4/2/2025 at 1:38:55 PM
The way I understood it creatine by itself doesn't promote muscle gain all that much. It's the fact that you can potentially do one to three more reps which does. But that still means you have to do the reps. https://leangains.com/supplements-you-might-actually-find-us...by laszlojamf
4/2/2025 at 3:24:24 PM
From the actual study:https://www.mdpi.com/2072-6643/17/6/10812.3.4. Resistance Training Program
After the 7-day wash-in, both groups followed the same RT program that comprising 3 full-body sessions a week for 12 weeks (Supplementary Materials, Table S1). All sessions were supervised by tertiary qualified exercise physiologists and commenced with a standardised warm-up of dynamic flexibility exercises. Each session consisted of 5 exercises: 2 compound movements each for the upper and lower body, and 1 isolation movement for the upper body. Four sets were prescribed for all movements to ensure an adequate weekly training volume for hypertrophy [32]. Training intensities were 6 to 12 repetition maximums (RM) with 60 and 120 s of rest between sets and exercises, respectively. To adhere to the prescribed RM, an individual’s rating of perceived exertion (RPE) on a Likert scale of 1–10 was recorded. RPE corresponds to the number of repetitions an individual perceives they will be able to perform after the set is complete, where an RPE 5 equates to 5 reps more, RPE 6 is 4 reps more, RPE 7 is 3 reps more, and so on [33]. When a RPE of 8 or lower was recorded, the external load (kg) was adjusted on successive sets to ensure that subjects achieved the target RM. The RM method was used to ensure that training intensities were relative to the individual’s abilities while also standardising the training intensity across all participants [34].
I'm not quite sure this is clear enough for me, though it does somehow suggest that they were pushing the participants to do as much as they could. But like I say, unclear.
Small N as well - only a few dozen people.
by Nifty3929
4/2/2025 at 3:46:00 PM
So they were asking beginner lifters to rate how many they would have left in the tank? I've been lifting for maybe half a year and I still find it pretty hard to estimate >.<It's good that it's studied, but it does sound that they've "conclusively" proven something, and I'm not so sure. Small sample size too, like you said.
by laszlojamf
4/2/2025 at 5:37:37 PM
They are asking beginners in both the control and test arm, so it sounds like they have "proven" something (or at least given good evidence).by TomHenderson3
4/2/2025 at 6:34:49 PM
This is something that can be heavily skewed by the small N. If the people in both groups happen to closely match in their distributions of accuracy for this self-assessment then this would be correct. Larger N would make both groups much more likely to match the real distribution, which would in turn make them more likely to match each other.by lcnPylGDnU4H9OF
4/2/2025 at 7:09:08 PM
Added to that, creatine could influence how close you feel to failure. I'd like to see some data, for participants training until failure. That would still be somewhat subjective, but i'd argue, less so.by moe_sc
4/2/2025 at 8:05:32 PM
That is clearly something that they would be finding given the design of their experiment, no?by TomHenderson3
4/2/2025 at 8:15:47 PM
Can you explain the stats to give me the proper N for when this experiment would be properly powered?by TomHenderson3
4/2/2025 at 3:28:26 PM
> it does somehow suggest that they were pushing the participants to do as much as they couldI have the same impression. Possibly it could be made less subjective by literally repping to failure, but I'd guess that has potential ethical implications.
by n4r9
4/3/2025 at 2:59:50 AM
Repping to failure has potential ethical implications?Reps to failure can be done pretty darn safely with machines and incredibly low risk of injury if done on the higher rep ranges (say 20 per set). You’re not going to get rid or risk of injury but in order to even do this study, my opinion is you have to be at a normal level of injury risk or the study is pretty much flawed by design.
by Frost1x
4/3/2025 at 7:37:27 AM
Whilst safer in the short term, 20-rep machine sets are not a great way to build muscle. Perhaps something in the middle like a smith machine is best.by n4r9
4/2/2025 at 3:36:59 PM
> When a RPE of 8 or lower was recorded, the external load (kg) was adjusted on successive sets to ensure that subjects achieved the target RM.The wording is a little technical. They're saying that, if the subject thought they could do at least 2 more reps at the end of this set, they increased the weight on the next set. So if creatine does allow people to do more reps at a given weight, subjects on creatine should have lifted heavier weights. (To me, that doesn't seem like the right way to adjust for creatine, which is thought to provide extra energy, not the ability to lift heavier.)
