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Creatine uptake enhances antitumor immunity

78 pointsby 1h agocell.com
80 comments
58m agoHN ↗

There’s just so much evidence that creatine is something people should take daily, and now this?

58m agoHN ↗

I’ve taken to snorting it. Straight to the brain it goes!

57m agoHN ↗

- Enhances ANTI-tumor... sounds good - ANTI-tumor immunity... sounds bad? - Read first few paragraphs as a typical medical rube, got nowhere

So, creatine = good?

53m agoHN ↗

I mean the summary ends with pretty clear message

…and support the use of creatine supplementation as a strategy to augment DC-based cancer immunotherapy.

So it seems that from this research the outcome is indeed creatine = good

46m agoHN ↗

Original title may be clearer?

Creatine uptake promotes dendritic cell activation and enhances antitumor immunity

38m agoHN ↗

Original title is too long, I had to shorten it

44m agoHN ↗

"Immunity" = "immune system activity." "Anti-tumor immunity" = "immune system activity against tumors."

10m agoHN ↗

Thankyou!! I'm sure if you have experience in the medical space this sort of thing seems obvious, but to me (non-medical), the original phrasing was so confusing. Your explanation makes sense.

33m agoHN ↗

"But you get your choice of toppings." "That's good!" "The toppings contain potassium benzoate... ...that's bad."

52m agoHN ↗

Imagine how healthy mice in general could live, if they were able to read all these research papers about themselves.

42m agoHN ↗

Now I am imagining a 501-C where school children are encouraged to read studies to mice. Children get better at reading technical papers, mice learn more about their options! Win Win!

38m agoHN ↗

I, for one, welcome our future inmice overlords.

52m agoHN ↗

Did you read it at all?

Notably, creatine uptake similarly boosted the activation and immunostimulatory function of human monocyte-derived DCs.

39m agoHN ↗

As it turns out, no one lets you generate mutant human embryos with deficient creatine receptors, grow them up into adult humans, inject them with melanoma, euthanize them and harvest the tumor cell mass and bone marrow for analysis.

51m agoHN ↗

Please remember that this is a study not the ads and pop-sci articles usually posted here. That means it’s meant to elucidate at most some biological pathways and not to present an overall recommendation. Maybe creatine has strong anti-tumor activity through one pathway and strongly tumor-promoting impacts elsewhere.

Please… just read it as the isolated and interesting insight into biology that it is. It’s a fascinating in vitro result that shows a potentially important role for creatinine in a certain immune response.

46m agoHN ↗

It can make you hold more water weight so you should drink more water in response.

45m agoHN ↗

Essentially none. Creatine supplementation is a good idea for most people, especially vegans/vegetarians.

39m agoHN ↗

Because they lack all kinds of substances that meateaters get plenty of.

9m agoHN ↗

I'm a vegan, and I'm surprised this is downvoted, because it's true. There are plenty of things that you need to be careful to not become deficient in on a vegan diet: protein (in appropriate amino acid balances), creatine, b12, the good Omega 3s (from algae preferably; flax is missing DHA entirely), calcium, iron, to name a few.

You're fine if you take daily algae oil, multivitamin, iron supplement, calcium, and creatine (without going overboard on any of it) and making sure to get lots of protein from balanced sources (eating a ton of soy is actually not a bad idea, because it's a balanced protein), but I wouldn't recommend somebody who doesn't want to have to worry about their nutrition to go vegan. Enough omnivores are already deficient in vitamins and minerals, and veganism only makes it harder.

39m agoHN ↗

Not vouching for creatine, but in general, humans get some vital nutrients from animal consumption. Vegans have to take some B-vitamins for best health due to what they don't get from meat. I assume creatine is the same.

37m agoHN ↗

Because meat is the best source of creatine from diet.

36m agoHN ↗

Well, if vegetarians and those of the Vegan religion don't get enough creatine it is most likely related to them not partaking of an important source of the substance: meat.

34m agoHN ↗

Your body can synthesize creatine, so it's not essential, but meat is a source of exogenous creatine and eating it results in higher stored creatine levels, which is slightly good for muscle power endurance in the ~5-15 second effort range. Supplementing produces slightly higher relative improvements in creatine levels in vegetarians and vegans than it does in people who eat meat.

