um standard of of qualification and and um of scrutiny.
And then NSF certified or another third party certified. So those are the three things that I personally would look for. Monohydrate.
Crea pure is the type and then NSF th certified or third party certification. Which is that little logo at the bottom. That little logo here at the bottom, that's right. So NSF is the National Sanitation Foundation, it's a third party organization that will independently take the
the supplement and then third party test it, and then you get a certificate of analysis to make so there there's no uh uh uh contaminants like lead or arsenic or things like that. So that's something for the consumers watching to definitely be aware of when you go to uh the store.
And we've got this uh thing here in front of us. Right. This is the dosing dilemma. Um we talked about muscle there. Have we checked muscle off or is there anything else to cover? No. So how many scoops do you think is optimal for skeletal muscle?
Oh uh Skeletal Muscle. Yeah.
Your bicep, your tricep, you know, Arnold Schwarzenegger.
Five gram five grams. Five grams. So that's only gonna be one little scoop. Okay.
Okay.
That's probably very viable, and you're correct. Across the lifespan, five grams has been shown to be effective, but here's a little bit of caveat.
If you're over the age of fifty
Maybe you want to have a little bit more.
Because as we get older, the creatine in our lower legs is more jeopardized and therefore you might need a bit more.
Okay.
Okay. So this is without the loading phase. So this is if you just want to take a little bit per day.
And you have to take it consistently.
Good question. So ideally, yes. There is evidence that you can just take it on the training days, but we haven't talked about the brain yet.
And the reason why I think you should take it every day is it likes to go to other tissues on a daily basis.
So that's about seven grams, how much about seven or eight grams. And that seems to be very safe and viable uh dose to be shown to be effective for improving muscle mass.
Okay. And performance. I feel
I wouldn't say lightheaded, but I get a little bit dizzy almost. What is that? So there is a mechanism, so creatine is the biggest methyl scavenger in in the body, and without boring your viewers, but methyl groups are used for everything. They're also used to synthesize something called adrenaline.
And our neurotransmitters, you know, things that we get excited about. So when you take in too much creatine, typically on an empty stomach or in a dehydrated state.
that will spare methyl groups in the body to be used because you're taking so much in and then it says, Where can I go? So since creatine is now being taken into a supplement,
these methyl groups are available in your body to go elsewhere to do work and they like to synthesize adrenaline. And that's why you feel more uh um energetic, so to speak. When you say synthesize adrenaline, what does that mean, that means you're creating more of the hormone called epinephrine. And that you know, you hear about fight or flight or you're nervous or whichever it is, it gives you a little bit more of that.
So that's why sometimes you feel a little bit jittery or things like that.
Hm.
Yeah, sometimes I I can feel a little bit sick as well if I do too much. Yeah, and so that's where it's sort of the new area of interest for me is this micro dosing based on that. So we're starting to see some evidence now that if you take smaller amounts all throughout the day, it does not have any adverse effects. If anything, it seems to be a little a little bit more tolerable.
Um, so you could take a few grams in the morning, a few grams in the evening, or whichever. I think one of the best uh ways to take it that never gets any press is I put five grams in my water bottle during my workout.
Mm-hmm. And so now I'm consuming a little bit of creatine as I do my weight lifting or cardio, and then I'll consume a little bit in the morning as well. So I take about ten grams a day at minimum on on a daily basis. Other people will take more or less, but that's just how I get it in. Yeah. I find that if I do take a little bit in the morning and then a little bit later.
It's much better. I don't get any weird feelings. And uh it seems to be more consistent and appreciate it for individuals because if you do or are susceptible to any uh fluctuations in weight gain, water retention, or GI tract irritation, they'll seem to the definitely go away. And we've
God, we've assessed over a thousand individuals in my lab and that seems to be a very viable approach.
Not a lot of taste to it, is there? It's not the best tasting. No, it's very bland, very boring. Um but there's other companies trying to make it more flavorful, things like that. The cool thing is with uh creatine, you can put it in anything.
You can put in yogurt, uh uh a juice, whichever it is. You can now put it in coffee. There's a little bit of controversy over the dose of caffeine.
I think anywhere lower than three hundred and fifty milligrams is fine, and that's gonna be most standard uh coffees or teas as well. So whichever allows you to become consistent is is a great way to do it. Yeah. Okay, so bone, tell me what I need to know about case. So now we talked about muscle. How many do you think for the skeleton here?
Um at the same seven.
Unfortunately, the lowest dose ever's been shown to have bone benefits is eight grams all the way up to twelve. So now we're in a dosing dilemma already. We just started. We have a little bit disconnect between muscle and bone. Three to five grams seems to be really good for muscle, a little bit more is fine. But bone
needs to be a little bit more. And that's primarily based on some of our work from our lab where we've shown that about eight to twelve grams a day with exercise, and that's crucial. If you do not exercise, there's never been a study ever uh shown to have bone benefits, but if you do perform weightlifting, one of the very cool things in pulse menopausal females
is that creatine seem to reduce the rate of bone mineral density loss around the hip region.
So it didn't increase bone density, but it decreased bone density loss. And it also seemed to maintain or improve the structure of the bone a little bit more. So that has profound beneficial effects, especially as we get older. If those individuals on creatine were to fall, maybe they might not fracture their hip.
And as we both know it, if you fracture your hip, you're gonna be placed in long term care or you're gonna be inactive for at least six months. So creatine has some bone benefits. They're not great.
They don't improve bone density, so they're not gonna be an osteoporic cure, but there is something there, especially if you're prone to uh osteoporosis or osteopenia. And what's the mechanism there that's
Yeah, it's very interesting. So if
You understand a twenty-four hour cycle that creatine sort of stimulates these bone building cells to become more energized. Think of Super Mario, the original Nintendo when he got the mushroom, maybe became energized. Creatine does that as well. And then on the flip side,
Creatine seems to decrease uh the osteoclasts or bone breakdown cells. So by a synergistic uh mechanism, it seems to cause this turnover to go a little bit better, causing the bone to maintain its structure. It's very similar to a bisphosphonate that someone would be taking to maintain their bone health.
