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Google the words " Creatine " and " aggression " . I wouldn't use it, especially in a

child big enough to cause physical harm. I've seen what it can do.

Practice random acts of kindness...

From: Janice <jscott@...>

Subject: [ ] Crosspost: Creatine

ApraxiaDyspraxiaBiomedSupport

Cc: chelatingkids2 ,

Date: Sunday, January 11, 2009, 8:52 PM

Has anyone had success using creatine in addressing hypotonia/low muscle tone?

If so, what were your observations and how old was your child when you started?

What were the dosages and do you have any product recommendations?

I am so tired of dealing with low muscle tone. I realized today that I have been

teaching my son " daily " to write for the past 8 years! OMG! I really need a life

and hypotonia is holding us ALL back in so many areas. Both he and I are sick of

it and I'm on a mission.....

Thank you,

Janice

Mother of Mark, 14

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I know that it can be misused and like anything, too much is never good. But, I

have seen first hand what can happen even when it's controlled. My nephew is 12

with low muscle tone, focused most in his abdomen and chest. My sister started

him on creatine and it helped, not a whole lot, but it did a little. However, he

turned into the most irrational person. He was extrememly irritable, and after

about 2 1/2 months was smashing holes in walls, beating on the animals and

threatening everyone. My sister talked to the doctor and since the only recent

change was the creatine, they pulled him off of it. He was back to normal within

weeks.

I have heard good things about young kids and creatine, but it seems that as a

kid gets older, it might not be such a  good thing.

Practice random acts of kindness...

From: Janice <jscottinterbaun (DOT) com>

Subject: [childrensapraxiane t] Crosspost: Creatine

ApraxiaDyspraxiaBio medSupport

Cc: chelatingkids2, @groups. com

Date: Sunday, January 11, 2009, 8:52 PM

Has anyone had success using creatine in addressing hypotonia/low muscle tone?

If so, what were your observations and how old was your child when you started?

What were the dosages and do you have any product recommendations?

I am so tired of dealing with low muscle tone. I realized today that I have been

teaching my son " daily " to write for the past 8 years! OMG! I really need a life

and hypotonia is holding us ALL back in so many areas. Both he and I are sick of

it and I'm on a mission.....

Thank you,

Janice

Mother of Mark, 14

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Joy Amen to too much is never good. This group just learned that the

hard way.

I don't know much about creatine but the point I want to make is that

the dosage that is recommended for adults probably isn't the

pediatric dosage, and in addition the pediatric body/brain doesn't

necessarily react the same way as the adult. Do we know how many

years children in our population have been on this?

Even though I was only able to access the one page -thought that if

anyone is interested they can find the rest of this 3 page article

it's quite eye opening. I appreciate that this is an adult using a

higher dosage long term -but again this may be a 300 pound man and

a " low dosage " for him could be a high dosage for a child. He

developed the very serious acute compartment syndrome.

Acute Quadriceps Compartment Syndrome and Rhabdomyolysis in a Weight

Lifter

Using High-Dose Creatine Supplementation

from Journal of the American Board of Family Practice

Stacey J. , CAPT, USAF MC, Department of Family Practice, 6th

Medical Group, MacDill Air Force Base, Fla.

Introduction

Creatine, a nutritional supplement marketed to increase strength and

muscle

mass, is the most profitable performance-enhancing agent used among

athletes

today, grossing more than $200 million in 1998.[1] As its use

increases,

especially among high-school athletes, the concern about its safety

mounts.

Because creatine is a dietary supplement, it is not regulated by the

Food

and Drug Administration, and distributors are not required to give

any

specific dosing recommendations.

Researchers recommend a loading dose of 20 to 25 g/d for 5 to 7 days

followed by a maintenance dose of 2 to 5 g/d for oral supplementation.

[2]

Although studies investigating the benefits of creatine report no

evidence

of side effects, most of these studies observed patients only during

the

loading period. A few studies observed patients during the

maintenance

period, but the longest study lasted only 10 weeks.[3] There are no

studies

investigating the side effects of creatine supplementation beyond 10

weeks

or with higher maintenance doses. Many distributors and sources in

the

popular media advocate a higher dose than recommended. Furthermore, a

survey

by Juhn and colleagues 4 found that 39 of 52 athletes who

supplemented their

diets with creatine exceeded the recommended maintenance dose. The

following

case of a weight lifter who developed acute compartment syndrome

raises

suspicion regarding the safety of high-dose, long-term creatine use.

Case Report A 24-year-old previously healthy man came to the

emergency

department complaining of severe bilateral thigh pain on awakening,

which

gradually worsened during the day to the point that he could no

longer walk.

On the day before his visit, the patient participated in

approximately 3

hours of lower extremity exercise. For the preceding 8 days, he had

not

exercised because of a minor muscle strain. The patient had been an

avid

body builder for approximately 5 years and reported that he had

performed

similar lower extremity exercise without any problems. For the past

year he

had been using oral creatine supplementation at five times the

recommended

maintenance dose (25 g/d). The remainder of his medical history was

unremarkable except for occasional alcohol use (average of 4 drinks

per

month). The patient denied use of tobacco, anabolic steroids, illicit

drugs,

or other ergogenic supplements. Review of systems was only notable

for onset

of gross hematuria shortly after his arrival at the emergency

department.

