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I walk clients through this process regularly

Studies have shown an increase in bone density, muscle mass, and performance when creatine supplementation is added to a routine of resistance training exercises and a health-centric diet.* Increase in muscle mass* As our bodies enter menopause, estrogen and testosterone decreases, which is a major contributor to loss in muscle, bone mass, and strength in the form of sarcopenia

Dose adjustments, slower titration [dose increase] schedules, hydration strategies, nutrition counseling, and other symptom-management approaches can often help improve tolerability

Hormone Research, 40 (1-3), 10-15

They came mid-afternoon, set up at my kitchen table, and I was back to my day in 45 minutes

Longer-term use was not associated with increased cardiovascular risk