Supplements
Evidence-based reviews of common training supplements — creatine, beta-alanine, citrulline, caffeine, ashwagandha, and pre-sleep protein.
Creatine Supplementation
Supplements
Is creatine safe to take long-term?
About this study
Max dose tested
30 g/day
Longest follow-up
5 years
Official ISSN consensus statement synthesizing decades of trials across populations from infants and children to elite athletes, healthy older adults, and clinical patients with neurodegenerative disease, diabetes, osteoarthritis, and other conditions.
The finding
Creatine monohydrate is the most thoroughly studied supplement in sports nutrition. Decades of trials show no safety concerns at the doses people typically use, and benefits stretch from high-intensity performance to rehabilitation and aging.
The answer
30 g/day for 5 years (safe)
Performance dose: 3–5 g/day · Loading option: 20 g/day × 5–7 days
The position stand reviewed creatine intake up to 30 g/day for 5 years and found no major safety issues across populations spanning infants to seniors. Practical dosing is much lower: 3-5 g of creatine monohydrate daily, with an optional 5-7 day loading phase at 20 g/day to saturate muscle stores faster. No need for cycling or off-periods.
Supplements
Who actually benefits most from creatine?
About this study
Studies pooled
14 RCTs
People
523 adults
Adults aged 19-69 (mostly male) across multiple training backgrounds. Researchers pooled creatine-vs-placebo strength trials and applied robust statistical methods to handle multiple strength tests per study.
The finding
Creatine reliably boosts strength, but the size of the boost depends a lot on who's taking it and how. Untrained people gain three times as much as trained lifters, and lower doses work as well as or better than higher ones.
The answer
3× bigger gains (untrained)
Untrained SMD 1.06 · Trained SMD 0.32 · Low dose (3-5g) beats high dose (20g)
An untrained adult adding creatine sees roughly 3× the strength bump a trained lifter does (SMD 1.06 vs 0.32). Counterintuitively, low-dose protocols (3-5 g/day) produced larger pooled effects than high-dose loading (SMD 0.88 vs 0.24). Pairs best with moderate-to-high intensity training (>75% 1RM). If you're already a trained lifter, expect a modest single-digit-percent strength gain over a typical training cycle.
Supplements
How much extra strength does creatine add to lifting?
About this study
RCTs pooled
23 trials
People
509 adults
Predominantly male adults (88%; mostly trained or recreational lifters) across 23 trials lasting 4-12 weeks at 2-5 sessions/week. Loading 15-25 g/day for ≤7 days followed by 2-10 g/day maintenance.
The finding
Creatine plus resistance training adds measurable strength on top of training alone — about 4 kg extra to upper-body and 11 kg extra to lower-body lifts over 4-12 weeks. The effect was clearest in men; the small pooled female sample showed no significant upper-body benefit.
The answer
+4 / +11 kg upper / lower (men)
Upper WMD 4.43 kg · Lower WMD 11.35 kg · Female upper-body: no significant gain
Over 4-12 weeks of resistance training, men adding creatine gained an extra 4.43 kg on upper-body lifts and 11.35 kg on lower-body lifts versus placebo. The female sample was small (40 women across 2 studies) and showed no significant upper-body benefit — could be a real sex difference or a power-limited finding. Most men can expect this to translate to faster strength progression on compound lifts.
Supplements
Does creatine make muscles measurably bigger?
About this study
RCTs pooled
10 trials
Study duration
6–52 weeks
Mostly untrained young (mean age 23.5) and older adults (mean age 61.6). Researchers used direct imaging — MRI, CT, or ultrasound — to measure cross-sectional area changes in elbow and knee flexors/extensors after resistance training with or without creatine.
The finding
Creatine adds a small, consistent boost to muscle size when combined with training, but the effect is genuinely small — well under a centimeter of regional cross-sectional area, and any single region's confidence interval crosses zero.