45m agoHN ↗

I get severe cramping from it (reproducible). All I can find are papers about this being a myth and some reddit threads about other people having this.

39m agoHN ↗

Did you try different sources I do not trust some of the stuff out there and often wonder if these supplements aren’t just generic white powder…

36m agoHN ↗

I get this unless I drink a lot of water. About 48 fl oz seems to be the right amount for 10g creatine. Sometimes this needs to be combined with a light snack, like a handful of nuts.

34m agoHN ↗

I get it too if I don't drink a lot more water. So did many people on my sports team.

Creatine binds to water (making less water available to your muscles) and allows your muscles to work harder (which makes them need more water). So if you're not drinking a lot more water when you're taking creatine, you will get cramps from either dehydration and/or muscle overuse.

But once you're past the loading phase for creatine and getting sufficient hydration, it's supposed to lessen cramps because the water bound to creatine also becomes available for use again as the creatine is used by the body.

21m agoHN ↗

How much water can 3g of creatine bind to? Is it like orbeez?

44m agoHN ↗

Excessively large doses make your stomach and perhaps your kidneys unhappy and supplements being lightly regulated there may be purity issues where the risk is what else is in it.

But it's pretty safe at recommended doses.

34m agoHN ↗

Creatine causes intramuscular water increases, not subcutaneous. Doesn't actually have a negative impact here.

43m agoHN ↗

Generally no, it's expensively studied and has had daily consumption to be safe for upto 5 years at least (studies haven't generally gone longer).

That being said some people do have adverse effects to supplementation, e.g. excessive water retention, bloating, stomach discomfort, &c.

So try it, if you have a bad reaction stop.

50m agoHN ↗

Note that they gave the mice 10mg per day, which is around 3g per day for a 70kg human - i.e. a normal dose.

45m agoHN ↗

worth noting that there’s evidence both ways… tumor cells may like it too:

- Loo et al. 2015 found color cancer cells can use it as fuel and blocking the creatine cut metastasis in mice [0]

- zhang et al 20921 found it promoting mouse colon and breast cancer models [1]

not an expert in any way, but i’m guessing it depends on cancer type and there doesn’t seem to be human data either way.

[0]: https://pubmed.ncbi.nlm.nih.gov/25601461/

[1]: https://doi.org/10.1016/j.cmet.2021.03.009

42m agoHN ↗

So what’s the latest? That everyone should take creatine and GLP-1s?

40m agoHN ↗

Adverse side effects of creatine are generally less severe than GLP-1s

28m agoHN ↗

I wasn’t being facetious. I seriously am asking if everyone should actually take creatinine and GLP-1.

17m agoHN ↗

Any reason someone at a healthy BMI should take GLP-1?

41m agoHN ↗

The whole creatine craze reminds me of Vitamin D a couple of years ago. Which also sounded harmless, but can go very wrong if not careful

38m agoHN ↗

but can go very wrong if not careful

This is vague and doesn't explain anything. Can you share any references that communicate what you're thinking about?

31m agoHN ↗

I've also heard about it 'hardening' in the bloodstream and that you should really be taking it with K2 as well. This is anecdotal so someone please do more research than basing anything from this comment

29m agoHN ↗

And, if you drink a glass of carrot juice a day, you'll receive toxic levels of vitamin A!

~40% of people don't get enough vitamin D [1]. It's not useful to categorize it as some trend, based on people just not following general recommended dosing (with more precise dosing depending entirely on personal sun exposure and skin color).

edit: As an office worker, I take 10k IU per day when I'm entirely indoors (most of the time), but vary it based on sun exposure. I based this on recent studies, and have my doctors approval with an exactly center-of-the-nominal-range vitamin D serum level.

[1] https://pmc.ncbi.nlm.nih.gov/articles/PMC9573946/

26m agoHN ↗

My doctor added vitamin D test to his patients recurring blood work since the start of COVID, and found out just about all his patients was deficient or near it.

If you don't have a primarily fish based diet or spend hours under direct overhead sunlight every day without a shirt on, you're probably deficient as well.

