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Who Should & Should Not Take Creatine

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The first effects appear progressively : Weeks 1-2 : better energy during training, reduced post-workout fatigue sensation Weeks 2-4 : improved recovery, first measurements on waist circumference for weight loss profiles Weeks 4-8 : measurable improvement in endurance, more visible fat loss Weeks 8-12 : full effects in terms of body composition and performance L-carnitine saturation of muscle levels takes several weeks because intramuscular concentration increases slowly

There is no evidence for changes in muscle carnitine concentrations following short periods (4 weeks or less) of supplementation, nor in most longer term studies which do not co-ingest carbohydrate with the carnitine

All participants were scanned in the morning in a fasted state

Or, maybe the mitral valve prolapse symptoms were the reason you made the appointment in the first place