Health24.com | Creatine: What it is, what it does and its side effects

But nobody should put anything in their body without weighing the benefits and risks first.

That goes for everything from beer to marshmallows to the amazing amino acid called creatine. It’s not anything scary.

Creatine – typically bought in flavoured powders and mixed with liquid – increases the body’s ability to produce energy rapidly. With more energy, you can train harder and more often, producing faster results.

Read more: The technique that sheds fat and grows muscle instantly

It’s as simple as this: “If you can lift one or two more reps or 5 more pounds, your muscles will get bigger and stronger,” says Chad Kerksick, PhD, assistant professor of exercise physiology at the University of Oklahoma.

Research shows that creatine is most effective in high-intensity training and explosive activities. This includes weight training and sports that require short bursts of effort, such as sprinting, football and baseball.

There is less support to indicate that creatine improves endurance performance and aerobic-type exercise.

One thing is almost certain: If you take creatine, you’ll gain weight.

Read more: Bulk up in six weeks

It’ll happen quickly, says Paul Greenhaff, PhD, professor of muscle metabolism at the University of Nottingham in England.

While the initial gain is water (about 2 to 4 pounds in the first week of supplementation), subsequent gains are muscle due to the increase in the workload you can handle. Because creatine is an “osmotically active substance”, it pulls water into your muscle cells, which increases protein synthesis, Kerksick says.

Studies in the journal Medicine & Science in Sports & Exercise found that muscle fibres grow when a person takes creatine. The catch: This only happens if you take advantage of the boost in energy and hit the gym. Otherwise, it is just water weight. Nobody argues with any of this. But there are some questions about creatine that lots of guys have.

Any guy mixing his first glass of creatine powder has hesitated. Is this the right move? His questions include:

Will creatine mess with my kidneys?

Researchers are constantly studying creatine – for effectiveness and safety. That’s why many trainers and health experts support the use of creatine: Studies indicate it’s safe.

“Creatine is one of the most-researched sports supplements out there,” Kerksick says. “And there’s no published literature to suggest it’s unsafe.”

Greenhaff has been studying creatine for about two decades, and says he never encounters the cramping that is sometimes reported.

“I’m not saying people don’t experience cramps, but I don’t believe it can be very common,” he says. “If there were any major adverse side effects, we would have seen them by now.”

But there have been anecdotal reports of kidney damage, heart problems, muscle cramps and pulls, dehydration, and diarrhoea, in addition to other negative side effects. The key word here: anecdotal.

Some of these conditions can be caused by consuming too much of certain vitamins, says Tod Cooperman, MD, president of ConsumerLab.com. “Too much vitamin C can cause diarrhoea, and too much iron may lead to stomach problems,” he says.

To be safe, he recommends using creatine only if you are healthy and have no kidney problems. That’s because your kidneys excrete creatinine, a breakdown product of creatine.

Read more: 10 things every guy should know about protein powder

So there’s no downside?

Not so fast, Biceps-Brain. If you can get big without it, there’s no reason to use creatine. “I feel it would be better for no one to use creatine even though it’s shown to increase some strength and muscle mass,” says Jim King, MD, president of the American Academy of Family Physicians. “I wouldn’t recommend doing anything that would show minimal improvement and possible risk. Weigh the negatives and the benefits before you try it.”

Kids under age 18 should avoid creatine, Dr King says, because few studies have been done on children using creatine as an exercise enhancement. There have been reports of overexertion causing torn muscles. That can mean permanent damage.

“Children are still in a growing phase, and we’re not sure what impact creatine may have on muscles and bones as they grow,” he says. “I feel very strongly that middle and even high schoolers shouldn’t use it.”

Will it transform me?

Here’s one thing all the experts can agree on: It’s impossible to say.

Creatine has different effects on every individual. Some people just don’t respond to creatine – it’s a genetic thing.

