Muscle, Mind & Metabolism | Why Women Are Turning to Creatine for Energy & Longevity
Creatine Isn’t Just for Gym Bros—Here’s Why It’s a Game-Changer for Women
For years, creatine has been marketed almost exclusively to bodybuilders and athletes, creating the misconception that it’s only useful for people who spend hours in the gym. But research is proving that this simple, natural compound does far more than just support muscle growth. Women, particularly those looking to maintain strength, energy, and cognitive function as they age, are beginning to recognize creatine’s full potential.
Whether you're feeling more fatigued than usual, noticing changes in muscle tone, or simply looking for a way to support long-term health, creatine may be the missing piece in your wellness routine. The best part? It’s entirely plant-based when taken as a supplement, making it accessible for anyone following a vegan or plant-focused diet.
What Is Creatine and Why Does It Matter?
Creatine is a naturally occurring compound found in the body, primarily stored in muscles, where it helps produce energy. Think of it as a backup power source for your cells, providing a quick burst of energy when needed. The body makes some creatine on its own, but the rest typically comes from dietary sources such as meat, fish, and eggs.
For those following a plant-based diet, creatine levels tend to be lower because it is not readily available in plant foods. This is where supplementation becomes useful, ensuring the body has adequate creatine to support essential functions such as muscle maintenance, brain health, and energy production. Research from the Cleveland Clinic confirms that creatine is one of the most well-studied and safest supplements available, with significant benefits beyond athletic performance
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Why More Women Are Turning to Creatine
1. Maintaining Muscle Without Heavy Lifting
After the age of 30, women begin to lose muscle mass at a rate of about 3 to 8 percent per decade. By the time menopause hits, this process accelerates. Muscle loss doesn’t just affect strength—it also contributes to a slower metabolism, increased fatigue, and a greater risk of falls or injuries later in life.
A study published in the Journal of Strength and Conditioning Research found that women who were supplemented with creatine experienced improvements in muscle strength and endurance, even without intense strength training. This makes it an excellent option for women who want to maintain lean muscle without committing to a rigorous workout routine.
Beyond helping to preserve muscle, creatine plays a critical role in muscle recovery, hydration, and growth. When you exercise, your muscles experience tiny micro-tears that need to heal to grow stronger. Creatine helps activate satellite cells, which speed up this repair process, leading to faster recovery and improved muscle adaptation.
Creatine also supports the release of anabolic hormones, including insulin, human growth hormone (hGH), estrogen, and testosterone—key players in tissue repair and overall muscle function. Additionally, creatine increases cellular hydration, drawing water into muscle cells, enhancing muscle volume, reducing dehydration, and decreasing muscle cramps. This improved hydration may improve muscle endurance and resilience, especially as the body ages.
With its ability to support muscle maintenance, repair, and hydration, creatine becomes an essential tool for athletes and any woman looking to stay strong, energized, and resilient over time.
2. Brain Health and Cognitive Function
Many women struggle with mental clarity as they age, particularly during perimenopause and menopause, when hormonal changes can contribute to brain fog and forgetfulness. The brain relies on creatine to help fuel energy production, much like muscles do.
Research published in the Nutrients journal found that creatine supplementation enhanced women’s memory, cognitive function, and mental clarity. Participants who took creatine performed better on memory and cognitive tests than those who didn’t, highlighting its potential role in brain health and longevity. If you’ve ever found yourself struggling to recall names, misplacing your phone more often, or feeling mentally sluggish, creatine may offer support in keeping your brain sharp.
3. Energy and Metabolism Support
Many women find that their energy levels decrease as they age. This is partly due to metabolic shifts and a natural decline in ATP production, the body’s energy currency. Creatine helps produce ATP, meaning more cellular energy, better endurance, and less fatigue.
A study found that creatine supplementation helped increase energy production at a cellular level, supporting endurance and metabolic health. Unlike caffeine, which provides a temporary energy spike, creatine improves the body’s ability to generate and sustain energy over time, making it a valuable tool for active and busy women.