A pizphosphonate. Yeah, it's a drug that a lot of individuals will take if they're uh prone to bone loss. Uh obviously creatine is not a drug, but it has some of those similar properties. So we've got muscle. I need to take about seven or eight grams to get those benefits. With burn it's a little bit more. A little bit more. You don't mean
Additionally. No, in in total. So now this is where we get into the daily dosing dilemma. We've gone from three to five grams or a little bit more for muscle. Bone is maybe eight to ten or a little bit more
So what do you think on the brain the hottest topic?
Ten.
Ten, okay. So that would be, you know, two scopes.
I'm just assuming this increases. Yeah. So the interesting thing here is that the brain will naturally make its own creatine, very similar to the liver. So
Since the brain is actually making its own creatine, it may not require as much or any on a daily basis.
So here's the brain, obviously, and in different regions, creatine is being synthesized and being used all throughout. So this organ.
is about two kilograms, but uses twenty percent of our daily energy at rest.
So just think about that. Twenty percent of the amount of energy we're consuming from food or using is being used by the brain. But what if you're stressed?
Sleep deprivation, your dog got you up in the middle of the night to pee and you couldn't fall back to sleep. Uh university students cramming for a midterm. Um, now all the countries looking at the World Cup, they're gonna be up stress, you know, different time zones.
Then all of a sudden the healthy brain
becomes a metabolically stressed brain. So your guess about 10 grams on average is fine because the brain on a non-stressed day isn't naturally making it uh is enough and it's healthy. But now we get into a more difficult
What about those metabolic stressors? So again, all the neurons in the brain are being used.
So what about sleep deprivation? Ten grams?
For sleep deprived?
When was the last time you slept?
Ten straight hours.
Uh

It's been a while for even you the pause there, you know, that's that's alarming because you're thinking
When was the last time I got a really good night's sleep?
What if you were up for twenty four hours?
Gosh. An ER doctor.
traveling different time zones, all these come into play. Yeah. You remember on a healthy brain
You know, adequate sleep, uh pro the brain is actually making enough.
But when you're stressed.
Night shift workers, uh, military pilots, ER doctors, whichever it is, that's where the brain starts to rely on supplementation. So unfortunately for the brain.
Creatine really struggles to get through the blood brain barrier.
But if it does, now you might need longer or higher dosages. So
What about sleep deprived?
I have no idea.
Let's say there's five.
There's ten.
What do you think?
It's gonna be more, isn't it? It's gonna be a lot more.
Here's fifteen.
Couple studies showed some benefits.
Now let's do twenty. Remember that loading phase.
The best overall studies currently right now that use an MRI for the brain

Seems to have some effect acutely.
But the two studies last showed in Germany even showed this.
There's twenty five.
And here's thirty.
So a classic study was done last year when they gave thirty grams to a group of young individuals who volunteered to be sleep deprived for twenty one hours.
And that level of creatine
increased uh creatine levels in the brain and it offset some of the negative effects. Remember that was an acute episode of twenty one uh hours of sleep deprivation. They've done a subsequent study going down to about uh zero point two grams or about fourteen grams. It didn't have the same effect.
So remember, a healthy brain likely doesn't need any creatine.
But a stressed brain likely does. And the more stressed it is, the higher the dose seems to come into play. There's a lot of nuances with the brain. Obviously we just show different regions, which we don't have a lot of information, but overall it seems that twenty grams seems to be the most viable dose when the brain is stressed.
We basically need to start dumping out.
Quite a bit more.
So when you get from this area on the brain healthy likely doesn't benefit from any type of supplementation because it's making its own.
But in these areas when you're stressed, it likely does.
the area of nuance or why it's become so popular
Is I think most people fall into this stressed environment.
And if they're not getting enough creatine through their diet.
And or supplementation. That's why this big explosion on let's take more
To sort of check off all the boxes.
So I take ten grams a day at minimum.
To check off muscle, right?
That checks off balm for the most part. And I'm pretty sure over time 10 grams would do the most part for stress.
Now
Since I just flown different time zones.
Today.
I'm taking twenty to twenty five grams based on this. Acutely.
And then when I go back to a nonstressed environment, back to Canada, I'll go back to my regular 10. So I look at the 10 gram doser a little bit more as kind of being like a safety net.
If you're only taking three to five, you definitely will get muscle benefits. Will you eventually get brain benefits
There's a small chance.
But taking a little bit more and remember the cool thing for your viewers, we're not talking about protein. If we were talking about protein, the entire thing would be hundreds of grams. We're only talking about maybe twenty grams. And that may only need to be done acutely.
you know, when you're really going through metabolic stress. Look at university students.
Five final exams, hardly any sleep for a week.
This is where this would come into play. I look at flight attendants or pilots. They'll fly from Canada to Europe, and then they go back home.
Their circadian rhythms are all over the place. So I I think of uh of all these scenarios. The area that I was surprised, I watched one of the episodes of the Airs Tour.
And you know, money can't stop circadian rhythm, so as much as Taylor Swift would have.
I was marveled by three hours of performance in ninety to a hundred thousand people of all her running around. And then when you see her, they're totally gassed.
They finish the concert, they're totally mentally exhausted.
That's a situation where this could come in to enhance performance. Then you think of uh celebrities, you think of uh athletes. These lot of high pressure things like imagine being in the World Cup final, the pressure, their mental capacity, that's where creatine seems to come into play. There's a lot of nuances.
Um, we still don't know a lot. So I think the big take home for people is that if you're going through periods of stress, a little bit more is okay.
Uh we don't know any adverse effects. We don't think there are any. Um but again if you're just taking creatine from muscle, bone, and the brain, you're likely going to be checking off all those boxes. And when we start getting the the brain benefits up at this end.