You should know in about a week. If your training volume increases, it’s working for you. If not, you’re probably a “nonresponder” – taking the powder isn’t going to help you.

Diet is important. Meat, especially herring and beef, has high levels of creatine, so vegetarians usually see a greater response, while those whose diets are highly carnivorous may see less change.

Of course, a healthy diet is key to anyone’s muscle-building plan. “If your diet is junk, there’s no point in adding creatine,” Kerksick says. “It’s better to eat good sources of carbohydrates and lean protein.”

In the end, creatine alone will not make you a bigger man.

“Only when combined with exercise does it improve the quality of training,” Greenhaff says. “You still have to do the work.”

Read more: 6 step plan for building your best body ever

What kind of creatine should I take?

Powder is the way to go. Studies show that liquid creatine and creatine ethyl ester (CEE) are unstable and break down in your blood system. Don’t bother with them. Kerksick recommends 100% pure creatine powder. Some companies add electrolytes and other ingredients, but tests indicate those do little to improve performance.

“Save money and buy creatine powder and [mix it with] fruit juice,” Kerksick says.

Fruit juice? That’s right – the sugar in the juice raises insulin levels, which helps increase creatine uptake into the muscle.

You need about 70g of simple sugars for every 5g of creatine, Greenhaff says. He suggests looking for a drink or supplement with 60g of carbs per 100g of product.

To ensure your body maximises the benefits of creatine, buy the best stuff you can afford. It’s your body – this isn’t the time to get cheap.

You’ll know the powder is of poor quality if it’s hard to dissolve and there’s residue at the bottom of your glass after you drink it. You want the powder in your muscles, not in the glass. If this happens, try a different brand.

Want to get the most out of your creatine, try doing your exercise in this order for maximum gains.

This article was originally published on www.mh.co.za

Image credit: iStock

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The ‘poo girl’ mapping toilets for conditions like IBS

Have you ever been desperate for the loo and not been able to find the nearest one?

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Health24.com | 7 warning signs that you’ve got a bladder infection

A urinary tract infection (UTI) is, quite literally, a pain. It’s typically caused by E. coli bacteria, which normally lives in the colon and around the anus. Women tend to get UTIs more often because the urethra is shorter and closer to the anus than it is in men.

Because of improper wiping or sexual intercourse, this bacteria enters the urinary tract through the urethra and multiplies in the bladder, its most common target.

This can result in cystitis, an infection which brings about an inflammation of the bladder. If left untreated, it can spread to any part of your urinary system from your urethra to your kidneys and cause excessive discomfort.

So how can you find out if you have a bladder infection before it becomes more severe? If you display any of these seven symptoms, you’ve got a strong chance of having an infection.

It’s also important that you consult your doctor for a medical history and physical exam – after that, your doctor may request lab tests to help diagnose the cause of your symptoms before you can begin targeted treatment.

1. Dysuria (painful urination)

Experiencing stinging pain, discomfort or a sharp, burning sensation whilst you’re urinating? You’re suffering from dysuria. According to Dr Thomas Michels, dysuria is present at least occasionally in approximately 3% of adults older than 40 years, and it’s especially common in women. It’s a classic tell-tale sign that you may have a UTI such as cystitis or urethritis (an infection of the urethra).

Read more: The illness you can get from having too much sex

2. Frequent urination

When you’ve gotta go, you gotta go. But if you find yourself going to the bathroom more than eight times a day or waking up during the night to urinate, you may need to go to a doctor. 

Frequent urination can be indicative of interstitial cystitis, a UTI that causes inflammation of the bladder muscle layers and pain in the pelvic region. With this condition (which, unlike common cystitis, isn’t caused by bacteria), you’ll feel the frequent need to urinate, even if you only produce a small amount of urine.

3. Urinary urgency

This is when you feel an overwhelming need to urinate immediately – as in now. Going hand in hand with frequent urination, you might find yourself needing to rush to the restroom and the urge to do so very suddenly. Urinary urgency can also be a sign of interstitial cystitis, as it may be accompanied by pain or discomfort in your bladder or urinary tract.