The answer
~1 mm extra CSA (very small)
Pooled ES = 0.11 · Individual regions: 0.10–0.16 cm with credible intervals crossing zero
Across 10 imaging-based trials, adding creatine produced muscle-size gains around 0.10-0.16 cm in elbow and knee muscles — a very small effect that's directionally positive but isn't statistically clean for any single region. Translation: creatine is a strength supplement first and a hypertrophy supplement only barely. If you're chasing visible muscle gain, expect strength-mediated progress, not direct mass.
Supplements
How big are the strength and power gains from creatine?
About this study
RCTs pooled
69 trials
People
1,937 adults
Largest creatine meta-analysis to date. Researchers separated outcomes by exercise type (bench, squat, vertical jump, Wingate) and stratified by age, sex, and intervention length. Doses ranged from low (≤8 g/day) to high (>8 g/day, with loading).
The finding
Creatine adds a small-to-moderate kick to all the explosive outputs that matter for sport — vertical jump, Wingate power, lower-body strength. Upper-body strength gains are real but smaller. The clearest beneficiaries are younger men in long-duration (≥8 week) protocols.
The answer
+5.6 / +1.5 kg squat / cm jump
Bench +1.43 kg · Squat +5.64 kg · Vertical jump +1.48 cm · Wingate peak +48 W
In the largest creatine analysis to date, squat strength rose ~5.64 kg, vertical jump ~1.48 cm, and Wingate peak power ~48 watts versus placebo. Bench press gains were smaller (~1.43 kg). The effects were noticeably bigger in younger males running ≥8-week protocols; older adults and women saw minimal improvements on most measures. For under-30 men chasing power output, this is the most reliable supplement in the kitchen.
Caffeine & Ergogenic Aids
Supplements
How much caffeine actually helps performance?
About this study
Effective dose
3–6 mg/kg
Timing
~60 min pre-exercise
Official International Society of Sports Nutrition consensus statement synthesizing decades of caffeine-and-performance research across athletes, trained and untrained adults.
The finding
Caffeine reliably improves endurance, strength, sprint, and jump performance — but the size of the effect is small to moderate, not transformative. Genetics affect individual response.
The answer
3–6 mg/kg pre-exercise
Endurance: 2–4% gain · Strength: SMD 0.16–0.20 · Endurance: SMD 0.28–0.38
For a 70 kg adult, that's roughly 210-420 mg of caffeine — about 2-4 cups of coffee — taken 45-60 minutes before training. Doses below 2 mg/kg may not help; doses above 9 mg/kg add side effects (sleep disruption, anxiety) without further performance benefit. Individual response varies with genetics; some people see clean gains, others see jitters. Cycling off periodically helps maintain sensitivity.
Supplements
How big are caffeine's effects across the research?
About this study
Participants
2,463 adults
Meta-analyses pooled
9 reviews
Researchers synthesized 9 prior meta-analyses on caffeine's effect on muscle strength and endurance across 2,463 total participants. The pooled sample was 91%+ male; only 2 reviews specifically examined women.
The finding
Caffeine produces small but consistent gains across both strength and endurance. Endurance effects are larger than strength effects. The female-specific evidence is still thin — most data comes from male athletes.
The answer
0.18 / 0.30 SMD strength / endurance
8 of 9 reviews showed positive effects · Female-specific evidence: limited
Across thousands of participants, caffeine improved strength by SMD 0.18 (small) and endurance by SMD 0.30 (small-to-moderate). Endurance benefits are roughly twice as large as strength benefits. Important caveat: the underlying data is almost all male, so the female response — especially with menstrual-cycle considerations — is still under-studied. For trained women, expect similar but not identical results.
Supplements
What dose of caffeine actually moves the needle?
About this study
RCTs pooled
14 trials
Strength threshold
≥6 mg/kg
14 RCTs in young adults (ages 16-29), mostly males (11 of 14 male-only). Researchers compared acute caffeine doses (2-11 mg/kg) and timings (45-60 min pre-exercise) on strength and endurance outcomes.