4. Bone Health and Osteoporosis Prevention
Bone health is often overlooked until a problem arises, but by the time osteoporosis is diagnosed, a significant amount of bone density has already been lost. Women, particularly after menopause, are at a much higher risk of bone fractures due to declining estrogen levels. Maintaining strong muscles plays a crucial role in protecting bones, and creatine has been shown to support both muscle and bone health.
A study published in Aging and Disease found that creatine supplementation helped improve bone mineral density by preserving the muscles that support bone structure. This means that, beyond just keeping muscles strong, creatine may also help reduce the risk of fractures and osteoporosis-related complications later in life.
5. Hormonal Support and Menopause Benefits
Many women experience a range of frustrating symptoms as their hormones fluctuate, from increased fatigue to changes in body composition. Creatine has been studied for its ability to help buffer some of these effects by supporting muscle retention, energy levels, and cognitive function.
A study conducted in women over 50 found that creatine supplementation helped maintain muscle tone and strength, even when exercise levels were moderate. Since muscle and metabolic health are closely linked, keeping muscle mass intact can also help with weight management and energy balance during hormonal transitions.
6. Gut Health and Intestinal Barrier Support
The gut is fundamental to overall health, influencing everything from digestion to immune function and inflammation regulation. Emerging research suggests that creatine may support gut health by helping maintain the integrity of the intestinal barrier and potentially reducing inflammation associated with digestive disorders.
The intestinal barrier is a critical defense mechanism that prevents harmful substances from entering the bloodstream. A study published in the Proceedings of the National Academy of Sciences found that creatine contributes to maintaining this barrier by supporting energy metabolism in intestinal cells. When creatine levels are low, intestinal epithelial cells are more prone to damage, increasing the risk of gut inflammation and disorders such as colitis.
Additionally, a 2021 review highlighted that creatine supplementation in animal models of colitis reduced disease severity and inflammation. Since individuals with inflammatory bowel disease (IBD), including ulcerative colitis, often have lower creatine levels in their intestinal tissues, researchers propose that supplementation could help restore balance and support gut lining integrity.
While most studies have been conducted in animal models, these findings suggest that creatine may play a role in gut health by supporting mucosal barrier function and reducing intestinal inflammation. More human studies are needed to fully understand its impact, but early research indicates that creatine may benefit muscle and brain health and digestive wellness.
Is Creatine Safe? What Are the Side Effects?
Despite some lingering myths, creatine has been studied extensively and is considered safe for long-term use. The Cleveland Clinic and other medical organizations confirm that creatine does not harm the kidneys in healthy individuals, nor does it cause dehydration or bloating when taken in appropriate doses.
Some people experience mild stomach discomfort if they take creatine on an empty stomach. This can usually be avoided by mixing it into a smoothie or taking it with food. Unlike some supplements that require cycling or stopping periodically, creatine can be taken daily without concerns of dependency or diminishing effects.
Will Creatine Make You Gain Weight?
One common concern about creatine is whether it leads to weight gain. The short answer is that creatine does not cause fat gain but can result in temporary water retention in muscles, which may slightly increase the number on the scale.
Creatine pulls water into muscle cells, improving hydration and enhancing muscle function. This intracellular water retention may cause a 1 to 3-pound increase in weight, but this is not body fat—just extra hydration in the muscles, which supports faster recovery and better muscle function.
Unlike bloating, which occurs from fluid retention under the skin, creatine-induced water retention happens inside the muscle cells, giving muscles a fuller, more toned appearance rather than puffiness. A study published in the Journal of the International Society of Sports Nutrition confirmed that creatine supplementation does not contribute to fat gain. Still, it does help maintain lean muscle, which can support a healthy metabolism over time.
If you’re concerned about water retention, you can:
Stick to a daily dose of 3-5 grams instead of doing a high-dose “loading phase.”
Drink plenty of water to help your body regulate hydration.
Stay active—even light movement helps muscles utilize creatine efficiently.
