Evidence-based·Last reviewed May 30, 2026·How we grade evidence

Betaine Anhydrous

Amino-acidBetaineBest before bed

Useful mainly for people wanting to lower homocysteine, or lifters seeking small power gains.

Quick decision guide

May help most

people wanting to lower homocysteine, or lifters seeking small power gains

Common dosing range

2,500 mg/day (performance); 1,500–6,000 mg/day (homocysteine)

When to expect effects

Weeks

Watch out for

may modestly raise LDL/total cholesterol in some people at higher doses

What is it

Betaine anhydrous is the water-free form of betaine (trimethylglycine, or TMG), a naturally occurring compound found in foods such as beets, spinach, and wheat bran. It is the most common supplemental form, used for methylation support, homocysteine reduction, and athletic performance.

Is it worth it for you?

Use this as a quick fit check, not a diagnosis.

Worth considering if

You want to lower elevated homocysteine
You are a resistance/power athlete trialing a small ergogenic edge
You can monitor lipids if using higher doses long-term

Probably skip if

You have elevated cholesterol and won't monitor lipids
You expect large strength or body-composition changes
You have trimethylaminuria (fishy-odor disorder)

Evidence at a glance

homocysteine reduction

Strong Evidence
Effect
Substantial reduction in plasma homocysteine
Best fit
people with elevated homocysteine
Time
Weeks

exercise performance (power, endurance)

Limited Evidence
Effect
Small improvements in power/work capacity
Best fit
resistance-trained individuals
Time
Weeks

body composition

Limited Evidence
Effect
Small, inconsistent
Best fit
resistance-training adults
Time
Weeks to months

liver health (NAFLD)

Limited Evidence
Effect
Modest
Best fit
adults with non-alcoholic fatty liver disease
Time
Weeks to months

Evidence for 4 uses

AI-assisted evidence assessment — talk to your doctor before relying on any single supplement.

homocysteine reduction

Biomarker support
Strong Evidence

Multiple randomized trials and meta-analyses show betaine reliably lowers plasma homocysteine by donating a methyl group to convert homocysteine to methionine via BHMT. This is a well-established biomarker effect; trials lowering homocysteine have not translated into reduced cardiovascular events, so the benefit should be read as a marker change, not proven disease prevention.

Effect size
Substantial reduction in plasma homocysteine
Time to effect
Weeks
Best fit
people with elevated homocysteine

Bottom line: Reliably lowers the homocysteine blood marker, but lower homocysteine has not been shown to reduce cardiovascular events.

exercise performance (power, endurance)

Supplement benefit
Limited Evidence

Trials using 2,500 mg/day report small improvements in muscular power, strength, and work capacity, though results are somewhat mixed across studies. Proposed mechanisms include cellular osmolyte effects and methyl-donor support for creatine synthesis.

Effect size
Small improvements in power/work capacity
Time to effect
Weeks
Best fit
resistance-trained individuals
Less likely
untrained or endurance-only athletes seeking large gains

Bottom line: May give a small, real boost to power and work capacity in trained lifters.

Evidence is mixed

Some trials show measurable power/strength gains while others find no significant ergogenic effect.

body composition

Supplement benefit
Limited Evidence

A few trials report small increases in lean mass or reductions in fat mass with betaine alongside training, but findings are inconsistent and sample sizes small. Body-composition benefit is uncertain.

Effect size
Small, inconsistent
Time to effect
Weeks to months
Best fit
resistance-training adults

Bottom line: Possible minor body-composition benefit with training; evidence is weak.

Evidence is mixed

Body-composition outcomes vary between trials, with several null results.

liver health (NAFLD)

Biomarker support
Limited Evidence

Small studies suggest betaine may improve liver enzymes or hepatic fat measures in NAFLD, consistent with its role in lipid and one-carbon metabolism. Evidence is preliminary and based on liver markers and imaging.

Effect size
Modest
Time to effect
Weeks to months
Best fit
adults with non-alcoholic fatty liver disease

Bottom line: May modestly improve fatty-liver markers; evidence is preliminary.

How it works

Betaine anhydrous donates methyl groups in one-carbon metabolism, particularly converting homocysteine back to methionine via the enzyme BHMT. This pathway is especially important when folate intake is suboptimal. Methionine produced is then used to form S-adenosylmethionine (SAM), the body's universal methyl donor for hundreds of biological methylation reactions affecting DNA, neurotransmitters, hormones, and lipid metabolism. In cells, betaine functions as an osmolyte, helping cells maintain volume and structural integrity under osmotic stress. This is particularly important in the kidney medulla and may underlie betaine's effects on hydration and cell function during physical stress. For athletic performance, betaine anhydrous has been studied for its effects on power output, endurance, and body composition. The mechanisms likely involve a combination of cellular osmolyte effects, methyl donor support for creatine synthesis, and possibly modulation of cellular signaling pathways involved in muscle adaptation.