What are those brain benefits that were recorded in the studies? Is it I'm gonna feel like I slept? Yeah. Or is it something more internal? You likely won't feel anything. However, when you get to tasks the next day, so for example, you're up all night, you take a high dose of creatine, then you have to go write the final.
or the midterm or you can't remember, it's those things when your memory and and and doing puzzles or b basic tasks.
Yeah.
What about a stroke test?
So I'm gonna get you to do this. I apologize in advance. Uh uh. It's one of the most fatiguing things that you can do.
And it was one of the most robust studies to show the efficacy behind creatine. So all I simply want you to do is you can see that there's uh words and then corresponding letters, but you'll notice that the color
Is incorrect.
So up here you would see, you know, you have red, blue, green, blue black.
But the Stroop test is now looking at the bottom part.
Okay.
So I've tried it, I can only get the line two without making a mistake.
Okay. Okay. So I want you to do this.
Out loud, but as fast as possible.
And am I reading the words or the colour? You're reading the colour. Okay, so the first one's green, yeah?
Uh yes.
Okay, fine.
You want it as fast as possible. As fast as possible. Okay. So let's see how you do.
Gosh, this is confusing already. I hit the second one and I got it wrong in my head. Depends how much creatine you talk about. I don't think I've had creatine today.
Green, red, yellow, green.
Blue.
Black.
Orange.
Red.
Play.
Green.
Blue, pink, black.
Grey.
Yellow.
Red.
Like
I failed. The study that they did get this
They had to do this for ninety straight minutes.
Oh wow. So you can imagine how fatiguing that is for someone studying for the MCATs for medical school or you know midterms being sleep deprived, and you're not sleep deprived and you struggled and you just got slower
Now you have to do this for ninety minutes. Wow. And in this classic study, they gave twenty grams of creatine uh before they did the test and then after, and it really improved their ability with speed and and cognition there. So it's just a simple example to show wow.
Our brain is seeing one thing, we gotta mem maintain memory and cognition and creatine can help maintain some of those uh factors. So you won't feel anything, but performance of activities like that come into play.
Do you know how much it improved the performance on the street? I would have to get the graph, but it did prove statistically significant, yeah.
What else is there for me to know about the impact that creatine can have on the brain? I'm always trying to find if there's any way that I can perform better mentally. So it doesn't boost the brain
It likely just brings those levels back up to normal levels before stress and it might give you a little bit more. So uh there's been populations of Alzheimer's disease, clinical depression, uh concussion.
When those populations are evident, one of the biggest uh uh factors is that they have reduced creatine in their brain. So maybe supplementation can get through the blood brain barrier. The brain says, I need help. And that's why you see some improvements there as well. So I like to think of the brain that creatine can act as a safety net.
Um, and it certainly won't cause any detrimental effects, but it's always good to have that because you never know when I give you a stroop test.
Like I'm gonna find you tomorrow and give you this and say, You're gonna be practicing all night. Will you perform better? But that's just an example of something that we go through on a daily basis. If someone's working on Wall Street or whichever it is, really high stress demand, uh, you know, stuck in uh traffic for two hours, these all add up and it's a cascade of stressors that unfortunately most people go through.
And now we have a nutrient that is being made in the brain, but during times of stress, it likely needs a little bit of help.
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What about
Inflammation. Yes. So what is inflammation? And is there a link between creatine supplementation and inflammation? So uh unfortunately uh I'm forty nine, so at the age of forty I have this systemic inflammation that went up.
And we all know this because around the age of thirty, we're you know, you can work out and d nothing hurts, and then all of a sudden you wake up one day when you're in your forties and fifties and things hurt. And so systemic inflammation is happening all the time. And unfortunately, it accelerates aging. We're more sore more often.
And it can lead to a lot of arthritis or or joint pain and things like that. Creatine does have anti-inflammatory effects, but a big distinction, creatine is not like acetamine or ibuprofen, which directly as a drug effect uh blocks that, but it has been shown to decrease markers of inflammation.
specifically during long duration exercise. So this is an important distinction. Weight training is too acute.
But when you do Iron Man, triathlon, things like that, those individuals who took creatine twenty grams a day for five days beforehand, they had reductions in inflammation markers. So that might allow that individual to recover quicker, not get ill.
And then perform more optimally. From a weight training perspective, we see that it decreases markers of muscle damage. So it has these anti-inflammatory and anti-catabolic effects as well.
Interesting. Yeah.
And what about people that have neurodegenerative disorders?
Yes, so Alzheimer's is is the area we're really starting to focus on, and a couple of single arm studies came out last year by Matt Taylor and and Aaron Smith.
Showing that 20 grams a day for eight weeks did increase brain creatine levels in Alzheimer's patients, and it seemed to improve measures of of memory and cognition there as well. So again, using the same mechanisms, it decreases inflammation, it maintains brain bioenergetics.
And it might actually have a neural protection uh effect as well. There's evidence in cell cultures and and in rodents that there's some lines there, but in humans we're still in it in the infancy. But if it can have any benefit to any neurological disease, it's huge and there's a lot of hope, especially around Alzheimer's. There was an eight week trial in Alzheimer's patients that also showed modest muscle gains.
Yeah.
Which is a key predicator of survival in dementia patients.
Um, which was a landmark study of twenty Alzheimer's patients found that taking twenty grams of creatine daily for eight weeks increased brain
creatine levels by eleven percent and significantly improved the cognitive test scores they showed. That's the journal of psychiatry and brain science. And that one's really exciting and I think more future uh studies will come out. The limitation with those is that there was no placebo to compare to, but again, it's just showing that yes, creatine can be used as an effective adjunct. Yeah.
And because there is impact on our brain, is there impact on our mental health with creatine. Excellent point. So the best lines of evidence here come from clinical depression and anxiety. Uh the group out of Utah and the United States have clearly shown that creatine, in addition
to other therapies. So this is important. Creatine by itself has never been shown to be a standalone, but with SSRIs or cognitive behavior therapy or methamphetamine use in populations under medical supervision, the addition of creatine seemed to improve symptoms and it's likely going back to all the ones we've already talked about.
