TMG (Trimethylglycine)

FDA ApprovedExtensive Research

Also known as: Betaine · Betaine Anhydrous · Trimethylglycine

A methyl donor essential for homocysteine metabolism, increasingly used alongside NAD+ precursors to prevent methyl group depletion and support cardiovascular and liver health.

Overview

Trimethylglycine (TMG), also known as betaine, is a naturally occurring compound found in beets, spinach, and quinoa. It serves as one of the body's most important methyl donors, participating in the conversion of homocysteine to methionine via betaine-homocysteine methyltransferase (BHMT). This reaction is critical for maintaining healthy homocysteine levels, supporting the methionine cycle, and ensuring adequate SAMe (S-adenosylmethionine) production. TMG has gained significant attention in the longevity community specifically because NAD+ precursors (NMN, NR) and NAD+ itself consume methyl groups during metabolism. When NAD+ is broken down by CD38 or used by PARPs, the resulting nicotinamide must be methylated (by NNMT) to nicotinamide N-methylnicotinamide for excretion.

This process depletes the body's methyl pool. Supplementing TMG alongside NAD+ protocols helps replenish methyl groups and prevent elevated homocysteine. Beyond its role as a methyl donor, TMG acts as an osmolyte (protecting cells from dehydration stress), supports liver health by reducing hepatic fat accumulation, and has ergogenic properties — improving power output and body composition in some studies.

Mechanism of Action

Donates methyl groups to homocysteine via BHMT enzyme, converting it to methionine. Supports SAMe production (the universal methyl donor). Acts as a cellular osmolyte, protecting against osmotic stress. Reduces hepatic fat accumulation (lipotropic effect). Supports creatine synthesis pathway. Replenishes methyl groups depleted by NAD+ precursor metabolism.

Key Benefits

Reduces homocysteine levels (cardiovascular protection)
Replenishes methyl groups depleted by NAD+ supplementation
Supports liver health and reduces hepatic fat
Acts as a cellular osmolyte for cell protection
May improve power output and body composition
Supports SAMe production for methylation reactions
Affordable and well-tolerated

Potential Side Effects

GI discomfort at higher doses
Fishy body odor (rare, from trimethylamine production)
Nausea
Diarrhea at very high doses
May increase cholesterol in some individuals

Common Stacks

This peptide is commonly combined with the following compounds for synergistic effects:

NAD+ (Injectable)NAD+ / NMNResveratrolMetforminB12

Scientific References

Quick Reference

Typical Dose

500mg-3g daily. Typically 1-2g/day when used with NAD+ precursors

Frequency

Daily, can be split into 2 doses

Route

Oral (capsule or powder)

Half-Life

~6 hours

Cycle Length

Ongoing — typically used continuously alongside NAD+ protocols

FDA Status

FDA approved as a drug (Cystadane) for homocystinuria; widely available as a supplement

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This information is for educational purposes only. Consult a qualified healthcare professional before using any peptide. Dosing information reflects commonly reported protocols and may not be appropriate for everyone.

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