Is creatine good for your brain, not just your muscles?
Creatine may slightly improve memory, mostly in older adults, and appears safe for healthy people at studied doses.
Covers: Creatine monohydrate taken by healthy adults. Muscle and exercise effects are covered only for context; clinical uses in disease are out of scope.
3 free full reads left this month. Join or upgrade
The short answer
Interpretation AI-organised, reviewedIn healthy adults, creatine monohydrate supplementation appears to produce a small average improvement in memory, with the clearest benefit in older adults (roughly 66–76 years) and little effect in younger adults; effects on other cognitive domains are mixed, though a small 2025 trial found improved performance on a demanding cognitive task after loading. Short- and long-term use up to 30 g/day for 5 years is reported as safe and well-tolerated in healthy people, and a 2026 review found no consistent short-term safety signals in adolescents. In real-world use, cognitive performance is the most common reason people take creatine but also the benefit most often reported as unmet.123456
- Evidence 20
- Interpretation 3
In brief
Creatine supplementation shows a small overall memory benefit in healthy people (SMD 0.29; 95% CI 0.04–0.53).1
Evidence-backedThe benefit is concentrated in older adults aged 66–76 (SMD 0.88), with essentially no effect in younger adults aged 11–31 (SMD 0.03).1
Evidence-backedCognitive performance is the most common reason people take creatine (67.8%) but also the benefit most often reported as unmet (64.4% of cognitive-goal endorsers), so expectations should be modest.5
Evidence-backed
At a glance
The picture in numbers
Live · updated just now
- Older adults (66–76)0.9 SMD
- All healthy adults0.3 SMD
- Younger adults (11–31)0 SMD
67.8%
68 in every 100
64.4%
64 in every 100
30 g/day
The evidence behind it
6 sources- Reviews of many studies3
- Trials1
- Other studies and data2
When it was published
Newest from 2026
| Source | Kind | Year |
|---|---|---|
| Effects of creatine supplementation on cognitive function of healthy individuals: A systematic review of randomized controlled trials | Reviews of many studies | 2018 |
| International Society of Sports Nutrition position stand: safety and efficacy of creatine supplementation in exercise, sport, and medicine | Other studies and data | 2017 |
| Effects of creatine supplementation on memory in healthy individuals: a systematic review and meta-analysis of randomized controlled trials | Reviews of many studies | 2022 |
| Effects of Creatine Monohydrate Loading on Sleep Metrics, Physical Performance, Cognitive Function, and Recovery in Physically Active Men: A Randomized, Double-Blind, Placebo-Controlled, Crossover Trial. | Trials | 2025 |
| Real-world creatine supplementation: a large-scale cross-sectional study of use, knowledge, and experiences. | Other studies and data | 2026 |
| Evaluating the Safety of Creatine Monohydrate in Adolescents: A Systematic Review of Renal, Hepatic, and Cardiometabolic Outcomes. | Reviews of many studies | 2026 |
The community around it
- Contributions
- 0
- People
- 0
- Following
- 0
Nobody has added anything yet. Experience, evidence or a different view would show up here.
What it means for you
Which fits you?
Pick the situation closest to yours. Each answer says what it rests on.
If you are an older adult (roughly 66–76) considering creatine for memory
the reviewed evidence shows the largest memory benefit in this group (SMD 0.88), though it comes from a small, heterogeneous set of trials.1
Evidence-backedIf you are a younger healthy adult hoping for a cognitive boost
the pooled evidence shows no significant memory benefit in adults aged 11–31 (SMD 0.03; 95% CI −0.14 to 0.20), and most real-world users with cognitive goals report no matched benefit.15
Evidence-backedIf you are mainly concerned about safety of creatine use
short- and long-term supplementation up to 30 g/day for 5 years is reported as safe and well-tolerated in healthy individuals, and a 2026 review found no consistent short-term safety signals in adolescents.36
Evidence-backedIf you are also interested in exercise or rehabilitation benefits
the sports-nutrition evidence supports improved exercise performance and possible roles in injury prevention, rehabilitation and tolerating heavy training loads.3
Evidence-backedIf you want a specific dose or duration for cognitive benefit
the reviewed range (≈2.2–20 g/d; 5 days to 24 weeks) did not change the findings, so no particular regimen is established as optimal for cognition.1
Evidence-backedIf you are a woman or an older adult using creatine
a large survey reports that self-reported side-effect burdens and unmet expectations disproportionately affected these groups, and that education about kidney safety and long-term tolerability may help.5
Evidence-backedIf you are physically active and take creatine around demanding training
one small 7-day loading trial in active men found improved performance on a demanding cognitive task, better subjective sleep quality and less muscle soreness, but no change in objective sleep or recovery markers.4
Evidence-backedThe full story · 2 chapters
01
Effects on memory and thinking
AI summary:Reviews find a small average memory benefit, concentrated in older adults, with mixed results elsewhere and unmet expectations common in real-world users.
