Creatine Expert: Creatine Is The Secret To Weight Loss
75m 32s
This podcast transcription discusses the benefits and science of creatine supplementation, led by a researcher who has published over 120 papers on the topic. Creatine is a natural compound produced in the liver and brain, but it is stored in skeletal muscle to help regenerate ATP, the body's energy currency, during intense exercise. While a healthy brain may not need extra creatine, stressed conditions like sleep deprivation or aging increase demand. The researcher debunks five common myths: creatine does not damage kidneys (elevated creatinine is a false positive), it only causes temporary water retention during loading phases, it is beneficial for women (improving strength, lean mass, and bone health), it does not cause hair loss (a myth from a flawed study), and it actually reduces muscle cramps by hydrating muscles. Creatine enhances training volume, recovery, and lean mass gain (about 1.2 kg over six weeks), with effects lasting weeks after stopping. Vegans and vegetarians respond best due to low dietary intake. The standard dose is 3-5 grams daily, with no need for a loading phase unless rapid saturation is desired. The researcher emphasizes creatine's role in healthy aging, rehabilitation, and lifelong disease prevention, urging people to start early for optimal benefits.
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And that's where creatine comes to the rescue. And we'll talk about how much, but more stressed it is, the higher the dose seems to come into play. And is there anyone that shouldn't take creatine? Well, a publish over 120 papers just on creatine alone. Wow. 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, that recommended doses. 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? And the group of people who have an early age, and they're not going to have an early age, but they're going to have an early age, and they're going to have an early age, and they're going to have an early age, and they're going to have an early age, What is the mission that you're on in your life? I think right now we'll 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 going to 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. What are the reference points you're drawing on? How do you know the things you know? Are you doing your own research? Yeah, so I did my graduate school in Canada, a cell biology degree, and then I moved into my masters in PhD, looking in kinesiology. So it's interesting that I fell into creating supplementation research by accident. I was doing my masters on an amino acid called glutamine, and at the time, about 20, 30 years ago, glutamine was the biggest rage. Everybody was taking this non-essential amino acid and hoping that it would have body composition improvements, and I sort of determined it was worthless in young healthy individuals from a body composition standpoint. And at the same time, a good colleague of mine was doing creatine. And I started to know that 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 will 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, et cetera. But on this subject of creatine, what was it that compelled you so much to start? 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, sources such as red meat and seafood, can it have benefits? And sure enough, it's now the most research supplement out there. It's overtaken protein and caffeine from an organic perspective. And it's gone global. Not just for males, but of course females and centerians and elderly. So it's very fascinating the explosion in this research department. What is this sort of, I'm 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, a dentistry, triphosphate, or ATP is the energy currency of all ourselves. 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 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. It's his best friend to help maintain these levels. Now, when you exercise at a high intensity, sprinting, weightlifting, those ATP stores do become jeopardized. And that's why creatine sort of sacrifices itself 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, a body makes creatine naturally. That's correct. It's 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 95% in our muscle. So when it's in the brain, the brain will keep it there, but in the liver, it will get transported in the blood up to your 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? There are small populations with, unfortunately, they were born with the inability to synthesize creatine. 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, the best on the planet, because now they're taking it in a supplement. And is it thought that, historically, we would naturally 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, everything cut last couple of years. I saw a start that said, I think it's a good point. I saw a start that said, I think in women, it had gone up to about 3% to women take the creatine and 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 speak to some of my friends, people know that I interview a lot of health experts and scientists and PhDs that have done research and supplements, they ask me, the first question I get asked a lot is, what are the supplements that I definitely take? Yes. When I mention creatine, it's always met with a certain set of rebuttals because there's some prevailing myths. You've got some myths 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, creating damages your kidneys. So when you take in creatine to the body, it gets stored as creatine. But when you metabolize it, sort of thinking leaking from the muscle, it gets leaked out as creatinine. And most people watching, like, "Oh, that was on my blood requisition form and right below creatinine was something called EGFR. So glomerular 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 compound. And then, unfortunately, their 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 or stop in creatine and then they check their kidneys again and it's fine. So I would say 99 out of 100 times that it's a false positive. So this is by far the biggest myth and there's been randomized control trials for several years showing that creatine causes no detriment amount of effects to the kidneys. I had exactly that twice of my blood tests. Yes. And if you're also creatinine can be elevated, if you're on a high meat diet, a little bit dehydrated. So those that are exercising is 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 be a little bit higher.
