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Creatine during pregnancy: a metabolism cohort did not test supplement safety

A prospective study followed creatine metabolism in 282 low-risk pregnancies. Measuring naturally occurring creatine and dietary intake does not establish that taking a creatine supplement is safe during pregnancy.

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Supplement Science Insights Editorial Team

Published September 23, 2026

Researchers observed pregnancy physiology

The Australian cohort collected maternal blood and urine at five points from 10 to 36 weeks of pregnancy, along with cord blood and placental samples at birth. Dietary information was also collected. [1]

Maternal plasma creatine remained broadly stable while several measures of creatine metabolism changed during pregnancy. The investigators found no links between creatine and neonatal growth in this analysis. [1]

Observation cannot substitute for an intervention trial

Participants were not randomly assigned a creatine supplement or placebo. The study therefore cannot determine a safe supplement amount, benefits from supplementation or uncommon maternal and fetal adverse effects. [1]

The sample consisted of low-risk singleton pregnancies, further limiting transfer to other circumstances. Funding and conflicts were not established from the abstract. This physiology study should not be used as clearance to start creatine during pregnancy; discuss the specific product and reason with the pregnancy-care clinician. [1]

Separate normal presence from added exposure

Imagine a nutrient is detected in maternal blood. That establishes its presence, not the safety or usefulness of increasing exposure through a concentrated supplement.

Evidence summary — Creatine during pregnancy
DetailInterpretation
Prospective cohortObservational design
282 low-risk pregnanciesDefined population
Supplement safetyNot tested
Creatine during pregnancy: a metabolism cohort did not test supplement safety — original article outline diagram
Original editorial diagram of this article’s sections; no product photograph or clinical finding is depicted.

Sources for this article

  1. Creatine and pregnancy outcomes: a prospective cohort study of creatine metabolism in low-risk pregnant females - PubMed
    Source consulted: 2026-09-19. This is a reference resource, not a claim that we conducted the studies or tested a product.