When your cells take in creatine, they also pull in sodium, which makes the inside of the cell saltier. To balance that, water rushes in, making the cell swell up a bit.
Evidence from Studies
Supporting (1)
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Cooperative Binding of Substrate and Ions Drives Forward Cycling of the Human Creatine Transporter-1
The study shows that the creatine transporter brings creatine into cells along with salt (sodium and chloride), which makes the inside of the cell saltier — so water follows the salt in, making the cell swell a bit. This matches the claim exactly.
Contradicting (1)
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Effects of acute creatine monohydrate supplementation on leucine kinetics and mixed-muscle protein synthesis.
The study checked if creatine helps build muscle protein, but it didn’t measure whether creatine pulls water into cells — which is what the claim is about.
Gold Standard Evidence Needed
According to GRADE and EBM methodology, here is what ideal scientific evidence would look like to definitively prove or disprove this specific claim, ordered from strongest to weakest evidence.