can lead to an increase in water retention. So you've probably heard of the creating loading phase. This is where supplement companies want you to take about 20 or 30 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, 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 creating a zal's modic, 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? Yes. The swollen muscle stimulates protein 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 and more likely to gain muscle? That is potentially the factor because when you're having or trapping water, it turns on all these signaling pathways that are involved in protein synthesis. 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, because a lot of people ask concern that they're going to put on lots of weight to be blended with creatine. The interesting there is if you take smaller, more microdosing, there's hardly any effect. And this might come surprising, but if you did a six week study pre and post after creatine, you only increase mass by 0.86 kilograms. Oh 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 is muscle, but lean mass in our body that includes water, connective tissue, organs, as well as skeletal muscle. And about 50% of our lean mass is muscle. Okay. Yeah, great. Okay, myth number three. Creatine is only for men. This is 100% false. When you go through the totality of all the evidence, females respond extremely robustly to creatine supplementation. They get profound benefits and 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 fat mass. We've done some meta-analysis now showing that creatine reduces fat mass. Females get an increase in lean mass, as well. And 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. Oh, I can't believe you did this one to me. Creatine causes hair loss. So obviously looking at me and prolific creatine researcher and taking creatine religiously for 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 ball before I started taking creatine. This myth came from a study in rugby players decades ago where creatine about 20, 25 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. 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 was done. The cool thing is just a few years ago, they started to put this theory to the test. And five grams in young males for about six, eight weeks of training caused no detrimental effect from hair thinning follicle loss. So my appearance was probably based on something else. So there's no evidence to that as well. Myth number five, creating causes muscle cramps. No, I think this is so overplayed. When creatine 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 dehydration in the muscle. Some people have heard of sodium potassium. That's why gatorate 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 those are the five myths. We talked there about weight training. What is this very curious graph? It seems to show that creatine helped gain muscle mass through a training regime. Oh, yes. So this is actually showing now that 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 lower your lifting by the reps, by the sets. So it actually goes up. 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 sets that I can perform. And that probably leads to 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 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 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, you know, if an athlete's trained twice a day. 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 graph? So that is actually showing where the individuals would train and then without creatine and then take it over time as well. Oh, okay, so that's, that's, that's stop. It's a detraining and then taking it again. Correct. Okay, so they start taking it. I've taken it at week four and then that's where the elevations go up. - Oh. - Yeah. 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 know to set it was at the same level as a 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 they celebrate the rehabilitation program. - And 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 going to be a bit surprised into 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 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 link 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. 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'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 there's how many of you done? - Oh, God, we've done at least 30 to 40 studies in our lab of publish 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 theme that combined with weight training, creatine about five grams or more, we use typically a little bit more, seems to have beneficial effects on muscle mass, 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. - One scoop. - Now keep in mind that can be found in meat or seafood, but you're gonna require a lot. - Okay, 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 do. - Correct, so the loading phase is the most rapid weight to saturate your muscles. Now that's very beneficial, but that would be four scoops. So four scoops is a loading phase per day, and is very effective, but the issue is, can it cause some adverse GI track irritation, things like that's where anecdotally people 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 five grams a day, what benefits am I getting? - Five, oh, across from a skull, the muscle perspective, you get a whole plethora. So you definitely get an increase in lean tissue mass or muscle size, and then a good muscle performance, muscle strength, power, and endurance. And the other one that never gets a lot of press would show it as functional ability, and older adult to sit to stand. 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 pre-existing medical conditions, they definitely need to speak to their doctor. Besides that, I'm not seeing any reason to healthy individual can't take or shouldn't take creatine. - Impregnant women? - So that's an interesting, a colleague of mine, Dr. Stacey Alleriot of Australia, is now finally looking at human trials with pregnancy going into breast milk into the fetus. So it's still in its infancy, the jury's still open. As it currently stands, it seems to be relatively safe and well tolerated. - Okay, so not all creatine is made the same. - Right.