Evidence-backed: A 2022 systematic review and meta-analysis of randomised controlled trials in healthy individuals found that creatine supplementation improved measures of memory compared with placebo (standard mean difference 0.29; 95% CI 0.04–0.53; I² = 66%; P = 0.02). The benefit was concentrated in older adults aged 66–76 (SMD 0.88; 95% CI 0.22–1.55; I² = 83%; P = 0.009), while younger participants aged 11–31 showed no significant effect (SMD 0.03; 95% CI −0.14 to 0.20; I² = 0%; P = 0.72). Dose (≈2.2–20 g/d), intervention duration (5 days to 24 weeks), sex and geographical origin did not influence the findings.1
Evidence-backed: An earlier systematic review of six randomised controlled trials in 281 healthy individuals concluded that short-term memory and intelligence/reasoning may be improved by creatine, but results for other cognitive domains were conflicting, and it suggested older adults (66–76) may benefit more than younger people.2
Evidence-backed: A 2025 randomised, double-blind, placebo-controlled crossover trial in physically active men found that a 7-day creatine monohydrate loading protocol improved cognitive performance on the DCT (d = 0.77; p = 0.013), alongside improved subjective sleep quality (d = 0.81; p = 0.009), earlier in-bed time (r = 0.60; p = 0.026), lower muscle soreness (d = −0.59; p = 0.046) and increased physical output during high-intensity intermittent exercise. It did not significantly affect objective sleep parameters (latency, efficiency, total sleep time) or recovery markers up to 72 h post-exercise.4
Evidence-backed: A large 2026 cross-sectional survey of real-world creatine users found that cognitive performance was the most commonly endorsed goal (67.8%) yet showed the largest unmet-expectation rate: 64.4% of those with a cognitive goal did not perceive a matched cognitive benefit. The authors suggest this gap may reflect a dose-translation issue rather than absence of efficacy, and note that unmet expectations and self-reported side-effect burdens disproportionately affected women and older adults.5
Interpretation: Taken together, the picture is a small average memory benefit that is much larger in older adults and near zero in younger people, with the size of the older-adult effect resting on a small, heterogeneous set of trials. A single small trial suggests possible benefits on a demanding cognitive task, but real-world users most often report that their cognitive expectations were not met.1245
02
Safety and tolerability
AI summary:Position stands and reviews report creatine is generally safe and well tolerated in healthy people, though safety data come mainly from non-cognitive populations.
Evidence-backed: The International Society of Sports Nutrition position stand reports that short- and long-term creatine supplementation (up to 30 g/day for 5 years) is safe and well-tolerated in healthy individuals and in a range of patient populations from infants to the elderly. It also notes that habitual low dietary creatine intake (e.g., 3 g/day) may provide health benefits across the lifespan.3
Evidence-backed: The same position stand describes a large body of evidence that creatine can improve exercise performance and may help prevent or reduce injury severity, aid rehabilitation, and help athletes tolerate heavy training loads, alongside a number of potentially beneficial clinical uses.3
Evidence-backed: A 2026 systematic review of five studies in adolescents and physically active youth found creatine monohydrate was generally well tolerated, with no consistent short-term safety signals in renal function, liver enzymes or cardiometabolic risk markers within the study periods, and no serious adverse events attributed to supplementation. The authors highlight the need for larger prospective studies with standardised dosing and longer follow-up.6
Evidence-backed: The 2026 survey of real-world users reports that self-reported side-effect burdens disproportionately affected women and older adults, and that misconceptions about kidney safety and long-term tolerability may warrant particular attention as educational targets.5
Do you take creatine, and why?
