Renal dysfunction accompanying oral creatine supplements
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A few case studies reported that individuals purportedly taking creatine with or without other supplements presented with high creatinine levels and/or renal dysfunction.
“With regard to the question of whether creatine has effect on renal function, a few case studies [249–252] reported that individuals purportedly taking creatine with or without other supplements presented with high creatinine levels and/or renal dysfunction [249–251].”
From International Society of Sports Nutrition position stand: safety and efficacy of creatine supplementation in exercise, sport, and medicine (2017) · cites this paper as [251]
In that 1998 case study, based on increased blood levels of creatinine and subsequent estimate of calculated creatinine clearance, the patient's kidney health was presumed to be deteriorating, although he was otherwise in good health.
“Based on increased blood levels of creatinine and subsequent estimate of calculated creatinine clearance, his kidney health was presumed to be deteriorating, although he was otherwise in good health.”
From Common questions and misconceptions about creatine supplementation: what does the scientific evidence really show? (2021) · cites this paper as [51]
In 1998, a case study reported a young male with focal segmental glomerulosclerosis and relapsing nephrotic syndrome who had recently begun ingesting creatine supplementation at 15 g/day for 7 days followed by 2 g/day for 7 weeks.
“In 1998, a case study of a young male with focal segmental glomerulosclerosis and relapsing nephrotic syndrome was reported [51]. The young male, who had kidney disease for 8 years and was treated with cyclosporine (i.e., immunosuppressant) for 5 years, had recently begun ingesting creatine supplementation (15 g/day for 7 days; followed by 2 g/day for 7 weeks).”
From Common questions and misconceptions about creatine supplementation: what does the scientific evidence really show? (2021) · cites this paper as [51]
A few case study reports appeared in the literature suggesting adverse events despite other mitigating factors unrelated to creatine supplementation, which subsequently have been debunked.
“A few case study reports also appeared in the literature suggesting adverse events despite other mitigating factors unrelated to creatine supplementation [52–54] which subsequently have been debunked [15,55,56].”
From Safety of creatine supplementation: analysis of the prevalence of reported side effects in clinical trials and adverse event reports (2025) · cites this paper as [52]
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Carneiro, A., Gomes, D. V., Macedo-da-Silva, J., Lima, G. H. O., Mitri, S., Alves, S. R., Kolliari-Turner, A., Zanoteli, E., Neto, F. R. D. A., Palmisano, G., et al. (2021) · Neuromuscular Disorders · doi:10.1016/j.nmd.2021.04.007 · Cited by 28 · see citing works
Associations between friends' disordered eating and muscle-enhancing behaviors
Eisenberg, M. E., Wall, M. M., Shim, J., Bruening, M. M., Loth, K. A., & Neumark‐Sztainer, D. (2012) · Social Science & Medicine · doi:10.1016/j.socscimed.2012.08.024 · Cited by 29 · see citing works
Efectos en la función renal de la suplementación de creatina con fines deportivos
Vega, J., & Huidobro E., J. P. (2019) · Revista médica de Chile · doi:10.4067/s0034-98872019000500628 · Cited by 26 · see citing works
Strength training and nutritional supplement use in adolescents
Metzl, J. D. (1999) · Current Opinion in Pediatrics · doi:10.1097/00008480-199908000-00004 · Cited by 26 · see citing works
Ellery, S. J., LaRosa, D. A., Kett, M. M., Della Gatta, P. A., Snow, R. J., Walker, D. W., & Dickinson, H. (2016) · Amino Acids · doi:10.1007/s00726-015-2150-7 · Cited by 25 · see citing works
- Authors
- Pritchard, N., & Kalra, P.
- Affiliations
- Salford Royal NHS Foundation Trust (GB)
- Venue
- The Lancet
- Publisher
- Elsevier BV
- Published
- 1998-04
- Volume
- 351
- Issue
- 9111
- Pages
- 1252-1253
- ISSN
- 0099-5355 (ISSN-L)
- 0140-6736
- OpenAlex
- W1973648573
- Cited by
- 213
- References
- 4
- Citations by year
- 2026: 4 · 2025: 5 · 2024: 4 · 2023: 5 · 2022: 3 · 2021: 5 · 2020: 5 · 2019: 7 · 2018: 3 · 2017: 3 · 2016: 5 · 2015: 8 · 2014: 6 · 2013: 1 · 2012: 8
- FWCI
- 5.39
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- The Lancet (publishedVersion)
- PubMed (publishedVersion)
- Research Explorer (The University of Manchester) (submittedVersion)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Cell Biology › Muscle metabolism and nutrition
- Health Sciences › Medicine › Nephrology › Acute Kidney Injury Research
- Health Sciences › Medicine › Nephrology › Dialysis and Renal Disease Management
- Keywords
- creatine supplementation, renal dysfunction, creatine loading, serum creatinine, exercise performance, dietary supplements, drug safety
- MeSH terms
- Administration, Oral, Adult, Creatine, Glomerular Filtration Rate, Humans, Male, Nephrotic Syndrome, Dietary Supplements
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