There's lots of different types of creatine. People, some people take creatine gummies. I mean, I have some different types of creatine here. Creatine monohydrate. - Right. - Creatine hydrochloric. - Okay. - I remember looking when I was in a shelf a couple of months ago and seeing like five or six different types of creatine. What is the optimal type of creatine to take and why? - So by far, creatine monohydrate. And that goes against all the new marketing forms. So creatine monohydrate is simply creatine linked to one water molecule. When you take it into the body, the water molecule dissolves as identical to 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 1832 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 creatine pure or some form of creatine monohydrate on the label and then it's also third-party tested. - Creatine pure. - Creatine pure is from Germany. It has the highest standard of qualification and scrutiny and then NSF certified or another third-party certified. So those are the three things that I personally would look for monohydrate. Creatine pure is the type and then NSF certified or third-party certification. - Which is not a little bit good. - That little logo here at the bottom, that's right. - Which is not. - So NSF is a national sanitation foundation. It's a third-party organization that will independently take the supplement and then third-party test it and then you get a certificate of analysis to make there's no 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 the store. - And we've got this thing here in front of us, this is the dosing dilemma. We talked about muscle. 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? (sniffing) - Skeletal muscle. - Yeah. Your bicep, your tricep. You know, Arnold Schwarzenegger. - 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 50, maybe you wanna 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. - So this is without the loading phase. So this is if you just wanna take a little bit per day. - And do 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? - That's about seven or eight grams. And that seems to be very safe, and viable dose to be shown to be effective for improving muscle mass. - Okay. - And performance. - I do have an issue sometimes when I take a little bit more creatine, which is. - I feel, I wouldn't say light-headed, but I get a little bit dizzy almost. - 100%. - 100%. - What is that? - So there is a mechanism. So creatine is the biggest methyl scavenger 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 are neurotransmitters. You know the 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 energetic, so to speak. - When you say synthesize adrenaline, what does that mean? - Yeah, 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. - Yeah, sometimes I can feel a little bit sick 'cause I don't wanna fight 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 through the day, it does not have any adverse effects. If anything, it seems to be a little bit more tolerable. So you could take a few grams in the morning, a few grams in the evening or whichever. I think one of the best ways to take it that never gets any press is I put five grams in my water ball during my workout. 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 it though 10 grams a day at minimum on a daily basis, other people will take more or less, but that's just how I get it in you. - I find that if I do take a little bit in the morning and then a little bit later, it's much better. - 100%. - And I don't get any weird feelings. - That's correct. It seems to be more consistent and appreciate it for individuals because if you do are susceptible to any fluctuations in weight gain, water retention or GI track irritation, those seem to definitely go away. And we've got, we've assessed over 1,000 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. But there's other companies trying to make it more flavorful things like that. - Cool thing is with creating, you can put it in anything. You can put in yogurt, 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 350 milligrams is fine and that's gonna be most standard coffees or teas as well. So whichever allows you to become consistent is a great way to do it, yeah. - Okay, so bone, tell me what I need to know about. - Okay, so now we talked about muscle. How many do you think for the skeleton here? - Um, that's the same. - Okay. - Seven. Unfortunately, the lowest dose ever has been shown to have bone benefits is eight grams all the way up to 12. 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 12 grams a day with exercise and that's crucial. If you do not exercise, there's never been a study ever shown to have bone benefits. But if you do perform weightlifting, one of the very cool things in postmenopausal females is that creatine seemed 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, if you fracture your hip, you're gonna be placing long-term care, 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 osteoporotic cure, but there is something there, especially if you're prone to osteoporosis or osteopenia. - And what's the mechanism now that's just stopping by and loss? - Yeah, it's very interesting. So if you understand a 24 hour cycle that creatine sort of stimulates these bone building cells to become more energized, think of supermerial, the original Nintendo, when you got the mushroom, maybe came energized, creatine does that as well. And then on the flip side, creatine seems to decrease the osteoclasts or bone breakdown cells. So by a synergistic 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 bisfoss fenate that someone would be taking to maintain their bone health. - A bisfoss fenate? - Yeah, it's a drug that a lot of individuals will take if they're prone to bone loss. Obviously creatine's not a drug, but it has some of those similar properties. - So we've got muscle, I need to think about seven or eight grams to get those benefits. - Yeah. - With burn, it's a little bit more. - A little bit more. - You don't mean additionally? - No, 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 from muscle. Bone is maybe eight to tenor, a little bit more. So what do you think on the brain? The hottest topic? - Ten? - Ten, okay. So that would be two scoops. - I'm just assuming this increases. - Yeah. - So the interesting thing here is that the brain will match really 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-throw. So this organ is about two kilograms, but uses 20% of our daily energy at rest. So just think about that. 20% 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 night to pee and you couldn't fall back to sleep. University students cramming for a midterm. Now all the countries look at the world cop. They're gonna be up stress, 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-stress day is matchfully making enough and it's healthy. But now we get into a more difficult waterboat, those metabolic stressors. So again, all the neurons in the brain are being used. So waterboat, sleep deprivation. - 10 grams? - For sleep deprived? When was the last time you slept 10 straight hours? (laughing) - It's been a while. - It's been a while for even you to pause there. You know, that's alarming, 'cause you're thinking, when was the last time I got a really good night's sleep? What if you were up for 24 hours? - Gosh. - An ER doctor traveling different time zones, all these come into play. Remember on a healthy brain, you know, adequate sleep, the brain is actually making enough. But when you're stressed, night shift workers, military pilots, ER doctors, whichever it is, that's where the brain starts to rely on supplementation. So.
