Milk contains essential nutrients such as protein, carbohydrates, fat, water, B-vitamins, Calcium, Vitamin A, Vitamin D, and phosphorus. Milk is consider one of the most nutritious drinks in the world and is know for reducing risk of osteoporosis. “The majority of cross-sectional and prospective studies indicate a beneficial relationship between the consumption of milk and/or calcium and body weight and body composition in children and adolescents (Spence, Cifelli, miller, 2011).”
“Raw milk from a cow must be pasteurized to be safe. Pasteurization destroys all disease-producing organisms that may be present, making milk safe to drink.” From the USDA Website
Raw 🆚 Pasteurized Milk have No Significant Difference in:
Raw Milk Does have Increased:
🚫Disease Producing Organisms
Fact and Myth
Myth:Pasteurized milk has less nutrients.
Fact:There are no significant difference in vitamins, carbs, minerals, or fats (Bezie, 2019). “The fat, fat-soluble vitamins, carbohydrates and mineral’ of milk are essentially unaffected by heat treatment”(Bezie, 2019).
Myth:Pasteurizing milk reduces fatty acids.
Fact:Multiple studies have show no significant difference in reduced fatty acids (Pestana, et al., 2015), (Tunick & Hekken, 2017).
Myth:Raw milk protects against allergies.
Fact:A National Library of Medicine study found that the two milks had similar allergic reactions (Host & Samuelsson, 1988).
Myth:Raw milk is better for people with lactose intolerance.
Fact:Raw and pasteurized milk contain similar amounts of lactose. Raw milk also contains the lactase-producing bacteria Lactobacillus which is destroyed during pasteurization (Quigley, et al., 2013).
Sydney earned her MS from Illinois State University! She is passionate about sports nutrition and fueling adequately to perform at an elite level. Sydney was a First-team All-American athlete who competed at the Olympic Trials in the Discus throw. She is passionate about building muscle mass and fueling to have optimum energy, reduced injuries, and a positive relationship with food. Sydney uses an intuitive eating approach to empower individuals to understand one’s bodies for sustainable eating habits that can optimize athletic performance and improve day-to-day functioning. She played basketball, volleyball, softball, golf, and soccer and competed in track throughout her life. Sydney has experience coaching Division 1 track and field throwers. Sydney was recently married and moved near Iowa City, Iowa. She enjoys playing with her dogs, trying new restaurants, and traveling with her husband. She enjoys disputing myths about diet culture and aims to help clients find a positive relationship with food by following the gentle nutrition concept of intuitive eating.
Three reasons why you crave sugar and how to correct it!
You’re starving yourself which includes skipping meals and restricting which = cravings.
Sugar tastes good and so does salt, right? Our brain recognizes the feel-good emotions with sugar and the brain will release serotonin and dopamine. These neurotransmitters make us feel immediately good the second we feel that spike in insulin but then the crash comes after. Then you crave that dopamine response again and again.
What about hormonal/menstrual cravings? Click here to learn more about how to overcome those and why ladies crave chocolate during their cycle. 1/2 slides shown below.
How to outsmart sweet cravings? Apply these tips immediately!
Sleep a minimum of 7 hours nightly! Sleep deprivation = more belly fat?LEARN MORE
Manage stress.You can meditate, belly breathe, take a walk, and call a friend but you need to write down why you are stressed what will help you is not stuffing your face with sugar but doing something constructive like getting to the root cause. 🙂
Do not buy junk you know you struggle to portion and control yourself around. If you buy it you will eat it. No, it’s not for the kids LOL you will eat in. If it is in your cart it will go in your mouth.
Plan a special treat to share with your family 1x/a week and go out and get it.
Besides, dessert is sometimes food! All foods fit but we have become a society where “treat yourself ” means treats at every meal… #yikes .
If folks would eat well 80% of the time and then have the dessert they love 1x/a week or a few times a week via portion control they would actually binge less too!
Binge eating/then restricting is not healthy and puts you back in a vicious cycle. Give yourself grace but set up your environment for success! Pack the fridge with nutrient-dense foods! Here’s a great list to start.
Pack meals + snacks (DO NOT SKIP BREAKFAST)
Drink more water. Aim to consume 100 oz daily
Eat balanced meals regularly to avoid dips in blood sugar
Prioritize protein + produce at meals you will be less prone to eat and crave low-nutrient foods
Exercise regularly which includes resistance training and plenty of walking!
Have a Greek yogurt + fruit + dark chocolate serving (this will balance blood sugar and offer you some sweetness without the crash because of nutrition!) -see the graphic for illustration on other meals.
The Nutrition with Wendi team utilizes evidence-based science to tailor nutrition programs for athletes to optimize performance, minimize health risks, and enhance recovery from training while focusing on injury prevention. We partner with parents, athletes, health professionals, and individuals and offer elite nutrition and health guidance for optimal athletic performance, injury, and disease reduction. We provide virtual services including telehealth but are based in Nashville, TN. Follow us onTwitter, Facebook, and Instagramfor more nutrition information. Service
You have probably heard someone say, “eggs are bad for you and you should only eat the whites.” This could not be the furthest from the truth and the egg yolk contains the most nutrition!
Plenty of cherry-picked studies you’ve likely seen give eggs the bad rap and have made them one of the most controversial foods to date. As you know I am an evidence-based dietitian so, show me the data supporting egg consumption.
A study published in the American Journal of Clinical Nutrition illustrated that even for those suffering from type-2 diabetes or pre-diabetes, eggs did not influence risk factors for cardiovascular disease.
Eggs themselves are high in dietary cholesterol and type 2 diabetics tend to have elevated levels of the ‘bad’ low-density lipoprotein (LDL) cholesterol. That being said, the research that shows consumption of eggs has little effect on the levels of cholesterol in the blood of the people eating them.
Eggs are indeed a rich source of nutrition that I outline below according to a 2021 analysis published in Nutrients.
So, you’re saying eggs are good for me? YES!!
Stop listening to charlatans who don’t understand science or physiology….Those that claim eggs are bad are those that wear clown masks and you shouldn’t listen to them. 🙂 Jokes and laughs aside take note of why you should eat eggs.
Eating eggs increases levels of (HDL), also known as the “good” cholesterol. Cholesterol is GOOD for us and protects against CVD by preventing cholesterol buildup in the blood! Griffin B. A. (2016)
Yolks contain large amounts of lutein and zeaxanthin, antioxidants that help reduce the risk of cataracts and macular degeneration. Vitamin A also supports eye health!
Rich in choline, an essential nutrient needed to produce acetylcholine, a neurotransmitter for memory, mood, muscle control, and other brain /nervous system functions!
Low-cost nutrient powerhouse!! One egg contains 6g of high-quality protein and 5 grams of healthy fats! Protein helps build and maintain muscle along with increasing satiety. Fat is key for hormone health. Do not fear fat.
Rich in vitamins which include vitamins A, B5, B12, D, E, K, and B6, folate, phosphorus, selenium, calcium, and zinc! Zinc helps with wound healing and immune health
Contain omega-3 FAs which help reduce inflammation triggered by stress and exercise. Eggs also reduce triglycerides, a type of lipid fat in the blood. Do not fear eating eggs, they are good for your body, brain, and mood!
You can safely consume 2-3 eggs daily! Why consume 2-3 eggs daily?
Protect against CVD and reduce inflammation
Hormone health and satiety
A budget-friendly way to build muscle and improve health!
Rich source of nutrients for overall health and immune function
In summary, eggs are not bad for you. What is actually bad for you is bad nutrition advice that is outdated. As a bonus, I had the privilege of being a guest on the Fitness Disrupted Podcast with Tom Holland which you can listen to here from our discussion from a few years ago.
We discussed the cherry-picked studies that give eggs a misunderstood reputation. It’s gold to listen to in the car or while you’re cooking your NWW Sweet Potato Egg Hash :).
In good health, faith, and fitness,
-Wendi A. Irlbeck, MS, RDN, LD, CISSN
The Nutrition with Wendi team utilizes evidence-based science to tailor nutrition programs for athletes to optimize performance, minimize health risks, and enhance recovery from training while focusing on injury prevention. We partner with parents, sports performance staff, and special needs and recreational athletes to offer nutritional guidance and optimal athletic performance and lifestyle plans. We provide virtual services including telehealth but are based in Nashville, TN. Follow us onTwitter, Facebook, and Instagramfor more nutrition information. Service
Nicholas R Fuller, Amanda Sainsbury, Ian D Caterson, Gareth Denyer, Mackenzie Fong, James Gerofi, Chloris Leung, Namson S Lau, Kathryn H Williams, Andrzej S Januszewski, Alicia J Jenkins, Tania P Markovic. Effect of a high-egg diet on cardiometabolic risk factors in people with type 2 diabetes: the Diabetes and Egg (DIABEGG) Study—randomized weight-loss and follow-up phase. The American Journal of Clinical Nutrition, 2018; DOI: 10.1093/ajcn/nqy048
Papanikolaou, Y., & Fulgoni, V. L., 3rd (2021). Patterns of Egg Consumption Can Help Contribute to Nutrient Recommendations and Are Associated with Diet Quality and Shortfall Nutrient Intakes. Nutrients, 13(11), 4094. https://doi.org/10.3390/nu13114094
Iron is a mineral that the body needs to grow and develop. Iron helps make healthy red blood cells that transport oxygen throughout the body. Iron is critical for normal immune function. Iron is the structural component of hundreds of essential molecules. Iron assists antioxidant enzymes.
