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Creatine Orotate

Combines creatine with orotic acid, a pyrimidine precursor involved in nucleotide synthesis, marketed for endurance and cardiac support.

Orotic acid may support RNA and phospholipid synthesis. Pairing it with creatine aims to address both energy and cellular repair needs, though human evidence is minimal.

Endurance or cardiac-focused stacks
Mostly theoretical and animal data
Neutral

Who it helps most

  • Biohackers exploring nucleotide support
  • Athletes under cardiologist supervision
  • Users who prefer capsule delivery

Limitations & cautions

  • Limited human trials
  • Higher price
  • Potential to elevate serum orotic acid if dosed excessively

Cardiometabolic rationale

Wellbeing Nutrition and Healthline reference orotate’s role in cardiac energetics, but they also stress the lack of direct performance data compared with monohydrate.

Theoretical benefits

In theory, orotate could support myocardial energy turnover alongside creatine, making it an interesting adjunct in clinical research. Athletes should view it as experimental until more trials accumulate.

Risk management

High-dose orotic acid has been linked to liver stress in animals, so stick with conservative doses and consult healthcare providers if you have hepatic or renal concerns.

Practical advice

If your primary goal is strength or hypertrophy, monohydrate remains sufficient. Use orotate only with professional guidance and lab monitoring.

Typically 3 g compound (≈1.5 g creatine) daily; do not exceed label recommendations.

Require documentation of orotic acid purity and heavy-metal testing.

Compare with other creatine formats to find the best fit for your needs.

View all creatine types →
  • Wellbeing Nutrition – Types of Creatine

    Discusses orotate theory and cautions.

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  • Healthline – 6 Types of Creatine

    Mentions limited evidence for orotate.

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