Where it improves uh bioenergetics, it improves uh neural uh transmission or neuromodulation, uh, but it also in animals has been shown to improve a protein called B D and F.
Uh, so this protein is involved in brain plasticity. So there's a whole bunch of emerging evidence and hope that creatine one day will be used uh as a treatment.
In the toolbox for a lot of these clinical uh issues. PTSD also comes to my mind. There was a study in the Gay Trade Sports Science Institute, which PubMed published that said a a study of over two hundred thousand adults found that those who consumed the least amount of protein in their daily diet had the highest rates of depressive symptoms. Yes, that's correct.
the common denominators those with clinical depression or anxiety, when you measure their baseline creatine stores very similar to concussion or Alzheimer's, they're reduced. So therefore obviously this
condition or series of conditions is causing a r disruption at the brain a bioenergetic level and creatine levels are decreasing. Aaron Ross Powell There's another imped that said in a clinical trial of women with major depression, adding five grams of creatine to their daily antidepressant doubled their remission rate over eight weeks. That's correct, yes.
And that uh group is from uh Perry K Renshaw's group out of Utah. Uh they do great work. Our hope and I'm collaborating uh with some colleagues now to look at creatine as a standalone treatment versus placebo, could it have some beneficial effects there. So that's very exciting to come out.
If I don't want to be supplementing with creatine, is there what are the foods that I can eat that are high in creatine, naturally? They're primarily uh animal based, so seafood and red meat.
Um, you know, herring is gonna have one of the highest concentrations, uh salmon, uh as well as beef. Uh very small amounts in milk and dairy. So you'd have to drink all the the milk in the Jerse cow to get a sufficient amount. So uh it definitely comes down to animal based flesh, yeah.
There's some other studies that I that I love that I've I think I've heard you talk about before. One of them was um young athletes who took five grams of creatine daily slept an average of one hour longer on training days. Yeah. We did that study a few years ago in in uh young biological females who were healthy, and on the days that they train and took creatine,
This is interesting because they actually slept an hour longer, uh, compared to a placebo. So this is a very
Interesting facts. So creatine, you know, we now know it has brain bioenergetics, and there's two arguments.
If it's making the brain recover, wouldn't you need less sleep?
Right. Now in this study it showed that uh improved so maybe these individuals trained at a higher capacity and allowed the brain to have more homeostasis to come back. So this is an air uh a study that needs to be replicated in males as well to see can creatine improve sleep quantity, and if it is.
I think that's a game changer. I I think everybody on the planet would raise their hand and say, Hey, I need more sleep.
Is there anything else we haven't covered as it relates to creatine?
You know, the expected gains versus the hype gains. I think there's evidence there that creatine can have a uh an effect. I I think it's getting overhyped, especially around the brain for what it can do. It's one tool in the toolbox, and I think it's it's one of those things that I'd like to show or you know, talk about for sure. Yeah.
Well what you mean by that?
So
If you think of the toolbox when it comes to a plan, whenever you need to go fix things, you simply say, Where's my toolbox? You can't do anything without a plan. And the way I like to preface this is the most popular tool in anybody's toolbox.
Is the hammer.
Now.
From a lifestyle perspective, what do you think the hammer represents? What would you decide that the hammer represents?
Um as in like a
Is it weight training, is it cardio, is it creatine, is it protein, or is it sleep? Sleep.
Okay.
So I say weight training is gonna be the hammer.
Okay.
Now, what about the screwdriver? Always need a screwdriver.
Uh creatine?
No, I think aerobic training or sleep comes way before creatine.
Okay. But most people say, Hey, I can fix a lot of things with that.
Now remember we have a nice big toolbox.
I like to think of creatine as the multifactorial wrench or screwdriver.
Because creatine has profound benefits for muscle.
A little bit for bone, of course, brain and other areas of the body. So
You can hit something with this.
You can open it up and fix something with this.
It's heavy.
You can also pull out the measuring tape.
Your argument sleep.
This could be protein, whichever it is. So when you put all these things in your toolbox, you're now having a greater comprehensive plan.
To improve health.
So you said weight training was the
Ham hammer. I like to consider if you were to choose one modality of exercise, weight training is a little bit superior to cardio. You get
pretty much all the same benefits of cardiovascular exercise and then you get it more with obviously an increase in lean tissue mass and performance. Uh weight training if done effectively can actually improve mitochondrial health. You can ex improve VO2 max if done correctly, uh and you don't need a lot of it. So I think
We've switched from just doing cardio.
to now incorporating weight training to be effective.
So weight training. Yes. What are the the sort of misconceptions about r weight training and why are you so
Positive about it.
Yeah, I think one of the biggest myths is that you always need to lift heavy to put on muscle mass.
And world renowned researchers in this area have clearly shown now that lighter weights perform to a lot of effort, almost to fatigue. If done correctly, you can get as
the same increases in muscle mass as then compared to lifting heavy weights. However, if your goal is just to get stronger, lifting heavy is always there. So I think this is a cool thing for people. Some days if you have a little bit of soreness or you don't have a lot of energy, you can lift lighter weights, but just to fatigue.
Whereas other days you come in Monday, you've had your coffee, whichever it is, you're ready to go, you can lift heavy. So I think there's not one concrete way, there's a little bit of variety here as well.
And why are you putting it above
Cardiovascular work. Yeah. I think the benefits there is that cardiovascular exercise will make you live longer and and uh and healthier. But the downfall with cardiovascular exercise, it doesn't stimulate strength or the muscle skeletal system as much as we we hope. So improving muscle mass and that is very difficult to do with cardio. Maybe sprint interval training will do that.
But the cool thing with weight training is you get cardiovascular benefits.
but you also get those profound muscle scaletal benefits. So if I was to tell anybody if there's one form of exercise to do it's weight training, but you gotta do cardio as well. So do both.