Iron deficiency is the number one nutritional deficiency in the United States. According to the National Health and Nutrition Examination Survey (NHANES) II. iron deficiency occurs in approximately 11% of women,1-2% of all adults, and in approximately 12.5% of athletes.
It is the No. 1 cause of anemia in athletes. Iron deficiency rates (with or without anemia) in athletes range from 20-50% in women and 4-50% in men.
Iron deficiency anemia occurs when the body does not have enough healthy red blood cells due to a lack of iron in the body.
Two forms of dietary iron
Heme iron is better absorbed than nonheme iron; the absorption of nonheme iron is enhanced by vitamin C.
National dietary surveys indicate that iron is under-consumed by adolescent and premenopausal females.
Iron recommendations vary between adults and teens
What causes iron deficiency
Iron losses occur from blood loss in the gastrointestinal (GI) tract, microscopic losses in urine, hemolysis of red blood cells (RBC) breakdown, menstrual cycle, sweat loss, and intense exercise.
Non-steroidal anti-inflammatories (NSAIDs) like ibuprofen, Advil, and naproxen deplete iron and folate. Frequent use of medications with GI side effects such as aspirin and non-steroidal anti-inflammatories like ibuprofen or naproxen can cause or worsen iron deficiency.
Physical activity particularly high intensity and endurance types increase iron losses by as much as 70% when compared to sedentary populations. Athletes lose more iron due to heavy sweating as well as increased blood loss in the urine and GI tract.
Causes range from a variety of health issues to simply overtraining or even lack sleep. Any athlete that experiences a decrease in training or performance coupled with symptoms should seek out their primary care doctor for further testing and analysis.
Signs and symptoms of low iron
Weakness, fatigue, decreased physical endurance, feeling hot or cold, diminished immune response, alterations in energy levels, cognitive performance, and overall behavior. Iron deficiency is not the only cause of these common symptoms.
Iron in meat, fish, and eggs is easily absorbed by the body but the iron in plant sources is attached to phytates that bind iron in foods.
Following a plant-based diet and limiting animal iron sources can be a challenge. As a practitioner, I meet the client where they are at but do share that consuming animal protein will offer greater iron to support their health and performance goals.
Guidance on increasing iron as a plant-based athlete
Pair leafy greens (bok choy, kale, spinach) with a source of vitamin c (broccoli, strawberries, bell peppers, and kiwi) –This can increase the absorption by up to 67%! (3)
Cooking food in cast iron or stainless steel cookware also aids in iron absorption (cook all veggies and protein in the cast iron skillet)
Eat more beans, lentils, edamame, baked potatoes, and Iron-fortified oatmeal (higher sources of iron).
Drink tea or coffee separately from an iron-containing meal or snacks. Caffeine inhibits iron absorption.
Additional ways to combine vitamin C-rich foods with beans
Drain a can of pineapple cubes and add them to canned baked beans
Toss cooked black beans with shredded cabbage in your favorite coleslaw recipe
Sauté red peppers and onions in olive oil and stir into the white navy or Great Northern beans (cast iron pan)
Add any type of cooked beans to a spinach or kale salad with pineapple or fruit
Add fatty fish into your diet 1x/week (3 oz of salmon) or oysters (also a rich source of iron)!!
Blend up leafy greens and fruits rich in vitamin C with your smoothies (you can even add beans – I promise it is a neutral taste)
Eat more lean red meat, chicken, seafood, beans, lentils, edamame, baked potatoes, and Iron-fortified oatmeal (higher sources of iron).
Sauté red peppers and onions in olive oil and stir into the white navy or Great Northern beans (cast iron pan)
In a skillet prepare steak, spinach, or collard greens paired with berries (best way to increase iron)
When young athletes or adults we start with simple guidance to help increase iron
Set meal goals: 4 oz of flank steak 2-3 x/week paired with leafy greens
Snack idea: A side of roasted chickpeas paired with pineapple
Snack idea 2: A 1/2 cup of mixed berries paired with fortified oatmeal
Before taking an iron supplement to correct an iron deficiency you should contact your physician and work with a dietitian to raise iron levels properly. It is best to work closely with a dietitian to ensure you or your young athlete is getting the proper amount if iron to avoid health and performance consequences. We have worked with hundreds of teen athletes and plant-based adults that have struggled with low iron. We can help you too! Contact us for student-athlete coaching or for a virtual presentation for your sports team.
In good faith, health, and athletic performance,
Wendi Irlbeck, MS,RDN,LD,CISSN
Citations and resources to learn more:
National Health and Nutrition Examination Survey (NHANES) II.
Hurrell, R., & Egli, I. (2010). Iron bioavailability and dietary reference values. The American journal of clinical nutrition, 91(5), 1461S–1467S. https://doi.org/10.3945/ajcn.2010.28674F
Goldstein, J. L., Chan, F. K., Lanas, A., Wilcox, C. M., Peura, D., Sands, G. H., Berger, M. F., Nguyen, H., & Scheiman, J. M. (2011). Hemoglobin decreases in NSAID users over time: an analysis of two large outcome trials. Alimentary pharmacology & therapeutics, 34(7), 808–816. https://doi.org/10.1111/j.1365-2036.2011.04790.x
Hallberg, L., & Hulthén, L. (2000). Prediction of dietary iron absorption: an algorithm for calculating absorption and bioavailability of dietary iron. The American journal of clinical nutrition, 71(5), 1147–1160. https://doi.org/10.1093/ajcn/71.5.1147
Koehler, et al. Iron status in elite young athletes: gender-dependent influences of diet and exercise. Eur J. Appl Physiology, 2011.
Registration for the next NWW Nutrition and Lifestyle Coaching program for men only is now LIVE!! That is right a program designed just for men.
As a participant and client, you will receive guidance from an experienced health professional, registered dietitian, former college athlete, physique competitor, and fitness coach, Wendi Irlbeck. With our support, you will learn how to:
Build a plate that supports your goals without rigid diets or deprivation.
95% of the population that loses fat or weight ends up re-gaining it and it becomes even harder to lose.
Increase your activity levels no matter what fitness level you currently find yourself at.
Leave behind the “diet mentality” and misinformation around fad diets and diet culture by gaining confidence in what to eat, how much to eat, and when to eat it!
Build a routine that supports the life you want to live. Unsure what that life is? No worries, Wendi will help you come up with a plan that is built using lifestyle modification and establishing S.M.A.R.T. goals.
Set a realistic S.M.A.R.T. goal in any area of your life beyond nutrition, health, or fitness. Wendi believes in a spiritual approach integrating faith and Christianity to help solve challenging barriers within our life.
What about the results or outcome? You will:
Lose fat and lose the excess “weight” holding you back from being your healthiest, best, and strongest self. Sometimes the weight holding us back is not around our mid-section but behind our ears. Wendi will help you retrain and rewire your thought process to form a positive mindset to achieve your dream physique and self!
Build physical, mental, spiritual confidence and strength in your body!
Gain the mental clarity and confidence to approach life’s most difficult tasks that are holding you back from being your best self as a parent, coach, brother, sister, daughter, and more.
Gain peace of mind that comes from living a healthy lifestyle without the stress of knowing if you are doing the right thing.
Wendi Irlbeck, MS, RDN, LDN, CISSN is a registered dietitian nutritionist, former college athlete, physique competitor, and performance coach. Wendi utilizes evidence-based science to tailor nutrition programs for athletes to optimize performance, minimize health risks, and enhance recovery from training while focusing on injury prevention. She partners with parents, sports performance staff, and special needs and recreational athletes to offer nutritional guidance and optimal athletic performance and lifestyle plans. Wendi provides telehealth and on-site services. Wendi works with clients of all levels and ages across the US as well as Canada and the UK.
