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Creatine monohydrate is no longer just for bodybuilders. It’s one of the most researched and effective supplements for strength, power, cognition, and healthy aging

At Three Rivers Concierge Medicine, we take a medical approach to performance — guiding you through dosing, labs, and timing so creatine becomes part of a smarter, safer training plan built around your goals and history.

 

 

Who Can Benefit from Creatine?

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What We Optimize

  • Goal-specific dosing: precise creatine plans — 3–5 g daily maintenance or time-limited loading phases — personalized to your metabolism and body composition.
  • Form & quality: pure, third-party tested micronized creatine monohydrate. No blends. No additives.
  • Timing & stacking: pairing creatine with carbs, protein, or caffeine for optimal absorption and avoiding timing conflicts during long training cycles.
  • Side-effect minimization: GI comfort, hydration balance, and travel-friendly routines for high-volume training and race prep.

Book a 15-Minute Performance Consult

Prefer to talk? Call (314) 744-5914.

How did you hear about us?

Safety First: The Three Rivers Medical Workflow

Creatine is safe for most healthy adults when used correctly — but it’s not one-size-fits-all. Our concierge doctors ensure it’s right for you through a performance-focused evaluation:

  • Medical intake: review of kidney and thyroid health, medications, supplements, and hydration habits.
  • Baseline labs: CMP and eGFR; optional cystatin-C, ferritin, and vitamin D levels for athletes.
  • Customized plan: dosing, timing, and seasonal training recommendations (including what to change during taper and race week).
  • Follow-up: performance and recovery tracking, body composition monitoring, and lab reassessment as needed.

As a member, you get direct access to your physician — no portal lag, no waiting weeks for results. Explore our membership options and concierge services.

Evidence-Backed Benefits (in Plain English)

  • Muscle performance: increased high-intensity output, quicker recovery, and lean mass preservation.
  • Endurance: improved sprint finishes, hill power, and reduced fatigue during long sessions.
  • Cognitive resilience: supports brain energy and clarity under training and sleep stress.
  • Healthy aging: protects muscle and bone — essential for lifelong strength and balance.

How We Typically Start

  • Maintenance: 3–5 g creatine monohydrate daily, often with a meal or post-workout.
  • Loading (optional): 20 g/day split into 4 doses for 5–7 days for faster saturation — personalized to your GI tolerance.
  • Hydration: maintain strong fluid and electrolyte balance, especially in humid St. Louis summers.

Quality Matters

We recommend micronized creatine monohydrate from a trusted, third-party tested brand. You don’t need exotic forms like HCL or esterified blends — simple, clean powder delivers results. Capsules work if you prefer convenience on the go.

When We Adjust or Avoid

  • Kidney disease or low eGFR: we assess individual risk and monitor closely.
  • GI disorders: slower titration, capsule options, or adjusted timing with meals.
  • Multiple medications: review for interactions and hydration implications.
  • Race-week tip: never add new supplements in the final week — consistency wins.

Start Your Personalized Creatine Plan

Prefer to talk? Call (314) 744-5914.

How did you hear about us?
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FAQ

Will creatine make me “puffy”?
It increases water inside muscle cells, not under your skin. That mild gain (1–3 lbs) usually reflects improved training quality and hydration.

Do I have to cycle off?
Not typically. We may pause temporarily during illness or GI changes — otherwise, long-term use is well supported.

Is it safe for women?
Yes. In fact, creatine may be especially beneficial during perimenopause and postmenopause for bone, strength, and cognitive protection.

Best time to take it?
Whenever you’ll be consistent. Many patients prefer with food or post-workout for smoother digestion.

Why Three Rivers Concierge Medicine?

  • Performance-minded concierge doctors: experts in endurance medicine and evidence-based supplementation.
  • Direct access & rapid care: same- or next-day communication, lab coordination, and ongoing optimization.
  • Precision monitoring: integrating body composition, hormone data, and metabolic insights into your program.

See Membership Options

 

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Serving the St. Louis and Creve Coeur athletic community — from weekend warriors to Ironman finishers.