In the emergency department, his blood pressure, respirations,

temperature,

and heart rate were normal. Findings on his physical examination were

normal

except for bilaterally tense, edematous anterior thighs and severe

pain with

any degree of knee flexion. Initial laboratory studies were serum

sodium 149

mEq/L, potassium 4.2 mEq/L, blood urea nitrogen 22 mg/dL, creatinine

1.0

mg/dL, creatine phosphokinase 131,000 U/L, and a calculated serum

osmolality

of 311 mOsm/L. Urinalysis showed proteinuria (31), hematuria (41), 10

to 15

red blood cells per high-power field and 80 to 100 red cell casts per

high-power field. Of note, serum calcium and phosphorus and urine

myoglobin

were not measured. The patient had no previous laboratory reports on

file

for comparison. Acute compartment syndrome was suspected and

confirmed by

anterior, medial, and lateral quadriceps compartment pressures of 34,

34,

and 32 mm Hg on the right and 17, 15, and 15 mm Hg on the left,

respectively. The patient was admitted for treatment of acute

quadriceps

compartment syndrome and rhabdomyolysis and underwent emergency

bilateral

tricompartment fasciotomies. Left fasciotomies were done despite

normal

compartment pressures because the patient had severe symptoms on the

left.

Perioperatively, the rhabdomyolysis was treated with aggressive

hydration

with crystalloid and urine alkalinization and then diuresis.

During the first several days of hospitalization, the patient's

creatinine

levels began to rise, and he developed edema of the lower extremities

extending up to the flanks. On hospital day 6, he developed

increasing

dyspnea and hypoxia. The patient developed a new grade 2/6 systolic

murmur

at the left upper sternal border. A chest radiograph showed

cardiomegaly,

pulmonary venous congestion, and bilateral effusions. An

electrocardiogram

showed a left axis deviation of -38° and incomplete right bundle

branch

block. An echocardiogram showed an ejection fraction of 48%,

concentric left

ventricular hypertrophy, and mild mitral and tricuspid regurgitation.

The

pulmonary edema was believed to be secondary to iatrogenic fluid

overload,

although it was unclear whether the echocardiogram findings were

preexisting

or temporarily associated with the acute illness. During the

remainder of

the hospital course, his pulmonary edema gradually resolved with

aggressive

diuresis. The rhabdomyolysis and acute renal failure resolved with

hydration

and urine alkalinization with a maximum creatine kinase of .>800,000

U/L and

creatinine of 3.1 mg/dL. The patient required aggressive inpatient

physical

therapy until he was able to walk independently. After a 22-day

hospital

course, he was discharged for continued outpatient physical therapy.

At a 6-month follow-up visit, the patient had returned to work but

was still

undergoing aggressive physical therapy and had achieved approximately

60% of

his premorbid quadriceps strength. At that time an echocardiogram

showed

high-normal left ventricular thickness, ejection fraction of 55%, and

mild

right ventricular enlargement without further evidence of mitral or

tricuspid regurgitation. A follow-up echocardiogram at 12 months

again

showed mild increased left ventricular thickness, which was within

normal

limits when calculated with respect to body surface area. The patient

is no

longer taking creatine or any other performance-enhancing agents

because he

believes that use of creatine led to this condition.

Section 1 of 3 Continue

J Am Board Fam Pract 13(2):134-137, 2000. © 2000 American Board of

Family

Practice

http://www.medscape.com/viewarticle/405772

=====

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Not sure about that, but I learned today that a low creatinine could

an that your child has a viral infection.

>

> Has anyone had success using creatine in addressing hypotonia/low

muscle tone? If so, what were your observations and how old was your

child when you started? What were the dosages and do you have any

product recommendations?

>

> I am so tired of dealing with low muscle tone. I realized today

that I have been teaching my son " daily " to write for the past 8

years! OMG! I really need a life and hypotonia is holding us ALL

back in so many areas. Both he and I are sick of it and I'm on a

mission.....

>

> Thank you,

>

> Janice

> Mother of Mark, 14

>

>

>

>

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Joy,

Thank you so much for your feedback. I'm still in the studying phase and what I

have read does indicate that creatine is contra-indicated in some individuals.

Be assured that I will continue to research a whole lot more before even

considering supplementation. I know that some kids are under-methylaters and

others are over-methylaters and this does make a difference in reaction to these

types of amino acids.

Again, I really thank you for taking the time to respond to my querries.

Janice

Mother of Mark, 14

[childrensapraxiane t] Crosspost: Creatine

ApraxiaDyspraxiaBio medSupport

Cc: chelatingkids2, @groups. com

Date: Sunday, January 11, 2009, 8:52 PM

Has anyone had success using creatine in addressing hypotonia/low muscle tone?

