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Creatine uptake enhances antitumor immunity

81 pointsby 1h agocell.com
87 comments
59m agoHN ↗

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

59m agoHN ↗

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

58m 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?

54m 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

47m agoHN ↗

Original title may be clearer?

Creatine uptake promotes dendritic cell activation and enhances antitumor immunity

39m agoHN ↗

Original title is too long, I had to shorten it

45m agoHN ↗

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

11m 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.

35m agoHN ↗

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

53m agoHN ↗

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

43m 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!

40m agoHN ↗

I, for one, welcome our future inmice overlords.

53m agoHN ↗

Did you read it at all?

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

40m 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.

53m 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.

47m agoHN ↗

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

3m agoHN ↗

i personally have problems with tinnitus and hearing loss, and creatine use tends to trigger it due to water retention so i stay off the stuff.

46m agoHN ↗

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

40m agoHN ↗

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

10m 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.

40m 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.

38m agoHN ↗

Because meat is the best source of creatine from diet.

38m 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.

35m 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.

46m 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.

40m 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…

1m agoHN ↗

That would be an argument against trying a different source

37m 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.

35m 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.

22m agoHN ↗

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

3m agoHN ↗

Yeah, of course I tried to drink more water. I also tried to ramp up the dose slower.

But the cramps are really debilitating, as in random back muscle lock up debilitating, so I thought it best to just give up on this.

46m 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.

36m agoHN ↗

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

44m 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.

51m 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.

46m 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

43m agoHN ↗

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

41m agoHN ↗

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

30m agoHN ↗

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

19m agoHN ↗

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

42m 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

40m 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?

32m 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

30m 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/

27m 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.

8m 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.

39m 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.

18m agoHN ↗

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

5m agoHN ↗

Citation please? Creatine is one of the most studied modern supplements, and I have yet to see anything that says to you'd need to 'take breaks' from it...

3m agoHN ↗

I understood the idea that you need to cycle creatine to be a myth.

28m 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.

24m 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.

23m agoHN ↗

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

17m agoHN ↗

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

6m agoHN ↗

Going from minimal exercise to light-moderate exercise will do as much for you as creatine would. To me it's almost a no-brainer to try doing both.

17m 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

11m agoHN ↗

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

8m agoHN ↗

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

21m 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.

11m 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

12m agoHN ↗

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

10m agoHN ↗

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

2m agoHN ↗

Any tips on GI impact? I pair mine with food and lots of water and it's improved but wondering if there's any more I should be doing

11m 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.

9m agoHN ↗

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

4m agoHN ↗

I can concur on the short-term benefits for longer sets as well as the shorter recovery. Creatine is just one of those no-brainer supplements.

It's safe, cheap, and long-term-study proven to be extremely effective.

You will want to increase your daily hydration (at least for otherwise healthy men, a good sign is that you're "peeing clear") as Creatine does increase water retention.