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Because most peoples gut bacteria cannot produce it efficiently, supplementing is the more reliable route

Creatine supplementation increases glycogen storage but not GLUT-4 expression in human skeletal muscle
Naviaux R, Naviaux J, Li K, Bright A, Alaynick W, Wang L, et al

2,5,6 In addition to older age, tinnitus is more likely in those with hearing loss, a history of loud noise exposure, and head or neck trauma
