Muscle Gain & Exercise Performance Supplement Guide

    Medical disclaimer

    This guide is a general-health document for adults 18 or over. Its aim is strictly educational. It does not constitute medical advice. Please consult a medical or health professional before you begin any exercise-, nutrition-, or supplementation-related program, or if you have questions about your health.

    This guide is based on scientific studies, but individual results do vary. If you engage in any activity or take any product mentioned herein, you do so of your own free will, and you knowingly and voluntarily accept the risks. While we mention major known interactions, it is possible for any supplement to interact with other supplements, with foods and pharmaceuticals, and with particular health conditions.

    Examine.com does not assume liability for any actions undertaken after visiting these pages, and does not assume liability if one misuses supplements. Examine.com and its Editors do not ensure that unforeseen side effects will not occur even at the proper dosages, and thereby does not assume liability for any side effects from supplements or practices hosted under the domain of Examine.com.

    Examine.com does not make any representations, recommend or endorse any specific tests, products, procedures, opinions, or other information that may be mentioned on the website. Reliance on any information provided by Examine.com, Examine.com employees, guest writers, editors, and invitees of Examine.com, or other visitors to Examine.com is solely at your own risk.

    How to use

    The Examine team has been publishing research on nutrition and supplementation since March 2011. Drawing from all we’ve learned, we’ve designed this Supplement Guide with two aims in mind: helping you decide which supplements are right for you, based on the scientific evidence, and helping you integrate these supplements into synergistic combos.

    Primary supplements have the best safety-efficacy profile. When used responsibly, they are the supplements most likely to help and not cause side effects.

    Secondary supplements may provide substantial benefits, but only in the right context. A secondary option is not for everyone and not a first pick, but if you read the entry and find that you meet the criteria, consider adding the supplement to your combo.

    Promising supplements have less evidence for their effects. They could work or be a waste of money. Keep them in mind, but think twice before adding them to your combo.

    Unproven supplements are backed by tradition or by mechanistic, animal, epidemiological, or anecdotal evidence, but not yet by convincing human trials. At this point, they are not good candidates for your combo.

    Inadvisable supplements are either potentially dangerous or simply ineffective, marketing claims notwithstanding. Do not add them to your combo. At best, they’ll be a waste of money; at worst, they can cause you harm.

    Now that you’ve learned of various supplements worthy of your consideration, you’ll learn to integrate them into synergistic combos. You’ll discover a core combo (composed of the most important and least controversial supplements) and several specialized combos. Each specialized combo is optimized for a specific population. The simplest way to formulate your own combo is to combine the core combo with the specialized combo that best fits your situation, needs, and primary health goal.

    Then comes the FAQ, in which we cover common questions that may arise when selecting and combining supplements. With all this, you should be able to identify and assemble the supplement combo best suited to your objective.

    Introduction

    There’s a holy trinity of exercise:

    • Better performance
    • More muscle
    • Less fat

    These are the primary goals of most exercise programs. So why are we covering muscle gain and exercise performance together and separately from fat loss?

    There’s a simple answer — because the latter (fat loss) is merely associated with exercise. More precisely, the issue with fat loss is one of fuel: how do you convince your body to burn its precious energy stores? Exercise does help, but not as much, in itself, as a hypocaloric diet (i.e., eating less than you burn).[1]

    To lose fat, exercise is a plus. To build muscle, exercise is a necessity. Any supplement that helps you exercise harder and longer can also help you build stronger muscles. And because stronger muscles allow you to exercise harder and longer, any supplement that promotes muscle growth can also benefit exercise performance.

    Note that we said it can benefit exercise performance, but it not always does. The upper-body muscles of a wrestler would be a literal burden to a marathoner. The type of exercise that you undertake will influence the kind of muscle you grow, and the kind of muscle that you grow will make you fitter for some sports than for others.

    Even similar sports can lead to very different musculatures. Running marathons is an aerobic activity and builds more “slow twitch” muscle fibers (more endurance than strength). Running sprints is an anaerobic activity and builds more “fast twitch” muscle fibers (more strength than endurance).

    Still, the basics of muscle building stay the same, whichever type of exercise you choose to focus on.