And if I just do weight training, what am I missing from not doing cardio training? Yeah, if you do weight training improperly where you're lifting heavy, heavy weight with low repetitions all the time, you're likely gonna jeopardize capillary density or mitochondrial health. These are things that sort of move blood flow to and from uh your muscles. You could decrease VO2 max or a fitness parameter for uh
uh metabolic health fitness. So at the end of the day, everybody should be doing both.
But if you only have time to do weight training or cardio, you still benefit'cause the majority of the population doesn't do any.
And how how much how often do you think? It's amazing that it's a small amount. So let's just do cardio. Most countries will say 150 minutes of physical activity at a moderate level over a week. I'm okay with that. I'd like it to be higher. I'd also like the intensity to be a bit higher.
So when you tell an average individual 150 minutes a week, most people say, Well, I'm gonna do seventy or I'm gonna do thirty, I'm gonna hold the couch down and watch Netflix. So we give an 150 and we say, you know, if you can do twenty one minutes or two twenty two minutes a day for seven days a week, that's gonna be a brisk walk or whatever.
We'd like to be at a higher intensity if possible. Now, when it comes to weight training, this might be surprising, but two days a week or more is all you basically need, and you can do a whole body routine. So you don't need to go in there and just do chest and biceps Monday and then legs Tuesday. You can.
But if you say I want to do whole body of training Monday, Wednesday, Friday, that is great as well. So a little bit of volume or frequency goes a long way, especially as we get older. That's the key.
Well based on this graph here, it's clearly showing a detrimental effect.
So
If you can see here
You know, you have muscle mass on the the X axis or the Y axis and then you're having all the catastrophic effects as we get older. So unfortunately, you know, twenty and thirty looks great.
When you're twenty three.
Forty years old. When you're twenty and forty years old, or all the way from twenty to forty, you can see great, that's probably the area that you're gonna have the most muscle. Yeah.
But look what happens. Forty
Age sixty, eighty, and if you live to be a hundred.
It's catastrophic.
You're losing muscle mass at an accelerator rate on average is about one percent per year after the age of forty.
Even if you're training.
So if you're training, you're maintaining that. So this is the average sedentary inactive population. You lose strength at about one point or one to three percent even faster. Now.
If we were to maintain resistance training
That muscle mass with plateau.
So I can't stress this enough, although we focus on creatine, if you were to choose one thing to do today is exercise and the only form of exercise that really maintains muscle is weight bearing or um resistance training.
And if that's the case
You're gonna have way more muscle later on in life. So you can pick up the grandkids, you can walk those stairs, you can do more functionality things later on in life.
Can you not just uh I don't know, sixty years old start training then. You can absolutely and you get profound benefits. You can be eighty or a hundred and you still get benefits. It's never too late to start.
Well one of the things we've already talked about is if you do weight training and add in a little bit of creatine
It gets a bit higher.
if you add it in protein, it gets even higher. So again, nutrition, you know, if exercise is king
The queen is gonna be nutrition, they go hand in hand all throughout lifespan. You've gotta have both. And on the subject of protein, you're saying that
It's a
Force multiplier. It's it's a force multiplier w when it comes to performance and lean tissue mass. So there's been a few studies when you combine pr uh high quality protein with creatine, they have been shown to increase lean tissue mass and muscle performance a little bit more than each alone. Does the average person get enough protein through their diet?
You know, I think nowadays we do, and and I think this is overhyped as well. I think if you're getting about one point two to one point six grams per kilogram, so you know, if you're seventy kilograms, that's gonna be on average about eighty-four to about one hundred and fifteen grams of protein. I think we're so conscious now of the health benefits of protein uh that most people are.
I think if you're training really intensely five, six days a week and you take a gram per pound, that's probably the max. But a lot of times when you take in excess protein, it doesn't go to your body area that you're probably hoping. It doesn't all go to your muscle. It's used for other things like hormones and and uh
blood cells, things like that. But I think nowadays most people are likely getting enough protein. The question is, are they getting enough high quality protein? So vegans and vegetarians can definitely get enough protein. They might just need to eat a little bit more to get all those essential amino acids, which we need.

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Manipose. Yes.
We talked a little bit briefly about
menopause, bringing both together the subjects of muscle, but also of creatine. Yes. How how does those two things impact
Yeah. So we know from animal cells that estrogen is highly involved in creatine metabolism. Estrogen seems to be implicated in the enzymes that are needed to make creatine. And then estrogen also has a huge impact on uh uh not only brain bioenergetics, but muscle metabolism as well. So
As the the female goes from a premenopausal stage to perimenopausal stage to the postmenopausal transition, if estrogen is decreasing uh and then independent of their diet, we think creatine has bone effects and muscle effects. And of course, we've talked about the cognitive effects there. So from a whole skeleton perspective,
I think everybody should be, but of course the perimenopausal, postmenopausal transition uh is good. And then that brings up a question about what about really young premenopausal females, you know, optimal health. What if we built up their
tissues more, maybe that would offset the rate of this decline over time as well. So that's what we're hoping to get to. Is creatine safe for kids? So it's interesting you bring that up and the current body of evidence suggests yes at recommended dosages. Good researchers in in the United States put up multiple reviews looking at creatine in adolescent children and teenagers.
Improves balance, agility, body composition. If anything, they want to get at least one gram per day because in children they want to have an optimization for bone health as well as muscle development. Um but again, if any parents are watching, obviously talk to their medical practitioner, uh, but all the current reviews um currently says suggest that it's safe.
And we're talking about we're not talking about babies here, we're talking about it Yeah, we're talking about adolescents all the way into teenage years. When it comes to baby or infancy, um out of Australia's Staciology is starting to do that work there as well, but we don't have a lot of data in humans yet, but that is an area to to pay attention to for sure. Yeah. What is the most important thing we haven't talked about that we should have talked about, Doctor?
Yeah, I think one of the big things is the safety profile of creatine. Uh there's been uh you know hundreds of randomized control trials now on creatine. The safety profile is is exceptional. Uh last year they put out uh a study looking at over twenty-five thousand cases.
