A high school male athlete reports that he is taking creatine supplements to enhance his athletic performance and bulk up his muscles. Which are important teaching points and recommendations for this supplement? (Select all that apply.)

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Creatine is a natural substance that is found in the body and helps to supply energy to muscles. It is often used as a supplement by athletes to improve performance and increase muscle mass. However, it is important to be aware of the potential adverse effects of creatine, which may include muscle cramping, dehydration, GI bloating, and diarrhea. It is also important to inform the health care provider of creatine usage, should future nephrotoxic medicines be prescribed. Creatine causes a weight gain of 3 to 6 pounds because of water retention. The recommended dosage of creatine is 5 to 6 g four times daily for 5 to 7 days, followed by doses of 2 g/day.

A High School Male Athlete Reports That He Is Taking