Blood Testing

Creatine kinase

Creatine kinase (CK) is an enzyme in skeletal and heart muscle that helps produce and recycle cellular energy. Measured in U/L, typical Australian ranges are about 45–250 for men and 30–150 for women. Levels rise after intense exercise, reflecting muscle stress and recovery.

Tracking CK helps you see how well your muscles adapt to training and workload. Staying within your optimal range supports recovery, strength, and long-term performance.

Creatine kinase is available in Vively's Metabolic Essentials Test. Book your blood test now for only $199 per test.
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What is Creatine Kinase?

Creatine kinase (CK, sometimes called creatine phosphokinase) is an enzyme that plays a key role in energy metabolism in muscle and other tissues. It helps convert creatine and ATP into phosphocreatine and ADP, acting as a rapid energy buffer during high demand.

Why does it matter for long-term health and wellbeing?

While CK doesn’t tell you exactly what’s wrong, its level in blood reflects the degree of stress or microscopic damage in muscle tissue. Over time, unresolved or repeated strain can interfere with recovery, metabolic efficiency and tissue integrity. In a preventative and performance-focused approach, CK trends help you fine-tune your training, rest, and lifestyle inputs before small imbalances compound.

What’s an optimal level of Creatine Kinase?

In Australia, laboratories typically report CK in units per litre (U/L). The general reference (normal) ranges are approximately:

  • Adult males: ~ 45 to 250 U/L
  • Adult females: ~ 30 to 150 U/L

Because “normal” varies by lab, muscle mass, age, and testing method, Vively defines optimal ranges to help you stay well below thresholds that suggest strain or injury. (These will be personalised over time, but a helpful starting guideline might be in the lower-mid portion of the reference range — e.g. 50–150 U/L for many individuals with moderate muscle mass.)

What influences CK levels?

Several factors can push CK up or down, including:

  • Recent high-intensity or eccentric (muscle lengthening) exercise
  • Inadequate recovery, sleep or nutrition
  • Muscle mass (larger muscles often show higher baseline CK)
  • Muscle microtrauma (from training, physical labour, minor injury)
  • Some medications, supplements or substances
  • Dehydration, temperature stress or other physiologic stressors

What does it mean if CK is outside the optimal range?

  • Above your optimal range (or notably elevated relative to your own baseline): may suggest that your muscles are not recovering fully, or that you have residual micro damage, overuse stress or insufficient rest. It’s a signal to reassess load, recovery or lifestyle inputs.
  • Below (very unusually low): while rare, could suggest under-stimulus (very low activity) or lower muscle mass — which calls for evaluation of your strength or activity regimen.

Importantly, a single measurement should not prompt drastic action — trends and patterns matter more than isolated spikes.

How can I support healthy CK levels?

To help keep CK in your optimal range, you can:

  • Periodise training intensity and include adequate deload or rest periods
  • Emphasise sleep quality and duration
  • Ensure optimal protein intake (supporting muscle repair)
  • Address micronutrients and hydration (magnesium, electrolytes, etc.)
  • Use active recovery (light movement, mobility, massage, etc.)
  • Monitor and moderate other lifestyle stressors (e.g. prolonged physical labour, poor ergonomics)

This information is provided for general health and wellness purposes only and does not replace medical advice.

References

  1. Royal College of Pathologists of Australasia. Creatine kinase reference intervals.
  2. Pathology Tests Explained. “CK (Creatine kinase)” ranges and interpretation.
  3. Inman LAG, Rennie MJ, Watsford ML, et al. Reference values for the creatine kinase response to professional Australian football match-play. J Sci Med Sport. 2018.
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Red Cell Distribution Width (RDW)
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Cortisol
Dehydroepiandrosterone Sulfate (DHEA-S)
Free Thyroxine (T4)
Free Triiodothyronine (T3)
Thyroid stimulating hormone (TSH)
5 markers

Hormone balance

Evaluates hormone levels that impact energy, sleep, mood, and metabolism.
White Blood Cell (WBC) Count
Neutrophils
Lymphocytes
Monocytes
Eosinophils
Basophils
6 markers

Immune system

Measures immune activity and inflammatory responses to assess body defenses.
High-Sensitivity C-Reactive Protein (hs-CRP)
1 marker

Inflammation status

Tracks signs of chronic or acute inflammation that may affect long-term disease risk.
Bicarbonate
Chloride
Creatinine
Potassium
Sodium
Urea
Uric acid
Anion Gap
Estimated Glomerular Filtration Rate (EGFR)
9 markers

Kidney function

Assesses kidney health through creatinine and other markers of blood filtration.
Alanine Aminotransferase
Albumin
Alkaline Phosphatase
Aspartate aminotransferase (AST)
Bilirubin
Gamma-glutamyl Transferase (GGT)
Globulin
Total Protein
8 markers

Liver health

Measures liver enzymes and proteins responsible for detoxification and metabolic health.
Fasting Glucose
Fasting Insulin
Haemoglobin A1c (HbA1c) IFCC mmol/m
Haemoglobin A1c (HbA1c) NGSP/DCCT %
HOMA-IR score
5 markers

Metabolic health

Evaluates energy processing with glucose, HbA1c, insulin, and related biomarkers.
Magnesium
1 marker

Vitamins & minerals

Analyzes essential nutrients that support immunity, energy, and overall wellbeing.
Creatine Kinase
1 marker

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Assesses biomarkers related to muscle performance, function, and recovery.
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A reflection of how your body is aging at the cellular level, linked to age risks and longevity.
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