For most women, any initial water retention stabilizes after a few weeks, and the long-term benefits—including better energy, metabolism, and muscle tone—far outweigh any temporary fluctuations on the scale.
But how do you know if you actually need creatine? While there isn’t a direct test for creatine levels, there are a few ways to assess whether your body could benefit from supplementation. From blood markers to signs like muscle fatigue, brain fog, or slow recovery, here’s how to determine if adding creatine to your routine makes sense for you.
Who Should Avoid Creatine?
While creatine is considered safe for most women, there are a few cases where caution is advised. If you fall into any of the following categories, it’s best to consult a healthcare professional before adding creatine to your routine.
1. Women with Pre-Existing Kidney or Liver Conditions
Creatine is processed through the kidneys, and while research has consistently shown that it does not harm kidney function in healthy individuals, women with pre-existing kidney disease, impaired kidney function, or liver disorders should avoid creatine or consult a doctor before using it.
The concern comes from the fact that creatinine levels (a byproduct of creatine metabolism) are used as a marker of kidney function. In people with kidney disease, excess creatinine in the blood may indicate that the kidneys are struggling to filter waste efficiently. While creatine itself doesn’t cause kidney damage, it could make it harder to monitor kidney function accurately in those with existing conditions.
2. Women Who Are Pregnant or Breastfeeding
Limited research exists on creatine supplementation during pregnancy and breastfeeding, so it is generally recommended that pregnant or nursing women avoid creatine unless specifically advised by a healthcare provider.
That said, some studies suggest creatine may have potential benefits during pregnancy, such as supporting fetal brain development and protecting against oxygen deprivation. However, because long-term safety data in pregnancy is lacking, most doctors err on the side of caution until more studies confirm its effects.
Women with a History of Digestive Sensitivities
Most people tolerate creatine well, but some experience mild digestive discomfort when taking it—especially on an empty stomach. Women with sensitive digestion, IBS, or inflammatory bowel disease (IBD)should start with a lower dose (2-3 grams) and gradually increase to assess tolerance.
Some creatine supplements contain additives, artificial sweeteners, or fillers that can irritate digestion. If you have gut sensitivities, opt for a pure, unflavored creatine monohydrate without unnecessary ingredients.
3. Women Prone to Severe Water Retention or Bloating
While creatine does not cause fat gain, it can increase intracellular water retention in muscles, making some women feel slightly heavier or puffier, especially in the first few weeks of use. For most, this effect balances out over time, but if you are prone to water retention or swelling, you may want to monitor your body’s response before committing to supplementation.
4. Women with Certain Medications or Medical Conditions
If you take medications that affect kidney function, blood sugar levels, or hydration balance, check with your doctor before starting creatine. This includes:
Diuretics (water pills), which already affect fluid retention and hydration.
Medications for high blood pressure that impact kidney function.
Blood sugar-lowering medications, as creatine, may have a minor impact on insulin sensitivity.
Is There a Way to Test If You Need Creatine?
Unlike specific vitamins and minerals, a standard lab test doesn’t directly measure your body's creatine levels. However, there are a few ways to assess whether you might benefit from supplementation, mainly if you follow a plant-based diet or experience symptoms related to low creatine stores.
Blood Tests for Creatinine Levels
One way to indirectly measure your creatine status is through a serum creatinine test, which is often included in routine bloodwork. This test primarily evaluates kidney function, but low creatinine levels can also suggest low muscle mass or insufficient creatine storage in the body.
If you’ve had recent bloodwork done, you can check your serum creatinine levels:
Lower-than-normal creatinine may indicate reduced muscle mass, possibly due to low creatine intake.
Normal creatinine levels suggest stable kidney function but don’t necessarily reflect optimal creatine stores for energy production and muscle function.
While this isn’t a definitive test for creatine deficiency, it can provide useful insights—especially if you’re experiencing fatigue, muscle loss, or cognitive changes.