by leereeves
4/2/2025 at 3:47:08 PM
If you can lift more reps, you can go to the next weight level. It's basically linear progression with a self-reported knob. My experience is that everytime I use creatine and start training after not training for like 3 weeks, I put on about 3 kg in a very short time. The rate of progression is deff connected to the quality of my sleep and the amount of protein I consume I did not follow as closely how much creatine impacts, but I think if it does, it does marginally compared to the others.Still, this cohort might suffer from the issue of lack of awareness about _how exertive_ the actual workout is. I feel this is also something you should learn.
by RealityVoid
4/2/2025 at 3:51:22 PM
They say you always gain a bunch of weight on creatine just from the higher water retention in the musclesby zzbzq
4/2/2025 at 5:38:49 PM
The paper says and shows this...by TomHenderson3
4/2/2025 at 1:44:08 PM
Exactly. As ATP is broken down to adenosine and phosphate to produce energy, creatine re-phosphorolates adenosine.So it gives you more energy at molecular level. But as you said, you have to actually use that energy.
by xiande04
4/2/2025 at 2:56:19 PM
And not even just use that energy, use that in a way that promotes hypertrophy. There’s lots of ways that energy could be used that doesn’t ultimately get you any muscle growth.For example, you could be using it in athletics, running, etc and it’s not inherently going to give you growth.
The effects have been known to be small. You get a little extra energy that might push you a little further in a set going to failure or with one or two reps in reserve. Maybe you slide in some lengthened partial that you go a bit more through the range of motion that you would have had energy to do otherwise.
And that happens again and again over the course of years and you get a tiny bit extra from it, probably. I’m not sure this study design disproves that at all.
by Frost1x
4/2/2025 at 3:24:57 PM
The study seems to have controlled for training intensity -- all exercises were done to repetition maximum.by ActivePattern
4/2/2025 at 2:53:19 PM
yeah I took a look at the methodology here, it seemed like this should have been accounted for in the plan though maybe I'm missing something. That said this is just one study and will play into meta-analyses at some point which are more interestingAfter the 7-day wash-in, both groups followed the same RT program that comprising 3 full-body sessions a week for 12 weeks (Supplementary Materials, Table S1). All sessions were supervised by tertiary qualified exercise physiologists and commenced with a standardised warm-up of dynamic flexibility exercises. Each session consisted of 5 exercises: 2 compound movements each for the upper and lower body, and 1 isolation movement for the upper body. Four sets were prescribed for all movements to ensure an adequate weekly training volume for hypertrophy [32]. Training intensities were 6 to 12 repetition maximums (RM) with 60 and 120 s of rest between sets and exercises, respectively. To adhere to the prescribed RM, an individual’s rating of perceived exertion (RPE) on a Likert scale of 1–10 was recorded. RPE corresponds to the number of repetitions an individual perceives they will be able to perform after the set is complete, where an RPE 5 equates to 5 reps more, RPE 6 is 4 reps more, RPE 7 is 3 reps more, and so on [33]. When a RPE of 8 or lower was recorded, the external load (kg) was adjusted on successive sets to ensure that subjects achieved the target RM. The RM method was used to ensure that training intensities were relative to the individual’s abilities while also standardising the training intensity across all participants [34].
by aNapierkowski
4/2/2025 at 3:40:54 PM
A few things -1/ on this RPE stuff, it sounds like they are trying to keep two reps in the tank which is fine but..when? the first set? The last set?
2/ perhaps I'm misreading the supplemental data but the error bars are pretty huge when it comes to changes in LBM, not sure how any conclusions can be drawn
3/ 12 weeks is a short program and it sounds like they chose people who were generally not in shape/beginners. Anyone who has lifted in their life can tell you initial gains are almost always mostly in strength, not mass.
4/ Their choice of lifts for this population also looks unusual.