CREATINE MONOHYDRATE IS SAFE, EFFECTIVE, AND BENEFICIAL FOR TEEN ATHLETES. Read on to learn more…
17-year-old, Jenkins comes strutting out of the weight room after he just crushed a workout living his strongest, healthiest, and injury-free life. While walking out of the weight room Jenkins is using Nutrition with Wendi’s recommended “25-50-30 rule” and is downing a shaker bottle with chocolate milk and creatine paired with a banana. Jenkins is a smart kid and has focused on proper sleep, hydration, eating well, and managing his stress while training hard.
Ever heard this crazy misinformation before? Yes, me too. It has spread like wildfire. It is even more gut-wrenching when it’s spread by doctors, trainers, health care professionals, influencers, or random people on the internet that know very little about science, sports performance, or even what creatine is. Insert facepalm. Good news! I am here to dispel those myths and provide the science to help combat the misinformation that is so toxic.
Creatine is one of the most effective ergogenic aids for adult athletes and is safe.
But what about youth athletes? I have had several high school coaches and concerned parents of youth athletes ask me questions like, “Is creatine safe for my kids? Should my female athletes be using creatine?” In almost every conversation, my first response is, “It depends.” Just like any other question I get, nutrition-, health-, fitness- or performance-related, it should be individualized.
Creatine, however, is beneficial to all populations according to the science outlined in this article. As a registered dietitian, I strongly promote a “food first” and back-to-basics philosophy. For more information on healthy eating and performance nutrition, see a previous blog here.
I empower anyone working with youth athletes to use the guidance in this article when considering “to supplement with creatine or not.”
CREATINE IS SAFE TO SUPPLEMENT AT ANY AGE GIVEN IT IS THIRD-PARTY TESTED!! Yes, any age! Creatine and Infants – According to researchers, hypoxic ventilatory depression in mice and muscle fatigue in adult humans are improved by creatine supplementation (CS). No side effects were seen with creatine supplementation (equal to a 13.6-gram daily dose in a 150 lb person) (8).
I would still like for all to focus on food first but creatine won’t hurt you it would only help you! It’s amazing how people will feed their kids and themselves with junk food but creatine is off-limits because some doctor who doesn’t understand the mechanism of action said, “no it is a steroid?”.
Blasphemy.. please read and digest all of this data and my points to understand that creatine is safe, effective, and beneficial at any age for any sport male or female!
Creatine Monohydrate 101:
95% of creatine is found in skeletal muscle
The human body needs 1-3 g per day
Most creatine in the diet comes from animal products like meat, fish, & poultry
Creatine is a naturally occurring compound formed by three amino acids, making it a tripeptide (tri- meaning three) of the amino acids L-glycine, L-arginine, and L-methionine. Creatine is assembled in a two-step process that occurs in the kidneys and liver.
Creatine can be consumed via dietary sources, which include foods like eggs, milk, tuna, salmon, herring, cod, shrimp, beef, and pork.
Creatine improves numerous factors including strength, power, sprint ability, muscular endurance, resistance to fatigue, muscle mass, recovery, cognition, and rate of muscle growth. Creatine is one of the most widely studied, proven performance enhancers available that also offers clinical benefits (4).
How does creatine work?
Creatine deposits high-energy phosphate groups in the form of phosphocreatine. This is given to adenosine diphosphate (ADP), regenerating it to adenosine triphosphate (ATP), the sole energy carrier in the human body, which can be called “energy currency” for cells to carry out their functions. For example, during conditions of short-term, high-energy demand activities (<30 seconds) with limited recovery time, ATP runs out quickly, which illustrates the importance of creatine stored in muscles in the form of creatine phosphate. This is explained here.
Since creatine phosphate restores ATP, it gives muscle cells the ability to produce greater energy. The greater creatine stores you have, the greater energy your muscle cells can yield during high-intensity exercise, thus leading to increased exercise performance. Even though the most well-documented and primary benefit is higher energy production, this mechanism also supports muscle gain and strength increases, as explained here.
Despite creatine being widely tested since the early 1900s with significant data supporting its effectiveness, it is widely misunderstood by many trainers, coaches, athletes, and concerned parents of high school athletes. Yes, it is 2021 and people still think creatine monohydrate is a steroid due to misinformation generated across social media and the general population (4).
Disregard the false, outlandish, disproven claims. I am referencing the silly fallacies like, “creatine will make you fat,” “creatine will cause liver, kidney, or bone injury,” “creatine will dehydrate you,” or my personal favorite, “creatine is a steroid that will also lead to baldness.” I know. What a bunch of nonsense. I addressed these fallacies in a previous blog, Creatine Not Just for Men or Muscle. Please go check it out if you are a female because creatine can help you improve your lean mass and lose that fat.
Antonio et al. published a phenomenal paper outlining the common questions and misconceptions regarding creatine use available for open access here (1). I highly recommend you read it and share it with anyone who may have creatine confusion disorder. I made that up, but you get my point. Creatine monohydrate is beneficial for many things beyond performance, which is not my opinion but sc!
Potential ergogenic benefits of creatine supplementation in adults (4):
Greater training tolerance
Increased sprint performance
Increased work performed during sets of maximal effort
Increased lean mass & strength adaptations during physical training
Enhanced glycogen synthesis
Increased work capacity
Increased anaerobic threshold
If you’re interested in my opinion as a dietitian and performance practitioner working with several athletes I highly recommend creatine. Creatine is like the Swiss Army knife of supplements! It can do so many things!
There is robust evidence to support the effectiveness of creatine in the adult population. Among children and adolescents, there is mounting evidence to support the therapeutic benefits of creatine supplementation as well as clinical and exercise performance. Available studies in the adolescent population involving high-intensity exercise training indicate performance benefits as well as no reported side effects (1,2).
In relation to performance, the International Society of Sports Nutrition (ISSN) has concluded that creatine monohydrate is the most effective ergogenic supplement available to athletes in terms of increasing high-intensity exercise and supporting lean body mass during training. The ISSN has also concluded CM is safe. (4).
Does creatine work in young athletes?
Regardless of the limited data on the teen population, creatine is likely safe, beneficial, and well-tolerated among youth athletes as evidenced by the available data (2).
Creatine supplementation improved time performance and strength in highly competitive swimmers (2,3).
Should my teen athletes be supplementing with creatine? As young as infancy..yes but 10-12 YO has been pretty standard for young athletes training at a high level.
As always, food first, but creatine can be a safe and effective regimen for young athletes who meet the following criteria (1,5):
Consuming a well-balanced diet
Consuming a diet with a greater emphasis on plant proteins like soy and pea which do not provide creatine like animal proteins
Involved in high-intensity training, and competitive sports which include:
Combat Sports (MMA, wrestling, boxing, etc.)
It is always best practice that athletes of any age fully educate themselves by consulting with a registered dietitian nutritionist, certified sports nutritionist, exercise physiologist, or sports-focused physician before the use of any supplement. Similarly, any products used should be NSF International Certified for Sport to reduce the risk of consuming any harmful or contaminated products. Supplements are regulated but not as heavily regulated as pharmaceuticals. Please see the reasons to use NSF Certified for Sport products in a previous blog.
“The USADA recommends that athletes use only dietary supplements that have been certified by a third-party program that tests for substances prohibited in sport. The USADA is responsible for anti-doping education and testing for athletes in the U.S. Olympic and Paralympic Movements as well as the UFC.”
Therefore, all supplements used should be third-party tested for safety, purity, and compliance. For the sake of convenience and safety, you and your athlete can download the NSF Certified Sport app.
I preach food first, nutrient periodization, quality rest, good sleep hygiene, hydration, and appropriate training, all of which can be better enhanced using creatine monohydrate (CM). Based on the strongest science and studies, CM is the recommended form. CM is used in the studies. Therefore, it should be used in practice as well. I discussed the other forms in my guest appearance on Muscles and Management.
When to use creatine?
Science suggests creatine is most effective immediately post-workout when paired with protein and carbohydrates (7). Creatine consumed immediately post-resistance training is superior to pre-workout in terms of body composition and strength (7). The recommended dose is 3-5 g of creatine per day. Creatine can be used at any time of day. Creatine is safe and effective on rest days from exercise as well as training days. (Click here to follow on Instagram)
While CM is best paired with a carbohydrate-rich source (like oatmeal, whole-grain bread, rice, fruit, smoothies, or yogurt) to draw it into muscle cells, it can also be added to water or other beverages.
A saturated cell is a happy cell! This supports recovery and muscle repair following resistance training.
Most creatine supplements are in powder form and must be used in warm water to support the dissolving process. CM will dissolve slowly in cold water and often ends up in the bottom of a shaker bottle, which won’t do any good if it doesn’t make it into your mouth! Creapure is a great brand to use and offers more explanation on dosing. Check it out here! No, I do not have a partnership or any affiliation with Creapure. I just want to share that they make a great product.