Read more: “How often should I REALLY be peeing?” 

4. Lower abdominal tenderness and lower back pain 

If you’re feeling sensitive around your abdominal region, chances are you could be suffering from cystitis. Pressure on your pelvis, particularly around the pubic bone, can cause some serious discomfort, especially when coupled with frequent, painful urination. 

Likewise with lower back pain: when a bladder infection remains untreated for a long time, it can spread from your bladder to your kidneys, causing you to experience a dull pain in your lower back and sides. That’s an indicator of pyelonephritis, or kidney infection, which is more serious than cystitis. Other signs of pyelonephritis to look out for include shaking, high fever, nausea and vomiting.

5. Blood in urine

From light-pink to dark-red or cola-coloured with clots, haematuria – or blood in the urine – is a huge tip-off that you have a bladder infection. But how does the blood get into your urine in the first place? It’s due to a leakage of red-blood cells from your kidneys or other parts of your urinary tract. UTIs and pyelonephritis are the likely culprits behind the leaks. In the case of UTIs, however, haematuria can be microscopic (meaning the blood cells are only visible through a microscope).

Read more: This explains why you get clots in your period blood

6. Strong-smelling urine

Pee-ew, indeed! When there’s an infection in the urinary tract, says Dr Melissa Stöppler, the urine may take on a foul-smelling odour. If your urine has a strong ammonia smell, gives off a slightly sweet scent or the stench is outright unpleasant, it’s your body’s unsubtle way of alerting you to a possible UTI.

7. Cloudy urine

Under normal circumstances, urine is clear and has a light-yellow colour. But when you have an infection anywhere in the urinary tract, it can cause pus (containing dead skin cells, bacteria and white blood cells) to appear in your urine, giving it a cloudy or murky appearance. So if your urine’s yellow, you can mellow. But if it’s cloudy… not so much.

This article was originally published on www.womenshealthsa.co.za

Image credit: iStock

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Health24.com | Can you overuse your nasal spray?

Here’s the scenario: A few seasons ago you suffered from congestion. You’ve been well for a long time, but can’t seem to get rid of that stuffy nose.

Some nights you wake up in a panic as you try to find your bottle of nasal spray on your bedside table – and you don’t understand why you still need it.

Could it be that you’ve developed an addiction, and is it serious?

A dependence on nasal spray is pretty real. Why else would there be a warning on the label that you shouldn’t use it for more than three to five days?

It’s an official condition

Nasal spray dependence is such a well-known problem that there’s even a name for the term: rhinitis medicamentosa. This describes the adverse nasal congestion that develops after using nasal decongestants longer than the recommended period of time.

How does a nasal spray work?

Not all nasal sprays are the same. There are several nasal sprays available on the market that contain steroids, saline or antihistamine.

Some nasal sprays contain a drug group called vasoconstrictors, which include norepinephrine and pseudoephedrine. These ones get rid of a stuffy nose by shrinking the congested blood vessels in the area, thereby opening up your nasal passages.

Other nasal sprays may contain anti-inflammatory steroids to reduce swelling and mucus in the nose.

Steroid nasal sprays usually do not offer immediate relief and can take a couple of days to be fully effective.

The blood vessels only respond to the chemicals in nasal sprays for a few days. After that, the nasal spray no longer has any effect.

Call your doctor when:

  • You only suffer from nasal congestion with no other symptoms.
  • You get withdrawal symptoms such as headaches when you don’t use your nasal decongestant.
  • You need to use more decongestant to get relief.

How to break the dependence

  • Switch to a saline spray or use something like Vicks Vaporub or natural herbal remedies.
  • Go completely “cold turkey”.
  • Discuss the matter with your doctor.
  • Try oral antihistamines to clear up nasal congestion.

Image credit: iStock 

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