Is Gaining Around 6 Pounds While Using Creatine and Exercising Typical?
As a male standing at 5'4" and currently weighing 140 pounds—up from my previous weight of 134—I’ve been dedicated to my workout routine for roughly six months. My regimen isn’t overly intense, averaging about three to four sessions weekly, occasionally disrupted by bouts of illness. Recently, I've observed a gradual increase in my weight. While my dietary intake has remained relatively stable, I'm aware that I'm nearing a BMI of 25. Considering my Asian background, it's likely advisable for me to maintain a lower weight. Is this 6-pound gain something to be expected after six months of weightlifting? I haven’t perceived much transformation, and I’m also supplementing with 5mg of creatine. Just looking for some insights.
Answers (1)

8/13/2025, 2:10:45 AM
OpenHealth AI
Gaining weight while using creatine and exercising, especially weightlifting, can be typical and is often related to a few factors. It's important to understand that creatine may cause your muscles to retain more water, which can increase weight without necessarily reflecting an increase in fat.
Explanation:
-
Weight Gain Sources:
- Water Retention: Creatine causes muscles to hold onto water, which can lead to an increase in body weight. This is often a temporary change.
- Muscle Mass Increase: As you progress in your weightlifting routine, you may be gaining muscle mass, which is denser than fat. This could contribute to weight gain, even if you don’t notice significant changes in your body shape yet.
-
BMI Considerations:
- Your current weight of 140 pounds and height of 5'4" puts you in a BMI range close to 24. This is generally considered healthy, but it’s good to be mindful of how you feel and your overall health goals.
-
Personal Factors:
- Cultural and individual health goals might influence how you perceive weight gain. It may be beneficial to focus on strength, performance, and body composition rather than just the number on the scale.
Next Steps:
-
Monitor Weight Changes: Continue to track your weight, but consider taking measurements (like waist circumference) and assessing strength improvements to get a holistic view of your progress.
-
Evaluate Diet: Even if your dietary intake feels stable, ensure you’re consuming enough protein to support muscle repair and growth. Consider a balance of carbohydrates and healthy fats as well.
-
Stay Consistent with Exercise: Focus on your workout routine—aim for consistency in strength training and consider incorporating more varied activities like cardio for overall fitness.
-
Hydration Awareness: Maintain proper hydration, especially when supplementing with creatine, as dehydration can impact performance and recovery.
-
Short-Term Goals: Set reasonable fitness and weight goals that reflect your lifestyle and health aspirations, rather than solely focusing on weight loss.
Always listen to your body and adjust your routine as needed. If you have any specific health concerns or if your weight continues to fluctuate significantly, it might be worth reevaluating your approach with a health professional for personalized advice.
Related Questions
Health Assessment Overview for a 26-Year-Old Female
A recent blood analysis indicates several noteworthy findings: - Reduced levels in MCV, MCH, RDW SD, and carbon dioxide. - Levels approaching the upper boundary for calcium, glucose, and chloride. **Blood Test Results:** - White Blood Cells (WBC): 6.64 - Red Blood Cells (RBC): 5.11 - Hemoglobin: 13.9 - Hematocrit: 42.4 - Mean Corpuscular Volume (MCV): 83.0 (lower than the normal range of 83.7 - 99.5) - Mean Corpuscular Hemoglobin (MCH): 27.2 (slightly below the range of 27.6 - 33.1) - Mean Corpuscular Hemoglobin Concentration (MCHC): 32.8 - Platelet Count: 309 - Magnesium Level: 2.26 - Red Cell Distribution Width (RDW SD): 36.8 (low compared to the normal range of 38.6 - 50.2) - Nucleated Red Blood Cells (NRBC) Percentage: 0.0 - Albumin/Globulin (A/G) Ratio: 1.7 - Total Bilirubin: 0.63 - Estimated Glomerular Filtration Rate (eGFR): 124.1 - Glucose: 97 (at the upper limit of the standard range of 70 - 99) - Calcium: 10.0 (at the high end of the standard range of 8.6 - 10.2) - Aspartate Aminotransferase (AST): 17 - Alanine Aminotransferase (ALT): 12 - Sodium: 141 - Potassium: 4.0 - Chloride: 107 (at the max limit of 107) - Carbon Dioxide: 20.8 (low, with a normal range of 22 - 29) **Health Note:** I have struggled with anxiety throughout my life, and I was diagnosed with panic disorder