So unfortunately for the brain, creating 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. Okay, so 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 15. Couple studies showed some benefits. Now let's do 20. Remember that loading phase. The best overall studies currently right now that use an MRI for the brain have showed about 20 grams seems to have some effect acutely. But there's two studies last show to Germany, even show this. There's 25. And here's 30. So a classic study was done last year when they gave 30 grams to a group of young individuals who volunteered to be sleep deprived for 21 hours. And that level of creating, increased, creating levels in the brain and it offset some of the negative effects. Remember that was an acute episode of 21 hours of sleep deprivation. They've done a subsequent study going down to about 0.2 grams or about 14 grams. It didn't have the same effect. So remember a healthy brain likely doesn't need any creating. 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 20 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. And 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 creating 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 10 grams a day at minimum to check off muscle, right? I check off bone for the most part and I'm pretty sure over time 10 grams would do the most part for stress. Now since I just flow different time zones, today I'm taking 20 to 25 grams based on this acutely. And then when I go back to a non-stress environment, back to Canada, I'll go back to my regular 10. So I look at the 10 gram dose or a little bit more as kind of being like a safety net. If you're only taking 3 to 5, 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 20 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. You know, fly from Canada to Europe and then they go back home. Their circadian rhythms are all over the place. So I think of all these scenarios. The area that I was surprised, I watched one of the episodes of the Ares 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 90 to 100,000 people of all her running around. And then when you see her, they're totally gassed. They finished the concert. They're totally mentally exhausted. It's a situation where this could come into enhanced performance than you think of celebrities. You think of athletes. These a lot of high pressure things like imagine being in the World Cup Final, the pressure, the mental capacity. That's where creatine seems to come into play. There's a lot of nuances. 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. We don't know any adverse effects. We don't think there are any. But again, if you're just taking creatine for muscle bone in the brain, you're likely going to be checking off all those boxes. And when we start getting the brain benefits up at this end, what are those brain benefits that were recorded in the studies? Is it I'm going to feel like I slept? Or is it something more internal? You likely won't feel anything. Okay. However, when you get to task the next day, so for example, you're up all night, you take a high dose of creatine, then you have to go right to the final or the midterm or you can't remember, it's those things when you're memory and doing puzzles or basic tasks. Or what about a stroke test? What's a stroke test? So I'm going to get you to do this. I apologize in advance. 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 words and then corresponding letters. But you'll notice that the color is incorrect. So up here, you would see you have red, blue, green, blue, black, but the stroke test is now looking at the bottom part. So I've tried it. I can only get the line two without making a mistake. Okay. So I want you to do this out loud, but as fast as possible. And am I reading the words or the color? You're reading the color. Okay. So the first one's green, yeah? Yes. Okay. Fine. You want it as fast as possible. It's as fast as possible. Okay. So gosh, this is confusing already. I hit the second one and I got it wrong in my head. The pairs are much creating your teeth. I don't think I've had crazy in today. Okay. Green, red, yellow, green, blue, black, orange, red, blue, green, blue, pink, black, gray, yellow, red, blue, green, what the fuck? There you go, see? I failed. The study that they did get this, they had to do this for 90 straight minutes. Oh, wow. So you can imagine how fatiguing that is for someone studying for the MCAS for medical school or midterms being sleep deprived. And you're not sleep deprived and you struggle and you've got slower. Now you have to do this for 90 minutes. Wow. And in this classic study, they gave 20 grams of creatine before they did the tests and then after and it really improved their ability with speed and cognition there. So it's just a simple example to show, wow, our brain is seeing one thing. We got to maintain memory and cognition and creatine can help maintain some of those a factor. So you won't feel anything but performance of activities like that come into play. Do you know how much it improved the performance of this? I would have to get the graph, but it did prove statistically significant. What else is there for me to know about the impact that creatine can have on the brain? I think as a podcast, you sometimes sit here for many, many hours interviewing people on a range of subjects. I'm always going 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 there's been populations Alzheimer's disease, clinical depression, concussion. When those populations are evident, one of the biggest 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 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 stoop test. Like I'm going to find you tomorrow and give you this and say you're going to 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, you know, stuck in traffic for two hours, these all add up and it's the 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. For the last couple of years, I've been working on something that I realized every podcaster listening to this, but actually probably every creator listening to this might just need podcasting is difficult for many reasons. One of them is that these hosting platforms don't give you much information and also because they're so fragmented, you kind of have to go through every single platform uploading it to YouTube and then taking the same big old video file and uploading it to Spotify's platform, it takes huge amounts of time and that friction means most of us don't do it. 