7m agoHN ↗

Your own link shows that what is considered toxic levels are far higher than most people would expect. Vitamin D toxicity is not that easy to accidentally hit.

Overdose has been observed at 1,925 μg/d (77,000 IU per day). Acute overdose requires between 15,000 μg/d (600,000 IU per day) and 42,000 μg/d (1,680,000 IU per day) over several days to months.

38m agoHN ↗

Unless you have specific issues, creatine is pretty easily excreted in excess, unlike fat-soluble vitamin D.

This doesn't mean you can just pound it, but for the most part it just becomes waste product.

17m agoHN ↗

You definitely want to take breaks from Creatine. It’s not something people should take year around.

27m agoHN ↗

This is such a crazy substance. I'm 43 and I feel like I have more energy than I have ever had before. I started taking it during recovery from a bad ankle fracture since it helps building muscle mass. Once the ankle was better I took up CrossFit, and kept on taking creatine because why not, it helps replenish ATP so I will be able to give the extra-push when working out, I thought.

What is blowing my mind though is that at $dayjob my team is going through a crazy crunch to deliver a very strategic project and some of us are pushing 10-12h days often. I'm in hour 12 today for the second day in a row, and my head is not tired at all. Turns out the brain also uses a lot of ATP too, specially during demanding cognitive tasks so I guess it is creatine that is keeping the engine running smoothly even after so many hours.

I will like once every week or two have a poor night sleep. These days I take twice the dose and I don't feel like I'm sleep deprived at all. Feels like cheating! And apparently no side effects at all so far. Well, maybe I'm working too much.

22m agoHN ↗

is it possible that this is the bump due to your workouts and not plainly creatine ?

I take creatine daily but when I'm working out more than a couple of weeks, i feel much better than on weeks when I skip working out.

22m agoHN ↗

great question. Can I take creatine and skip the workout hassle?

16m agoHN ↗

For me, just creatine doesn’t seem to do a whole lot. But heavy workouts (with or without creatine), energize me enormously.

16m agoHN ↗

The overall fitness is going to definitely have a positive effect on the perceived energy levels (my Vo2 max is at its highest ever). On the other hand, I have been very fit at other times in my life but have never experienced this "my head can just go on" feeling before. I used to take conscious breaks, do NSDR between meetings and other energy-replenishing tricks because I __needed__ them. It feels like now I don't

10m agoHN ↗

You mentioned that you took up CrossFit after starting creatine. Did your previous fit phases include lifting heavy weights?

7m agoHN ↗

No, mostly cycling (~200km+/week with one 100km+ ride) and 30 minutes of daily yoga

20m agoHN ↗

Mind that, while the "creatine high dose to fight drowsiness" hack works and has no side effects (other than upset stomachs), the lost sleep still does it thing. You don't notice day to day but it will catch up to you eventually in many bad ways.

10m agoHN ↗

Definitely! I would not recommend it to make up for lack of sleep for extended periods of time.

One of the things I'm trying to do better lately is to have a good sleep hygiene. Sun in the eyes early in the morning, no caffeine for the first 60 waking minutes of the day (adenosine absorption period), no screens 2 hours before bed and whatnot. Still, some nights I will just wake up in the middle of the night and won't be able to get back to sleep, then it's when I feel creatine helps

Edit: Typo

11m agoHN ↗

Do you take the standard 5g or something else? What's your weight?

9m agoHN ↗

~5g most days, ~10g if I didn't sleep well. I'm currently 68kg

9m agoHN ↗

I started taking a scoop of the Creatine Hydrate from Costco every afternoon because why not. Wife had bought it and the bag was sitting right there.

I honestly don't know whether it made a difference. Sleep didn't get worse, no noticeable metabolic effects. Possibly the "perma tired muscles" I've been suffering from increasingly since about age 57 (I'm an active cyclist) have gotten a bit better, with <50% of days affected rather than >90% last year, but even that is subjective.

If "taking the stuff" means "more uptake" (does it?) and there are other beneficial effects, bring it on.

8m agoHN ↗

If you start lifting weight at the gym you quickly will feel the difference: your muscles recover much better during the set breaks.