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Supplements/Compound

SAMe (S-Adenosyl Methionine)

Universal methyl donor with antidepressant and liver-supportive evidence.

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Overview

Universal methyl donor with antidepressant and liver-supportive evidence.

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

Mechanism of action

Donates methyl groups for neurotransmitter and phospholipid synthesis.

Pathways
  • · Donates methyl groups for neurotransmitter
  • · phospholipid synthesis

Effects on the body

Supports
Comparable to imipramine in depression
Supports
intrahepatic cholestasis

Organ system effects

Liver

SAMe (S-Adenosyl Methionine) supports hepatocyte antioxidant defenses (glutathione, Nrf2) and phase-I/II detoxification.

Evidence-based benefits

Comparable to imipramine in depression

Moderate evidence

Improves intrahepatic cholestasis

Moderate evidence

Potential side effects

Common
  • · Nausea
  • · Insomnia
Rare
  • · Mania (bipolar)
Serious
  • · Serotonin syndrome with SSRIs

Drug interactions

SSRIs/MAOIs
Serotonin syndrome risk.
severe

Supplement interactions

Pairs well with
  • Milk thistle (silymarin)
    Complementary hepatoprotective antioxidant pathways.
  • NAC
    Restores hepatic glutathione.
Avoid combining with

No specific avoidances listed.

Dosing & bioavailability

Typical dose
400–1600 mg AM, enteric coated
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?
Empty stomach

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 evidence9Show studies
Meta-analysisCochrane Database · 2016

SAMe for depression: a meta-analysis

Galizia I, et al.

Cochrane review of SAMe in MDD.

Key findings

Comparable to imipramine for moderate depression.

Open study
Systematic reviewPubMed (NLM) · 1970

PubMed: SAMe (S-Adenosyl Methionine) — Comparable to imipramine in depression

Live PubMed search

Live results for "SAMe (S-Adenosyl Methionine) Comparable to imipramine in depression" across the PubMed/MEDLINE peer-reviewed index.

Key findings

Opens current human and preclinical literature matching SAMe (S-Adenosyl Methionine) and "Comparable to imipramine in depression". Filter by RCT, meta-analysis, or year on the results page.

Open study
Systematic reviewPubMed (NLM) · 1970

PubMed: SAMe (S-Adenosyl Methionine) — Improves intrahepatic cholestasis

Live PubMed search

Live results for "SAMe (S-Adenosyl Methionine) Improves intrahepatic cholestasis" across the PubMed/MEDLINE peer-reviewed index.

Key findings

Opens current human and preclinical literature matching SAMe (S-Adenosyl Methionine) and "Improves intrahepatic cholestasis". Filter by RCT, meta-analysis, or year on the results page.

Open study
Systematic reviewPubMed (NLM) · 1970

PubMed: SAMe (S-Adenosyl Methionine) — randomized controlled trial

Live PubMed search

Live results for "SAMe (S-Adenosyl Methionine) randomized controlled trial" across the PubMed/MEDLINE peer-reviewed index.

Key findings

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

Open study
Systematic reviewPubMed (NLM) · 1970

PubMed: SAMe (S-Adenosyl Methionine) — meta-analysis

Live PubMed search

Live results for "SAMe (S-Adenosyl Methionine) meta-analysis" across the PubMed/MEDLINE peer-reviewed index.

Key findings

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

Open study
Systematic reviewPubMed (NLM) · 1970

PubMed: SAMe (S-Adenosyl Methionine) — pharmacokinetics

Live PubMed search

Live results for "SAMe (S-Adenosyl Methionine) pharmacokinetics" across the PubMed/MEDLINE peer-reviewed index.

Key findings

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

Open study
Systematic reviewPubMed (NLM) · 1970

PubMed: SAMe (S-Adenosyl Methionine) — safety adverse events

Live PubMed search

Live results for "SAMe (S-Adenosyl Methionine) safety adverse events" across the PubMed/MEDLINE peer-reviewed index.

Key findings

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

Open study
Systematic reviewPubMed (NLM) · 1970

PubMed: SAMe (S-Adenosyl Methionine) — dose response

Live PubMed search

Live results for "SAMe (S-Adenosyl Methionine) dose response" across the PubMed/MEDLINE peer-reviewed index.

Key findings

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

Open study
Systematic reviewGoogle Scholar · 1970

Google Scholar: SAMe (S-Adenosyl Methionine) — clinical evidence

Live Scholar search

Cross-database citation index for SAMe (S-Adenosyl Methionine) 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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