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free shipping at a one year warranty as bondcharge.com/doac. What about inflammation in the body? So what is inflammation? And is there a link between creatine supplementation and inflammation? Either it. So unfortunately, I'm 49. So at the age of 40, I have this systemic inflammation that went up. And we all know this because around the age of 30, you know, you can work out and nothing hurts and all of a sudden you wake up one day when you're in your 40s. And 50s 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 joint pain and things like that. Creatine does have anti-inflammatory effects, but a big distinction. Creatine is not like a sedumine ifin or ibuprofen, which directly has a drug effect 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 20 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. And what about people that have neurodegenerative disorders? Yes. So Alzheimer's 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 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 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 effect as well. There's evidence and cell cultures and in rodents that there's some lines there, but in humans, we're still in the infancy. But if you can have any benefit to any neurological disease, it's huge. There was an eight week trial and Alzheimer's patients that also showed modest muscle gains. There were 1.9 kilogram increase in hand grip strength, which is a key predator of survival in dementia patients, which was a landmark study of 20 Alzheimer's patients found that taking 20 grams of creatine daily for eight weeks increased brain creatine levels by 11% and significantly improved the cognitive test scores they showed as the journal of psychiatry and brain science. And that one's really exciting. And I think more future 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 effect of adjunct. And because there is impact on our brain, is there impact on our mental health with creatine? So the best lines I have in it's here come from clinical depression and anxiety. The group of Utah and 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 stand alone. 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 bioenergetics. But it also in animals has been shown to improve a protein called BDNF. 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 as a treatment in the toolbox for a lot of these clinical issues. PTSD also comes to my mind. There was a study in Gay Trade Sports Science Institute, which PubMed published that said, a study of over 200,000 adults found that those who consumed the least amount of creatine in their daily diet had the highest rates of depressive symptoms. Yes, that's correct. And the common denominator 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 disruption at the brain of bioenergetics level and creatine levels are decreasing. And there's another impubMed that said, in a clinical trial of women with major depression, adding 5 grams of creatine to their daily antidepressant doubled their remission rate over eight weeks. That's correct, yes. And that group is from a parent-child group out of Utah. They do great work. Our hope and I'm collaborating with some colleagues now to look at creatine as a standalone treatment versus placebo could 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 one of the foods that I can eat that are high in creatine naturally? They're primarily animal-based, so seafood and red meat. Herring is going to have one of the highest concentrations, salmon, as well as beef. Very small amounts in milk and dairy. So you'd have to drink all the milk in the Jersey cow to get a sufficient amount. So it definitely comes down to animal-based flesh. There's some of the studies that I love that I think I've had you talk about before. One of them was young athletes who took five grams of creatine daily, slept in average of one hour longer on training days. We did that study a few years ago in young biological females who were healthy and on the days that they trained until creatine. This is interesting because they actually slept an hour longer compared to a placebo. So this is a very interesting fact. So creatine, 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? Now in this study, it's shown that improved, so maybe these individuals trained at a higher capacity and allowed the brain to have more homeostasis to come back. So this is 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 think everybody in 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 an effect. I think it's getting over hyped, especially around the brain for what it can do. It's one tool in the toolbox and I think it's one of those things that I'd like to show or talk about for sure. What would you mean by that? So if you think of a 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? As in like a. Is it weight training? Is it cardio? Is it creatine? Is it protein? Is it sleep? Sleep. Okay. So I say weight training is going to be the hammer. Okay. Okay. Now, what about the screwdriver? Always need a screwdriver. Cre. creatine? No, I think a roll-baked 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 it 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 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 more with obviously an increase in lean tissue mass and performance. Weight training, you've done effectively, can actually improve mitochondrial health. You can improve VL2 max if done correctly 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 sort of misconceptions about weight training and why are you so positive about it? I think one of the biggest myths is that you always need to lift heavy to put on muscle mass. And we're all renowned researchers in this area have clearly shown now that lighter weights performed to a lot of effort, almost to fatigue. If done correctly, you can get 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 live 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 healthier. But the downfall with cardiovascular exercise, it doesn't stimulate strength or the muscle skeletal system as much as 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 skeletal benefits. So if I was to tell anybody if there's one form of exercise to do with weight training, but you got to 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 going to jeopardize capillary density or mitochondrial health. You could decrease VO2 max or a fitness parameter for 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 because the majority of the population doesn't do any. And how much often do you think? Yeah.
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 70 or I'm gonna do 30. I'm gonna hold the couch down and watch Netflix. So we give 150 and we say, you know, if you can do 21 minutes or 22 minutes a day for seven days a week, that's gonna be a brisk walk or whichever. 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 wanna 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. - Why especially as we get older? - 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 X axis or the Y axis and then you're having all the catastrophic effects as we get older. So unfortunately, you know, 20 and 30 looks great. - When you're 20, 40 is out. - When you're 20 and 40 years old or all the way from 22, 40, you can see great. That's probably the area that you're gonna have the most muscle. - Yeah. - But look what happens, 40, age 60, 80, and if you live to be 100, it's catastrophic. You're losing muscle mass at an accelerated rate on average is about 1% per year after the age of 40. - 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 1.3% even faster. Now, if we were to maintain resistance training, that muscle mass would plateau. So I can't stress this enough, although we focused 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 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, I don't know, 60 years old, start training then. - You can absolutely and you get profound benefits. You can be 80 or 100 and you still get benefits. It's never too late to start. So 