The finding
Doses below 6 mg/kg don't significantly help strength. Above 6 mg/kg, caffeine reliably improves strength (especially lower-body) and endurance. Timing matters — 45 minutes pre-exercise outperformed 60 minutes. Men responded more strongly than women.
The answer
≥6 mg/kg for strength (men)
Below 6 mg/kg: no significant strength effect · 45 min beats 60 min pre-exercise
For a 70 kg man, the threshold dose for strength benefit is about 420 mg of caffeine taken 45 minutes pre-exercise. Lower doses (e.g., a single cup of coffee, ~80 mg) won't move the strength needle. Endurance is more responsive to lower doses. The 14 RCTs included only 3 with female participants — women showed smaller effects, but the female data is too sparse for a confident female-specific dose.
Beta-Alanine Supplementation
Supplements
Does beta-alanine actually make you perform better?
About this study
Studies pooled
40 trials
People
1,461 adults
Pooled 40 beta-alanine trials (65 exercise protocols) in mostly young, active adults. Researchers compared beta-alanine against placebo and tested whether the benefit depended on how long the effort lasted.
The finding
Beta-alanine gives a small but real performance boost — and mainly for the right kind of effort. The benefit showed up clearly for hard efforts lasting roughly half a minute to ten minutes, and barely at all outside that window. How much total beta-alanine people took did not change the size of the effect.
The answer
Small boost (0.5–10 min efforts)
Overall effect 0.18 (small); in the 0.5–10 min window, exercise capacity climbs to 0.50. Stacking with sodium bicarbonate: 0.43.
Beta-alanine helps most for repeated high-intensity efforts in the half-minute to ten-minute range — rowing intervals, 400–1500 m runs, or high-rep sets pushed near failure. For a single all-out sprint or a long steady endurance session, do not expect much. The commonly studied protocol is about 3.2–6.4 g/day for at least 4 weeks to load muscle carnosine; since total dose did not change the effect, consistency matters more than megadosing.
Supplements
Does beta-alanine help well-trained male athletes?
About this study
Studies pooled
18 trials
People
331 men
Trained young men (ages 18–40) across 18 studies. Researchers pooled maximal-intensity exercise trials and tested how the benefit varied with effort duration and daily dose.
The finding
Even in already-trained male athletes, beta-alanine produced a modest performance edge for maximal efforts. The benefit was largest for efforts lasting several minutes and at the higher end of typical dosing.
The answer
Modest edge (best 4–10 min)
Overall effect 0.39; largest for 4–10 min efforts (0.55) and at 5.6–6.4 g/day (0.35).
If you are an experienced male lifter or athlete, beta-alanine can still add a small-to-moderate boost — mostly to hard efforts in the 4–10 minute range, like high-rep sets, HIIT, or middle-distance work. Aim for the higher end of standard dosing, around 5.6–6.4 g/day, taken consistently for several weeks. This analysis was male-only, so the size of the effect in women is still unclear.
Citrulline & Pre-Workout Supplements
Supplements
Does citrulline actually boost your endurance?
About this study
Studies pooled
9 trials
People
158 adults
Young, healthy, mostly recreationally active adults across 9 trials. Researchers pooled citrulline-versus-placebo studies measuring endurance — time to exhaustion and time to complete a set distance.
The finding
Despite citrulline's popularity in pre-workouts, pooling the endurance studies showed no consistent benefit. Results scattered around zero for both how long people could last and how fast they finished.
The answer
No clear endurance benefit
No significant effect on time-to-exhaustion or time-to-completion; the evidence base is still small.
If you take a citrulline pre-workout hoping to run or ride longer, the pooled evidence does not back that up — endurance was no better than placebo. Citrulline may still help with perceived effort and soreness (see the recovery finding), but do not count on it to extend your endurance. The evidence base is small, especially in women.
Supplements
Does citrulline reduce soreness and perceived effort?