My female youth soccer players have integrated CM post-training with their tart cherry juice and chocolate milk. I have taken time to discuss the safety, use, and benefits with my youth athlete’s parents, coaches, and even their PE teachers. I have 50% of my youth athletes supplementing with CM. CM is always a conversation we have after we wrap up their 6-week Nutrition with Wendi Coaching Program.
Do I need to load using creatine?
No, you do not need to “creatine load”. In fact, many studies use a typical creatine dose of 5-10 g daily or smaller doses like the standard 2-3 g.
However, if you desire to do a loading phase, it would look something like 20-25 g for 5-7 days followed by a maintenance phase of 5 g daily for 4 weeks, 2 weeks off, and then repeat. I do not have any of my athletes do this cycling as it is unnecessary. See the ISSN’s Position Stand for more on this (4).
Studies support the benefits of CM supplementation regardless of the dose. However, that does not mean more is better. If you are a vegetarian and new to using CM, you would benefit from saturating the muscles with CM, leading to an acute increase in strength and body weight via water retention. However, please refer to the experts and those I respect most in the field like Dr. Darren Candow, Dr. Tim N. Ziegenfuss, Dr. Scott Forbes, Dr. Jose Anotonio, Dr. Rich Krider, Dr. Eric Rawson, and others who can further provide the research they have been doing for the last few decades.
Please see another podcast in which I had the opportunity to speak about creatine in the youth population via the Big Time Strength podcast.
There is robust literature to support the beneficial effects creatine has on body composition, physical performance, injury prevention, recovery, brain health, and clinical use. Currently, there have not been any negative effects associated with the use of CM in both the adolescent or adult populations. Adolescent athletes under the age of 18, and even children as young as infants, can safely consume CM.
There is zero evidence to suggest CM supplementation would cause harm, dehydration, cramping, or any other outlandish claims that have been disproven by Antonio et al., 2021, and others. Not incorporating a CM supplement would be a disservice to your athletes or even yourself!
Anyone looking to improve their health of any age or activity level can safely consume 3-5 g of creatine monohydrate immediately post-workout paired with a carbohydrate.
By supplementing with creatine monohydrate immediately following training, you’re able to support muscle growth and recovery, injury prevention, and overall health.
Yes, creatine is safe to consume if you are a teen athlete. Yes, you should use creatine monohydrate.
No, creatine is not a steroid. No, creatine will not cause baldness. No, creatine will not dehydrate you. No, creatine will not cause cramps. No, creatine will not decrease your bone mineral density.
If you have a beating pulse, then creatine monohydrate is for you!
Sports physicians, athletic trainers, coaches, performance nutritionists, and others working with youth athletes should provide the best guidance to teen athletes based on the available science to support their principal interests. Kids are going to be using supplements like energy drinks and pre-workouts, which contain dangerous amounts of caffeine. I would rather we provide education on the safety and use of creatine, which is not dangerous but beneficial. I would like to see more people using creatine given the ergogenic benefits and no reported adverse effects. Creatine monohydrate is a safe, effective, and inexpensive way to support health and physical performance! Please don’t let, “Joe Public” from accounting or “Susie Quinn,” on Instagram OR THE doctor’s OFFICE tell you any different.
In good faith, fitness, health, and athletic performance,
Wendi Irlbeck, MS, RDN, CISSN is a registered dietitian nutritionist and performance coach. Wendi utilizes evidence-based science to tailor nutrition programs for athletes to optimize performance, minimize health risks, and enhance recovery from training while focusing on injury prevention. She partners with parents, sports performance staff, and special needs and recreational athletes to offer nutritional guidance and optimal athletic performance and lifestyle plans. Wendi provides virtual services including telehealth but is based in Nashville, TN. Wendi works with clients of all levels internationally.
What can hiring a sports nutritionist offer your program? Learn more here. Interested in signing up for the NEW and upcoming NWW newsletter? Click here to sign up!
Antonio, J., Candow, D.G., Forbes, S.C. et al. Common questions and misconceptions about creatine supplementation: what does the scientific evidence really show?. Journal of the International Society of Sports Nutrition 18, 13 (2021). https://doi.org/10.1186/s12970-021-00412-w
Grindstaff PD, Kreider R, Bishop R, Wilson M, Wood L, Alexander C, et al. Effects of creatine supplementation on repetitive sprint performance and body composition in competitive swimmers. Int J Sport Nutr. (1997) 7:330–46.
Ostojic SM. Creatine supplementation in young soccer players. Int J Sport Nutr Exerc Metab. 2004 Feb;14(1):95-103. doi: 10.1123/ijsnem.14.1.95. PMID: 15129933.
Kreider, R.B., Kalman, D.S., Antonio, J. et al. International Society of Sports Nutrition position stand: safety and efficacy of creatine supplementation in exercise, sport, and medicine. J Int Soc Sports Nutr 14, 18 (2017). https://doi.org/10.1186/s12970-017-0173-z
Jagim AR, Stecker RA, Harty PS, Erickson JL, Kerksick CM. Safety of creatine supplementation in active adolescents and youth: A Brief Review. Front Nutr. 2018;5:115. Published 2018 Nov 28. doi:10.3389/fnut.2018.00115
Ostojic SM. Creatine supplementation in young soccer players. Int J Sport Nutr Exerc Metab. 2004 Feb;14(1):95-103. doi: 10.1123/ijsnem.14.1.95. PMID: 15129933
Antonio J, Ciccone V. The effects of pre versus post workout supplementation of creatine monohydrate on body composition and strength. J Int Soc Sports Nutr. 2013 Aug 6;10:36. doi: 10.1186/1550-2783-10-36. PMID: 23919405; PMCID: PMC3750511.
Bohnhorst B, Geuting T, Peter CS, Dordelmann M, Wilken B, Poets CF. Randomized, controlled trial of oral creatine supplementation (not effective) for apnea of prematurity. Pediatrics 2004;113 (4):e303-7.
If you’re a high school athlete, you’ve probably gone to an early morning practice, school, training session, or game without eating “breakfast”.Or, if you work with young athletes, are a high school athlete, or a parent of one you know what crazy mornings look like these days. Many are so worried about checking their phone in the am they are wasting precious minutes that could be allocated to breakfast. Case and point, if you have time to grab your phone, and scroll through social in the morning then you have time to grab something nutritious to fuel your day.
That’s right, young athletes need to eat breakfast and the excuse “I don’t have time” or “I’m not hungry” is not acceptable. Time for some tough love here. Way too many teens are staying up past midnight snacking and not getting quality sleep which disrupts the circadian clock, and hunger hormones like ghrelin and leptin leading to “appetite disruptions”. This is quite common because high-calorie, low-nutrient choices like Cheetos, candies, and snack foods were consumed at 1 am while playing Minecraft.
“Time” is the biggest barrier to skipping breakfast
According to a study, parents identified time as the greatest barrier to breakfast consumption. To overcome this barrier, we must utilize our downtime outside of morning hours and throughout the week to prepare grab and go-options. This article will help decrease the concern parents also have about the healthfulness of some traditional breakfasts. I will provide some simple, high-nutrient options for that first meal of the day!
As a soft reminder, breaking the fast is considered incredibly important is since we wake up dehydrated and need to fuel both our muscles and brain for the day. The first meal we put into our bodies sets the tone for our neurotransmitters that day. Research has indicated nutrients and calories missed at breakfast by teens are unlikely to be made up for later in the day.
Studies also illustrate breakfast eaters tend to have higher school attendance, score higher on standardized tests, greater on-time attendance, and fewer hunger-induced stomach pains in the morning. Additionally, recent studies illustrate the benefits of breakfast. To the parents out there reading this, you should front-load your calories.
What does that mean? Well, it would be helpful for weight management and long-term health to consume a higher amount of nutrients at breakfast than at dinner according to a 2020 article published in the Endocrine Society’s Journal of Clinical Endocrinology & Metabolism.
As the day progresses and schedules intensify there is left time to eat and fuel. If you’re new to my work, then please refer back to my where I break down the difference between eating and fueling. In fact, archive People first an athlete second will always be my approach. We eat for health first and fuel for performance second. Fundamental carbohydrate and protein information for young athletes can be found here . If you are a strength coach then check out this article as I have written it specifically for you.