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, if exercise is king, the queen is gonna be nutrition. They go hand in hand, all throughout lifespan. You gotta have both. - And on this subject to protein, you're saying that when combined with creatine, it's a force multiplier. - It's a force multiplier when it comes to performance and lean tissue mass. So there's been a few studies when you combine high quality protein with creatine. They've 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 that diet? - You know, I think nowadays we do. And I think this is overhyped as well. I think if you're getting about 1.2 to 1.6 grams per kilogram. So, you know, if you're 70 kilograms, that's gonna be on average, about 84 to about 115 grams of protein. I think we're so conscious now of the health benefits of protein 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 an excess protein, it doesn't go to your body area that you're probably hoping. It doesn't all go to your muscle issues for other things like hormones and 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. Much of the reason most people haven't posted content or built their personal brand is because it's hard and it's time consuming and we're all very, very busy. And if you've never posted something before, there's so many factors in your psychology that stop you wanting to post. What people will think of you, am I doing this right? Is the thing I'm saying absolutely stupid? All of these result in paralysis, which means you don't post and your feed goes bare. 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All you have to do is search coach.stan.store now to get started. - Menopause. - Yes. - We talked a little bit briefly about menopause, bringing both together the subjects of muscle but also of creating. - Mm-hmm. - How does those two things impact a woman's journey through menopause? - So we know from animal cells that estrogen is highly involved in creating metabolism. Estrogen seems to be implicated in the enzymes that are neat to make creating. And then estrogen also has a huge impact on not only brain bioenergetics but muscle metabolism as well. So as the female goes from a pre-menopausal stage to perimenopausal stage to the postmenopausal transition, if estrogen is decreasing 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 is good. And then that brings up a question is about what about really young pre-menopausal 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. - It's crazy and safe for kids. - So it's interesting you bring that up. And the current body of evidence suggests yes that recommended dosages, good researchers in the United States would put up multiple reviews at 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. But again, if any parents are watching, obviously talk to their medical practitioner, but all the current reviews currently suggests that it's safe. - And we're talking about, we're not talking about babies here, we're talking about. - Yeah, we're talking about adolescents all the way into teenage years. When it comes to baby or infancy, out of Australia, 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 pay attention to for sure. - 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. There's been hundreds of randomized control trials now on creatine. Last year they put out a study looking at over 25,000 cases and creatine, even over 10 grams a day for many years has been very, very safe and effective. One area that comes up is, what about the timing? Doesn't matter when I take it and the cool thing is we just got a paper except two days ago. It's 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 workout. 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 another study looked at it in the evening and it had no detrimental effect there as well. - And what else is the other questions that you get messaged with or asked most often? - Yeah, can I spread out creatine all throughout the day? So for example, we have like, if we were to take creatine in the gummy form or a candy, you can actually have one or two of these every hour all throughout the day, you can have it 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 a few years ago showing that one gram every 30 minutes, up to 20 gram dose, 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. As long as the third party tested, they're very, very effective. Do you want to try one? - Are they the party tested? - The green ones, yeah. And the bottom ones, the third party tested, yeah. - But you know, the stuff that makes a gummy, is that stuff good for you? - So the issue there is does the manufacturing trying to keep the creatine together influence it can. And there's only been a few companies out there and the one you're eating is by create from the United States. They've had multiple trials. They're the first company to actually look at a randomized control trial to show improvements in volleyball players with the gummies. Children love them. Older adults, this has become an area of interest where chewing ability or taste sensation has gone down. They seem to be very convenient and effective. You can have these at your desk, whichever you don't need the white powder to mix. So 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 tested. It uses a high quality creatine and it actually has a source of creatine in there as well. - Because 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 and found that a lot of them didn't contain any creatine. - 90% and there was only a few and the one that you did consume it did, yeah, 1.5. - It's not crazy that you can go by creatine and it has no creatine in there. - Yeah, so that's why I think for the consumers watching, you got to do a little bit of homework and look at those three things. Make sure third party tested. It has a logo clearly on the packaging. If it doesn't, I would strongly advise you not to consume it. - Of all the studies that you've encountered on all the subjects we talked about, muscle protein creatine, are there studies that were pivotal in how you think about these subjects? - Yeah, there was. So the landmark study came out in 1992 and it clearly showed that five grams elevated creatine in the blood.
But if you took multiple 5 gram dose, you just maintain that throat the day. So this is where the dose of 5 gram seems to be very, very viable. And the other one showed that, hey, I don't want to take 5. What if I only want to take 3 grams? So 3 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 as little amount or a high amount as you want over time. But I think one of the biggest studies is that we did was the 2-year trial in post-menopausal women where we gave.