Creatine ads are everywhere, and they're now aimed squarely at women over 40. But does it work, is it safe, and will it make you bloat? Gloria shares why she's curious too: she's lost muscle mass, wants it back, and has a painful shoulder that makes strength training tricky. In this episode she breaks down what creatine actually is, what the research shows for muscle, bone, and mood in postmenopausal women, and where the evidence has been overhyped, especially for bone density. She also covers how to take it, the myths, and the important precautions: your kidneys, how creatine can affect blood test results, water weight on the scale, stomach upset, injuries, who should check with their GP first, and how to choose a quality product. Quotable Moment: "Supplements are the layer on top, never the foundation underneath." Key Takeaways: Creatine's strongest evidence in older adults is for lean muscle, and only when combined with resistance training. Pooled results show roughly 1.4 kg more lean tissue.Individual trials vary, so creatine is helpful for some, not magic for all.The bone evidence is mixed. Two-year trials in postmenopausal women did not show improved bone mineral density, so don't take creatine specifically for your bones.The standard dose is 3 to 5 g of creatine monohydrate a day. Loading isn't needed and tends to cause stomach upset.Food (meat and fish) provides only small amounts compared with a supplement, and people who eat little or no meat tend to have lower stores.Creatine can raise serum creatinine on blood tests without harming your kidneys, so tell your GP you take it.Expect possible water weight of 1 to 2 kg in the first couple of weeks. It is water in muscle cells, not fat.If you have a joint injury, work with a physio or qualified trainer first. Creatine isn't a painkiller or a reason to push through pain.Check with your GP first if you have kidney disease, high blood pressure, diabetes, heart disease, bipolar disorder, take multiple medications, or are pregnant or breastfeeding.Choose plain creatine monohydrate from a reputable, independently tested brand.Connect with Gloria: Website Instagram Book a Personal Wellness Session Studies & Sources Referenced (in the order they appear in the episode): Muscle and strength Chilibeck PD, Kaviani M, Candow DG, Zello GA. Effect of creatine supplementation during resistance training on lean tissue mass and muscular strength in older adults: a meta-analysis. Open Access Journal of Sports Medicine. 2017;8:213–226. doi:10.2147/OAJSM.S123529. Read the full paper Bone health 2. Chilibeck PD, Candow DG, et al. Effects of creatine and resistance training on bone health in postmenopausal women. Medicine & Science in Sports & Exercise. 2015 (one-year trial, 33 women). University of Saskatchewan news release (please check the full journal reference for the final notes) 3. Sales LP, Pinto AJ, Rodrigues SF, et al. Creatine supplementation (3 g/d) and bone health in older women: a 2-year, randomized, placebo-controlled trial. The Journals of Gerontology: Series A. 2020;75(5):931–938. PubMed 4. Chilibeck PD, Candow DG, Gordon JJ, et al. A 2-yr randomized controlled trial on creatine supplementation during exercise for postmenopausal bone health. Medicine & Science in Sports & Exercise. 2023;55(10):1750–1760. doi:10.1249/mss.0000000000003202. PubMed Read the full position stand 6. Creatine in women's health: bridging the gap from menstruation through pregnancy to menopause. Journal of the International Society of Sports Nutrition. 2025. Read the review 7. American Kidney Fund. The creatine scoop: essential cautions for the kidney community. Read the article Disclaimer: This episode is for education and is not medical advice. Please speak with your GP or pharmacist before starting any supplement, especially if you have a medical condition or take medication.