If so, what were your observations and how old was your child when you started?

What were the dosages and do you have any product recommendations?

I am so tired of dealing with low muscle tone. I realized today that I have

been teaching my son " daily " to write for the past 8 years! OMG! I really need a

life and hypotonia is holding us ALL back in so many areas. Both he and I are

sick of it and I'm on a mission.....

Thank you,

Janice

Mother of Mark, 14

Link to comment
Share on other sites

No problem. I am the same way. You should have seen all the checking I did

before putting my son on melatonin.

Practice random acts of kindness...

From: Janice <jscott@...>

Subject: Re: [ ] Crosspost: Creatine

Date: Tuesday, January 13, 2009, 4:13 PM

Joy,

Thank you so much for your feedback. I'm still in the studying phase and what I

have read does indicate that creatine is contra-indicated in some individuals.

Be assured that I will continue to research a whole lot more before even

considering supplementation. I know that some kids are under-methylaters and

others are over-methylaters and this does make a difference in reaction to these

types of amino acids.

Again, I really thank you for taking the time to respond to my querries.

Janice

Mother of Mark, 14

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My son tested low in creatine. He never had low muscle tone in his

torso but was severaly apraxic - I believe above the neck. No

speech until 4 1/2 when I introduced fish oil. Still to this day

shakes his head " yes " very awkwardly. He is also a great responder

to vitamin E. Our DAN! was okay with trying it.

Dr. Bock talks about creatine and has one sentence in there that

mentions it can also help with speech so I decided to give it a

try. I started with creatine ethyl ester (supposed to be a more

absorbable form) - 1250 mg. He gets it 2 X day. His speech

improved noticeably overnight. We have continued and have not

noticed any negatives. He will be 7 in March.

-- In , " Janice "

<jscott@...> wrote:

>

> Joy,

>

> Thank you so much for your feedback. I'm still in the studying

phase and what I have read does indicate that creatine is contra-

indicated in some individuals. Be assured that I will continue to

research a whole lot more before even considering supplementation.

I know that some kids are under-methylaters and others are over-

methylaters and this does make a difference in reaction to these

types of amino acids.

>

> Again, I really thank you for taking the time to respond to my

querries.

>

> Janice

> Mother of Mark, 14

>

>

> [childrensapraxiane t] Crosspost: Creatine

> ApraxiaDyspraxiaBio medSupport

> Cc: chelatingkids2,

@groups. com

> Date: Sunday, January 11, 2009, 8:52 PM

>

> Has anyone had success using creatine in addressing

hypotonia/low muscle tone? If so, what were your observations and

how old was your child when you started? What were the dosages and

do you have any product recommendations?

>

> I am so tired of dealing with low muscle tone. I realized today

that I have been teaching my son " daily " to write for the past 8

years! OMG! I really need a life and hypotonia is holding us ALL

back in so many areas. Both he and I are sick of it and I'm on a

mission.....

>

> Thank you,

>

> Janice

> Mother of Mark, 14

>

>

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Share on other sites

Joy,

The only problem that I have with the sports literature is that those Body

Builders are taking 10 to 20 grams a day when the RDA is actually 2 grams a day.

How do you trust those stories when people are purposely doing 'stupid' things

with supplements? They are purposely taking potentially toxic amounts.

I read about creatine in Dr. Bocks book and have since been studying it. What I

have found is that it does help kids with neuromuscular disorders who test out

low in creatine with hypotonia BUT.... if you have a problem with the creatine

transport gene then it will not help or provide benefit. The recommended dosage

by Kirkmans supplements is 500 mg, 1 to 4 times a day.

Do you mind me asking about the negative stories you have heard? Were they with

'our' kids? I would be interested in learning all I can before trying this

supplement. At this juncture Mark is probably the complete opposite of

agressive. He is very laid back in that low-toned, hypo way.....

Janice

Mother of Mark, 14

[ ] Crosspost: Creatine

ApraxiaDyspraxiaBiomedSupport

Cc: chelatingkids2 ,

Date: Sunday, January 11, 2009, 8:52 PM

Has anyone had success using creatine in addressing hypotonia/low muscle tone?

If so, what were your observations and how old was your child when you started?

What were the dosages and do you have any product recommendations?

I am so tired of dealing with low muscle tone. I realized today that I have

been teaching my son " daily " to write for the past 8 years! OMG! I really need a

life and hypotonia is holding us ALL back in so many areas. Both he and I are

sick of it and I'm on a mission.....

Thank you,

Janice

Mother of Mark, 14

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Janice,

Sorry if you've already said this over and over I don't read every digest. Just

wondering what your experience with carnitine has been. I have a hypotonic son

with potential inherited issues of fatty acid metabolism due to polio in a

grandparent. I would do anything to help the hypotonia on every front including

supplements (have read all your great posts on exercises to help) and just

wondering which supplements you had found most helpful to date specifically for

hypotonia.

Thanks catherine

(UK Mom to Nic 13yrs, semantic pragmatic language disorder, dyspraxia,

hypotonia)

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