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 studies that seem to come to my mind. We've done quite a few, 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 with food in the morning and evening. And that's something I just recently learned. I was taken it on an empty stomach, but probiotic, I take two forms of magnesium, one before bed and then one in the day, three and eight for cognition and function. I take 2000 international units of vitamin D. I always take protein on a sufficient basis as well. And then I take it before 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 magnesium, vitamin D, probiotics, of course creatine and protein. I take powder and or through dietary food. And then I don't need a lot of red meat, so I'll take iron, but not on a consistent basis. And I'm hoping the new one is this is an area of controversy, NAD. This is though, 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 to see if that's going to be something to come up in the play. And a multivitamin, you know, started with flinstone vitamins as a kid and I take a multivitamin day as a safety net. I noticed that when I looked at your video in the interview, you did with Dr. Runder Patrick, a lot of the comments were from people in 60, 70s and 80s. And I wondered why that was. If you just, I was just looking at the top three or four comments and it's a 71 year old, it's an 82 year old. It's a 53 year old who's contending without sima. Right. Why is that? Yeah, I think it's the awareness and education now in social media is really helped with this getting our evidence based research out to the public. And the awareness that creatin 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 an agent related muscle loss, strength loss, functionality, bone loss, and atrophy in the brain creatin is shown to have effects there as well. So I think a lot of older individual populations are becoming more aware of the effects of creatin. And of course, as we produce more research, it gets out to the public more often. So it's a really excited and encouraged that creatin is sort of taken on a life of its own in the last decade. Now the direct weight benefits if I'm trying to cut fat by taking creatin or indirect. It's indirect. So it seems that if you increase lean mass, it might stimulate energy expenditure or turnover. And then in animal models, it 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 fat, it's likely that you're proving your metabolic 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 creatin is a useful thing to take. Before 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 run of a day is the best. So if it's putting in your coffee in the morning, because 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 creatin, that makes it very practical and consistent for you. That's the best way. So I'm having it en route to where I'm going and being really, really important. So when I come to my office in the morning, it's all on my desk. Yes. 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, when I'm at home, it is where the coffee machine is. Correct. And that has radically helped me. Yeah. Otherwise, if it wasn't within my routine, it wouldn't have happened. 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. And the other thing is with some things like creatin, it's hard to really notice the difference sometimes. Excellent point. Yeah. This is not like caffeine, you know, it's an immediate effect. So unlike caffeine creatin takes a wall to notice the effects and they come in direct. You don't 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. I recover quickly as one that we hear quite often. You'll never notice with your bone, but we have heard anecdotally with cognition, especially sleep deprivation. People do notice the effects and I'm an an of one, but I notice jet lag goes down quite a bit when I take a high dose of creatin. And you know, when you start taking it, if you start taking it today, if I start taking some three to five grams of creatin today, am I going to notice the differences today? No, it'll probably, with three to five grams, you'll probably notice it in a few weeks, if not two 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 benefits after a few days, but that's such a low dose. You need to be a little bit patient. But again, three grams could saturate your skull in muscle in 30 days, so it's not that long of a weight. And on the cognitive side, yes. The cognitive benefits that were observed when doing these strep tests, had they been taking it previously? Or was it just administered on that particular day when the test happened? 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 boldest mega dose for 21 hours of sleep deprivation, and those individuals did perform better from 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 going to 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. And I think what happened or is happening is a lot of individuals who are now thinking I need to take 20 or 30 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 I have 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 recommend taking a mega dose for consistently over time. Could that downregulate your natural synthesis? These are all questions that we need to look at. So outside of the realm of creating, 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 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 and add in at least 20 to 30 minutes of either modern intensity cardio or like a spin class. I personally like to do alternating days. Okay. So I'll do weight training like maybe Monday, Wednesday, Friday and then cardio, Tuesday, Thursday. One of the weekends, hiking, things like that. 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 with caffeine. So I try to really optimize evidence-based research, take it into my daily life and try to promote it that way. And is there anything you're particularly excited about in the work and research? 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 on fascinated with the ability, what about concussion? You know, can the UFC fighter take creatine before they get hit? Could that decrease CTE or concussion or brain trauma later on in life? I think a boxing, Muhammad Ali, things like that. So there's evidence in and roads 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 prophylactic. 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 other areas of depression. So I'm fascinated that this nutrient, which was 1832, it was discovered, boring for the longest time because we thought we knew everything and now it's taken a life of its own. As having these profound benefits, we never even thought what happened. A lot of people consider you to be the 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 onto 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 there in the take? I say, I have no clue. Every creating 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, some of might take 15, but at the end of the day, we still don't know the best supplementation protocol, the best dose. So there's so many areas. So for the next 20 years, I bet you'll still be focusing on creatine with other things as well. 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 50 kilograms and 150 kilograms, you're going to have a greater storing capacity. So the dose on a relative basis is likely higher there as well. More stressed the person is, it's likely they're going to require more because their natural machinery in the brain can't keep up. So it is very individualistic. I think we give out general recommendations to make it easy, but again, some people can take it very scientifically and based on body weight and you can't go wrong with both of them. I bet there's a lot of people that are this far into the conversation and the essential question is where I've got loved ones that I really, really want to start considering creating supplementation for every reason it could be it.
