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    Ergogenic CompoundsSynthetic

    CreGAAtine

    Also known as: Guanidinoacetic acid, GAA, CreGAAtine

    Direct precursor methylated by GAMT to creatine; supplementation effectively raises muscle creatine but consumes methyl groups (SAM).

    Last reviewed: 2026-06-23 · 1 indexed study

    Evidence Score
    42/100
    Creatine precursorStrengthPowerCellular methylation
    Data Completeness3/4 · 75%
    Evidence ScoreDosageSafetyLinked Studies

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    Overview

    Guanidinoacetic acid (GAA) is the immediate precursor to creatine; supplementation raises muscle creatine and may provide ergogenic effects with smaller doses than creatine monohydrate.

    Mechanism & Function

    Mechanism of Action

    Bypasses creatine itself by raising endogenous synthesis; supplementation effective in raising muscle creatine stores.

    Physiological Role

    Emerging alternative to creatine monohydrate. Because conversion consumes methyl groups, some trials have reported elevated homocysteine; co-supplementation with betaine or B vitamins has been studied as a mitigation strategy, but the evidence is limited and it is not an established requirement.

    Primary Pathways

    GAMT enzymatic methylation to creatineMuscle creatine elevationSAMe consumption

    Performance / Health Relevance

    Animal data robust; human evidence still growing. Methyl-donor depletion is a plausible concern raised in the literature rather than a confirmed clinical risk.

    Evidence Review

    Overall42/100
    Human Clinical40/100
    Meta-AnalysisN/A

    No meta-analyses or systematic reviews indexed for this ingredient yet.

    Mechanistic85/100
    Real-World40/100
    Safety68/100

    Dimensions marked N/A have no indexed evidence of that class. They are shown as unavailable rather than scored.

    Practical Use & Dosage

    Minimum Effective Dose
    1.2 g/day
    Optimal Range
    1.2–3 g/day with methyl donors
    Upper / Caution Level
    ~4 g/day
    Timing
    With meals
    Best Format
    Powder, capsule
    Bioavailability
    High intestinal absorption.
    Absorption Considerations
    Effective creatine elevation but reduces SAMe pool — combine with betaine, B12, folate.

    Safety & Interactions

    Side Effects

    • •Homocysteine elevation if methyl donors not co-supplemented
    • •Mild GI upset

    Contraindications

    • Hyperhomocysteinaemia
    • Pregnancy

    Drug Interactions

    • •Methotrexate
    • •Levodopa

    Who Should Avoid

    • •Cardiovascular disease without methyl-donor coverage

    Monitoring

    Homocysteine if used long-term.

    Frequently Asked Questions

    Auto-generated from indexed evidence — dosage, safety, interactions, and more.

    When is CreGAAtine typically used or indicated?

    CreGAAtine is most commonly used for: Creatine precursor, Strength, Power, Cellular methylation. Emerging alternative to creatine monohydrate. Because conversion consumes methyl groups, some trials have reported elevated homocysteine; co-supplementation with betaine or B vitamins has been studied as a mitigation strategy, but the evidence is limited and it is not an established requirement.

    How does CreGAAtine work?

    Bypasses creatine itself by raising endogenous synthesis; supplementation effective in raising muscle creatine stores.

    What is the recommended dose of CreGAAtine?

    The optimal range is 1.2–3 g/day with methyl donors. with a minimum effective dose of 1.2 g/day. Best taken: With meals. Upper / caution level: ~4 g/day.

    What are the side effects of CreGAAtine?

    Reported side effects include: Homocysteine elevation if methyl donors not co-supplemented; and Mild GI upset. Monitoring: Homocysteine if used long-term.

    Does CreGAAtine interact with medications?

    Known or theoretical interactions: Methotrexate; and Levodopa. Always check with a clinician before combining with prescription medication.

    Who should avoid CreGAAtine?

    CreGAAtine is generally not recommended for: Cardiovascular disease without methyl-donor coverage; Hyperhomocysteinaemia; and Pregnancy.

    How strong is the evidence for CreGAAtine?

    Evidence level: Limited (overall score 42/100), based on 1 indexed study on SuppIndex.

    Research & References (1)

    Guanidinoacetic acid for raising muscle creatine: RCT

    RCT2017Moderate
    PubMed

    Effective increase in muscle creatine; homocysteine rose without methyl-donor co-supplementation.

    Trademark Ingredients

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    Research Overview

    Limited Evidence
    1Total Studies
    1Human Trials
    0Meta-Analyses
    2017Latest Study
    0Animal / In Vitro
    1Athlete Studies
    Primary data sourceAthletes
    Pooled evidence (meta-analysis / systematic review)No
    Athlete-specific data1 studies

    Cite this ingredient

    One-click citation export in APA, MLA, Chicago, BibTeX, or HTML. The URL below is stable and safe to link.

    Stable URL

    https://thesuppindex.com/ingredients/cregaatine

    SuppIndex. (2026). CreGAAtine: Evidence summary, dosage and clinical studies. Retrieved October 16, 2026, from https://thesuppindex.com/ingredients/cregaatine

    Based on 1 indexed studies · Evidence level: Limited.

    Goal Ratings

    Muscle Gain
    Strength
    Recovery

    Stack Compatibility

    Mandatory co-supplementation with betaine, B6/B12/folate to offset methyl-donor cost.

    BetaineVitamin B12Folate