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Review Question - QID 448

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QID 448 (Type "448" in App Search)
An athlete asks about performance enhancing substances. Which of the following side effects is more common with creatine than with testosterone?

Muscle cramping

96%

4271/4471

Hair loss

1%

46/4471

Testicle atrophy

1%

62/4471

Acne

1%

46/4471

Impotence

1%

31/4471

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Muscle cramping is a side effect more common to creatine than testosterone. Testicular atrophy, acne and male patterned baldness are all associated primarily with testosterone use

In 2000, Terjung et al published a roundtable discussion of the physiological and health effects of oral creatine supplementation. They summarize a number of reports describing cramping, strains and stiffness in athletes taking creatine. This review also noted that creatine supplementation is associated with an enhanced accrual of strength in strength training programs and has been shown to enhance the ability to produce higher muscular force and/or power output during short bouts of maximal exercise.

The Schilling article is a retrospective review which found that athletes taking creatine did not have significant health complaints compared to those who did not use creatine.

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