And creatine even over ten grams a day for many years has been very, very safe and effective. Uh one area that comes up is
What about the timing? Does it matter when I take it? And and the cool thing is we just got a paper accept two days ago, putting the nail in the coffin on this, and at the end of the day you can take creatine at any time of the day.
You can take it in the morning with breakfast. You can take it right before work out. I take some during, you can take it after go to bed. It doesn't matter when you take it as well. So you can take it right before sleep. You can't. And it won't impact your sleep. No. Currently we haven't exactly assessed the effect on sleep, but uh another study looked at it in the evening and it had no detrimental effect there as well.
And what else? What else is the other questions that you get messaged with or asked most often, Dr. Dr. Can I spread out creatine all throughout the day? So for example, we have like if we were to take creatine in a gummy form or a candy, you can actually have you know one or two of these
Every hour all throughout the day, you can have it uh periodically. So you don't have to take creatine all at once. You can take it in smaller amounts all throughout the day. And if anything, there's been a study uh a few years ago showing that one gram every thirty minutes, up to twenty gram dose.
uh seem to retain more in the body and that was beneficial as well. What do you think of these gummies? You know, there's only been a few companies that have actually shown some validity and reliability. Um as long as the third party tests it they're very, very effective. Do you want to try one?
Are they are they?
Third party test it.
Third order the green was yep and the bottom was third party test, yep.
W but you know, the stuff that makes it a gummy, is that stuff is that stuff.
Good feel.
So the issue there is does the manufacturing trying to keep the uh creatine together uh influence it? It can. And there's only been a few uh uh companies out there. The one you're eating is by Create from the United States. They have had uh multiple trials.
They were the first uh company to actually look at uh randomized control trial to show improvements in volleyball players with the gummies.
Children love'em.
Older adults, this has become an area of interest where uh chewing ability or taste sensation has gone down. Uh they seem to be very uh convenient and effective.
Uh, you can have these at your desk, whichever you don't need the white powder to mix. So they're the companies are coming up with more viable ways to get creatine in there, but to your point.
You always want to make sure the company's third party test it.
It uses a high quality creatine and it actually has a source of creatine in there as well.
'Cause I I remember watching a YouTube video by a guy called James Smith, who's been on the show before. And he did some testing on the off the shelf creatine um and found that a lot of them didn't contain any creatine. Ninety percent and there was only a few and the one that you did uh consume it did. Yeah.
One point five.
Isn't that crazy that you can go buy creatine and it has no creatine. Yeah, so that's why I think for the consumers watching, you gotta do a little bit of homework and and look at those three things, make sure third party tests that it has a logo clearly on the packaging. If it doesn't, I would strongly advise you not to consume it.
Of all the of all the studies that you've encountered on all the subjects we've talked about, muscle, protein, creatine.
Are there studies that were pivotal in how you think about
these subjects. Yeah, there was. So the the landmark study came out in nineteen ninety two, uh, and it clearly showed that five grams elevated a creatine in the blood.
But if you took multiple five gram doses and maintained that throughout the day. So this is where the dose of five grams seems to be very, very viable. And the other one showed that, hey, I don't want to take five. What if I only want to take three grams? So three grams seems to be the lowest, most effective dose, and you just need to take that for one month.
and you'll saturate your muscles. So again, you have options to take a as little an amount or a high amount as as you want over time. But I think one of the biggest studies is that we did was a two year trial in postmetopausal women where we gave 0.14 grams of creatine and it really seemed to improve or have an effect on bone preservation.
as well as muscle performance. So these are the the studies that seem to come to my mind. We've done quite a few, uh but they seem to be the landmark ones, yeah. And what are the supplements that you take outside of creatine? Yes, for sure. So on a daily basis it's a probiotic uh with food in the morning and evening, and that's something I just recently learned. I was taking it on an empty stomach.
But probiotic, I take uh two forms of magnesium, uh one before bed and then one in the day, three and eight for uh uh cognition and function.
I take uh two thousand international units of vitamin D.
Um, I always take protein on a sufficient basis as well. And then I take about four grams of omega three fatty acids. And I always take one of the omega three fatty acids post exercise because that seems to be the best time to take it.
So omega three, magnesia, vitamin D vitamin D, probiotics.
Of course, creatine and uh protein I take powder and or through uh dietary food. Every now and then I don't eat a lot of red meat, so I'll take iron, um, but um not on a consistent basis. And you know, and I'm hoping the new one
His this is an area of controversy NAD. This is the you know, it's a precursor for a main enzyme that's highly involved in metabolism. There's been evidence to suggest it goes down with aging, so my eye is closely on that, uh, to see if that's gonna be something to come up in the play.
And a multivitamin. You know, started with Flintstone vitamins as a kid and I take a multivitamin day as a safety net.
I noticed that when I looked at your video w in the interview you did with Doctor Runder Patrick, a lot of the comments were from people in there
Sixties, seventies, and eighties.
And I wondered why that was. If you just I was just looking at the top three or four comments.
It's a seventy one year old, it's an eighty two year old, it's a a fifty three year old who's um contending with Alzheimer's. Right.
Why is that?
Yeah, I think it's the awareness in education now and social media has really helped with this getting our evidence based research out to the public and the awareness that creatine is just not for young males to get bigger, stronger, faster. If anything, when you go to an aging body and they're predisposed to agent related muscle loss, strength loss, functionality, bone loss.
an atrophy in the brain. Creatine has been shown to have effects there as well. So I think a lot of
older individual populations are becoming more aware of the effects of creatine. And of course, as we produce more research, it gets out to the public more often. So I'm really excited and encouraged that creatine has sort of taken on a life of its own in the last decade. And are the direct weight benefits if I'm trying to
Cut fat by taking creatine. Yeah. Or is it indirect. It's indirect. So it seems that if you increase lean mass, it might stimulate energy expenditure or a turnover. And then in animal models, it sh has been shown to have some beneficial effects from a cellular perspective on fat. But at the end of the day, if you are seeing a reduction in fat, it's likely that you're improving your metabolic uh health with lean tissue mass.
