This document discusses creatine, creatinine, and creatine kinase (CK). It explains that creatine is synthesized in the liver and kidneys and stored in muscles, where it is converted to phosphocreatine to provide energy. Creatinine is a breakdown product of creatine and phosphocreatine. Serum creatinine levels indicate kidney function, while CK levels indicate damage to heart and skeletal muscles. The document outlines creatine synthesis and breakdown, the roles and clinical importance of creatinine and CK, and how they are used as biomarkers.