Your individual response is private. Only totals are shown.
Ask this Sylo
Still wondering about something?
Answers come only from this page's reviewed material, with citations, and say plainly when the page doesn't cover it yet.
Behind this page
Who's adding to it, where it comes from, how it changed and what would make it better. Always open to everyone.
Discussion
Sources
Numbers match the citations in the article. A working link isn't proof that a page supports a claim; check the quoted passage and date.
- 1Effects of creatine supplementation on memory in healthy individuals: a systematic review and meta-analysis of randomized controlled trialsNutrition Reviews (Prokopidis et al.)Published Aug 19, 2022Checked Sep 30, 2026
“DATA EXTRACTION: Twenty-three eligible RCTs were initially identified. Ten RCTs examining the effect of creatine supplementation compared with placebo on measures of memory in healthy individuals met the inclusion criteria for systematic review, 8 of which were included in the meta-analysis. DATA ANALYSIS: Overall, creatine supplementation improved measures of memory compared with placebo (standard mean difference [SMD] = 0.29, 95%CI, 0.04-0.53; I2 = 66%; P = 0.02). Subgroup analyses revealed a significant improvement in memory in older adults (66-76 years) (SMD = 0.88; 95%CI, 0.22-1.55; I2 = 83%; P = 0.009) compared with their younger counterparts (11-31 years) (SMD = 0.03; 95%CI, -0.14 to 0.20; I2 = 0%; P = 0.72). Creatine dose (≈ 2.2-20 g/d), duration of intervention (5 days to 24 weeks), sex, or geographical origin did not influence the findings. Creatine supplementation enhanced measures of memory performance in healthy individuals, especially in older adults (66-76 years). SYSTEMATIC REVIEW REGISTRATION: PROSPERO registration no. 42021281027.”
- 2Effects of creatine supplementation on cognitive function of healthy individuals: A systematic review of randomized controlled trialsExperimental Gerontology (Avgerinos et al.)Published Apr 25, 2018Checked Sep 30, 2026
“Systematic review of six randomised controlled trials with 281 healthy individuals. Short-term memory and intelligence/reasoning may be improved by creatine administration; results for other cognitive domains were conflicting. Older adults (66–76) may benefit more than younger people.”
- 3International Society of Sports Nutrition position stand: safety and efficacy of creatine supplementation in exercise, sport, and medicineJournal of the International Society of Sports Nutrition (Kreider et al.)Published Jan 3, 2017Checked Sep 30, 2026
“These studies provide a large body of evidence that creatine can not only improve exercise performance, but can play a role in preventing and/or reducing the severity of injury, enhancing rehabilitation from injuries, and helping athletes tolerate heavy training loads. Additionally, researchers have identified a number of potentially beneficial clinical uses of creatine supplementation. These studies show that short and long-term supplementation (up to 30 g/day for 5 years) is safe and well-tolerated in healthy individuals and in a number of patient populations ranging from infants to the elderly. Moreover, significant health benefits may be provided by ensuring habitual low dietary creatine ingestion (e.g., 3 g/day) throughout the lifespan. The purpose of this review is to provide an update to the current literature regarding the role and safety of creatine supplementation in exercise, sport, and medicine and to update the position stand of International Society of Sports Nutrition (ISSN).”
- 4Effects of Creatine Monohydrate Loading on Sleep Metrics, Physical Performance, Cognitive Function, and Recovery in Physically Active Men: A Randomized, Double-Blind, Placebo-Controlled, Crossover Trial.Nutrients (Ben et al.)Published Dec 7, 2025Checked Oct 4, 2026
“During the supplementation, CrM improved sleep quality compared to PL, as measured with the SSQ scale (d = 0.81, p = 0.009), and was associated with an earlier in-bed time (r = 0.60; p = 0.026). However, CrM did not affect sleep latency (t = 0.98; p = 0.35), sleep efficiency (t = 0.018; p = 0.98), or total sleep time (t = 0.25; p = 0.81). After the supplementation phase, CrM resulted in significantly lower muscle soreness scores, as measured by the Hooper questionnaire (d = -0.59; p = 0.046), improved cognitive performance on the DCT (d = 0.77; p = 0.013), and enhanced TD (r = 0.88; p p p > 0.05). A 7-day CrM loading protocol improved subjective sleep quality during the supplementation phase, enhanced cognitive performance, and increased physical output during high-intensity intermittent exercise. CrM also reduced muscle soreness, but did not significantly affect objective sleep parameters, or recovery markers up to 72 h post-exercise. These findings suggest that CrM may offer additional benefits beyond its traditional ergogenic role.”