Do you think much about how to get these habits to stick? Because I imagine there's lots of people that are aware by now that creatine is a useful thing to take, but for whatever reason.
They still don't take it. Exactly. And I think that's one of the biggest reasons people don't. So we got to come up with ways to maintain consistency.
And I think whatever vehicle you want to choose to maintain that in the in the run of a day is is the best. So if it's putting in your coffee in the morning,'cause you won't forget it, great. If it's putting a little bit in Greek yogurt, if it's using the gummies, whichever it is, as long as it's a viable source of creatine that makes it very practical and consistent for you, uh, that's the best way.
Yeah, I found that um having it on route to where I'm going being really, really important so
When I come to my office in the morning, it's all on my desk. Yes. Um so I have the supplements just on my desk. And actually even before I walked into the studio today in the green room that I have, it's on the green room. Right. When I'm at home, it is where the coffee machine is. Correct. Yeah. And that has radically helped me. Yeah. Um otherwise I it pro if it wasn't within my
My routine it would wouldn't happen. Yeah. We have a jug on the counter with all our other supplements. It's in the pantry, it's close by because if it's in the garage, you're like
I forgot about it.
With some things like creatine, it's hard to really notice the difference sometimes. Excellent point. Yeah. This is not like caffeine, you know with an immediate effect.
So unlike uh caffeine creatine takes a wall to notice the effects and they come in direct. You don't m n immediately notice a massive increase in energy or alertness. It's like after a week of weight training or even two, you're like, wow, I did more repetitions, I could do more weight, uh I recover quickly is one that we hear uh quite often. You'll never notice with with your bone.
But we have s uh heard anecdotally with cognition, especially sleep deprivation, people do notice the effects. And I'm a nan of one, but I notice jet lag goes down quite a bit uh when I take a high dose of creatine.

And you know, when you start taking it, if you start taking it today, if I start taking so three to five grams of protein today, am I gonna notice the differences today? No. It'll probably with three to five grams, you'll probably notice it in a few weeks, if not to a month, from a muscle perspective.
From a brain perspective that low, you're likely not going to notice any effect because the brain is probably making enough. But if you're really metabolically stressed, then you might notice some memory or cognitive uh benefits after a few days. But at such a low dose, you need to be a little bit patient. But again, three grams could saturate your skeletal muscle in thirty days. So it's not that long of a wait.
And on the cognitive side, the cognitive benefits that were observed when doing these street tests had they been taking it previously, or was it just administered on that particular day when the test happened? Yeah. So that one was in a week in advance with the loading phase, so they really saturated the body to try to get the effects.
Okay, so they were taking it for some time. Yeah. But on the sleep deprivation study from Germany they just gave it one bolus mega dose for twenty one hours of sleep deprivation and those individuals did perform better from a a number of tests like this the next day. So if you're like wow, I got something coming up Friday, unfortunately I'm not gonna get any sleep at best one or two hours
then a high dose might come into play and then you can go back to your more consistent routine. I think what happened or is happening is a lot of individuals are s now thinking I need to take twenty or thirty grams on a daily basis based on those studies. And I'm like, wait a minute.
Are you getting enough sleep the next day? Because at that dose, we don't know if the neuron will swell with water.
And if that's the case, is that
potentially causing any detrimental effects in the long term. So again, I would not s uh uh recommend taking omega dose for consistently over time. Could that downregulate your natural synthesis? Uh these are all questions that we need to look at. Yeah.
So outside of the realm of creatine, outside of the realm of muscle, outside of the realm of I guess nutrition generally, what are you doing to keep yourself healthy? What is what is your routine? Yeah, so I'm religious with exercise, so I try to exercise at least three to four days a week with weight training.
uh and add in at least twenty to thirty minutes of either moderate intensity cardio or um like a spin class. I per personally like to do alternating days. So I'll do weight training like maybe Monday, Wednesday, Friday, and then cardio, Tuesday, Thursday, and then on the weekends hiking, things like that. Um pretty religious with nutrients as well, try to eat a really balanced diet.
And my
God, my failure is getting enough sleep. So I've had to cut caffeine out quite a bit by past noon to allow me. I'm probably a slower metabolizer um with caffeine. So uh I try to really optimize evidence based research, take it into my daily life and try to promote it that way. Yeah.
And is there anything you're particularly excited about in the work and research they have? I'm super fascinated with the movement from the neck up. I think we know a lot about the neck down with creatine and exercise or other nutrients. I'm fascinated with the ability what about concussion?
You know, can an uh uh the UFC fighter take creat before they get hit. Could that decrease CTE or concussion or brain trauma later on in life? I think a boxing Muhammad Ali, uh things like that. So
There's evidence in in and Rhodes that if you take creatine before head trauma, it really speeds up concussion recovery. So I'm fascinated with that as well, like almost a prophylac. Anybody involved in head trauma, I think you should definitely look at creatine as something to be taking just in case you get hit. And then of course everything with Alzheimer's or uh uh uh other areas of depression. So I'm fascinated.
this nutrient, which was you know, eighteen thirty two it was discovered.
Boring for the longest time because we thought we knew everything and now it's taking a life of its own and it's having these profound benefits we never even thought would happen yet.

A lot of people consider you to be the sort of leading expert on this subject for many reasons.
Do you think there'll be a time where you
You stop researching creatine and you move on to something else.
You know, that's interesting. I would have said yes about five years ago, but now no, there's too much to do, even with skeletal muscle. If you were to say what's the best dose, Darren to take, I say, I have no clue.
Every creatine researcher said, I don't know. We still don't know the best dose that every person can take that will check off all the boxes, especially in the brain. We're just giving an estimate that I take 10, maybe you take 12, someone might take 15, but at the end of the day, we still don't know the best supplementation protocol, the best dose.
