Methylation support and homocysteine reduction

TMG (Trimethylglycine / Betaine)

TMG is a methyl donor that supports one-carbon metabolism and reduces homocysteine. RCTs show meaningful homocysteine reduction as an adjunct to B vitamins. Also studied for exercise performance and liver health.

Evidence Level B

Evidence and Risk Labels

Evidence A/B/C reflects research maturity, and risk levels reflect monitoring needs. These labels support comparison, not diagnosis or treatment decisions.

See full scoring guide

Clinical Snapshot

Effect Size
Moderate homocysteine reduction; modest exercise performance effect; meaningful liver fat reduction in NAFLD
Safety
Low Risk

High doses (6+ g/day) may increase LDL in some individuals; fishy body odor is a benign but notable side effect at high doses due to TMAO conversion.

Research Dosing

This reflects common ranges and protocols used in published studies, not personal medical advice.

Typical Daily Dose
500-3000 mg
Timing
With meals
Protocol Duration in Studies
8-12 weeks minimum for homocysteine endpoints

Often combined with folate and B12 for comprehensive methylation support.

Best Fit Profiles

  • homocysteine reduction, methylation support, and liver health protocols

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