Eating and fueling upon fasting while we are rested is key for supporting growth, development, and maturation. Then factor in practices, training, and conditioning. It’s a recipe for injury, blunted maturation, stress fractures, and consequences for long-term health if we skip meals. In my opinion, breakfast is not the most important meal of the day. That is right, nor is “lunch” or “dinner”. As a Registered Dietitian Nutritionist and performance dietitian I educate and coach on the philosophy that ALL MEALS MATTER! A great resource on building a high-performance plate can be viewed here. One meal is not more important than another. I also reference pre-training and post-training nutrition in this statement. Many young athletes are so worried about that post-competition meal being perfect but fail to consistently do well at all the other meals leading up to the event. How you eat at each meal will produce much better results for growth and recovery than one meal. #EattheRainbow
All meals matter explained
When I present at coaches, clinics, and conferences I reference “breakfast” but quickly identify that I call breakfast as meal one. I do not use traditional meal patterns like most. Why you may ask? Well, for starters I like to teach my athletes that all meals matter. Not one meal over another, and I also clear up the confusion that there’s some special “pre-game” or “pre-training” meal that will bolster an athlete’s performance. The fact of the matter is that the meals consumed leading up to that training session are what win games and lead to a stellar training session. Consistently eating well over time translates into successful practices, games and ultimately championships won.
Ask any successful coach who has had a string of winning seasons, he/she understands it’s all about the fundamentals carried out day in and day out. Championship teams are not strung together after a few weeks of camp. It takes time, commitment, planning, and strategy. Furthermore, high-school and adult athletes need more than the three normal meals (breakfast, lunch, and dinner) a non-athlete would consume. Athletes need more calories and that requires more frequent feedings with a higher volume of calories. Young athletes also need to get in plenty of colorful fruits and veggies. Unsure of how to incorporate them? Check out one of my recent articles, 7 Ways to Get More Veggies into your Young Athlete’s Diet published at Simplifaster .
Nutrition with Wendi Coaching Hack
When counseling my young athletes and recreationally active adults we go over the benefits consume four-five meals per day. When we go over their nutrition I ask, what was meal one? Referring to “breakfast” as meal one also helps young athletes feel like eating something before, they leave the house is realistic. Breakfast is often affiliated with a “sit down and eat approach”. Most young athletes and even adults do not have time to sit down and eat something and feel overwhelmed with a lack of planning or time in the morning. So, for a young growing, and developing athlete meal one is a grab-n-go option of a protein, fiber + or carbohydrate.
Ideally, the meal would be planned out in advance to ensure it is available to grab on the way out. Control your controllable habits, planning meals in advance for a schedule you know you have come up with is controllable. Simple grab-and-go breakfasts include hard-boiled egg and fruit, string cheese and banana, yogurt parfait and whole-grain granola, whole-grain toast with nut butter, turkey breakfast sandwich, and berries and oatmeal.
Eggs, are one of the most nutrient-dense, convenient, and inexpensive foods available. Eggs are rich in choline which helps support neurotransmitter production for cognition. 6-8 grams of high-quality protein and contain all essential amino acids for muscle mass, bone health, and promoting satiety. also contain lutein and zeaxanthin which are antioxidants that support eye health. Eggs are considered one of the most nutritious foods available containing several vitamins, minerals, and folate. Egg scramble, hard-boiled, or even a fried egg sandwich!
2. Greek Yogurt, another nutrient-rich option that is convenient, delicious, and nourishing for all ages. Greek yogurt is high in protein, reduces appetite, and contains beneficial pro-biotics for healthy gut function along with calcium and vitamin D. Greek yogurt also contains electrolytes and carbohydrates to support brain and muscle contraction. I build several yogurt parfaits and keep them in the fridge for busy days. See the video on my Facebook page on building the ultimate parfait or posts for inspiration!
Bone Health Hack
Calcium can only reach its full bone-growth potential in the presence of adequate vitamin D. Vitamin D helps absorb calcium. Recommendations for calcium and vitamin D vary. A great way to attain adequate calcium and vitamin D is to consume dairy products such as cheese, yogurt, milk, and fortified beverages. Bonus: A yogurt parfait with mixed berries can be a great pre-exercise snack roughly 45-60 min before training. A yogurt parfait offers key carbohydrates and high-quality protein to fuel exercise.
Whole-grains Oatmeal or Overnight Oats, a great way to attain some high-quality calories for optimal focus in the classroom and on the field. Oatmeal is a great swap for those breakfast cereal lovers, oatmeal contains more fiber, less sugar and promotes satiety along with an abundance of B-vitamins. Oats are also rich in antioxidants which help reduce exercise-induced inflammation and support heart health. Keep in mind 1 cup of oatmeal contains scant protein, 6-8 g to be exact. This is why it is important to incorporate some sort of protein option like Greek yogurt, string cheese, hard-boiled egg, milk, whey protein powder, or a high-protein nut butter like RX nut butter, 100% peanut butter, and almond butter Please check out my website for some ideas on overnight oats or view this great recipe via the Academy of Nutrition and Dietetics.
Whole-grain toast, wrap, waffle, or even PANCAKES! That is right, whole-grain pancakes can be a great sit-down option, grab-n-go, or even snack later in the week. You can prepare them in bulk and wrap the leftovers in tinfoil. I have a great recipe here for you to try or Nuts’-n-More. Use discount code 143NWW for 15% off your next order. View the high-protein coconut pancake recipe here!
High-protein fruit smoothie, quick and convenient way to consume high-quality protein, carbohydrates, fruits, and liquids on the go. You can even add Greek yogurt, chia seeds, flax, or other omega-3 fatty fats to help support health, and digestion and reduce exercise-induced inflammation. Be sure to include NSF approved whey protein powder or cow’s milk for ample high-quality protein. Put together protein powder, chia seeds, and fruits/veggies in a gallon freezer bag and place in the freezer to be used in the morning to save time. Add milk, and ice and you’re set.
Simple ways to overcome the time barrier with simple meals:
Establish a morning routine
Utilize breakfast at school (if available)Wake up 15-min sooner
Prepare foods for meals one ahead of time
Dozen hard-boiled eggs for the week
Hard-boiled egg, spinach & chicken
Smoothie freezer bags ready to go
Overnight oats in mason jars for the week
Turkey cheese sausage bagel wrapped in tinfoil
Grab-and-go chocolate or white milk
Bananas, apples, pears, and other perishable fruit on hand
String cheese and portioned out nuts
Whole-grain pita with turkey, egg, and cheese
Egg scramble muffin tins baked ahead of time
Wendi’s Egg-cellent Eggbake recipe which can be portioned out (Click here )
Greek yogurt parfaits in mason jars or Tupperware container
Please follow me on Twitter for other quick and healthy nutritional strategies
Mixing it all together
We eat for health first and fuel for athletic performance second). Baring in mind that not every young athlete will always be an athlete. We must learn healthy habits early on which begin with meal one. As always, we need to get back to the basics. To be a champion you must be willing to execute healthy habits consistently to be successful. What are you willing to do today that will help you be better tomorrow? Plan to start your day with the intent of what you plan to accomplish which hopefully upon reading this article is meal one. If the pandemic is still overwhelming you please refer back to a previous blog I wrote on staying healthy during the quarantine found here .
Still, feeling a little hungry for more information on nutrition and even training? Check out an article I co-authored with Erica Suter available here. In the article, I provide a weekly sample menu for young athletes and Erica provides a sample week of strength and conditioning. I highly recommend Erica to anyone out there who works with young female athletes or is a young female athlete. Erica’s knowledge is next to none and she is someone I respect with significance in our field as a role model to both young men and women of all ages.
“Nutrition is a secret weapon! It can make a good athlete great or a great athlete good, the choice is up to you!” (Sm)
In Good Health and Performance,
Wendi Irlbeck, MS, RDN, LD, CISSN
Wendi Irlbeck, MS, RDN is a registered dietitian nutritionist, health & fitness coach, and former college athlete. Wendi utilizes evidence-based science to create nutrition programs for athletes to optimize performance, minimize health risks, and enhance recovery from training while focusing oninjury prevention. Wendi partners with parents, sports performance staff, special needs and recreational athletes, and organizations to eat and fuel for success. Wendi specializes in sports nutrition serving elite youth athletes as well as collegiate athletes teaching them the importance of getting back to the basics. She is a former sports dietitian for the Dairy Council of Michigan, is an adjunct instructor in Kinesiology, Health, and Wellness Division at Lansing Community College in Lansing, Michigan. She earned both her B.S. and M.S. at the University of Wisconsin-Stout and has spent time learning from several professionals in the field along with an internship at the University of Florida. Wendi also works with the general population to build healthier habits and improve body composition. Wendi is based in East Lansing, Michigan with her own nutrition consulting business.Follow Wendi on Twitter and Instagram and book a consultation to become a nutritional client HERE.
