Betaine (Trimethylglycine)
Overview
Betaine, also known as trimethylglycine (TMG), is a naturally occurring zwitterionic amino‑acid derivative that functions primarily as a methyl‑group donor and an osmolyte. In humans it is derived from dietary choline and is widely present in plant and animal tissues where it helps maintain cellular hydration and supports methyl-group metabolism.
Benefits
- Liver health: Clinical trials show betaine supplementation reduces hepatic steatosis and improves liver enzyme profiles (ALT, AST) in non‑alcoholic fatty liver disease (NAFLD) and alcoholic liver disease.
- Cardiovascular/metabolic: Betaine’s role as a methyl donor lowers homocysteine, a recognized cardiovascular risk factor, and modestly improves fasting glucose and lipid profiles in overweight adults.
- Exercise performance: Acute ingestion (2–3 g) improves power output and reduces fatigue during high‑intensity exercise, likely via enhanced muscle osmotic balance and creatine synthesis.
- Body composition: In resistance‑trained individuals, 2–6 g/day for 12 weeks modestly increases lean‑mass gains when combined with resistance training.
- Cognitive & mood: Limited but promising data indicate that betaine may support cognition and mood by supporting neurotransmitter synthesis (e.g., dopamine, serotonin) via methylation pathways.
How It Works
- Methyl donor: Betaine acts as a methyl donor in the betaine‑homocysteine methyltransferase (BHMT) reaction, converting homocysteine to methionine, thus replenishing S‑adenosyl‑methionine (SAM) for downstream methylation reactions (DNA, neurotransmitters, phospholipids).
- Osmolyte: Betaine functions as an osmolyte: it accumulates in cells to counteract hyperosmolar stress, stabilizing protein structure and preserving cell volume, especially in renal medulla and skeletal muscle.
- Creatine synthesis: By supporting the methionine–SAM cycle, betaine indirectly boosts creatine synthesis (via SAM‑dependent methylation of guanidinoacetate), which enhances ATP regeneration during high‑intensity work.
- Gene expression: Its influence on the methylation of DNA and histones also modulates gene expression linked to lipid metabolism, inflammation, and oxidative stress, explaining the observed liver‑protective and metabolic effects.
Dosage
- General health / homocysteine reduction: 2–3 g/day, divided into two doses with meals.
- Liver support (NAFLD, alcoholic liver disease): 6–12 g/day split 2–3 times daily for 12‑weeks; higher doses (up to 20 g) have been used in clinical trials but require medical supervision.
- Exercise performance: 2–4 g taken 30 min before training; acute single‑dose studies show benefit, while chronic dosing (2 g/day) maintains muscle osmolyte status.
- Body‑composition/strength: 4–6 g/day (often 2 g twice daily) combined with resistance training for 8‑12 weeks.
- Timing: With meals to improve absorption and reduce gastrointestinal upset; for acute performance, take 30 min pre‑exercise with water.
- Special considerations: Reduced doses (½–1 g) may be appropriate for elderly or renal‑compromised individuals; titration is advised.
Safety & Side Effects
- General tolerance: Betaine is generally well‑tolerated.
- Common side effects: Common mild side effects (≤10 % of users) include gastrointestinal discomfort, nausea, and a transient “fishy” body odor from excess methylation.
- Renal disease: Excess osmolyte load may worsen fluid overload; monitor serum creatinine.
- Pregnancy & lactation: Limited data; typical prenatal supplement doses (<2 g/day) appear safe, but higher therapeutic doses lack robust safety data.
- Drug interactions: May potentiate the hypoglycemic effect of insulin or oral hypoglycemics by improving glucose metabolism; monitor blood glucose.
- Hyperhomocysteinemia: Patients on high‑dose methionine or folate supplementation should avoid excessive betaine to prevent methylation imbalance.
- High‑dose: High‑dose (>20 g/day) may raise serum cholesterol in some individuals; periodic lipid monitoring recommended.
Chemistry
- IUPAC name: (2‑Bromo‑2‑hydroxy‑N,N,N‑trimethyl‑ethanaminium) (but commonly referred to as N,N,N‑trimethylglycine).
- Molecular formula: C₅H₁₁NO₂.
- Molecular weight: 117.15 g/mol.
- Structure: A quaternary ammonium (–N⁺(CH₃)₃) attached to a glycine backbone where the carboxylate is deprotonated, giving a zwitterionic molecule (positive N, negative carboxylate). This neutral overall charge confers high water solubility (≈1 g/mL) and stability across pH 2–10.
- Physical properties: White crystalline powder, melting point 300 °C (decomposes), pKa of the carboxyl group ~2.3, pKa of the ammonium ~10.6.
- Stability: Stable under normal storage; sensitive to strong acids or bases that may convert it to betaine aldehyde; storage in a dry, cool environment preserves purity.
Sources & Quality
- Extraction: Betaine is extracted primarily from sugar beet (Beta vulgaris) molasses, where it occurs as the natural osmoprotectant betaine (≈1‑2 % w/w).
- Synthetic routes: Commercial production also utilizes synthetic routes: methylation of glycine with excess methyl iodide or dimethyl sulfate under controlled conditions, yielding high‑purity betaine suitable for pharmaceutical use.
- Natural food sources: Natural food sources include beets, spinach, quinoa, and shellfish; dietary intake averages 0.5–1 g/day in Western diets.
- Supplement quality: For supplements, USP‑grade or GMP‑certified betaine is preferred; analytical testing (HPLC, NMR) confirms ≥98 % purity and absence of heavy metals or residual solvents. Look for products that list “betaine anhydrous” or “betaine HCl” (the latter is a salt form with comparable bioavailability).
Where to Buy Betaine (Trimethylglycine)






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