Uropathogenic E. coli are a good example of this:
Bacterial virulence phenotypes of Escherichia coli and host susceptibility determines risk for urinary tract infections https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5653229/
One size doesn't fit all: unraveling the diversity of factors and interactions that drive E. coli urovirulence https://pubmed.ncbi.nlm.nih.gov/28217693/
Think about how powerful it is over our body. It controls mood, directs our behavior through pain, and is an amazing organ at capturing energy and nutrients from the world around us.
With regards to creatinine, I'm sure you'd want to generally suppress your bacterial load if you don't have symptoms or an active infection. That could leave the door open for a worst bacteria or fungus to come along and fill the niche.
However, one of the reasons why his Hygienist methods ie water only fasting were not popular is because some undiagnosed health conditions caused sudden deaths when on a water only fast, so this is why water only fasting is not popular in the medical industry, but Socrates called water only fasting the physician from within, so even the ancient Greeks had made their own observations of what worked way back then with their limited toolset.
For reference: https://supplementclarity.com/do-you-need-to-cycle-creatine/
https://blogs.bcm.edu/2018/07/25/antibiotic-ciprofloxacin-in...
https://www.acsh.org/news/2012/04/05/keep-eyes-open-using-ci...
I personally believe that in 100 years there will be a real bacterial awakening in science understanding how much our microbiome affects so much about our health and happiness, and will look at antibiotics as a Neanderthal-like in their oversimplification.