Baseball and softball diamonds are empty. Soccer fields and tracks lay desolate. High school sports’ championships are cancelled. Indefinite halt in practices, games, and tournaments have left many coaches, parents and young athletes devastated. A whole new pain has developed around the world when the term “cancelled” is used due to the novel Coronavirus (COVID-19). For many, their outlet for stress, health, social time and joy has been halted with short notice. The all-around impact when sports and organized recreation resumes, remains uncertain. The big question remains: “When will this end, and when can we return to our normal lives again?” The reality is, we will not return to how things were. How do we adapt, overcome, and conquer the many challenges of unknowns and uncontrollable modalities? This article will aim to provide clarity, support and motivation, and simple tips to stay healthy and conditioned during the COVID-19 pandemic.
There are many things sport athletes cannot control, such as weather conditions, their opponent, playing fields and, now, a pandemic! Ultimately one thing that athletes of all ages (adults too) can control is themselves. Being involved in a sport creates routine through practice and preparation. Routines were carried out and executed pre-pandemic and they should now be established during the coronavirus to prevent further declines in health, wellness, and overall athletic performance. Creating structure in life is more important than ever. Many young athletes may find themselves feeling “abnormal” or “off” and it is important for coaches and parents to check in with them. During these first few weeks of the “Stay at Home Order” here in Michigan many of my young athletes and clients have been faced with a different way of life and schedule. Schedule and routine should be the second most important priority after the shelter in place. Health hack: You can still maintain your fitness at home with regular walking, body weight exercises, light weights with greater volume and of course proper nutrition. -Please Schedule a consultation with me if you’re desiring further assistance in any area of your health, I am here to help.
5-6 Simple Suggestions to Keep You Healthy & Conditioned During the Pandemic:
PLAN Your Day. Set your alarm to wake up to the same time each day, eat regular meals & snacks, hydration goals, when you will train, complete school-work, watch your favorite show, read, walk the dog, study, and complete chores. Without a routine, your energy, nutrition, water or fueling goals will be affected. Structuring your day will benefit your mental health and athletic success post-virus. Utilize this time to focus on taking care of your body, schoolwork, mental health, and maintaining overall optimism. It is okay to live by the “one-day-at-a-time” mantra. Do not undo all the hard work put into your training. Take a breath, stay motivated, and conditioned.
PLAN Your Bedtime. Establish a bed-time routine to carve out time to brush teeth, wash your face, and prepare for rest. Research supports more restful sleep when we limit phone use prior to bed. For example, establish a bedtime of 10 pm. Begin getting ready for bed at 9:15 pm. Put your phone away, meditate, limit time around books and activities that would decrease your ability to relax. Be in bed by 9:45 with time to quiet your mind and fall asleep by 10 pm.
PLAN Your Intent. What does this mean? When you wake up, write down what you want to accomplish for the day. This simple act is powerful, it creates structure and meaning to our day. If we start our day being mindful of what we want to accomplish and the intent of our actions, it will facilitate the motivation and drive to tackle them.
Body Composition. Many are concerned about gaining weight due to less activity. This applies to not only young impressionable athletes but adults as well. Do not overdo it with exercise trying to “earn calories” or “burn off what you ate”. For some young and older athletes, this time at home may mean more activity because of “extra time”. It may be wise to limit intensive training to what your coach or trainer has prioritized. Be sure to enjoy light, mindful movement with your family such as going on walks together. It is key to remember that supporting proper growth, development and maturation needs, are all priorities for young athletes. To learn more, please read one of my previous blogs here. Reminder: young athletes eat first and fuel second. This concept is also illustrated in a blog I recently wrote for strength coaches at the high school level.
PLAN Your Meals. By no means should young athletes be cutting out food groups, meals or critical calories because schedule changes. Meal planning and usual eating habits are likely to be affected if they are less active and not training as intensely. Pandemic or not, young athletes still need the fundamental three to four high-quality meals that contain the basics (lean protein, fruit, vegetable, whole-grain and dairy). The snacks consumed in-between meals may decrease due to less activity, training and events. I have always encouraged my athletes to consume a protein and carbohydrate source as snack. However, with less activity than usual, a lower carbohydrate snack may be a better option (such as string cheese with cucumber slices). For many, eating nowadays may be similar to “off-season” eating or rest days. However, the athletes training more intensely or adding in addition cardio sessions, may need to increase their protein and carbohydrate snacks following training. This a very important concept for people to understand. Ultimately, an athlete’s plate needs to support the training and work that is being done. See the performance plate guidelines which provide clear illustrations of building a plate to reflect the type of training day.
PLAN to be Creative. Food access, security, safety, and overall availability impacts how we eat. Now is not the time to try out a rigid diet, dirty dozen, 21-day fix in the house. Foods may be available in limited amounts and many families are going shopping for one to two week’s worth of groceries. Meeting nutrition needs perfectly is not necessarily the reality, but it is a good goal to keep front and center. When shopping, pick up canned veggies, canned beans, frozen fruits, frozen vegetables, and consider buying meats in bulk that can be placed in the freezer. Keep in mind you can freeze many food items! Please navigate to my social media platforms such as twitter and Instagram for more instructions and ideas. A quick online search will also show you some creative ideas. It is critical to continue avoiding overly processed foods that are high in sugar and low in nutrition, such as chips, pastries, sweets, etc. All foods fit, but keep in mind good nutrition is the foundation for good health. Focus on consuming a variety of foods that are nutrient dense to support a healthy immune system to fight off disease, decrease exercise induced inflammation, promote healing of tissues and overall health. Eating an abundance of nutritious foods will provide stable energy levels, cognition, athletic performance, injury reduction, self-confidence, healthy body composition, and heart health. I encourage my athletes to continue to pursue a healthy relationship with food despite the challenges we currently face.
If you’re interested on some specifics check out what the Food and Drug Administration has to say regarding food availability during the novel Covid-19 virus in a recent article.
This unexpected challenge is our opportunity to define our new normal. Stay at home, wash your hands, create a routine, limit discretionary calories, keep training, prioritize your hydration, eat well and fuel accordingly. This is the ultimate chance to learn from professionals, peers, and family, to move forward with different and healthier habits. And, this is exactly what we will do. Opportunity favors the prepared. Don’t miss this opportunity to optimize your health and training. What controllable behaviors are you willing to work on daily to set yourself up for your next power play?
**The Academy of Nutrition and Dietetics has helpful tips on keeping your family healthy and safe at home. They can be found here. Avoid misinformation online regarding COVID-19. Rely on credible, accurate sources such as the CDC, FDA ,and the NIH .
**I recently delivered a presentation on “The Importance of a Routine During Uncertainty” on a recent webinar with the West Virginia Soccer Association. The webinar will be available on demand on the WVSA Beyond the Pitch Podcast in the next week.
“Nutrition is your athlete’s secret weapon to out compete their competition. Nutrition can make a good athlete great or a great athlete good.” (SM)
– Wendi Irlbeck, MS, RDN
Wendi Irlbeck, MS, RDN is a registered dietitian, nutritionist, and fitness coach. Wendi utilizes evidence-based science to tailor nutrition programs for athletes to optimize performance, minimize health risks, and enhance recovery from training while focusing on injury prevention. Wendi partners with parents, sports performance staff, special needs and recreational athletes to offer nutritional guidance and optimal athletic performance & lifestyle plans. Wendi is based in East Lansing, Michigan and is the founder of Nutrition with Wendi, LLC. Wendi is active on Twitter and other social media platforms as Nutrition_with_Wendi.
If you’re a man or woman reading this, excellent. It applies to both genders. Are you an aging adult, or someone who has experienced a traumatic brain injury (TBI)? Then yes, keep reading. Next, if you’re an athlete or non-athlete reading this, even better because it applies to you as well. Still aren’t with me, do you have a beating heart? If this answer is no, please seek medical attention at once. All jokes aside, if you’re a living breathing homo sapiens (homo = genus , sapiens = species) this article is for you.
If you’re a parent of a young athlete, coach, athlete or bodybuilder you likely have read up on creatine and have supplemented with creatine monohydrate before. Creatine is one of the most well-research and effective supplements to date. Creatine can support exercise performance by quickly producing energy during intense activity. Furthermore, creatine may also provide cognitive benefits, but further research is warranted. Studies have consistently illustrated how creatine supplementation increases intramuscular creatine concentrations that can help us understand the observed improvements in high-intensity exercise performance and overall training adaptations at large. We know creatine supplementation can bolster post-exercise recovery, decrease risk of injury and support injury prevention, expedite rehabilitation, thermoregulation, concussion and or spinal cord neuroprotection. Additionally, clinical applications of creatine supplementation have been investigated in neurodegenerative diseases like (muscular dystrophy, Parkinson’s Huntington’s disease), diabetes, aging, osteoarthritis, brain and heart ischemia, adolescent depression and even pregnancy as cited in the International Society of Sports Nutrition (JISSN) Position Stand on Creatine Supplementation in Exercise, Sport and Medicine . Studies are demonstrating short and long-term supplementation (up to 30 grams per day for five years) is not only safe, but well-tolerated in individuals and a range of clinical settings from infants to the elderly. So, creatine is not just for male athletes trying to build muscle and facilitate recovery. It is beneficial to all given the wide range of benefits associated with supplementation that have been documented in literature and several that are currently under investigation in a clinical setting.
