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Creatine concentrations are highest by far in muscles, but it also distributes throughout the blood and brain.

Creatine phosphate is part of a reaction making ATP use effective (specifically: it allows rapid conversion of ADP to ATP during times of high demand). This is necessary for basic functioning - we synthesize creatine naturally and also absorb it from our diet. Supplementing it enables using muscles for a longer period without exhaustion, and helps you reach the boundaries of muscular strength before you reach energy limits.

The proposed mechanism of improved brain functioning is, interestingly, the same as the muscular mechanism. During times of high demand, creatine improves ATP regeneration rates. The ATP cycle happens the same way in the brain, so creatine can play the same role there. This claim is nothing new, it was for instance studied back in 2003 here: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1691485/pdf/1456...).

There's no mysterious second effect here - we know for certain that creatine plays the same role in the brain and muscles. (We also know what that effect is - it wouldn't have any relationship to physical damage sustained in a concussion.) The outstanding questions are whether improving ATP cycling in the brain has a meaningful impact on performance, and whether safe creatine supplementation changes neurological PCr levels enough to cause that benefit.



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