last December after experiencing a high blood pressure reading of 132/112. This is attributed to my anxiety and the medication I was recently prescribed. **Personal Context:** I'm a 26-year-old woman, standing at 5'4" and weighing 100 pounds. My background has been challenging, as I grew up in a low-income environment and have often been underweight. Until recently, I never thought much about my weight fluctuations. The highest weight I've reached—118 pounds—occurred during the pandemic, which I considered my best physical condition despite ongoing mental health struggles. As a first-generation college student, I have managed to secure a decent income, allowing me to eat regularly over the last couple of years, but I don’t often feel hunger. I initially thought my eating patterns were healthy—having breakfast and dinner most days—but I noticed a 10-pound drop in weight over roughly six months after I ceased drinking alcohol (which my doctor said was typical). However, my body now feels unbalanced, and I wish I could temporarily stay with family to focus on regaining my health, but I'm independent and don’t have family support. **Possible Concerns:** I suspect issues such as low iron, undetected electrolyte deficiencies, gastrointestinal problems, or perhaps stress and sleep quality could be contributing to my current state. **Symptoms of Concern:** I’ve been experiencing muscle twitches and a pins-and-needles sensation primarily in my legs and face, which I initially attributed to possible electrolyte imbalances. My blood pressure spiked at one point, likely linked to anxiety and poor sleep, but it seems to have stabilized now. Additionally, I’ve noticed random twitches and spasms in the area around my spleen, and I’ve had two benign fatty tumors on my left side for several years.
Struggling to Gain Weight
At 22 years of age, I stand at 179 cm and weigh just 50.4 kg (the last measurement I took). My mother recalls that I began to lose weight when I was about nine months old, and I never managed to regain it. Both of my parents deal with diabetes, and my mother also has ulcerative colitis. Interestingly, I do not experience any gastrointestinal symptoms. As a medical student, I found myself delving into my own health issues, seeking to understand if there might be an underlying problem. I underwent several tests, including complete blood count (CBC), renal function tests (RFTs), liver function tests (LFTs), and anti-tissue transglutaminase (anti-tTG) screening. The CBC indicated that I have macrocytic anemia, which showed improvement following the introduction of folic acid supplements. All other test results were within normal limits. In light of my symptoms, I am considering whether to pursue further investigations to check for potential malabsorption issues. Should I think about getting thyroid function tests or stool analyses? Or am I just overreacting? What could be causing this situation?
Persistent Cut on Thumb After Prolonged Steroid Use
I'm a 42-year-old woman, standing at 5'3" and weighing 170 pounds, with a medical history that includes asthma, environmental allergies, postural orthostatic tachycardia syndrome (POTS), chronic pneumonia, and sinus and ear conditions. My medication regimen includes Singular, Pulmicort, Pepcid, Effexor, Zyrtec, and Labetalol. About a month ago, while preparing vegetables, I accidentally sliced my thumb with a knife. At that time, I was undergoing an extensive course of prednisone lasting close to three months due to an upper respiratory infection, followed by COVID-19 and pneumonia, which later escalated to a sinus infection and double ear infections. This means I’ve been on prednisone daily throughout this period. I completely stopped taking the steroids around two weeks ago, but the cut remains problematic. Unfortunately, the wound is not showing any signs of healing; it appears to be opening more and is producing discharge, accompanied by significant discomfort. I have been diligently changing the bandage several times a day, cleaning the area, and sometimes applying Neosporin, but the situation seems to be deteriorating. Although I’ve ruled out an infection—there's no redness, streaking, or rash, and I don’t have a fever—this non-healing injury is unusual for me as I am not diabetic. I’m uncertain about how to effectively address this issue. I have an appointment with a doctor later this week, but I am eager to hear alternative suggestions or advice on managing and aiding the healing process for this cut.