I'm sure they have the data but I could not find any evaluation of relative strength gains between the two groups. Even if their hypothesis that the LBM gain is identical, strength gains may not be.
by beezle
4/2/2025 at 3:23:58 PM
Their methodology does seem to potentially capture what is at question here, by use of perceived exertion to adjust weight for repetition maximums.It is possible it doesn’t capture everything, because they don’t say anything here about setting the initial load, or adjusting the load up for low perceived exertion, only down for high perceived exertion.
by svnt
4/2/2025 at 5:13:46 PM
Not sure anything is captured. Need control for diet and measurements of existing creatine levels. It takes a few weeks to get creatine higher after supplementation. This is a small sample sized study that strikes me as dubious. Particularly compared to others that have done muscle biopsies. The pre-warm up routine is itself sus, that impacts lifting potentially more than creatine. Creatine also has a role in recovery, good luck measuring that..by seadan83
4/2/2025 at 5:45:56 PM
In the introduction they talk about creatine loading. Also, their study is looking at lean body mass changes after the "wash-in" period, so any effect that increased recovery is supposed to have on lean body mass when following the exercise protocol they give for the time period they studied should be captured, no?by TomHenderson3
4/2/2025 at 6:49:13 PM
> In the introduction they talk about creatine loading(1) Yes, that the loading phase was BYPASSED. = (
"Those on creatine did bypass a loading phase, which includes taking 20 to 25 grams daily for up to one week. While it is common to start with a loading phase, it can cause gastrointestinal issues and is not necessary to reach saturation levels – the maximum that the body can store at any one time. "
My understanding, to reach saturation without a loading phase - it takes about 3 to 4 weeks. (Could be wrong, going off of memory there.)
With loading, I've read it takes 1 to 2 weeks to reach saturation.
(2) Without measuring creatine levels, what was even tested? How many people were creatine "non-responders?" How many people were getting plenty of creatine from their diets already?
(3) Was the creatine regimen effective and optimal? Water intake is another factor. I don't think a set of 50 people divided between 2 groups is going to be anywhere near enough to capture a nuance like efficacy of the regimen vs no regimen.
> Also, their study is looking at lean body mass changes after the "wash-in" period, so any effect that increased recovery is supposed to have on lean body mass when following the exercise protocol they give for the time period they studied should be captured, no?
I'd say no, simply because it is not known whether the wash-in period was actually a wash-in period without knowing if creatine levels actually changed in a significant way. Second, the study group of beginner weight lift lifters is a chaotic data set. The gains of lifting weights vs not lifting weights is likely magnitudes different from creatine vs no-creatine supplementation. Some beginners might easily get 10% more muscle mass vs 5% for others. An effect that is expected be very low is going to be completely lost in the noisy data. Let alone that we are starting from a questionable baseline.
Overall, since the body can absorb up to about 5g of creatine a day, and the body is likely already intaking 1 or 2g per day - this study is kinda only looking at the effect of an increase of creatine from a moderate dosage to a maximal dosage, across beginner weight lifters. It's like, say you're a bit dehydrated, instead of drinking 500ml of water per day, you now start drinking 550ml of water and then measure any changes from starting a brand new weight lifting routine.
by seadan83
4/2/2025 at 3:41:50 PM
It seems like the protocol would detect either benefit, if present.It makes sense that the body's adenosine re-phosphorylation is not rate limited by creatine at all (which the body produces naturally). In that case, having extra creatine lying around would just make your pee more expensive and give you a nice placebo effect from believing you can lift more. (And placebo effects are real effects, particularly for effort related tasks. Just not due to chemistry of the treatment.)
by daveguy
4/2/2025 at 1:50:27 PM
This is correct. There are two main biological activities involving creatine, a combination of amino acids: 1. it facilitates recycling of ADP back to ATP, obviously more ATP means more energy, meaning ability to do more reps 2. it acts as a pH buffer, countering the fatigue effects of lactic acid buildup.So no, taking creatine without doing the work probably won't make a difference (except to your wallet), but use in conjunction with consistent and effective exercise, the effect is real.
One thing though: don't bother with the creatine loading phase, it's a marketing scheme to sell more product.
by cratermoon
4/2/2025 at 3:05:46 PM
> taking creatine without doing the work probably won't make a difference (except to your wallet)Creatine is dirt cheap. Anything expensive is probably a scam.
by wqweto
4/2/2025 at 2:49:15 PM
I would add 3. There's an aesthetic change too. (Obviously a preference/eye of the beholder thing).ChatGPT: "This process, known as cell volumization, contributes to muscle size gains."
