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Creatine Monohydrate: The Most Studied Form, Micronized and Anhydrous Explained

What creatine monohydrate is, why research uses it, and what "micronized", "anhydrous" and "99.9% pure" mean on a label, with the limits of what the sources show.

Content last updated . This page has not been medically reviewed.

Quick answer
Creatine monohydrate is creatine with one water molecule attached. It is the form used in most creatine research, and a 2022 critical review called it the only form with substantial evidence for bioavailability, efficacy and safety. [1] "Micronized" describes particle size, and "anhydrous" describes monohydrate with the water removed. Neither word, on its own, has been shown to make creatine work better. This page defines the terms; the head-to-head with other forms is on Creatine monohydrate vs HCl and other forms. It is information only, not advice.

Several authors of the main reviews cited here disclose ties to creatine or supplement companies, so the sources are not independent of the industry. [1] [2]

What monohydrate is

A review describes monohydrate as a form that readily separates into creatine and water after it is swallowed. [1] By weight, a gram of monohydrate is theoretically 87.9% creatine; the rest is the water. [1] The 2021 position paper describes it as the form with the highest creatine percentage other than anhydrous creatine. [2]

Micronized

Micronized means the powder is ground to smaller particles (a smaller "mesh size"). The 2022 review states there is no evidence that micronized monohydrate is more bioavailable than monohydrate with normal particle size. [1] The sources we read did not test whether micronizing changes how easily the powder mixes. Proper evidence not found for a controlled comparison of micronized and non-micronized monohydrate on muscle creatine in the sources we searched (PubMed for "micronized creatine"; reviews above).

Anhydrous

Heating monohydrate at about 100 degrees C removes the water and gives anhydrous creatine, which is 100% creatine by weight. [1] The same review notes that the extra heating gives anhydrous creatine higher amounts of the impurity creatinine. [1] So "100% creatine" on paper is not the same as "more of what you want" in the tub: the review's table lists anhydrous creatine as 13.8% more creatine by weight than monohydrate, which only matters when comparing grams of powder. [1] Proper evidence not found for trials comparing anhydrous and monohydrate creatine in people in the sources we searched.

Purity is about manufacturing, not the word "monohydrate"

  • A review states that monohydrate made in Germany with water as the solvent has been reported as 99.9% pure with no contaminants. [1] The same review says other sources, particularly from China, have been reported to contain dicyandiamide, dihydrotriazine, creatinine and higher heavy-metal levels. [1] That is a statement by the review's authors, two of whom disclose that they consult with industry on raw ingredients and once worked for a creatine maker. It is not a ranking of products. [1]
  • A study of 149 creatine supplement samples found 32 adulterated by chemical analysis. [3]
  • A 2021 paper says the effects of ingesting these impurities on health are unknown. [2]
  • Only 8% of 175 products in one marketplace survey were third-party certified. [4]

See Reading a creatine label and Quality testing and certifications.

Solubility and the powder at the bottom of the glass

Monohydrate dissolves slowly in cold water, so some powder can stay at the bottom of the glass. The review says this does not affect bioavailability, since monohydrate is nearly 100% bioavailable. [1] About 14 g dissolves per liter of water at 20 degrees C. [1] A 2021 paper says higher temperatures improve solubility, but solubility has no influence on tissue uptake. [2] More on powder storage, clumping and taste.

Frequently asked questions

Is micronized creatine better absorbed?

A 2022 review found no evidence that micronized monohydrate is more bioavailable than regular monohydrate. [1]

Is anhydrous creatine stronger?

It is 100% creatine by weight versus 87.9% for monohydrate, but the review notes more of the impurity creatinine from the extra heating. [1] Trials comparing the two in people: Proper evidence not found.

Does "99.9% pure" on a label mean the product is tested?

A purity figure on a label is a claim. The sources describe independent certification as a separate check, and only 8% of products in one survey had it. [4]

Does monohydrate have to dissolve completely to work?

The review says residue in the glass does not change bioavailability, though you may not swallow all of it. [1]

Is monohydrate safe for everyone?

No form is safe for everyone. Kidney disease, pregnancy, children and some medicines call for a clinician's advice first. [2]

More details: evidence, limits and cautions

The details behind this page: cautions, limits of the evidence and where sources disagree. Open any note to read it.

Safety and who should ask first
A 2021 position paper concluded that in healthy people there appears to be no adverse effect of recommended amounts on kidney function. [2] That statement does not cover people with kidney disease, and a 2021 paper says short-term rises in blood or urine creatinine from creatine supplements are unlikely to reflect lower kidney function. [2] People with kidney disease, anyone on medicines that affect the kidneys, and anyone pregnant or breastfeeding should ask a clinician or pharmacist first. See Creatine and kidney disease and Medication interactions. The same paper notes there are no human studies of creatine supplementation in pregnancy [2] and that safety in children and adolescents is relatively unclear. [2] For teens, see Creatine for teens and young athletes.
References
Education, not medical advice. This page is for general information. It does not diagnose or treat any condition and is not a substitute for care from a qualified health professional. Natural does not automatically mean safe. Ask a clinician or pharmacist before changing your care, especially if you take medication, are pregnant or breastfeeding, or have a health condition.