How to take it

1. Typical dose
2,500 mg/day for performance; 1,500–6,000 mg/day for homocysteine
2. Higher studied dose
6–20 g/day is used only as prescription therapy for homocystinuria, under medical supervision
3. Timing
30–60 min before workouts for performance; otherwise any consistent time
4. With food
with food and water to reduce GI upset
5. Split dosing
split larger daily doses into two administrations
6. How long to try
Trial several weeks; homocysteine response is measurable within weeks

What to track

training power/work capacity
homocysteine if measured
lipid panel at higher doses
GI tolerance

3 commercial forms

Compare the main delivery options and what they’re best suited for.

Betaine anhydrous (TMG) powder

Cost-effective; common in pre-workout formulas. Mildly salty taste.

Pure form; mixes easily in water.

Betaine anhydrous capsules

Easier to take than powder; may require multiple capsules per dose.

Convenient pre-measured doses.

Pre-workout blends with betaine

Common in commercial pre-workout products at standard 2,500 mg dose.

Combined with creatine, beta-alanine, caffeine, and other performance ingredients.

Safety

Know the common side effects, key cautions, and who should avoid it.

Common side effects

mild GI upsetnauseafishy body odor at high doses

Who should avoid it

  • trimethylaminuria
  • people with elevated cholesterol who won't monitor lipids

Pregnancy & breastfeeding

Consult a clinician before using supplement doses in pregnancy or breastfeeding.

Interactions

lipid-modifying medicationsMinor

betaine may raise LDL/total cholesterol in some people; monitor lipids

folate and vitamin B12Minor

additive homocysteine-lowering effect

Food sources

Beets

Amount
1/2 cup cooked
%DV

Spinach

Amount
1 cup cooked
%DV

Wheat bran

Amount
1/4 cup
%DV

Quinoa

Amount
1 cup cooked
%DV

Shrimp

Amount
3 oz
%DV

Sweet potatoes

Amount
1 medium
%DV

Choosing a product

What to look for on the label — and what to be skeptical of.

Look for

states betaine anhydrous (TMG) content in mg
free of unnecessary proprietary-blend masking
third-party tested

Be skeptical of

'lowers heart disease risk' from homocysteine claims
large muscle-gain promises
unspecified 'methylation' cure claims

Frequently asked questions

Is betaine anhydrous the same as TMG?

Yes. Betaine anhydrous is the chemical name; TMG (trimethylglycine) is an alternate name for the same molecule. Both refer to the supplemental methyl donor form.

How does it improve workouts?

Several mechanisms are proposed: cellular hydration via osmolyte effects, support for creatine synthesis via methyl donation, and possibly modulation of muscle signaling pathways. Clinical effects on power and endurance are modest but consistent.

When should I take it for workouts?

Most studies have used a single 2,500 mg dose, often 30 to 60 minutes pre-workout. Daily intake matters more than precise timing for accumulation effects.

Can betaine raise my cholesterol?

Some studies suggest betaine may modestly raise total or LDL cholesterol in some individuals at higher doses (3 g or more daily). Monitor lipids if using long-term.

Should I take it with creatine?

Yes, they are commonly combined. Betaine supports methylation involved in creatine synthesis, and both target performance through different mechanisms. The combination is well tolerated.

References by claim

homocysteine reduction

Imani et al., 2019PubMed (2019) link

Lu et al., 2023PMC (2023) link

exercise performance (power, endurance)

Zawieja et al., 2023PMC (2023) link

Nieman et al., 2025PMC (2025) link

body composition

Waldman et al., 2023PubMed (2023) link

Nobari et al., 2021PMC (2021) link

liver health (NAFLD)

Abdelmalek et al., 2009PubMed (2009) link

Rehman et al., 2022PMC (2022) link

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Evidence-based·Last reviewed May 30, 2026·Evidence current as of May 30, 2026·How we grade evidence

Disclaimer: These statements have not been evaluated by the FDA. This page is educational, not a substitute for personalized medical advice. Evidence grades are AI-assisted assessments — talk to your doctor before starting any new supplement, especially if you’re pregnant, breastfeeding, on medications, or managing a chronic condition.