So there's also that reason to take it :)
by maerF0x0
4/2/2025 at 2:17:50 PM
Agreed. If memory serves, most studies have shown marginal effects ~ 5%, particularly for strength. The benefit of creatine it seems at least partially, is the marginal benefit of being able to squeeze out a few extra reps per weekby DataDaoDe
4/2/2025 at 4:08:15 PM
Assuming your body doesn’t form a dependency to it somehow and becomes sluggish weening off of it.by kjkjadksj
4/2/2025 at 2:43:18 PM
For what it’s worth, I didn’t know this and I suspect a lot of people don’t. Thanks for this!by iambateman
4/2/2025 at 2:20:23 PM
Yeah, that's also the case when people scoff at pro bodybuilders due to steroids. Steroids don't magically give you the gains, you still have to put the work in. You just get rewarded more, and quicker at cost of other side effects.by parthdesai
4/2/2025 at 2:39:24 PM
> Steroids don't magically give you the gains, you still have to put the work in.That's not an entirely fair description of the situation actually.
Imagine the 4 groups from the cross product of WorksOut?(Yes/No) cross Steroids?(Y/N).
It's intuitive, obvious, and supported by the data that The WorksOut(Y) + Steroids(Y) Group reliably gains more muscle over time than other groups. And similarly that the WorksOut(N) + Steroids(N) group gains the least (including losses too!) .
The interesting groups are WorksOut without Steroids, vs Steroids without WorksOut.
The sad truth is those on steroids, though sedentary, gain more muscle than those who workout without steroids.
Here's the source of what I'm talking about from Jeff Nippard's Youtube channel https://www.youtube.com/watch?v=VD9p9tEP9RE around 4:05
And it's important we educate folks about who is likely on them and what's realistic naturally. Because many young people are innudated with drug enhanced bodies on social media and think that's possible without steroids (and their negative sideeffects). It's particularly troublesome in the case of sexual selection and competition, for example using the hetero normative pairings, when young women are attracted to the steroidal bodies and when young men are pressured to take damaging gear to compete with peers who are. (There's the equivalent analogues for other sexual pairings/preferences).
by maerF0x0
4/2/2025 at 3:21:25 PM
My personal experience, having had low testosterone for much of my life and then now being on testosterone replacement therapy:- It’s obvious to me that I (n=1) gained a ton of muscle and lost a ton of fat very quickly without having done dramatic changes in workouts at first
- It also made it waaaay easier to work out. I used to hate it bc I was exhausted all the time, and now I don’t really mind, and sometimes even enjoy it. In actual practice pulling these variables apart is hard
PSA: T levels have declined markedly over the past generation or two. But when one tests for low T, the goalposts move bc every time a new population is studied for setting benchmarks (generally every decade or two), the definition of clinically “low” is moved to the new 2.5%ile of that study, such that someone in the current 3rd %ile (considered A-okay by most doctors) would have been in maybe 2.4th %ile (considered red alert by most doctors) using the previous benchmarks (made up numbers but roughly right).
(This is a dumb approach, the binary magic of the 2.5%ile (2 standard deviations), and it frustrates me greatly bc i was denied care bc my first test was 2.4%ile and 2nd was 2.6%ile and thus i was told i was fine bc of the 2nd result and offered anti-depressants instead).
Fixing this is not about muscles, it’s about having energy to live life fully and not be cranky.
So if you’re constantly tired, consider testing for this. And use a functional doc, as in my experience from shepherding 5-10 other folks through this process, the standard doc knows little about this stuff and thinks that having a condition like this is binary
Sorry, a bit off-topic, but no change in my life has been more important besides kids, so I try to spread the word where even somewhat appropriate
by glaugh
4/2/2025 at 3:38:40 PM
> no change in my life has been more important besides kidsQuick note to add: if you're reading the above comment and you still want kids, it's important to note that loss of fertility is one of the most significant side effects of testosterone (or any steroid). There are additional medications that can reduce the risk (and possibly reverse it after fertility is already lost), but it's not guaranteed.
by cj
4/2/2025 at 4:06:47 PM
Yeah. A lot of the warnings on the side of the box are based on really suspect data from a very long time ago (Abraham Morgentaler at Harvard is my go-to for this) but the point cj raises is legit.When a man takes exogenous testosterone, their endogenous production (in the testicles) plummets. This is largely fine, but the production in the testicles also leads to sperm production, and that gets lost.
The solution to this is HCG, which stimulates some testicular production. But it is not a perfect solution, and recently CA has made it much harder to use HCG for this purpose (which was always off-label).
by glaugh
4/2/2025 at 2:55:00 PM
I think this takeaway is deeply flawed: > "The sad truth is those on steroids, though sedentary, gain more muscle than those who workout without steroids."