Let’s review and clear up a common myth regarding creatine:
“Creatine is a steroid” Incorrect, please stop this nonsense from making its way into 2021 please. In my professional experience as a registered dietitian nutritionist , this must be one of the most obnoxious fallacies to date. Possibly behind “protein hurts my kidneys”, also false but that’s a whole other subject for a different blog. However, I am happy to direct you to the literature that dispels this myth publish in 2016 in the Journal of Nutrition and Metabolism compliments of Dr. Jose Antonio and colleagues . Now back to creatine, let’s clear this up quickly, creatine is not a steroid. It has no relation to a steroid structurally or with its mechanism of action. Why? Well, by scientific definition a steroid is any compound that possesses a common structural feature like 3 cyclohexane rings and a cyclopentane ring make up the structure that by definition is a steroid molecule. In fact, eggs contain a steroid compound which is called cholesterol and it is naturally produced in the body that become steroid hormones like testosterone and estrogen. But no, creatine is not a steroid.
What is creatine?
Creatine is a naturally occurring compound made up of three amino acids, which we would call a tripeptide (tri meaning three). Three amino acids (L-glycine, L-methionine and L-arginine) make up creatine. Creatine is largely made in the liver and to a limited extent, the kidneys and pancreas. It deposits high-energy phosphate groups in the form of phosphocreatine which are given to ADP, regenerating it to adenosine triphosphate (ATP), the sole energy carrier in the human body which can be called “energy currency” for cells to execute their functions. For example, in conditions of short-term high-energy demand activities (< 30 seconds) with limited recovery time, ATP runs out quickly, which brings us to creatine that is stored in muscles in the form of creatine phosphate explained here . Creatine phosphate can help restore ATP, giving muscle cells the ability to produce greater energy. The greater creatine you have, the greater energy your muscle cells can yield during high-intensity exercise, thus leading to increased exercise performance. Even though the most well documented and primary benefit is higher energy production this mechanism also supports muscle gain and strength increases explained here.
Creatine is naturally found in several of the foods we consume like, eggs, milk, tuna, salmon, herring, cod, shrimp, beef and pork. Consuming enough creatine from the diet is challenging given the total creatine pool available according to an article published in the Frontiers in Nutrition Sport and Exercise Nutrition via Candow et al., 2019 . Which suggests, the body needs to replenish about 1.0–3.0 g of creatine per day to maintain normal (un-supplemented) creatine stores depending on muscle mass. Creatine improves numerous factors including strength, power, sprint ability, muscular endurance, resistance to fatigue, muscle mass, recovery, cognition, and speeding up muscle growth.
More women should use creatine:
I am a female who participates in regular strength-training (4-5 times per week) along with (2-3 cardiovascular sessions per week). I eat a whole foods diet, supplement with 2,000 IU of vitamin D3, whey protein isolate, 1,200 mg of fish oil and a multivitamin. Those are my supplements; these are not recommendations for “you”, your “young athlete”, “teammate” or “your friend”. I make this clear because there is no one-size-fits all in nutrition, health and fitness. What works well for me, does not mean it will work well for you. I see too many mistakes made with people trying to adapt the same diet, training and lifestyle of those in their cohort when it simply is not sustainable or appropriate. As individuals we have different genetics, hormones, environment stimulus, training styles, body composition, sport and performance goals, resting metabolic rate, and the list goes on. It would be absurd to eat and train the same way as someone else and anticipate the same outcome with the previously listed differences as humans.
One certainty is we can all benefit from eating real food, but given the benefits of creatine supplementation it is an undervalued and written off supplement among my fellow ladies. Hear me out ladies, creatine will not make you fat, bulky, retain water, turn you into a man or any of the other nonsensical claims that exist on the web these days. I don’t care what Linda at the gym said about “creatine making you fat or how it is a steroid that will make you a man”. I hear these claims often, and not only are they flat out wrong, they misinform my fellow ladies out there trying to gain strength, lean mass and other health benefits that would occur with appropriate creatine supplementation.
Here is a side by side comparison of me, roughly 10 years ago when I ate too many carbohydrates, inadequate protein, some strength training and an abundance of cardiovascular exercise. I ran lots of miles. Now, ten years later, I am happy to report I engage in strength training sessions no greater than 45-minutes, 4-5 times per week with some sprints and daily walking. I supplement with 5 gm of creatine monohydrate post-workout , w
hey protein isolate, take a multivitamin and consume 2 gm/kg/body weight per day in protein. I infrequently track calories because I fuel my body with high-quality protein, as many fruits and veggies as I can get my hands on. Creatine won’t make you fat, bulky or manly ladies. It will help support a lean body composition. Let me be more specific to my fellow ladies, creatine can may help you improve your health, fitness, recovery and overall physique.
Trying to turn up the intensity of your workouts? Use creatine! Creatine is like a Koenigsegg Agera RS , the fastest vehicle in the world. Creatine is a vehicle for producing ATP, which as you have learned drives muscle contraction. Kind of important when trying to sprint, lift heavy weights, jump and train with max output? By regularly supplementing with creatine monohydrate (3 -5 gm/day) for 8 weeks or greater can help maximize the body’s stores of phosphocreatine, the necessary compound to product ATP. Thus, allowing for skeletal muscle to produce more energy, bolster power output and exert more work overall. Fitness hack: The greater the intensity expressed fourth the greater your muscles grow stronger, bigger and faster should you train appropriately. Therefore, creatine supplementation is a highly underrated supplement among the female population. I encourage and empower my fellow ladies reading this article who have been on the fence about using creatine to take note of its effectiveness. Creatine has shown to bolster muscular size, power and strength. More muscle equates to more energy burned, healthier body composition, bone mineral density and a decreased risk for musculoskeletal disorders. Not to mention the link between muscle mass and risk of cardiovascular disease. Keeping aging muscles fit is also linked to better health later on in life according to a study published in the Journal of Epidemiology and Community Health .
Even sedentary women who utilized creatine long-term experienced increases in maximal muscle strength during resistance training by 20 to 25% when compared to women who were given a placebo in a study published in the Journal of Applied Physiology . Another study examined the effects of long-term creatine supplementation (12-weeks) combined with resistance training on one-rep max strength, motor functional performance tests and body composition in eighteen older women. The creatine group gained significantly more fat-free mass, muscle mass and were able to efficiently perform submaximal-strength functional test than the placebo group. Special note the creatine group was also able to increase training volume and one-rep max bench press. Creatine contains no calories and does not lead to fat gain. The increase on the scale you may see from use is drawing water into the cell which is a desired response with training.
Many benefits of creatine
A number of studies have shown creatine supplementation can increase brain creatine content by roughly 5-15% along with reducing mental fatigue, and improving cognitive function according to research referenced in the ISSN’s Position Stand on Creatine. Another study carried out by Rawson & Venezia, 2011 reported creatine supplementation of (20 g/day for 5 days or about 2g per day for 30 days) resulted in increased skeletal muscle creatine phosphocreatine which lead to the enhancement of high-intensity exercise tasks. Moreover, there is well documented benefits of creatine supplementation in young adults, increased strength, lean body mass and delayed onset fatigue during resistance training. All of which are critical for older adults striving to maintain cognition, bone mineral density and overall health.
Research is scant but, a randomized, double-blind, placebo-controlled trial was carried out in using creatine in type 2 diabetes subjects that was published in Medicine and Science in Sports and Exercise . The study illustrated creatine supplementation improved glucose tolerance in healthy subjects. When creatine was supplemented in the diabetic subjects that participated in an exercise program the results lead to an improvement in glycemic control. The underlying mechanism could be contributed to the increase in GLUT-4 recruitment specific to the sarcolemma. More research is warranted in diabetics, but the current literature is promising.
Another study examined the potential of creatine or phosphocreatine supplementation in cerebrovascular disease and in ischemic heart disease . The study illustrates the ability high-dose creatine supplementation has on cerebral creatine content and that it may have the capacity in humans to protect against stroke due to increasing not only the neuronal but also the endothelial creatine content. Emerging evidence also suggest that creatine supplementation with and without resistance training has the potential mechanistic effect to influence bone biology according to a study carried out by Candow & Chilibeck, 2010. A more recent study published in Experimental Gerontology examines pre-exercise and post-exercise creatine supplementation has similar effects on aging bone mineral density and content. A meta-analysis carried out by Forbes et al., 2018 illustrated creatine supplementation did not lead to greater bone mineral density during resistance training in older adults > 50 years of age.
