Betaine

Betaine (trimethylglycine/TMG) is a methyl donor found in beets and spinach. Serves vital roles in methylation (alongside folate) and as an osmolyte like creatine. B-GRADE evidence for dry mouth symptoms (4 RCTs, 188 participants) and liver enzyme improvement in NASH (2 RCTs, 30 participants). D-GRADE for most athletic performance outcomes (no effect on anaerobic capacity). Reliably lowers homocysteine. May have modest ergogenic effects but evidence is mixed. Often marketed to athletes but evidence is weaker than creatine.

Quick Answer

What it is

Betaine (trimethylglycine/TMG) is a methyl donor found in beets and spinach. Serves vital roles in methylation (alongside folate) and as an osmolyte like creatine.

Key findings

  • Grade B: Dry Mouth Symptoms (Dry Mouth)
  • Grade B: Salivation (Dry Mouth)
  • Grade B: Liver Enzymes (Nonalcoholic Steatohepatitis (NASH))

Safety

No specific caution or interaction language was detected in the current summary/outcome notes.

ℹ️ Quick Facts: Betaine

Quick Facts: Betaine

  • Best Evidence:Grade B
  • Conditions Studied:15
  • Research Outcomes:148
  • Grade B Findings:3
  • Key Effect:Dry Mouth
Outcomes by grade:
A0
B3
C3
D13
15 conditions Β· 148 outcomes

Detailed Outcomes

Grade:
Effect:
Size:
Sort:
|
B
Dry Mouth Symptoms
Small Improvement
small↓Improves
B
Salivation
Small Increase
small↑Improves
B
Liver Enzymes
Small Improvement
2 studies
small↓Improves
?
Liver Fat
2 studies
↑Worsens
?
Liver Fibrosis
↑Worsens
C
Apolipoprotein A
Small Increase
1 study
small↑Improves
?
Homocysteine
↑Worsens
?
Fibrinogen
↑Improves
?
High-density lipoprotein (HDL)
1 study
↑Improves
?
LDL Oxidation
1 study
↑Worsens
?
Liver Enzymes
1 study
↑Worsens
?
Low-density lipoprotein (LDL)
1 study
↑Worsens
?
Plasminogen Inhibitor-1
1 study
↑Improves
?
Serum Cobalamin
↑Improves
?
Serum Folate
1 study
↑Improves
?
Total cholesterol
↑Worsens
C
Apolipoprotein A
Small Increase
1 study
small↑Improves
?
Fibrinogen
↑Improves
?
High-density lipoprotein (HDL)
1 study
↑Improves
?
Homocysteine
↑Worsens
?
LDL Oxidation
1 study
↑Worsens
?
Liver Enzymes
1 study
↑Worsens
?
Low-density lipoprotein (LDL)
1 study
↑Worsens
?
Plasminogen Inhibitor-1
1 study
↑Improves
?
Total cholesterol
↑Worsens
C
Apolipoprotein A
Small Increase
1 study
small↑Improves
?
Fibrinogen
↑Improves
?
High-density lipoprotein (HDL)
1 study
↑Improves
?
Homocysteine
↑Worsens
?
LDL Oxidation
1 study
↑Worsens
?
Liver Enzymes
1 study
↑Worsens
?
Low-density lipoprotein (LDL)
1 study
↑Worsens
?
Plasminogen Inhibitor-1
1 study
↑Improves
?
Total cholesterol
↑Worsens
D
Blood glucose
No effect
3 studies
none
D
Anaerobic Capacity
No effect
2 studies
none
?
Power Output
↑Improves
?
Blood Lactate (Exercise)
3 studies
↑Worsens
?
Muscular Endurance
3 studies
↑Improves
?
Rating of Perceived Exertion
3 studies
↑Improves
?
Fatigue Symptoms
2 studies
↑Worsens
?
Heart Rate
2 studies
↑Worsens
?
Hematocrit
2 studies
↑Improves
?
Hydration (Total Body Water)
2 studies
↑Improves
?
Body Fat
1 study
↑Worsens
?
Cortisol
1 study
↑Worsens
?
Growth Hormone
1 study
↑Improves
?
IGF-1
↑Improves
?
Insulin
1 study
↑Worsens
?
Muscle Creatine Content
1 study
↑Improves
?
Muscle Mass
↑Improves
?
Muscle Oxygenation
1 study
↑Improves
?
Muscle Soreness
1 study
↑Worsens
?
Nitric Oxide
1 study
↑Improves
?
Oxidative Stress Biomarkers
1 study
↑Worsens
?
Oxygen Uptake
↑Improves
?
Training Volume
1 study
↑Improves
?
Weight
↑Worsens
D
Anaerobic Capacity
No effect
2 studies
none
?
Blood glucose
1 study
↑Worsens
?
Body Fat
1 study
↑Worsens
?
Heart Rate
1 study
↑Worsens
?
Hematocrit
1 study
↑Improves
?
Hydration (Total Body Water)
1 study
↑Improves
?
Muscle Mass
↑Improves
?
Oxygen Uptake
↑Improves
?
Power Output
↑Improves
?
Rating of Perceived Exertion
1 study
↑Improves
?
Weight
↑Worsens
D
Blood glucose
No effect
1 study
none
D
Anaerobic Capacity
No effect
1 study
none
D
Blood Flow
No effect
1 study
none
D
Adiponectin
No effect
1 study
none
?
Liver Enzymes
1 study
↑Worsens
?
Liver Fat
1 study
↑Worsens
?
Liver Fibrosis
↑Worsens
?
TNF-Alpha
1 study
↑Worsens
?
Weight
↑Worsens
D
Blood glucose
No effect
1 study
none
?
Blood Pressure
1 study
↑Worsens
?
Body Fat
1 study
↑Worsens
?
High-density lipoprotein (HDL)
1 study
↑Improves
?
Homocysteine
↑Worsens
?
Kidney Function
1 study
↑Improves
?
Liver Enzymes
1 study
↑Worsens
?
Low-density lipoprotein (LDL)
1 study
↑Worsens
?
Metabolic Rate
1 study
↑Improves
?
Serum Folate
1 study
↑Improves
?
Thyroid-Stimulating Hormone
1 study
↑Improves
?
Total cholesterol
↑Worsens
?
Triglycerides
1 study
↑Worsens
?
Weight
↑Worsens
D
Anaerobic Capacity
No effect
1 study
none
?
Body Fat
1 study
↑Worsens
?
Muscle Mass
↑Improves
?
Power Output
↑Improves
?
Weight
↑Worsens
D
Blood glucose
No effect
1 study
none
?
Blood Pressure
1 study
↑Worsens
?
Body Fat
1 study
↑Worsens
?
Homocysteine
↑Worsens
?
Kidney Function
1 study
↑Improves
?
Low-density lipoprotein (LDL)
1 study
↑Worsens
?
Metabolic Rate
1 study
↑Improves
?
Serum Folate
1 study
↑Improves
?
Thyroid-Stimulating Hormone
1 study
↑Improves
?
Weight
↑Worsens
D
Anaerobic Capacity
No effect
1 study
none
?
Blood glucose
1 study
↑Worsens
?
Heart Rate
1 study
↑Worsens
?
Hematocrit
1 study
↑Improves
?
Hydration (Total Body Water)
1 study
↑Improves
?
Oxygen Uptake
↑Improves
?
Rating of Perceived Exertion
1 study
↑Improves
D
Anaerobic Capacity
No effect
1 study
none
?
Power Output
↑Improves
?
Blood Lactate (Exercise)
2 studies
↑Worsens
?
Fatigue Symptoms
2 studies
↑Worsens
?
Muscular Endurance
2 studies
↑Improves
?
Rating of Perceived Exertion
2 studies
↑Improves
?
Body Fat
1 study
↑Worsens
?
Cortisol
1 study
↑Worsens
?
Growth Hormone
1 study
↑Improves
?
Heart Rate
1 study
↑Worsens
?
IGF-1
↑Improves
?
Insulin
1 study
↑Worsens
?
Muscle Creatine Content
1 study
↑Improves
?
Muscle Mass
↑Improves
?
Muscle Oxygenation
1 study
↑Improves
?
Muscle Soreness
1 study
↑Worsens
?
Nitric Oxide
1 study
↑Improves
?
Oxidative Stress Biomarkers
1 study
↑Worsens
?
Training Volume
1 study
↑Improves
?
Weight
↑Worsens
D
Blood glucose
No effect
1 study
none
?
Blood Pressure
1 study
↑Worsens
?
Body Fat
1 study
↑Worsens
?
High-density lipoprotein (HDL)
1 study
↑Improves
?
Homocysteine
↑Worsens
?
Kidney Function
1 study
↑Improves
?
Liver Enzymes
1 study
↑Worsens
?
Low-density lipoprotein (LDL)
1 study
↑Worsens
?
Metabolic Rate
1 study
↑Improves
?
Serum Folate
1 study
↑Improves
?
Thyroid-Stimulating Hormone
1 study
↑Improves
?
Total cholesterol
↑Worsens
?
Triglycerides
1 study
↑Worsens
?
Weight
↑Worsens

