Tier 3 — preclinical

Creatine supplementation and brain health: Methodological challenges, current evidence, and translational perspectives

Jedd Pratt, Cas J Fuchs, Luc J C van Loon, Aneurin J Kennerley, Craig Sale
The Journal of Nutritional Physiology 2026 5:100017

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Funding
No explicit funding statement was located in the accessible publisher record during Biohack Blueprint's 2026-10-02 audit.
Competing interests
Craig Sale is Editor-in-Chief of The Journal of Nutritional Physiology and Cas J. Fuchs is an editorial-board member; the publisher states neither was involved in handling the submission. Other authors declared no known competing financial interests or personal relationships.

Study snapshot

DesignCritical narrative and methodological review
ModelHuman evidence synthesis or trial
SampleReview of human brain-creatine supplementation and magnetic-resonance spectroscopy literature
InterventionCreatine supplementation studies evaluating brain creatine content and cognitive or translational outcomes
DurationIncluded studies used heterogeneous acute and multi-week protocols
EndpointsBrain creatine concentration; Magnetic resonance spectroscopy methodology; Dose and duration; Cognitive translation; Measurement reproducibility

What the study showed, in plain terms

2026 critical review explaining why brain-creatine research is harder to interpret than muscle-creatine research, with emphasis on MRS methodology, heterogeneous dosing and sparse dose-response data.

Key findings

Existing evidence suggests creatine may increase brain creatine under some conditions, especially metabolically demanding states, but measurement heterogeneity and the absence of reliable dose-response data limit confident translation to cognition and clinical outcomes.

What this study can and cannot tell us

Narrative methodological review rather than a systematic meta-analysis; conclusions depend on heterogeneous underlying studies and do not quantify a pooled clinical effect.

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