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The Study

Safety of creatine supplementation: analysis of the frequency of reported side effects in clinical trials

In simple terms

This study looked at 685 real experiments where people took either creatine or a fake pill (placebo), and it counted how often side effects were reported. It found that people taking creatine didn’t report more side effects than those taking the fake pill, so we can be pretty confident it’s safe for most people.

64%

Analysis score

64/ 100

Maximum 100 for a systematic review.

Where the score came from

Reporting75
Methodology44
Publication100
Statistical54
Study type (basis of the score)
Systematic Review
Level 1a - Systematic review of RCTs
What’s the bottom line?

Scientists looked at hundreds of studies to see if people who took creatine had more side effects than those who didn’t.

Where does this study sit?

Systematic Reviews & Meta-analyses

Max 100

Randomized Trials

Max 90

Cohort Studies

Max 72

Case-Control

Max 58

Cross-Sectional

Max 44

Case Reports & Series

Max 30

Expert Opinion

Max 5
StrongerWeaker
Systematic Reviews & Meta-analyses
Level 1a
64

64 / 100

Quality score

The highest quality evidence. These studies systematically search, appraise, and synthesize results from multiple individual studies, providing the most reliable summary of current knowledge.

Can establish causation

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Key takeaways

Summary

Based on the study abstract and findings.

  1. 1The small differences in side effects aren’t big enough to matter for most people, even over long periods or in different age groups.
  2. 2Out of every 100 people, about 5 on creatine and 4 on placebo had any side effect.
  3. 3Stomach issues were slightly more common with creatine but not significantly.
  4. 4Muscle cramps were rare for both.

Score breakdown, methodology, conflicts of interest, evidence analysis & raw study data

Publication

Journal

Journal of the International Society of Sports Nutrition

Year

2025

Authors

Adriana Gil, Drew E. Gonzalez, Kelly Hines, Diego A. Bonilla, R. Kreider

Open Access
1 citations
Analysis v3
Fit Body Science verdict — we translate health studies into clear verdicts backed by peer-reviewed research.

Not medical advice. For informational purposes only. Always consult a qualified healthcare professional before making health decisions.