Creatine users have more DHT in their blood

Creatine [structural formula shown below] may increase muscle mass and strength through an additional mechanism and not just by increasing the amount of energy-generating phosphate groups in the muscles. According to sports scientists at Stellenbosch University, South Africa, creatine increases the amount of the androgenic testosterone metabolite DHT [structural formula also shown below] in the muscles. The researchers report this in the Clinical Journal of Sport Medicine.


In their article the South Africans describe an experiment they did with twenty rugby players, average age 19. Half of them took a placebo for three weeks. The other half were given creatine and glucose. The function of the glucose was to improve the uptake of creatine in the muscle cells.

The test subjects in the experimental group took a daily dose of 25 g creatine and 25 g glucose for the first week. In weeks 2 and 3 they took a daily 5 g creatine and 25 g glucose.

The bodies of the test subjects in the experimental group reacted to the creatine in the way you’d expect the bodies of serious athletes for whom weight training is not the core fitness activity to react. Their lean body mass increased slightly and their fat percentage decreased by a miniscule amount.


Nothing new so far. But when the researchers did a blood analysis of the hormone levels in the players, they made a discovery. At the end of the first week, during which the rugby players had taken 25 g of creatine a day, their DHT level had risen by 56 percent. In the following weeks, when they took a lower creatine dose, the subjects’ DHT level went down, but remained raised.


“This effect was a large increase in DHT rather than a marginal and possibly physiologically insignificant effect”, write the South Africans.

The testosterone concentration in the test subjects’ blood remained constant. You’d expect the test subjects would also have produced less estradiol, but the South Africans don’t mention estradiol at all in their article.

The researchers suspect that a creatine supplement increases the activity of the enzyme 5-alpha-reductase somewhere in the body. This enzyme converts testosterone into DHT, but exactly where this takes place the researchers don’t know. Not in the muscles is all they can say for sure, as the muscles don’t contain much 5-alpha-reductase.

Nor are the researchers sure whether the athletes build up more muscle fibre as a result of the metabolic change. This could be the case, they speculate. “Biochemical studies of androgen receptor affinity indicate that DHT is 4 times more biologically potent than testosterone”, they write. The build up of muscle in creatine users, so often reported by sports scientists, may be partly due to endocrinal changes.

The scientists believe that their discovery is important for athletes. They warn of the potential side-effects of creatine, and argue that more research should be done on whether creatine increases the risk of baldness and benign enlargement of the prostate.

Three weeks of creatine monohydrate supplementation affects dihydrotestosterone to testosterone ratio in college-aged rugby players.



This study investigated resting concentrations of selected androgens after 3 weeks of creatine supplementation in male rugby players. It was hypothesized that the ratio of dihydrotestosterone (DHT, a biologically more active androgen) to testosterone (T) would change with creatine supplementation.

Double-blind placebo-controlled crossover study with a 6-week washout period.


Rugby Institute in South Africa.


College-aged rugby players (n = 20) volunteered for the study, which took place during the competitive season.


Subjects loaded with creatine (25 g/day creatine with 25 g/day glucose) or placebo (50 g/day glucose) for 7 days followed by 14 days of maintenance (5 g/day creatine with 25 g/day glucose or 30 g/day glucose placebo).


Serum T and DHT were measured and ratio calculated at baseline and after 7 days and 21 days of creatine supplementation (or placebo). Body composition measurements were taken at each time point.


After 7 days of creatine loading, or a further 14 days of creatine maintenance dose, serum T levels did not change. However, levels of DHT increased by 56% after 7 days of creatine loading and remained 40% above baseline after 14 days maintenance (P < 0.001). The ratio of DHT:T also increased by 36% after 7 days creatine supplementation and remained elevated by 22% after the maintenance dose (P < 0.01). CONCLUSIONS: Creatine supplementation may, in part, act through an increased rate of conversion of T to DHT. Further investigation is warranted as a result of the high frequency of individuals using creatine supplementation and the long-term safety of alterations in circulating androgen composition. STATEMENT OF CLINICAL RELEVANCE: Although creatine is a widely used ergogenic aid, the mechanisms of action are incompletely understood, particularly in relation to dihydrotestosterone, and therefore the long-term clinical safety cannot be guaranteed. PMID: 19741313 [PubMed - indexed for MEDLINE] Source: http://www.ncbi.nlm.nih.gov/pubmed/19741313

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