Concerns about Unusual Marks on My Penis (29M)
I’m a 29-year-old male and I've recently spotted two unusual marks on my penis. This has been troubling me for about a week now, and I can't shake the feeling that it could signify something serious. My hygiene isn’t the best since I don’t shower frequently, and I’m hoping it might just be a mild fungal infection that I can manage before it escalates. I’d appreciate insights from anyone knowledgeable in this area. A bit about my health background: my latest blood test, conducted around eight months ago, indicated I was significantly deficient in vitamin D, so I’ve been taking 4000 IU supplements daily and plan to have another blood test soon. Additionally, I deal with mild anemia and have been diagnosed with juvenile rheumatoid arthritis, seronegative type. I also regularly take methadone and clonazepam. Unfortunately, I’m not a person who showers often—there are weeks when I might go without bathing, largely due to feelings of severe depression and stress that have greatly diminished my motivation. I'm also underweight at 58 kg and typically struggle to consume even one full meal a day. Importantly, I do not believe this is related to a sexually transmitted infection, as I have not been sexually active. Would it be advisable for me to see my family doctor or seek out a specialist? Financial limitations make this a challenging decision for me right now. Thank you for any guidance you can provide.
Concerns About My Cardiologist Only Communicating with My Dad
This past year has been exceptionally challenging for my health (I’m 22), with a history of severe dysmenorrhea that evolved into critically low iron levels requiring frequent infusions. Then, the headaches started—debilitating migraines accompanied by auras such as tinnitus, nausea, and spinning sensations, persisting for days without any noticeable link to my menstrual cycle. Despite my gynecologist’s advice to discontinue my combined birth control, the migraines persisted. I then switched to a progesterone-only contraceptive but had to end that due to life circumstances. After several months without a period and after consulting a new gynecologist who investigated thoroughly, I was diagnosed with PCOS and multiple large fibroids. Currently, I'm on a new medication (Slynd) and awaiting a suitable time for surgery. Additionally, I experienced unexpected weight fluctuations, gaining 40 pounds rapidly and then losing 10 within a week, along with various digestive issues. I now believe these may be symptoms related to my other conditions, even though my specialists (and it’s a baffling thought at my age, having multiple specialists) all deem this normal. The most alarming issue, however, has been my episodes of tachycardia, where my heart rate would spike to around 115-120 bpm for extended periods. After some hesitation, I used my roommate's pulse oximeter for verification. Following a visit to the emergency room, where they found nothing egregious (just a slightly oversized heart and some atherosclerosis), the doctors attributed my symptoms to anxiety. But I am certain it’s not anxiety. After returning home for the summer (preparing for my final year at college), I decided to check my blood pressure using my father's cuff. The readings were concerning: 145/70, followed by 155/68 during subsequent checks. With a family history of hypertension—my father having high blood pressure since he was 18—he urged me to consult his cardiologist. Unfortunately, during the appointment, the cardiologist largely ignored me and directed his comments towards my dad, advising me to lose weight despite my balanced diet and regular workouts. Moreover, the cardiologist dismissed my symptoms as resulting from anemia without communicating that to me directly, conveying all information only to my father. Initially, I chalked it up to a misunderstanding because they called early one morning while I was still asleep. However, during my iron infusions, my nurse expressed concern about my blood pressure being significantly elevated (like 160/85). This high pressure persisted at every infusion session, regardless of treatment effects. Out of concern, my father contacted the cardiologist’s office to schedule an appointment ahead of my return to college. Supposedly (and given my father’s forgetfulness, I can't be sure), they decided to prescribe me amlodipine without ever consulting me personally. There was no direct communication regarding my symptoms, no explanation of the medication, nor assessment of possible interactions with my birth control—of which there are significant risks pertaining to hyperkalemia and stroke. I'm picking up the medication today and plan to consult with the pharmacist about potential interactions. Yet, I can’t shake this feeling of unease regarding the cardiologist’s office. I don’t mind sharing information with my dad—communication is vital—but I firmly believe I should be directly involved in discussions about my health. Now, I'm left questioning whether this situation is typical and how I might navigate it while still keeping my father as one of my emergency contacts. His involvement is important to me, but I also need to advocate for my own healthcare communication.