Creatine is used in muscle tissue for the production of "phosphocreatine", an important factor in the formation of ATP, the source of energy for muscle contraction and many other functions in the body. Creatine monohydrate supplementation increases phosphocreatine levels in muscle, especially when accompanied by exercise or carbohydrate intake. It may also increase exercise related gains in lean body mass, though how much of these gains represents more muscle and how much is simply water retention is unclear. Creatine supplementation has been reported to improve strength in rare diseases of muscle and energy metabolism. For people with heart failure, creatine has been found to improve heart function, but oral supplementation has not been effective. However, people diagnosed with "supraventricular tachycardia" or rapid heart-rate, should be wary of taking creatine and it's side effects. Users often witness a dramatic decrease in their resting heart rate an inability to really "max out" their heart without great discomfort, and a persistent pounding sensation. This pounding is reported to be more and more perceivable when one's heart rate goes up. Noted phyisical side effects of creatine include upset stomach and possibly diarrhea. Not drinking the recommended amount of water could result in dehydration as the muscle cells will continue to absorb water from the rest of the body due to their creatine monohydrate “saturation”. This dehydration could also cause cramping. It’s of utmost importance to remain well-hydrated while taking creatine. This concern is valid since much of our body water follows creatine into skeletal muscle, possibly depriving your remaining tissues of fluid. As a n effect urine output often decreases during creatine supplementation. Down the road this may lead to heat exhaustion, especially if training heavily in hot environments. There was some concern that the fluid retention …

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