Diet and Lifestyle Factors
Your diet plays a significant role in determining whether you need creatine supplementation. Since creatine is naturally found in meat, fish, and eggs, individuals who follow a vegan or plant-based diet typically have lower baseline creatine levels. This doesn’t mean plant-based diets are unhealthy—just that creatine supplementation may benefit energy production, muscle maintenance, and brain function.
Beyond diet, consider these factors:
Do you struggle with maintaining muscle mass or strength?
Do you experience fatigue or slow workout recovery?
Do you feel mentally sluggish, forgetful, or experience brain fog?
If you answered yes to any of these, creatine supplementation may help support your overall health and energy levels.
Physical and Performance Signs
Creatine plays a crucial role in muscle energy and recovery, so certain signs in your day-to-day life may indicate a need for more creatine. You might benefit from supplementation if you notice:
Decreased muscle strength or endurance, even with regular activity.
Slower recovery after exercise, with prolonged soreness.
General fatigue, especially after workouts or mentally demanding tasks.
Since creatine helps the body replenish energy more efficiently, supplementing can help reduce fatigue and improve overall performance, even if you’re not a high-intensity athlete.
Cognitive and Mental Clarity
Creatine isn’t just for muscles—it also plays a key role in brain energy metabolism. Several studies have found that individuals with lower dietary creatine intake, including vegetarians and vegans, often experience improved cognitive function after supplementing with creatine. If you find yourself struggling with:
Brain fog or difficulty concentrating
Memory lapses or forgetfulness
Mental fatigue, especially in stressful or high-demand situations
Creatine may help by providing additional energy to brain cells, improving focus and mental clarity.
How to Take Creatine on a Plant-Based Diet
If you’ve identified signs that you may benefit from creatine, the next step is understanding how to take it effectively. The most researched and widely recommended form is creatine monohydrate, which is entirely vegan and free from animal byproducts.
When choosing a supplement, looking for third-party tested brands is essential to ensure purity and avoid unnecessary additives. The standard recommended dose is 3 to 5 grams per day, and while some people opt for a “loading phase” with higher doses initially, this isn’t necessary. Creatine works best when taken consistently over time.
For those wondering when to take it, there is no strict rule—creatine can be taken at any time of day. However, many people find it easiest to mix into a morning smoothie, post-workout drink, or even a cup of tea or coffee. Since it is tasteless, it blends seamlessly into most beverages.
Should You Try Creatine?
For women looking to maintain strength, energy, and cognitive function as they age, creatine is a simple yet powerful tool. It’s one of the most well-researched supplements available and offers benefits beyond muscle growth. Whether you aim to prevent muscle loss, support brain health, or keep your metabolism active, creatine is a worthwhile addition to a plant-based wellness routine.
As with any supplement, choosing high-quality sources and staying consistent is key. If you’ve been searching for a way to feel stronger, more energized, and mentally sharper, creatine might just be the missing piece in your wellness journey.
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References:
Smith-Ryan AE, Cabre HE, Eckerson JM, Candow DG. Creatine Supplementation in Women's Health: A Lifespan Perspective. Nutrients. 2021 Mar 8;13(3):877.
Allen PJ. Creatine metabolism and psychiatric disorders: Does creatine supplementation have therapeutic value? Neurosci Biobehav Rev. 2012 May;36(5):1442-62.
Smith-Ryan, A.E.; Cabre, H.E.; Eckerson, J.M.; Candow, D.G. Creatine Supplementation in Women’s Health: A Lifespan Perspective. Nutrients 2021, 13, 877.
Brenner, Megan, et al. The Effect of Creatine Supplementation During Resistance Training in Women. Journal of Strength and Conditioning Research 14(2):p 207-213, May 2000.
Chilibeck PD, Kaviani M, Candow DG, Zello GA. Effect of creatine supplementation during resistance training on lean tissue mass and muscular strength in older adults: a meta-analysis. Open Access J Sports Med. 2017 Nov 2;8:213-226.
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by Dr. Monisha Bhanote
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