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Does Creatine Damage Your Kidneys? (The Truth)

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📩 Contact us: [[email protected]] Is creatine bad for your kidneys? After our last creatine video, so many of you asked the same thing: "I have kidney disease, can I take creatine?" or "I started creatine and now my kidney blood work looks off. Should I be worried?" That question deserved its own episode. In this episode of Talking With Docs, Dr. Brad Weening and Dr. Paul Zalzal break down creatine and kidney function: the difference between creatine and creatinine, why your blood work can look worse on creatine even when your kidneys are fine, what the evidence does and doesn't show, and who should talk to their doctor before taking it. Creatine and creatinine sound almost identical. Creatine is the energy reserve stored mostly in your muscles, used for short bursts like sprinting or heavy lifting. Creatinine is what creatine naturally breaks down into, and it's the number doctors check on your blood work to see how well your kidneys are filtering. Take creatine and your creatinine can go up too, which can make healthy kidneys look like they're struggling on paper. Missed our latest creatine episode? Watch it here: https://youtu.be/qfG_s54T37U Want to understand your kidney blood work? Watch our episode with Dr. Pandeya: https://youtu.be/Kmpz3iFYr40 You'll learn: The difference between creatine and creatinine, and how they're connected Where creatine is stored: about 95% in your muscles, the rest in your brain, heart and testes How supplementing can raise your creatine stores by about 20 to 40% Why a 20 g loading dose and 3 g a day ended up in the same place Why 3 to 5 g a day is likely all you need Why creatine can raise your creatinine without harming your kidneys Why eGFR doesn't solve the problem, and where cystatin C fits in How muscle injury, a brutal workout and dehydration can push creatinine up too What case reports of kidney damage in creatine users can and can't prove Why there's still no large trial proving creatine never harms the kidneys Why people with polycystic kidney disease are told to be cautious How much water you actually need on creatine Whether the doctors would take creatine if their own kidneys weren't working well The most practical takeaway is about your blood work. If you take creatine and your creatinine comes back a little high, that doesn't automatically mean your kidneys are failing, because creatine can raise creatinine on its own. But your doctor can only read the result properly if they know you're taking it. Leave it out, and you could end up with extra tests, a lot of worry, or treatment you don't need. For healthy adults, creatine has a strong safety record. Millions of people have taken it for years, and if it were quietly damaging kidneys, the doctors expect it would have shown up by now. Still, no large, long-term trial has definitively proven it never causes kidney damage. If you already have kidney disease, talk to your family doctor or nephrologist before you start. Even Dr. Weening and Dr. Zalzal go back and forth on whether they'd take it with poor kidney function. On water, you don't need to chase perfectly clear urine. Drink to your thirst, or just beyond it. And on dose, more isn't better: beyond about 5 g a day, you're probably just wasting it. Have you taken creatine and had your kidney blood work flagged? Has creatine ever caused you kidney problems? Let us know in the comments. 🎧 Listen on Your Favourite Platforms: Spotify: https://open.spotify.com/show/3OFxEjictC41CCS1z2AVKe Apple Podcast: https://podcasts.apple.com/ca/podcast/talking-with-docs-podcast/id1799242189 YouTube Music: - TWD Podcast 👕 Shop Our MERCH: https://www.spreadshirt.ca/shop/user/talking+with+docs ❤️ Support Oakville Hospital: https://oakvillehospitalfoundation.com/ 📱 Follow Us: TikTok: https://www.tiktok.com/@talkingwithdocs Instagram: https://www.instagram.com/talkingwithdocs/?hl=en 🛑 DISCLAIMER: This content is for educational purposes only and should not replace professional medical advice. Supplements like creatine affect people differently, and decisions about whether to take creatine, how much to take, and how to interpret your kidney blood work should be individualized based on your health history, kidney function, medications and circumstances. If you have kidney disease, speak with your physician or nephrologist before starting creatine. Always follow the guidance provided by your physician, pharmacist, and healthcare team. Full disclaimer at talkingwithdocs.com. #Creatine #CreatineSideEffects #IsCreatineSafe #CreatineKidneys #KidneyHealth #KidneyFunction #Creatinine #KidneyDisease #BloodWork #CreatineMonohydrate #Supplements #SportsNutrition #Nephrology #TalkingWithDocs #DoctorExplains

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