About this study
Studies pooled
13 trials
People
206 adults
206 participants across 13 trials, most using 8 g of citrulline malate about an hour before exercise. Researchers pooled effects on perceived exertion, muscle soreness, and blood lactate.
The finding
Citrulline's most reliable payoff is not raw performance — it is feeling better during and after hard training. It lowered how hard exercise felt and reduced next-day muscle soreness, but it did not clear lactate from the blood any faster.
The answer
8 g pre-workout (less soreness)
Lower perceived effort (0.81) and less soreness at 24 h (0.99). No effect on 48 h soreness or blood lactate.
Taking about 8 g of citrulline malate roughly an hour before training can make the session feel a little easier and leave you less sore the next day. Do not expect it to change your lactate or your actual output — this is a comfort-and-recovery aid, not a performance drug. If less soreness helps you train more consistently, it may be worth a try.
Ashwagandha & Adaptogens
Supplements
Does ashwagandha improve strength and fitness?
About this study
People
615 adults
Studies pooled
12 trials
Healthy men and women across 13 studies (12 in the Bayesian model). Doses ranged widely — 120–1250 mg/day of standardized extracts such as KSM-66, Shoden, and Sensoril — grouped into strength/power, cardiorespiratory fitness, and fatigue/recovery outcomes versus placebo.
The finding
Ashwagandha came out ahead of placebo across the board — for strength and power, cardiorespiratory fitness, and recovery from fatigue. It is the best-evidenced adaptogen for performance, though the trials are mostly small.
The answer
Yes modest gains vs placebo
Benefits across strength/power, cardiorespiratory fitness, and fatigue/recovery. Doses studied: 120–1250 mg/day.
Ashwagandha modestly outperformed placebo for strength, endurance, and recovery in healthy adults. Studied doses ran from about 120 to 1250 mg/day of a standardized root extract, with 300–600 mg/day of KSM-66 among the most common protocols. The effects are real but modest and the trials are small — treat it as a mild edge and a possible stress/recovery aid, not a game-changer.
Pre-Sleep Protein
Supplements
Should you eat protein before bed to build muscle?
About this study
Studies pooled
9 trials
Duration
10–12 weeks
Nine studies in young and older men. Researchers reviewed what happens when 20–40 g of slow-digesting casein is eaten about 30 minutes before sleep — both acutely (overnight) and across 10–12 weeks of resistance training.
The finding
Protein before bed is digested and used through the night, lifting overnight muscle-building. Over 10–12 weeks of lifting it added to muscle size, strength, and lean mass in young men. Older men got the overnight synthesis bump but did not show the same long-term gains.
The answer
20–40 g casein before sleep
Overnight protein synthesis rises in young and older men; added muscle size and strength shown over 10–12 weeks in young men.
Eating 20–40 g of a slow-digesting protein — casein, cottage cheese, or Greek yogurt — about 30 minutes before bed feeds overnight muscle repair. In young lifters, doing this alongside training added measurable muscle and strength over a few months. It works best as extra protein on top of your daily target, not as a replacement for it. Older adults still get the overnight boost but should not expect the same long-term payoff yet.
Supplements
Does bedtime protein really get used overnight?
About this study
People
16 men
Sixteen healthy young men in a tightly controlled overnight study. After an evening workout they were given 40 g of labeled casein before sleep, and tracer methods tracked how much was digested and built into protein through the night.
The finding
The old worry that food eaten before bed just sits there is wrong — at least for protein. The casein was fully digested overnight and shifted the body from breaking protein down to building it up, raising whole-body protein synthesis through the night.
The answer
Yes protein balance turns positive
Whole-body protein synthesis about a quarter higher overnight; muscle protein synthesis ~22% higher (borderline).
A 40 g dose of casein before sleep was digested and absorbed overnight, flipping the body's net protein balance from negative to positive while you sleep — the window when muscle would normally just break down. Whole-body synthesis rose about a quarter, and muscle-specific synthesis trended up too. Practically: a slow-protein snack before bed after training gives your muscles material to rebuild through the night.