Gym and hormones

Creatine and testosterone: does creatine affect hormones or hair loss?

Creatine is one of the most popular gym supplements in South Africa. Men often ask about creatine and testosterone, and whether it causes hair loss. Here is what the research shows.

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In short: Creatine is one of the most researched sports supplements and reliably improves strength and power. Reviews of studies found it does not meaningfully change testosterone. One small study found creatine raised DHT, a hormone linked with hair loss, but this has not been confirmed. Creatine is considered safe for healthy men at standard doses.

What is creatine?

Creatine is a natural compound made in the body and found in meat and fish. It helps muscles produce quick energy during short, intense efforts.

Benefits

  • Increased strength and power
  • More muscle when combined with strength training
  • Possible benefits for brain function, especially in vegetarians

Creatine and testosterone

Systematic reviews found creatine does not significantly change total testosterone. Any small changes seen in individual studies are not consistent.

Creatine and hair loss

A small 2009 study in rugby players found creatine increased DHT, the hormone that drives male pattern baldness in genetically prone men. Hair loss itself was not measured, and the finding has not been replicated. If you have a strong family history of hair loss and are concerned, discuss it with a professional. See testosterone and hair loss.

Is creatine safe?

  • Studies show creatine monohydrate is safe for healthy adults at 3 to 5 g a day.
  • It can cause water retention and slight weight gain.
  • Men with kidney disease should avoid it unless advised.
  • Creatine can raise creatinine on blood tests, which is not a sign of kidney damage in healthy people but should be mentioned when tested.

Creatine vs steroids

Creatine is not a hormone and does not shut down your own testosterone, unlike anabolic steroids. See steroids and erectile dysfunction.

How to take it

  • 3 to 5 g a day of creatine monohydrate, any time of day.
  • A loading phase is optional.
  • Drink enough water.

The bigger picture

For healthy testosterone, prioritise sleep, body fat, strength training and stress. See how to increase testosterone naturally and muscle loss in men over 40.

Why men choose our natural approach

Walk in or consult remotely

Walk in at Buccleuch, Sandton, with parking available, or consult by phone or video from anywhere in South Africa.

Natural and non-surgical

Herbal remedies and practical guidance, with no injections or surgery.

Faster appointments

Enquiries answered 24/7, with same-day appointments often available.

Transparent pricing

Consultations are R2,500, with any remedy costs confirmed before you commit.

Private self-check: 5 quick questions

Answer these honestly before you try anything new or book. They help you describe what is happening and get more from your first consultation.

  1. Has your interest in sex dropped noticeably over the past year?
  2. Do you feel tired most days, even after a full night in bed?
  3. Has your weight around the middle increased?
  4. Have stress, low mood or poor sleep become more common?
  5. Have you noticed weaker erections or fewer morning erections?

Two or more yes answers suggest that energy, sleep, stress or weight may be affecting your drive. These are areas where natural, practical support often makes a real difference, and a naturopath can help you work out where to start.

What happens at your first consultation

  1. Walk in or book online, call +27 10 205 9855 or WhatsApp +27 81 823 1313. In Gauteng, walk in at 199 Vanessa Street, Buccleuch, Sandton, where parking is available. Outside Gauteng, choose a confidential phone or video consultation. Enquiries are answered 24/7.
  2. Talk privately with a naturopath about your symptoms, health history, lifestyle and goals.
  3. Receive a personalised natural plan, with any remedy costs confirmed upfront.
  4. Follow up in person or remotely so your progress is reviewed and your plan adjusted.

Your health and safety

Our naturopaths use natural remedies and lifestyle support, and always check your health history and current medicines first. If anything needs medical attention we tell you honestly and refer you to an appropriately registered medical professional. Avoid unregistered “enhancement” products sold online or at markets, as SAHPRA has warned that some contain hidden ingredients.

Seek urgent medical care for chest pain, an erection lasting more than four hours, sudden weakness or other sudden symptoms.

Consultation price

A consultation is R2,500, in person or remote, and your naturopath confirms any further costs before you go ahead. See our men’s clinic prices for details.

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Frequently asked questions

Does creatine increase testosterone?

Reviews found creatine does not meaningfully change testosterone.

Does creatine cause hair loss?

One small study found higher DHT, but hair loss was not measured and the finding has not been confirmed.

Is creatine safe for men?

Creatine monohydrate at 3 to 5 g a day is considered safe for healthy adults.

Is creatine a steroid?

No. Creatine is not a hormone and does not shut down natural testosterone.

How much does a consultation cost?

A consultation is R2,500, and any remedy costs are confirmed with you before you go ahead.

Book your consultation today

Get personalised, natural support from a naturopath. Walk in at our Sandton practice, or book a remote consultation if you live outside Gauteng.

Book a confidential consultation +27 10 205 9855

References and further reading

Reviewed by George Mulaudzi, Naturopath. This page is general information and does not replace a personal consultation. If you have chest pain, sudden symptoms or a medical emergency, seek urgent medical care.