What does the research say about kidneys?
Creatine can raise serum creatinine, which can make creatinine-based kidney estimates look worse without proving kidney damage. A 2026 review found no significant difference in filtration measured with a separate tracer. An abnormal result still needs assessment. Tell your clinician about supplements; do not assume an unusual result is harmless. [5] [1]
What about pregnancy?
Human research has begun, but it is still very limited. A small 2025 conference abstract examined blood concentrations after brief dosing in late pregnancy. It did not establish routine safety, infant outcomes or benefit. Do not copy research doses during pregnancy; discuss any supplementation with your maternity clinician. [6] [2]
Can reassuring research rule out a personal side effect?
No. A review describes the outcomes reported in selected studies, and the female-specific review identified uneven adverse-event reporting. An average finding cannot diagnose an individual symptom or guarantee tolerability. If symptoms are persistent or concerning, discuss them with your GP and include the supplement, amount and timing. [1]
What about breastfeeding?
Creatine is naturally present in breast milk, but that does not establish the safety of extra supplementation. LactMed reports that milk levels after supplementation have not been measured in humans. Its advice is to avoid supplementation unless prescribed by a healthcare professional, because evidence about exposed infants is lacking. [4]
Look a little closer
What are the limits of this evidence?
Each card separates the finding from the limits. The participants, formulation and duration are part of the answer.
de Guingand et al., 2020
The review found no serious adverse events attributed to creatine in the included female studies.
- Who
- 951 female participants across 29 studies monitoring adverse outcomes
- Dose
- Varied across studies
- Duration
- Varied across studies
- Limits
- Safety reporting was inconsistent. This is not a guarantee for every person, dose or medical situation.
Smith-Ryan et al., 2025
Research in women is growing, with exercise outcomes better established than many proposed life-stage benefits.
- Who
- Women across life stages in the reviewed literature
- Dose
- Varied across studies
- Duration
- Varied across studies
- Limits
- Narrative review. Pregnancy and perimenopause remain research gaps. Industry supported publication; some authors disclose commercial advisory roles.
Which sources did we check?
- Risk of Adverse Outcomes in Females Taking Oral Creatine Monohydrate: A Systematic Review and Meta-Analysis ↗Nutrients · 2020 · Study details and limits
- Creatine in women’s health: bridging the gap from menstruation through pregnancy to menopause ↗Journal of the International Society of Sports Nutrition · 2025 · Study details and limits
- International Society of Sports Nutrition position stand: safety and efficacy of creatine supplementation in exercise, sport, and medicine ↗Journal of the International Society of Sports Nutrition · 2017 · Study details and limits
- Creatine — Drugs and Lactation Database (LactMed) ↗NCBI Bookshelf / LactMed · 2025 · Study details and limits
- Impact of creatine supplementation on kidney health: a systematic review and meta-analysis ↗International Urology and Nephrology · 2026 · Study details and limits
- Open label, dose escalation trial of creatine monohydrate in pregnancy ↗Journal of the International Society of Sports Nutrition supplement · 2025 · Study details and limits