- 5Real-world creatine supplementation: a large-scale cross-sectional study of use, knowledge, and experiences.Journal of the International Society of Sports Nutrition (Burridge et al.)Published Jul 21, 2026Checked Oct 4, 2026
“Cognitive performance was the most commonly endorsed goal (67.8%) yet showed the largest within-person unmet-expectation rate (64.4% of cognitive-goal endorsers did not perceive a matched cognitive benefit; McNemar p ConclusionsIn this middle-aged, gender-balanced community sample of creatine users, behavioral loyalty was high yet substantial knowledge gaps, unmet benefit expectations, and self-reported side-effect burdens disproportionately affected women and older adults, who together comprise an increasingly important share of contemporary creatine users. Knowledge appeared as the most consistent positive correlate of supplementation experience, suggesting education may be a tractable lever for improving real-world outcomes; misconceptions about kidney safety and long-term tolerability may warrant particular attention as educational targets. The cognitive expectation gap may reflect a dose-translation issue rather than absence of efficacy. These findings generate hypotheses for prospective evaluation of education, gender-tailored dosing guidance, and expectation-setting interventions in real-world creatine users.”
- 6Evaluating the Safety of Creatine Monohydrate in Adolescents: A Systematic Review of Renal, Hepatic, and Cardiometabolic Outcomes.Cureus (Rubinchuk et al.)Published Apr 10, 2026Checked Oct 4, 2026
“A comprehensive search of PubMed was conducted in accordance with Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines to identify relevant human studies published between 2015 and 2025. Inclusion criteria required original research involving adolescents or physically active youth receiving creatine monohydrate with reported safety outcomes. Five studies met eligibility criteria and were included in the final analysis, comprising randomized controlled trials and longitudinal cohort studies. Across diverse populations, including youth athletes and adolescents with medical conditions, creatine supplementation was generally well tolerated, with no consistent short-term safety signals reported in renal function, liver enzymes, or cardiometabolic risk markers within the study periods. No serious adverse events were attributed to supplementation. These findings summarize currently available evidence regarding creatine safety in adolescent and physically active pediatric populations and highlight the need for larger prospective studies with standardized dosing protocols and longer follow-up periods.”
How it changed
Published 2 times since Sep 30, 2026.
- Version 4Oct 4, 2026Live now
Added two newer sources: a 2025 randomised crossover trial in physically active men reporting improved cognitive performance on a demanding task after 7-day creatine loading, and a large 2026 cross-sectional survey of real-world users finding cognitive performance was the most common goal (67.8%) but also the most common unmet expectation (64.4% of cognitive-goal endorsers).
- The main finding was rewritten.
- Updated “Effects on memory and thinking”.
- Updated “Safety and tolerability”.
- Version 3Sep 30, 2026
Initial Starting Map on creatine and cognition in healthy adults: two systematic reviews (one meta-analysis) suggest small memory benefits, strongest in older adults, with safety data from a sports-nutrition position stand.
- First published version.
Help improve it
The brief is open about what's uncertain. These are the specific gaps that new material would fill.
Open questions
Which healthy groups actually benefit — is the effect real and meaningful in older adults, and is there any reliable benefit for younger adults?
No answers yet
What dose and duration are optimal for cognitive effects, given that the reviewed range (≈2.2–20 g/d; 5 days to 24 weeks) did not explain the results, and that real-world users often report unmet cognitive expectations?
No answers yet
What are the long-term cognitive effects and safety of creatine in healthy adults outside exercise and clinical settings?
No answers yet
Why might older adults respond more than younger people — for example, differences in baseline creatine status or brain energy metabolism?
No answers yet
Why do most real-world users with cognitive goals not perceive a benefit — is it dosing, expectation-setting, or genuinely limited efficacy?
No answers yet
Around this topic
Sylos connect: narrower topics report up to broader ones, so what's learned in one place shows up where it matters.