Supplements may support muscle gains alongside resistance training and adequate nutrition but are not a substitute for medical evaluation or clinician-directed care for underlying medical conditions, performance plateaus, or training-related injuries. Call 911 or seek emergency care for severe muscle pain or weakness with dark or cola-colored urine (possible rhabdomyolysis), chest pain or pressure during or after exertion, fainting or near-fainting with exercise, sudden one-sided weakness or numbness, or severe shortness of breath. Book a clinician visit for unexpected muscle weakness or wasting, persistent muscle pain that does not improve with rest, unexplained fatigue or weight changes despite consistent training and nutrition, signs of overtraining or disordered eating, or new symptoms after starting any supplement. Evaluation may include physical exam, blood work for kidney and liver function, electrolytes, creatine kinase, hormone panels when indicated, and review of training load, nutrition, and supplement stack. Evidence-based care often includes structured progressive resistance training, adequate protein intake distributed across the day, sufficient sleep and recovery, qualified coaching, and treating any underlying medical contributor; creatine, whey protein, HMB, beta-alanine, and citrulline have been studied as training adjuncts within that framework. Disclose all supplement use to your prescriber if you have kidney or liver disease, are on prescription medication, are pregnant or breastfeeding, or are scheduled for surgery or competition drug testing.