Research in animals also suggested creatine supplementation to support managing Alzheimer’s disease, epilepsy and brain or spinal cord injuries. Furthermore, a study was conducted examining creatine supplementation following sleep deprivation, with mild exercise, on cognitive and psychomotor performance, mood state and catecholamines. The study eludes to creatine supplementation decreasing the negative effects, like mood, focus, impulse and emotional reactions that are reliant on the prefrontal cortex.
Creatine is safe and easy to use
As you have learned creatine offers many diverse benefits beyond muscle. It is one of the least expensive and safest supplements available on the market. It has been studied for over 200 years and an abundance of literature supports is safety, efficacy and no reported adverse effects in healthy individuals as referenced in the ISSN’sPosition Stand: Creatine Supplementation and Exercise.
A good dose to begin with is simply taking 3.0 to 5.0 grams of creatine monohydrate post-exercise to support recovery, muscle growth and decreasing fatigue. If you’re a vegetarian or new to using creatine you may wish to start with a loading phase by taking (0.3g/kg/body weight/day). For example, if you’re a 60 kg female = 18 g total for the day but broken up into 4 doses for 5-7 days. This would mean a (4.5 g dose of creatine 4x/day) for 5-7 days. Then onto a maintenance phase of 5 g per day for 12 weeks. If you’re interested in looking at different phases of cycling creatine (short-term and long-term) you can refer to the literature in the Creatine Position Stand paper I have referenced throughout this article. For example, supplementing with (5g/day) for 12 weeks during training to truly help increase intramuscular creatine stores and support health and performance benefits outlined in this article. Dissolve the creatine in water or your protein-carb drink post-workout for best results. Take a break from supplementation after using for 12-16 weeks. Where to order creatine? I strongly advise supplements that are Informed Choice Certified, meaning they are free of any banned substances and ensure the product has been tested from any unsafe substances. Here is a comprehensive list of certified products updated March, 2020.
If you’re parent or coach of adolescent athletes and are considering creatine supplementation. Take note, limited research is available in this population highlighting the safety and efficacy of creatine supplementation in young athletes < 18 years of age. Jagim et al., 2018 published a review examining the limited studies in the adolescent population as a means to identify use of creatine in young athletes. The review suggests that adolescent athletes using creatine tolerated supplementation well, had no reported adverse events or incident. Ethically, we do not have enough research to recommend creatine monohydrate to young athletes, but many are using despite direction from professionals. My advice as a sports dietitian is to provide the literature and suggestions to support best interest of my athletes.
As registered dietitian nutritionist and sports nutrition specialist, I advocate for whole foods first and prioritizing nutrition to optimize your health, wellness, physique and performance goals. Creatine is a great supplement to incorporate in addition to great nutrition, enough hydration, adequate sleep and proper training. Creatine works best when paired with resistance training. I hope reading the science outlined in this article surrounding creatine has given clarity. Creatine can benefit everyone, if you have a beating pulse that’s you. Train hard, eat well and stay healthy my friends.
In good health,
Wendi Irlbeck, MS, RDN
Wendi Irlbeck, MS, RDN is a registered dietitian, nutritionist, and fitness coach. Wendi utilizes evidence-based science to tailor nutrition programs for athletes to optimize performance, minimize health risks, and enhance recovery from training while focusing on injury prevention. Wendi partners with parents, sports performance staff, special needs and recreational athletes to offer nutritional guidance and optimal athletic performance & lifestyle plans. Wendi is based in East Lansing, Michigan and is the founder of Nutrition with Wendi, LLC. Wendi is active on Twitter and other social media platforms as Nutrition_with_Wendi.
An estimated 1 billion people worldwide, across all ethnicities and age groups, have a vitamin D deficiency according to a review published in the Journal of Pharmacology & Pharmoacotherapeutics . Vitamin D is a steroid hormone that regulates > 1,000 processes in the body, and it has been well known as the “sunshine” vitamin playing an important role in preventing illnesses like, osteoporosis and rickets . Winter days are often dark and sun exposure is limited leading to an increased risk for vitamin D deficiency and infections. Vitamin D is a hormone but is most widely known as a fat-soluble vitamin. Vitamin D promotes calcium absorption in the gut. Vitamin D supports muscle function, cell growth and immunity. Vitamin D is obtained from supplements, sun exposure and consuming vitamin D-containing foods like, wild salmon, eggs, mushrooms, fortified cereal and dairy products.
How Much Vitamin D Is Needed?
One confusing element of understanding vitamin D guidelines to correct deficiency can be challenging. Currently, there is no consensus definition of vitamin D deficiency according to the U.S. Preventive Services Task Force recently reviewing vitamin D screening. The Institute of Medicine (IOM) guidelines for vitamin D use a blood level of 20 ng/ml o 25-hydroxyvitamin D as a benchmark for deficiency because it is the minimum level that meets the needs for good bone health for at least 97.5% of the population (1). However, the Endocrine Society recommended that people aim for a level of 30 ng/mL or higher . A more comprehensive table of Vitamin D concentrations and health are found here via the National Institute of Health.
Current Recommended Dietary Allowances (RDA) for Vitamin D:
Birth to 12 months: 400 IU
Children 1-13 years: 600 IU
Teens 14-18 years: 600 IU
Adults 19-70 years: 600 IU
Adults 71 years and older: 800 IU
Pregnant and breastfeeding women: 600 IU
Vitamin D Deficiency Signs and Symptoms that Can Lead to Severe Health Complications:
Risk of stress fractures
Muscle aches and weakness
In the Body, Vitamin D is Linked with:
Blood pressure regulation
Muscle strength and mass
Absorption of calcium
Healthy weight management
Overall bone and teeth health
Vitamin D and Athletes
Numerous studies reviewed in the Journal of the International Society of Sports Nutrition has assessed the possibility for vitamin D’s impact on performance and recovery. In fact a study published in the Journal of Strength and Conditioning Research examining soccer players who supplemented with 5,000 IU of vitamin D per day for a total of eight weeks had interesting results. Those that supplemented jumped higher and were linked to faster sprints.
A vitamin D deficiency in athletes increases the risk for stress fractures, anemia and a weaker immune system which and blunt athletic performance. A 2008 study examining Vitamin D status in a group of distance runners found that forty percent of the runners, who trained indoors in sunny Baton Rouge, Louisiana had insufficient vitamin D. deficiency is common among athletes and enough levels are needed to maintain bone health and aid in injury repair. A review carried out in 2015 identified about 56% of athletes had inadequate levels of vitamin D. Another study evaluating vitamin D levels in athletes participating at the NFL combine found that players with a history of lower extremity muscle strain an core muscle injury had a greater prevalence of inadequate vitamin . Furthermore, another study assessing association of vitamin levels with race and found a higher rate of vitamin D deficiency among black football players than white football players.
As stated above musculoskeletal pain and weakness are often unrecognized symptoms of vitamin D deficiency. A study conducted in Minnesota identified 93% of individuals with persistent non-specific musculoskeletal pain had 25(OH)D concentration <20 ng mL and 28% had a concentration <8 ng mL. Animal studies have also reported that vitamin D deficiency leads to the atrophy of fast-twitch muscle fibers, which are critical in power movements like sprints. Fast-twitch fibers also fatigue faster which can explain the physiological why vitamin D can influence based on its function.
As you have learned, vitamin D deficiency is overlooked and should be a focus of concern for any professionals working with athletes. The strong association in muscle fatigue and low vitamin D levels in elite and collegiate athletes may lead to long-term injuries with life and career altering effects. An article published in the American College of Sports Medicine provides charts and illustrations representing the vitamin D status in athletes living in various geographic locations.
To Supplement or Not Supplement?
Upon reading this article you can see how challenging it is to achieve daily vitamin D needs from foods and limited sun exposure. Provided the critical role vitamin D plays in our mood, digestion, cognition, recovery, athletic performance and overall health it would be wise to supplement with 1,000 to 2,000 IU of vitamin D3 per day during the winter solstice months and likely even more if you fall into any of the high-risk categories for vitamin D deficiency. Justifying a greater need for vitamin D for athletes who train often and participate in multiple sports. Disclaimer, I am not a physician and I would encourage you to discuss vitamin D testing with your doctor to ensure you’re not reaching toxicity, which can occur with high-dose vitamin D intakes of 60,000 IU per day. Blood levels should be monitored by anyone who chooses to take higher dose of vitamin D. As always, talk with your doctor and sports medicine staff before taking any vitamin and mineral supplements. Interested in learning more about your vitamin D status? Check out the website of the Vitamin D Society for more information. Other great resources to learn more about vitamin D include ,the Linus Pauling Institute and the National Institute of Health fact sheet for health professionals.