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Creatinine is the end product of the creatine-creatine phosphate energy shuttle.1 It is formed by the spontaneous and non-enzymatic cyclization of creatine, as well as from creatine phosphate via a phosphorylcreatinine intermediate, in skeletal muscle and brain. Creatinine levels are increased in the urine after exercise in mice and in the plasma of rats fed a high-protein diet for 20 months.2,3 Serum creatinine levels have been used to estimate the glomerular filtration rate (GFR) and as a marker of renal dysfunction.4
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1. Inhibition of uterine receptor binding of estradiol by anti-
2. Limb blood flow during exercise is dependent on nitric oxide. Circulation 98(4), 369-374 (1998).
3. Age-
4. Serum creatinine: Not so simple!. Nephron 136(4), 302-308 (2017).