Oh, so there's so many areas. So for the next twenty years, I bet y'all still be focusing on creatine with other things as well, yeah. And on that doses, is that
Different for different people.
Excellent question. So the thought was that
The larger you are, you have more storing capacity in your muscle for creatine. So it makes sense if you're fifty kilograms and 150 kilograms, you're gonna have a greater storing capacity. So the dose on a relative basis is likely higher there as well. The more stressed the person is, it's likely they're gonna require more because their natural machinery in the brain can't keep up. So
I is very individualistic. I think we give out general recommendations to make it easy, but again, some people can take it very scientifically and base it on body weight and you can't go wrong with both. Yeah. I bet there's a lot of people that are this far into the conversation and the their central question is, Well, I've got loved ones.
that I really, really want to start um considering
Create supplementation for whatever reason. It could be uh cognitive benefits, muscular benefits, whatever, all the things we've talked about.
They might end up sending this conversation to their loved ones. Right.
Something that I do sometimes when I when I have episodes that are particularly moving for me.
If their loved ones are now listening. Yep.
Yeah.
And you had to make a case to their loved ones about why they should take
Creatine. Yeah.
What would you say? I would say creatine is one tool in that health promotion um toolbox.
That might help you live longer and better.
and allow you to maintain activities later on in life which you wouldn't have been able to do and and unfortunately that leads to accelerated aging and a poor way to go. It's like it's like saying I'm gonna save everything for retirement.
My question is why?
You might not make it to retirement.
So that's one of the things, yeah.
Aging.
Yes.
What is aging in your definition of the word?
It's catastrophic. Unfortunately, I'm going through it. You know, I've noticed ever since I hit the fourth decade, things hurt a lot more and muscle mass to retain it's a little bit harder.
Um, so unfortunately think of the body's ability to withstand stress is not as high and things start to break down quite fast. So we all know, you know, things hurt more, we've lost muscle mass, I can't run as fast. So biological aging is kind of the det
Deterioration of the human body, we need to with this conversation and others come up with ways to stop.
The deterioration.
And if anything, come up with ways to maintain that ability to live longer free of disease, yeah.

We have a closing tradition on this podcast where the last guest leaves a question for the next, not knowing who they're leaving it for. This one's quite a tricky question.
What is
Reality.
What do you think all of this is? All this stuff that we can see and all we experience. What what do you think it is? Do you think it's a simulation? Do you think it's This is all real for sure, because I think we can feel it. It's not a a big brother or anything that's uh a game show. We all go through different emotions and things like that, so I think you can feel it. Are you religious? Yes, Catholic.
And you're a family man, you've got
Mm-hmm.
Uh a French bulldog and a cat as we talked about, and a wife at home, yeah, and uh really close to my family and stuff like that. And what is your goal? If we get to the end of your career and this was your last day and you had been successful. Oh yeah. I think it would be a lasting impression on my students.
that wow he changed my life in some way. And if I can make one person live longer, free of disease and happier, I'm all for it. You know, y when you start to see the human body as people get older, you're like, oh, that person used to be young and vibrant. And then when you hear other people that can't do uh activities they live in or they can't travel or afraid to, I'm like
You need to embrace today. I I love that quote from uh Morgan Freeman, Shaw Shank, Get Busy Living or Get Busy Dying, because honestly, we have the ability.
With lifestyle choices.
to improve optimization. And I wanna see people live to be a hundred and twenty, hundred and thirty, still active, still going. And I think we're on a cusp with technology. And I think awareness around nutrition, exercise, sleep, uh laughter. Oh jeez, if I
I could ask anybody to do one more thing and be just laugh more often. For me to be just a small piece of the the puzzle promoting it, I think it's
If anything, it's it's just beyond my belief, yeah. Why did this
Pull you in.
Or pull on our make us curious. There tends to always be a bit of a personal reason.
It was it was more that
You know, am I scared to death? A hundred percent.
Yeah. I can't I can't think of it, yeah.
Why I just think it's weird for me. I get to a point, uh, maybe being religious, and then you think about it and then I my brain stops. I can't think about it. Really? Yeah. And it's it's becomes it's almost like I wanna live forever.
And if I can think of ways to make me live and
partially get there, obviously it it's not reality. But yeah, I'm uh scared to death of dying, yeah.
Have you always been. Yep. A hundred percent.
Scared to death of heights and I can't even talk about the the death experience. Yeah. Cause I think it it sort of brings into perspective things that
I i you just don't know. Did you ever lose anybody?
Uh, just uh uh friends and things like that, but nothing um specific like parents or anything like that yet. But it's always been there. I don't know if it's the Roman Catholic in me or not, but it's like Whoa I don't want that at all, yeah.
You can't even talk about it. Can't even talk about it. No.
No, yeah.
Really? Yeah. It's kinda like I can talk about it in a sense I understand and it's realistic, but it's it's more um
that for some reason I don't even want to think about it. Cause I have so much passion for life that I don't even want to think about oh shit, this could happen, yeah.
And you believe you go somewhere after death. Oh for sure. Heaven, yeah. Yeah, yeah. Okay. Yeah, yeah.
But if you do believe you're going to heaven that sounds like a good place, it's a great place, yeah. I just want to spend more time here. Still a lot of things to do, yeah, for sure.
Makes sense. Yeah.
Well thank you for taking it. Thank you so much. This was great. Thank you. I I have to say, you know, you've done so much so much research on the subject that so many of my previous guests cite and talk about. And so it's it's great to have the source here himself and I I applaud you for the work you've done. Because at the end of the day, I think I think a lot of people do want to extend their health space.
Right. Which is to live healthier for longer. There's a real sort of epidemic of people having short health spans, being medicated from the age of forty, fifty years old, and then having that sort of last couple of decades of our life being inc you know incapable of doing the things we care about. And I think a lot of this research gives us an option, if we choose to take it.
To live a to live a better life. It was great.