Evidence by Condition

Best grade per condition (each condition may have multiple outcomes)

BDry Mouth
1
↓Dry Mouth SymptomsImproves↑SalivationImproves
BNonalcoholic Steatohepatitis (NASH)
1
↓Liver EnzymesImproves↑Liver FatWorsens↑Liver FibrosisWorsens
CMetabolic Syndrome
1
↑Apolipoprotein AImproves↑HomocysteineWorsens↑FibrinogenImproves
CCoronary Artery Disease (CAD)
1
↑Apolipoprotein AImproves↑FibrinogenImproves↑High-density lipoprotein (HDL)Improves
CHigh Cholesterol
1
↑Apolipoprotein AImproves↑FibrinogenImproves↑High-density lipoprotein (HDL)Improves
DGeneral Athletic Performance
1
Blood glucoseAnaerobic Capacity↑Power OutputImproves
DMetabolic Health
1
Blood glucose
DRunning Performance
1
Anaerobic Capacity↑Blood glucoseWorsens↑Body FatWorsens
DNonalcoholic Fatty Liver Disease (NAFLD)
1
Adiponectin↑Liver EnzymesWorsens↑Liver FatWorsens
DObesity
1
Blood glucose↑Blood PressureWorsens↑Body FatWorsens
DCycling Performance
1
Anaerobic Capacity↑Body FatWorsens↑Muscle MassImproves
DBody Composition
1
Blood glucose↑Blood PressureWorsens↑Body FatWorsens
DWarm- or Hot-Weather Exercise Performance
1
Anaerobic Capacity↑Blood glucoseWorsens↑Heart RateWorsens
DMuscle Size & Strength
1
Anaerobic Capacity↑Power OutputImproves↑Blood Lactate (Exercise)Worsens
DWeight Loss & Maintenance
1
Blood glucose↑Blood PressureWorsens↑Body FatWorsens

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