The proper takeaway is something like: "Untrained males without prior AAS use gained more muscle over a 10 week non-exercise period than similar males who performed exercise."These sorts of adapations are not linear and consistent, similar to the "noob gains" experienced in the first few months by novice lifters.
Anyone who has trained in a somewhat serious gym can tell you that there are many people taking steroids, often times in dosages manyfold what this study use, who have mediocre physiques.
by gavinray
4/2/2025 at 3:18:26 PM
I understand what you're saying... You're talking about total gains over a long period of time like a 10 year sedentary steroid use versus a 10 year natural lifter doing lots of the right things... I'm not sure if there's any data on the subject besides anecdotes.Do you have a longitudinal study source?
> "Untrained males without prior AAS use gained more muscle over a 10 week non-exercise period than similar males who performed exercise."
There's lots of studies that show steroid users accumulate about 2x as much muscle as non steroid users, but those are both in trained groups. Unclear about what happens if someone takes steroids across 10 years, and how much total muscle they accumulate relative to a natural over the same time period.
by maerF0x0
4/2/2025 at 3:29:52 PM
This doesn’t need to be longitudinal — the parent’s point seems to be much simpler: people who don’t work out will have quicker initial muscle gains upon starting than those who already regularly work out. This could be measured over a period of weeks but I wonder if it has been studied because it is so obviously true.by svnt
4/2/2025 at 2:51:11 PM
There was a paper[1] that showed taking a 600 mg of testosterone lead with no-exercise lead to more gains in strength and muscle size than a control group who did exercise and took a placebo. So some gains may just be "magic", but of course you won't look like Arnold.by rpsw
4/2/2025 at 2:44:49 PM
Studies show that sedentary men on steroids gain more muscle mass than active men that aren’t on steroids.So you don’t always have to work for them, especially if you used a steroid like Tren which is 5x more anabolic than testosterone.
by rblatz
4/2/2025 at 2:54:52 PM
there is guy here who was a wrestler in college, and now 60+.. he eats more protein per day than most people, his muscles are dense, heavy and now painful. I mean back surgery and limited mobility.. He does two minutes of exercise, claims to "stretch" then eats more.. basically, his body is making a lot of muscle but he does not do much work, and it is degenerate at his age.by mistrial9
4/2/2025 at 2:38:20 PM
I don't know if you mean steroids specifically or also testosterone, but exogenous testosterone actually does raise muscle mass.So it's fundamentally different from the creatine mechanism above.
For example: https://pmc.ncbi.nlm.nih.gov/articles/PMC5989848/
Here's one on steroids with a no exercise group, they saw gains: https://pubmed.ncbi.nlm.nih.gov/8637535/
by graeme
4/2/2025 at 2:41:47 PM
This too is oversimplification. For example, due to differences in testosterone levels, a woman would need to put in significantly more effort than a man in order to approach similar strength levels.by kibwen
4/2/2025 at 2:40:37 PM
I regularly see people pointing out that this is a myth. That even with no work being put in, there are serious gains when using steroids. I have absolutely zero sources though (like you).by RamRodification
4/2/2025 at 2:30:57 PM
[dead]by Tumlomu
4/2/2025 at 2:01:16 PM
This has been known for ~15 years. I'm not sure what this study thought it was debunking.by dgfitz
4/2/2025 at 2:26:07 PM
There is value in studying things that are "settled" science. You can reinforce or deepen the existing understanding, or uncover nuance that wasn't widely understood before.Note that this link is not the study! The published paper makes much more specific claims.
by ahoy
4/2/2025 at 3:03:29 PM
Given the glaring reproducibility crisis in the scientific community, creatine seems the wrong focus at the moment.by dgfitz
4/2/2025 at 3:42:06 PM
Because of this crisis, no one should be allowed to study creatine? What other things shouldn't be studied in order to solve the glaring reproducibility crisis? How does not studying things help?Is the scientific community "focused" on creatine?
by pessimizer
4/2/2025 at 4:18:11 PM
It just doesn't matter. People who use creatine understand how it works and what the purpose it serves. Read the rest of this thread for anecdotes.Study it to death, I care not. If I had research money, I wouldn't use it to kick a dead horse.
by dgfitz
4/2/2025 at 5:47:56 PM
Wait, are you saying that they didn't have the creatine arm of the study work as hard as the control arm? I'm really confused by this comment.by TomHenderson3
4/2/2025 at 3:24:02 PM
If you read the study, you can see that they controlled for training intensity. All exercises were done to repetition maximum.by ActivePattern