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When we think of creatine, the mental image It is almost always that of a gym: someone shaking a white powder in a shaker to get more strength or a faster sprint. However, science has greatly expanded the focus on this compoundand its applications are reaching unexpected places, such as cardiology consultations. Opinion of cardiologists. The surprise recently popped up on the podcast I have a plan where cardiologist Aurelio Rojas claimed that creatine “is one of the most essential supplements” that he uses in his patients with a dose of between three and five grams daily. This statement, which may seem shocking at first, is actually the tip of the iceberg of a large body of scientific literature that attempts to explore how apply creatine in daily clinic of a doctor with his patients. But what does a sports performance supplement have to do with the heart? And does science support this enthusiasm? Muscle motor. To understand the connection, you first have to understand what creatine does. Simply put, creatine is key in cellular bioenergetics, especially by facilitating rapid production of ATP, which is essential for muscle and heart function. Creatine monohydrate is most researched and recommended way for supplementation, as an improvement in muscle contractility, performance and exercise tolerance has been seen. in the heart musclecreatine acts by stabilizing energy metabolism and may have a relevant role in situations of heart failure or ischemic diseases. Within the scientific literature It is highlighted that creatine and phosphocreatine depletion is characteristic in failing hearts, and exogenous administration can contribute to the metabolic protection of the myocardium.​ Furthermore, there is scientific interest in the potential role creatine protector on the vasculature in risk populations, by reducing chronic inflammation and contributing to better control of carbohydrate and lipid metabolism.​ Beyond the gym. All this means that the interest of cardiologists goes beyond gyms and the number of repetitions they can do in a specific exercise. One of the first diseases where emphasis is placed is heart failure and its supplementation with creatine. Although it is not a cure, the findings suggest which can improve muscle strength, endurance and exercise capacity in these patients. By improving the energy efficiency of the musculoskeletal system, the overall workload of the heart is reduced. Sarcopenia. A medical term that refers to the loss of muscle mass and strength related to age and chronic illness. It is a silent enemy that drastically worsens the prognosis of cardiological patients. and here is where creatine shinessince it is essential to increase muscle mass, especially when combined with resistance training. For a 70-year-old patient who has lost muscle mass after a cardiac event, regaining the strength to get up from a chair or climb stairs is essential. Creatine, in this context, is not an aesthetic supplement, it is a therapeutic tool to improve quality of life as they point out. the studies. It doesn’t work for everything. Creatine is not perfect. It is excellent for very intense, short-duration exercises that need immediate energy such as sprinting or lifting weights. But in low-intensity and long-duration exercises such as a marathon it is of no interest, since the aerobic metabolism of the muscle that maintains constant ATP production endogenously. The myths. Despite being a really studied supplement, creatine continues to spread myths. The ISSN is categorical about this In his review, he gives the following points: Does not damage the kidneysas long as the doses recommended by scientific evidence are followed. Obviously, if there is an underlying kidney problem, you should consult your doctor. It is not known if it causes baldness, or at least the scientific evidence has not been able to state it categorically. This is something that points to a study that showed an increase in DHT, but its relationship with hair has never been proven. It is not a steroid. It is a natural organic compound, made up of three amino acids, that the body produces and that we also ingest when eating meat or fish. In this way, science has moved creatine from the bodybuilding shelf to the general health shelf. Its ability to manage cellular energy makes it a valuable tool not only for athletes, but also, as Dr. Rojas points out, for clinical populations struggling with muscle weakness and energy depletion. Images | Alexander Saks Alexander Red In Xataka | When we stop sleeping our brain is irremediably damaged. Research believes that creatine fixes it