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Ask the Doc Q&A
I’m 70 and exercise 30 minutes a day. I’ve heard that creatine supplements might help build muscle strength. Is there anything to it?
I’m 70 and exercise 30 minutes a day. I’ve heard that creatine supplements might help build muscle strength. Is there anything to it?
htmASKTHEDOCcreatineseniors
Creatine is a natural substance that’s largely found in muscle. It’s sold as a supplement. There’s some evidence that it can help young athletes build muscle mass. And that it can improve athletic performance that requires short bursts of muscle activity, such as sprinting. For that reason, some but not all sports organizations have banned it.
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2012-04-02
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Anthony L. Komaroff, M.D.
2015-04-02
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Ask The Expert
Harvard Medical School
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General Medical Questions
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Q: I’m 70 and exercise 30 minutes a day. I’ve heard that creatine supplements might help build muscle strength. Is there anything to it?
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The Trusted Source
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Anthony L. Komaroff, M.D.

Anthony L. Komaroff, M.D., is professor of medicine and editor-in-chief of Harvard Health Publications at Harvard Medical School. Dr. Komaroff also is senior physician and was formerly director of the Division of General Medicine at Brigham and Women's Hospital. Dr. Komaroff has served on various advisory committees to the federal government, and is an elected Fellow of the American Association for the Advancement of Science.

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April 02, 2012
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A:

Creatine is a natural substance that’s largely found in muscle. It’s sold as a supplement. There’s some evidence that it can help young athletes build muscle mass. And that it can improve athletic performance that requires short bursts of muscle activity, such as sprinting. For that reason, some but not all sports organizations have banned it.

There is little evidence that creatine can build muscle bulk or strength in older adults. Small studies have suggested that it might be helpful for certain diseases more common in older folks, like heart failure and Parkinson’s disease.

The doses makers recommend are typically 2 to 3 grams per day. In my judgment, there is no convincing evidence of adverse effects from these doses. But there are very few studies of sufficient size and duration to be confident about this.

And keep in mind that the FDA does not regulate the making of supplements as it does prescription drugs. So even if the creatine itself is fine, the other substances used to create a tablet or capsule could have impurities.

I think there’s little if any evidence that creatine supplements could help you build or maintain muscle strength at your age. And because supplements aren’t regulated, there is a chance of harm. I wish there were more solid information, but there isn’t. To be on the safe side, I’d advise against taking creatine for now.

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