Cognitive benefits, muscular benefits, whatever, all the things we've talked about. They might end up sending this conversation to their loved ones. Something that I do sometimes when I have episodes that are particularly moving for me. If they're loved ones and are listening, and you have to make a case to their loved ones and why they should take creatine. What would you say? I would say creatine is one tool in that health promotion 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 unfortunately that leads us to accelerate aging and a poor way to go. 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, you know. - Aging. - Yes. What is aging and you would definitely have to go ahead? - It's catastrophic. Unfortunately, I'm going through it. 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. 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 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 Lancaster leaves a question for the next, not knowing who they're living it for. This one's quite a tricky question. - Okay. - What is reality? - What do you think all of this is? All the stuff that we can see and all we experience? What do you think it is? Do you think it's assimilation? Do you think it's. - This is all real for sure, because I think we can feel it. It's not a big brother or anything that's 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. - Oh my God. - Catholic, yeah. - And you're a family man, you've got some. - French Bulldog and a cat, as we talked about, and wife and home, yeah. And 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, 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 activities that they live in, or they can't travel, or they're afraid to." I'm like, "You need to embrace today." I love that quote from Morgan Freeman, Shosheng. Get busy living or get busy doing it. 'Cause honestly, we have the ability with lifestyle choices to improve optimization. And I want to see people live to be 120, 130, still active, still going. And I think we're on a cusp with technology, and I think awareness around nutrition, exercise, sleep, laughter. Oh, geez. Can I say anybody to do one more thing, it'd be just laugh more often. For me to be just a small piece of the puzzle, promoting it, I think it's, if anything, it's just beyond my belief, young. Why did this pull you in? I asked that in public, because it tends to be the case that the things that draw us in, "Mum, pulana, make us curious." The tends to always be a bit of a personal reason. Right, yeah. It was more that, you know, I'm scared of death 100%. Yeah, I can't think of it, yeah. Right. I just think it's weird for me. I get to a point, maybe being religious, and then you think about it, and then my brain stops. I can't think about it. Really? Yeah. And it becomes almost like I want to live forever, and if I can think of ways to make me live, and partially get there, obviously, it's not reality. But yeah, I'm scared of death of dying, you know. Have you always been? Yep. 100%. Scared of death of heights, and I can't even talk about the death experience, yeah. Because I think it sort of brings in a perspective of things that you just don't know. Did you ever lose anybody? Well, just friends and things like that, but nothing 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 kind of like I can talk about it in a sense, I understand it in this realistic, but it's more that for some reason, I don't even want to think about it. Because I have so much passion for life that I don't even want to think about, oh shit, this could happen, yeah. When you believe you go somewhere after death. Oh, for sure. Heaven, yeah, yeah. Yeah, yeah. But if you do believe you're going to heaven, that sounds like a good place. Great place, yeah. I just want to spend more time here. This is still a lot of things to do, yeah. For sure. Makes sense. Yeah. Well, thank you. Thank you so much. It was great. I have to say, you know, you've done so much research on this subject. So many of my previous guests cite and talk about it. OK. So it's great to have the source here himself. And I applaud you for the work you've done. Thank you very much. I think a lot of people do want to extend their health on, right? Which is to live healthier for longer. Yeah. There's a real sort of epidemic of people having short health spans being medicated from the age of 40, 50 years old. And then having that sort of last couple of decades of our life, in capable of doing the things we care about. 100% yeah. And I think a lot of this research gives us an option if we choose to take you to live a better life. Oh, thank you so much. Yeah. It was great. Thank you so much. We're done. [MUSIC PLAYING] How many countries and generations would take place besidesada? Do you dreams of a new country plan Asking their parents from young generation for 3 weeks situations In their%heater shops i believe thatล also brings to house It might like to work in German and front-end countries, but in the future, if the shop is a company, it is a company that is not a company. That's how it works and we will also be able to make a shop. Aloita Ilmainen kokeilu, shop-fapist.com.com.
Podcast Summary
Key Points:
Creatine is a natural metabolite synthesized in the liver and brain, stored mainly in skeletal muscle, and essential for maintaining ATP energy levels during high-intensity exercise.
Common myths about creatine (kidney damage, water retention, only for men, hair loss, muscle cramps) are largely debunked by research; it is safe and effective for most people.
Creatine supplementation (typically 3-5 grams daily) enhances training volume, muscle recovery, lean mass gain, and performance, especially when combined with weight training.
Vegans, vegetarians, and those under metabolic stress (e.g., sleep deprivation, aging) may benefit most from creatine due to lower baseline levels.
The loading phase (20-30 grams daily for 5-7 days) can cause temporary water retention, but a maintenance dose of 3-5 grams avoids this and supports long-term gains.
Summary:
This podcast transcription discusses the benefits and science of creatine supplementation, led by a researcher who has published over 120 papers on the topic. Creatine is a natural compound produced in the liver and brain, but it is stored in skeletal muscle to help regenerate ATP, the body's energy currency, during intense exercise. While a healthy brain may not need extra creatine, stressed conditions like sleep deprivation or aging increase demand.
The researcher debunks five common myths: creatine does not damage kidneys (elevated creatinine is a false positive), it only causes temporary water retention during loading phases, it is beneficial for women (improving strength, lean mass, and bone health), it does not cause hair loss (a myth from a flawed study), and it actually reduces muscle cramps by hydrating muscles. 2 kg over six weeks), with effects lasting weeks after stopping. Vegans and vegetarians respond best due to low dietary intake.
The standard dose is 3-5 grams daily, with no need for a loading phase unless rapid saturation is desired. The researcher emphasizes creatine's role in healthy aging, rehabilitation, and lifelong disease prevention, urging people to start early for optimal benefits.
FAQs
Creatine is a natural metabolite synthesized in the liver and brain that helps maintain ATP, the energy currency of cells. It supports high-intensity exercise by replenishing energy stores.
No, this is a common myth. Creatine may temporarily elevate creatinine levels in blood tests, but randomized trials show no detrimental effects on kidney health.
High loading doses (20-30 grams daily) can cause temporary water retention, but this subsides on a maintenance dose of 3-5 grams daily, with water moving into muscle cells to support growth.
No, females respond robustly to creatine, gaining benefits in strength, endurance, and lean mass, along with potential fat loss and bone health improvements.
No, this myth originated from a study showing a temporary rise in DHT, but later research found no evidence of hair thinning with standard doses.
No, creatine actually super-hydrates muscles, which may reduce cramping risk, especially in hot conditions.
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