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Supplements/Compound

Betaine (Liver)

TMG methyl donor used for fatty liver and homocysteinemia.

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Overview

TMG methyl donor used for fatty liver and homocysteinemia.

Natural sources
  • Endogenously produced or biosynthesized molecule
  • Standardized pharmaceutical- or food-grade supplement
  • Combined with cofactors that improve absorption or activity
Common forms
  • Capsule or softgel
  • Powder
  • Sublingual or buccal
  • Liposomal liquid

Forms & variants of Betaine Anhydrous (TMG)

Different chemical forms of Betaine Anhydrous (TMG) behave differently. Browse each form's mechanism, bioavailability, and best-use context.

Mechanism of action

Provides methyl groups for homocysteine remethylation and phosphatidylcholine synthesis.

Pathways
  • · Provides methyl groups for homocysteine remethylation
  • · phosphatidylcholine synthesis

Effects on the body

Supports
steatosis in NAFLD

Organ system effects

Liver

Betaine (Liver) supports hepatocyte antioxidant defenses (glutathione, Nrf2) and phase-I/II detoxification.

Cardiovascular

Betaine (Liver) supports endothelial function, lipid profile, or blood-pressure regulation in cardiovascular trials.

Evidence-based benefits

Improves steatosis in NAFLD

Moderate evidence

Potential side effects

Common
  • · Fishy odor
Rare
    Serious

      Drug interactions

      Prescription medications (general)
      Always disclose Betaine (Liver) use to your prescriber — additive, antagonistic, or pharmacokinetic interactions are possible.
      minor

      Supplement interactions

      Pairs well with
      • Milk thistle (silymarin)
        Complementary hepatoprotective antioxidant pathways.
      • NAC
        Restores hepatic glutathione.
      • Omega-3
        Anti-inflammatory cardiovascular synergy.
      Avoid combining with

      No specific avoidances listed.

      Dosing & bioavailability

      Typical dose
      10–20 g/day
      Best form
      Most evidence is based on the capsule or softgel form.
      Timing
      Consistent daily timing recommended; split larger doses if GI tolerance is a concern.
      With food?
      With meals

      Where to buy

      Affiliate links — we may earn a commission at no extra cost to you. Amazon code supplementsch-20 is auto-applied at checkout. We don't endorse specific brands; verify third-party testing (USP, NSF, Informed Sport) before purchase.

      Scientific evidence8Show studies
      RCTHepatology · 2009

      Betaine in NASH

      Abdelmalek MF, et al.

      12-month DB-RCT in 55 NASH patients.

      Key findings

      No improvement in fibrosis but improved steatosis grade.

      Open study
      Systematic reviewPubMed (NLM) · 1970

      PubMed: Betaine (Liver) — Improves steatosis in NAFLD

      Live PubMed search

      Live results for "Betaine (Liver) Improves steatosis in NAFLD" across the PubMed/MEDLINE peer-reviewed index.

      Key findings

      Opens current human and preclinical literature matching Betaine (Liver) and "Improves steatosis in NAFLD". Filter by RCT, meta-analysis, or year on the results page.

      Open study
      Systematic reviewPubMed (NLM) · 1970

      PubMed: Betaine (Liver) — randomized controlled trial

      Live PubMed search

      Live results for "Betaine (Liver) randomized controlled trial" across the PubMed/MEDLINE peer-reviewed index.

      Key findings

      Opens current human and preclinical literature matching Betaine (Liver) and "randomized controlled trial". Filter by RCT, meta-analysis, or year on the results page.

      Open study
      Systematic reviewPubMed (NLM) · 1970

      PubMed: Betaine (Liver) — meta-analysis

      Live PubMed search

      Live results for "Betaine (Liver) meta-analysis" across the PubMed/MEDLINE peer-reviewed index.

      Key findings

      Opens current human and preclinical literature matching Betaine (Liver) and "meta-analysis". Filter by RCT, meta-analysis, or year on the results page.

      Open study
      Systematic reviewPubMed (NLM) · 1970

      PubMed: Betaine (Liver) — pharmacokinetics

      Live PubMed search

      Live results for "Betaine (Liver) pharmacokinetics" across the PubMed/MEDLINE peer-reviewed index.

      Key findings

      Opens current human and preclinical literature matching Betaine (Liver) and "pharmacokinetics". Filter by RCT, meta-analysis, or year on the results page.

      Open study
      Systematic reviewPubMed (NLM) · 1970

      PubMed: Betaine (Liver) — safety adverse events

      Live PubMed search

      Live results for "Betaine (Liver) safety adverse events" across the PubMed/MEDLINE peer-reviewed index.

      Key findings

      Opens current human and preclinical literature matching Betaine (Liver) and "safety adverse events". Filter by RCT, meta-analysis, or year on the results page.

      Open study
      Systematic reviewPubMed (NLM) · 1970

      PubMed: Betaine (Liver) — dose response

      Live PubMed search

      Live results for "Betaine (Liver) dose response" across the PubMed/MEDLINE peer-reviewed index.

      Key findings

      Opens current human and preclinical literature matching Betaine (Liver) and "dose response". Filter by RCT, meta-analysis, or year on the results page.

      Open study
      Systematic reviewGoogle Scholar · 1970

      Google Scholar: Betaine (Liver) — clinical evidence

      Live Scholar search

      Cross-database citation index for Betaine (Liver) as it relates to "clinical evidence".

      Key findings

      Includes preprints, theses, and journal articles. Useful for tracking citation counts and follow-on work.

      Open study
      Educational use only. This profile is not medical advice. Consult a qualified healthcare professional before starting any supplement, especially if you take prescription medication or have a chronic condition.

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