Nutrient

Betaine (TMG)

The backup methyl donor. When your folate pathway is struggling, TMG steps in to keep methylation running—converting homocysteine and supporting liver function.

Betaine TMG methylation pathway
3
Methyl Groups
BHMT
Main Enzyme
Liver
Primary Location
Beets
Best Food Source

What Betaine/TMG Does

Methyl Donation

TMG = Tri-Methyl-Glycine. Three methyl groups ready to donate.

Homocysteine Recycling

BHMT enzyme uses TMG to convert homocysteine → methionine.

SAMe Production

Methionine becomes SAMe—the universal methyl donor.

Liver Protection

Prevents fatty liver by helping export fat from liver cells.

Osmolyte Function

Protects cells from osmotic stress, especially in kidneys.

Athletic Performance

May improve power output and body composition.

Two Ways to Recycle Homocysteine

Folate Pathway (MS/MTR)

Methylfolate + B12 → Methionine Synthase → converts homocysteine to methionine

  • • Active throughout body
  • • Requires MTHFR, B12, folate
  • • Impaired by MTHFR mutations

Betaine Pathway (BHMT)

TMG → BHMT enzyme → converts homocysteine to methionine

  • • Mainly in liver and kidneys
  • • Independent of MTHFR
  • • Backup when folate pathway fails

If you have MTHFR mutations, the BHMT pathway becomes more important—TMG can compensate.

Who Benefits Most from TMG

MTHFR Mutations

TMG bypasses the broken pathway, keeps methylation going.

High Homocysteine

TMG directly lowers homocysteine via BHMT.

Fatty Liver

TMG is lipotropic—helps liver export fat.

Poor Methylfolate Response

Some don't tolerate methylfolate—TMG is an alternative.

Low Choline Intake

Body makes TMG from choline—low choline = low TMG.

Athletes

May improve power, reduce fatigue, support body composition.

Food Sources of Betaine

Beets

~130mg per cup (highest source)

Spinach

~165mg per cup cooked

Quinoa

~175mg per cup cooked

Wheat Germ

~400mg per 100g

Supplement doses typically 500-3000mg. Hard to get therapeutic amounts from food alone.

TMG vs Other Methyl Donors

TMG (Betaine)

  • • Works via BHMT in liver
  • • Bypasses MTHFR
  • • Gentle, well-tolerated
  • • Good for liver support

Methylfolate

  • • Works via MTR throughout body
  • • Requires functional B12
  • • Can cause overmethylation
  • • Addresses root cause if folate-deficient

SAMe

  • • Direct methyl donor
  • • Fast-acting
  • • More stimulating
  • • Can cause anxiety in sensitive

Considerations

  • • TMG converts to DMG (dimethylglycine) after donating a methyl—DMG has its own benefits
  • • High doses may raise TMAO in some people (gut bacteria dependent)—controversial
  • • Start low (500mg) and increase gradually
  • • Works best with adequate B vitamins, especially B6 and B12

Betaine (TMG) Discussion