Cortisol has necessary functions
NIDDK describes cortisol as supporting the response to stress, blood pressure, blood glucose and metabolism. It is not a toxin that should always be suppressed. Sustained abnormal excess is a medical question, not a diagnosis based solely on feeling stressed or having a difficult workout. [1]
The combination research is limited
A 2019 systematic review of creatine plus HMB included six studies, but only one assessed the relevant hormones. That study did not find a cortisol difference after six weeks. The review reported no funding or conflicts, and its heterogeneous short studies do not establish a universal hormone effect. [2]
Do not transfer an ingredient or performance result
A result for HMB alone cannot automatically be assigned to creatine, and improved strength does not demonstrate lower cortisol. Likewise, preliminary depression research does not establish that creatine normalizes stress hormones in otherwise healthy people. [2][3][4]
Testing depends on the clinical question
For suspected Cushing syndrome, clinicians use the history and appropriately timed blood, saliva or urine tests, often with confirmation. Symptoms overlap with other conditions. Do not self-treat an isolated cortisol result with creatine or change prescribed glucocorticoids without medical advice. [1]
Ask what the claim actually measured
Imagine a product promises lower stress hormones because users report better workouts. That is not a cortisol measurement, and even one exercise-related reading would not establish treatment of sustained hormone excess. [4][1]
| Evidence | What it does not establish |
|---|---|
| Better workout | Lower cortisol |
| Combination supplement study | Isolated creatine effect |
| One hormone measurement | Endocrine diagnosis |
| Feeling less stressed | Normalized cortisol physiology |

Sources for this article
- Cushing's Syndrome - NIDDK
Source consulted: 2026-09-21. This is a reference resource, not a claim that we conducted the studies or tested a product. - Effect of the Combination of Creatine Monohydrate Plus HMB Supplementation on Sports Performance, Body Composition, Markers of Muscle Damage and Hormone Status: A Systematic Review - PMC
Source consulted: 2026-09-21. This is a reference resource, not a claim that we conducted the studies or tested a product. - The Effect of Creatine Monohydrate on Mental Disorders: A Systematic Review of Randomized Controlled Trials: Effet du monohydrate de créatine sur les troubles mentaux : examen systématique des essais contrôlés à répartition aléatoire - PMC
Source consulted: 2026-09-21. This is a reference resource, not a claim that we conducted the studies or tested a product. - Dietary Supplements for Exercise and Athletic Performance - Health Professional Fact Sheet
Source consulted: 2026-09-21. This is a reference resource, not a claim that we conducted the studies or tested a product.