Expert Position
Physician focused on longevity and healthspan, host of The Drive
Peter Attia puts the dose at 3 to 5 grams a day - the amount that fully saturates muscle stores, beyond which he says the curve flattens. He recommends creatine monohydrate and calls elevated creatinine on a blood test a common false alarm: it usually reflects muscle mass, not kidney damage.
Attia's own dose, in his own words
“and and basically research shows that once muscle stores are fully maximized um you know which can be achieved with 3 to five grams per day”
Peter Attia · Mar 2025 · watch @ 12:09 →
The dose evidence, from guest Layne Norton
“they basically showed we take five grams a day you get increases in lean mass and strength and performance you take more than five grams a day you also get increases in lean mass and performance”
Layne Norton, on Peter Attia's show · Dec 2022 · watch @ 8:51 →
All 4 other experts also take a positive position on Creatine.
3 to 5 grams a day, which he describes as enough to fully maximise muscle stores. Layne Norton, reviewing the meta-analysis on Attia's show, adds that both 5 grams and higher doses produce gains in lean mass and strength - so 5 grams is a practical floor rather than a ceiling.
Attia addresses this directly: creatine raises blood creatinine because of muscle mass, and that rise is routinely misread as kidney damage. He points to cystatin C as the measure that is not confounded this way.
No. Loading is optional - it saturates muscle faster but can cause GI irritation - and cycling off is unnecessary for long-term use.