Creatinine & eGFR
The core kidney-function markers
Overview
Creatinine is a muscle-metabolism waste product cleared by the kidneys; its blood level is used to estimate the glomerular filtration rate (eGFR), the standard measure of how well the kidneys filter.
Why it matters
eGFR is the primary way kidney function is tracked and chronic kidney disease is staged. Because creatinine depends on muscle mass, athletic or low-muscle individuals can be misclassified, which is why context and trends matter.
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How this usually unfolds
- Measure it
- Understand your result
- See what raises and lowers it
- Apply evidence-based interventions
- Recheck on your review cadence
Where the evidence points
eGFR ≥ 90 mL/min/1.73m² is generally normal; < 60 for ≥ 3 months defines chronic kidney disease; < 15 indicates kidney failure.
Creatinine rises with higher muscle mass and after creatine supplementation or high meat intake, which can lower eGFR without true kidney disease. Cystatin C helps when muscle mass is atypical.
Clinical interpretation
A falling eGFR (rising creatinine) over time signals declining kidney function and prompts evaluation. Isolated mildly reduced eGFR in a muscular person may not indicate disease; persistence and other markers (e.g., albuminuria) clarify.
What raises and lowers it
Raises it
- Kidney injury or disease (raises creatinine, lowers eGFR)
- Dehydration
- High muscle mass and high meat intake
- Creatine supplementation (modest, benign)
Lowers it
- Good hydration
- Blood pressure and glucose control
- Treating the underlying cause of kidney stress
How this connects across BioSignal
Related Foundations
Related comparisons
Related body systems
Related conditions
Related pharmaceuticals
Related lifestyle interventions
Diagnostics
- Serum creatinine with calculated eGFR
- Cystatin C or urine albumin for confirmation
Frequently asked questions
Does creatine supplementation harm my kidneys?
Creatine can modestly raise creatinine by increasing its production, which can nudge eGFR down without harming the kidneys. In healthy people it is not nephrotoxic; tell your clinician if you supplement.
Evidence summary
eGFR from creatinine is the validated standard for staging kidney function, with well-understood limitations addressed by cystatin C and albuminuria testing.
References & sources
- KDIGO Clinical Practice Guideline for CKD Evaluation and Management
- National Kidney Foundation guidance
Educational information — not medical advice
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