How do you counsel patients on use of creatine monohydrate supplementation during a hospitalization for acute rhabdomyolysis from intense physical training?

I was a primary care doctor for the military for a few years. We regularly saw patients presenting with rhabdomyolysis from intense physical training. A standard question for all that present with this is whether supplements are being used. While there isn't a direct linkage to say that the use of c...

Creatine monohydrate converts to creatinine and increases the serum creatinine level. But kidney function and true GFR remain intact. Creatinine is not toxic.

There is no nephrotoxicity of creatine monohydrate. It should be avoided in patients with impaired renal function due to a lack of safety dat...

I would advise stopping the supplements at least while resolving the crisis.