    1. Take it slow. Exercise hard enough to stimulate muscle growth, but not so hard as to injure yourself or impair recovery. Muscle growth takes time and patience; it can only happen so fast.

    How fast (or how slow) depends on many factors, starting with genetics. In a 12-week trial, untrained women gained an average of 1.2 kg (2.6 lb) of muscle;[2] in a 10-week trial, men with some lifting experience also gained an average 1.2 kg (4.4 lb) of muscle.[3] However, in both trials, interpersonal variability was very high, so those numbers may not apply to you — don’t let them either constrain or daunt you.

    1. Don’t give up. At some point, you’ll probably experience a plateau, either in strength or muscle mass. Few people — few lifters, in particular — deal with plateaus appropriately.

    Because they are scared of fat gains, many people refuse to increase their caloric intake as their muscle mass increases.

    Because they are scared of muscle loss, many lifters refuse to ever reduce their lifting volume or intensity (a deload period). Yet muscle and strength are largely maintained even when total lifting volume is reduced by two-thirds,[4] and deloads increase the body’s sensitivity to anabolic signals.[5] So, take advantage of those temporary breaks when you seem to hit a wall.

    1. Don’t go crazy with cardio. Some cardio can increase blood flow to the muscles, thus speeding nutrient delivery and thus speeding recovery. Some cardio can reduce fat gains in people on a hypercaloric diet by keeping fat-burning pathways active. Too much cardio can hinder progress by burning up calories, which cuts into recovery and interferes with anabolic signaling pathways.[8]

    2. Eat enough, but not too much. Most people only need a couple of hundred kilocalories per day above maintenance to maximize muscle growth.[9] If you eat too much above maintenance, you risk accumulating too much fat, which you’ll later struggle to shed. But if you eat below maintenance — if your primary goal is to lose fat — keep in mind that you won’t be able to exercise as hard or build as much muscle.

    1. Eat meals, don’t graze. Meal frequency is a topic of much debate. For decades, “6 meals per day” has been a bodybuilding mantra, but now the intermittent-fasting crowd claims we can be awake for hours, even a whole day, without eating a bite — and be healthier for it!

    The truth probably lies somewhere in the middle.

    Skeletal muscle protein synthesis changes with amino acid concentrations in the blood; our bodies become desensitized to the anabolic stimulus of protein after about 3 hours.[11] Therefore, eating too frequently can impede muscle protein synthesis.

    In contrast, you don’t want to deprive your muscles of the amino acids they need to grow. Because a moderate-sized meal might take up to 5 hours to digest, it seems prudent to eat something every 4–6 hours, which translates to 3–4 meals per day.

    1. Eat enough protein. Protein is aggressively pushed both on athletes and on the general population, and with good reason — it’s essential for many biological functions, including muscle gain or preservation. In this guide, we’ll tell you how much you need and when.
    1. Eat enough fat. Eating a diet that is too low in fat (less than 15% of your daily caloric intake) can reduce testosterone levels to the point of impairing muscle gains.[14]

    2. Time your carbs. You can gain strength and build muscle without much carbs, as shown in ketogenic diet studies involving gymnasts[15] or college-aged weightlifters.[16] But if you do eat carbs, we’ll tell you how much you need and when — there are ways to time your carbohydrate intake to maximize exercise performance and recovery.

    As you can infer from those 8 points, the “food factor” is as crucial to muscle gain as the “exercise factor”. Before you turn to supplements to give you an edge, make sure that you’re eating a healthy, balanced diet that is rich in micronutrients. Vitamins and minerals support many of the functions that promote muscle gain, such as immune function, hormonal regulation, fuel use, and so on.

    As you read this guide and learn about different supplements, remember that the most effective (e.g., protein, creatine, etc.) were originally food components.

    The influence of resistance training on chronic disease risk

    image

    Adapted from Mcleod et al. Front Physiol. 2019.[17]

    image Kamal Patel, Co-founder and Director
    MBA, MPH, PhD(c) in Nutrition

    Combos

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    Primary Supplements

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    Secondary Supplements

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    Promising Supplements

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    Unproven Supplements

    Inadvisable Supplements

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