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The most studied supplement in strength training. It helps with repeated hard efforts and with strength gains over months of training.

Creatine is a compound your muscles already use to make energy for short, hard efforts: a heavy set, a sprint, a jump. Your body makes some and you get a little from meat and fish; a supplement tops up the store in the muscle.
With fuller stores you can squeeze out a rep or two more on hard sets, and over months of training that adds up to more strength and muscle. It is the most researched supplement in strength training, and the research is consistent.
Red meat and fish carry small amounts, far less than a daily supplement.
No. It is a natural compound found in muscle and in food, and it is not a hormone.
Any extra water is held inside the muscle. Most people notice nothing beyond a small change on the scale.
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