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Creatine is everywhere right now. And with good reason. Creatine is safe, effective, and backed by science.

Fitness influencers call it the “ultimate supplement.” Health blogs say it’s a miracle for energy, recovery, and even brain health.

The hype is hard to miss—and the science backs up many of these claims. But there’s a problem: creatine isn’t magic. For most people, it’s a tool that only works when the fundamentals are in place.

At Vive, we help athletes and active adults prioritize their recovery, performance, and overall wellness. And while creatine can be game-changing, we believe in earning your way to it.

That means building a foundation of hydration, nutrition, and targeted micronutrients first. Without those, creatine is like putting premium fuel in a car with no oil—you’re not going anywhere fast.

However, there are specific situations where creatine deserves to move up the priority list.

For athletes in collision or combat sports, people recovering from concussions, or those facing cognitive stress or aging-related brain changes, creatine becomes more than a performance booster—it becomes a critical tool for health and function.

Let’s break it down step by step.


The Supplement Pyramid: Build Your Strategy in the Right Order

At Vive, we use a supplement pyramid to help athletes and active individuals build their strategies from the ground up. Supplements can be incredibly useful, but they work best when you start with the basics and progress with purpose.

Step 1: Hydration and Electrolytes

The foundation of any recovery or performance strategy starts with hydration. Water supports every cellular function in your body, including muscle contraction, nutrient transport, and brain performance.

Add electrolytes—like sodium, potassium, and magnesium—to the mix, and you ensure optimal fluid balance for energy, endurance, and recovery.

Its the foundation, because without water, you die long before you starve.

Step 2: Macronutrients

Without enough protein, carbohydrates, and healthy fats, your body can’t repair itself, recover, or perform.

Protein supports tissue repair, carbs fuel training and recovery, and fats provide long-term energy and hormonal balance.

Skipping these to chase a supplement like creatine is a losing game.

And for us, these come primarily from whole foods. Thats where you get an array of micronutrients and phyto-chemicals that you need.

Step 3: Micronutrients and Functional Foods

Once you’re hydrated and eating well, the next step is to optimize function and micronutrients. Key players include:

This is also where targeted functional foods like protein powders to help you conveniently get quality protein. Recovery drinks to efficiently gets carbs and protein after workouts. Hydration products with electrolytes to support extend activity or in the heat..

Step 4: Goal-Based Supplements

Here’s where the pyramid gets personal. At this stage, supplements are chosen based on specific goals:

None of these are neccesarily more important than the others, instead they should be tailored to your needs.

For most people, creatine sits in the Metabolic/Energy Systems category at Step 4. It’s powerful, but not essential until the fundamentals are covered.


When Creatine Deserves a Higher Priority

While creatine usually belongs in Step 4, there are specific situations where it moves up to Step 3—alongside your key micronutrients.

In these cases, creatine is more than just a performance tool; it’s a critical supplement for health, brain function, and recovery.

1. Concussion Risk (Collision/Combat Sports & Past Injury)

If you play contact or combat sports like football, rugby, MMA, or hockey, you face repeated physical impacts. These impacts—whether full-blown concussions or sub-concussive hits—can take a toll on your brain health over time.

If you have a history of concussions or mild traumatic brain injuries (MTBI), creatine becomes a priority. Research supports its role in recovery and long-term brain health.

Why Creatine Helps:

For athletes in collision sports, creatine moves up the priority list. It’s no longer just about strength and power—it’s about protecting your brain.

2. Cognitive Stress and Brain Health

Brain health is a growing concern for both aging adults and working professionals.

Whether it’s due to high levels of stress, mental fatigue, or natural cognitive decline with age, the brain’s energy needs increase over time.

Creatine can play a pivotal role in maintaining and improving brain function under these circumstances.

How Creatine Supports Brain Health:

Why It Matters: The demands on the brain increase as we age or navigate high-stress environments. Creatine ensures the brain’s energy systems are supported, making it a valuable tool for longevity and productivity.


What Creatine Won’t Do Without the Basics

Here’s the truth: creatine is safe, effective, and backed by science, but it’s not magic. If you’re skipping hydration, ignoring nutrition, or neglecting your micronutrients, creatine won’t move the needle.

Why the Basics Matter:

Bottom Line: Creatine works best on top of a strong foundation. Hydration, macronutrients, and key micronutrients will deliver 90% of your results. Creatine is the final 10%.


Practical Tips: How to Use Creatine the Right Way

If you’ve earned your way to creatine, here’s how to do it right:

  1. Stick to Creatine Monohydrate: It’s the most studied, cost-effective, and reliable form.
  2. Dose 3-5g Daily: Take it consistently, with or without food.
  3. Hydrate: Creatine relies on water—aim for consistent hydration throughout the day.
  4. Pair with Magnesium and Omega-3s: For brain health or recovery, combine creatine with these key micronutrients for added support.

Conclusion: Earn Your Way to Creatine

Creatine is one of the most effective supplements out there—but it’s not step one. Hydration, nutrition, and foundational micronutrients will always come first. If you skip those, creatine won’t deliver the results you’re looking for.

However, if you’re in a collision sport, recovering from a concussion, or targeting brain function under stress, creatine moves up the list. In these cases, it’s no longer just about performance; it’s about health and resilience.

Focus on the fundamentals, use creatine with purpose, and you’ll get the most out of every step of your recovery and performance strategy.


TL;DR

Creatine is creatine is safe, effective, and backed by science, but it only works when you prioritize hydration, nutrition, and micronutrients first.

If you’re in a collision sport, recovering from a concussion, or facing cognitive stress, creatine becomes a priority for brain health and resilience.

Start with the basics, then earn your way to creatine.


References

  1. Forbes SC, Cordingley DM, Cornish SM, Gualano B, Roschel H, Ostojic SM, Rawson ES, Roy BD, Prokopidis K, Giannos P, Candow DG. Effects of Creatine Supplementation on Brain Function and Health. Nutrients. 2022 Feb 22;14(5):921.
  2. Sakellaris, G., Nasis, G., Kotsiou, M., et al. (2014). Prevention of traumatic headache, dizziness, and fatigue with creatine administration. Journal of Head Trauma Rehabilitation, 29(1), 10-17.
  3. Avgerinos, K. I., Spyrou, N., Bougioukas, K. I., & Kapogiannis, D. (2018). Effects of creatine supplementation on cognitive function in healthy individuals: A systematic review of randomized controlled trials. Experimental Gerontology, 108, 166-173.
  4. Rawson, E. S., & Venezia, A. C. (2011). Use of creatine in the elderly and evidence for effects on cognitive function in young and old. Amino Acids, 40(5), 1349-1362.
  5. Gualano, B., Roschel, H., Lancha, A. H., Brightbill, C. E., & Rawson, E. S. (2012). In sickness and in health: The widespread application of creatine supplementation. Amino Acids, 43(2), 519-529.
  6. Sullivan, P. G., Geiger, J. D., Mattson, M. P., & Scheff, S. W. (2000). Suppression of calcium influx and oxygen radical production in mitochondria by creatine kinase substrate. Journal of Neurochemistry, 74(5), 1968-1976.

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