What is known
A 1998 canine study showed that increasing dietary creatine changed plasma and muscle creatine concentrations, establishing biological availability rather than a clinically meaningful outcome. A 2022 study in eight healthy adult Beagles found that a top-dressed combination containing creatine, carnitine, and choline increased postprandial plasma creatine and creatinine; its short duration, small sample, combination formulation, and biomarker focus prevent efficacy conclusions. Human trials in older adults provide direct human evidence that creatine combined with resistance training can improve some strength or lean-mass outcomes, while other trials report little or no additional benefit. The phosphocreatine energy-buffering mechanism is biologically relevant but does not demonstrate a canine outcome.