What Is Methylation Support? A Guide to TMG & B Vitamins



You may have heard the term "methylation support" in health circles, often referring to supplements that combine trimethylglycine (TMG) with B vitamins. But what exactly is methylation, and why is supporting it so important for your overall well-being? Let's break down the science in simple terms.

How It Works: Your Body's Master Switch

Think of methylation as a fundamental biological process that happens billions of times a second in every cell of your body. It acts like a master switch, turning genes on and off, repairing DNA, producing energy, and clearing out toxins.

A key part of this process is managing an amino acid called homocysteine. While necessary in small amounts, high levels of homocysteine can be problematic. This is where TMG and B vitamins come in. They work as a team to help your body recycle homocysteine back into a useful substance, keeping the entire methylation cycle running smoothly.

Key Benefits Supported by Research

The most well-established benefit of taking TMG and B vitamins is their ability to lower elevated homocysteine levels. A meta-analysis of multiple clinical trials confirmed that TMG supplementation significantly reduces plasma homocysteine in healthy adults.

Beyond this, research suggests other potential benefits:

  • Mood Support: TMG may enhance the effects of SAMe, a compound often used for mood support. One clinical trial found that taking TMG with SAMe led to greater improvements in mood compared to taking SAMe alone.

  • Liver Health: Because methylation is crucial for liver function, TMG has been studied for its role in protecting the liver, though more research is needed to confirm its effectiveness.

  • Athletic Performance: Some studies suggest TMG may improve muscular endurance, but the evidence remains mixed.

Who Might Benefit?

A methyl support supplement could be considered for:

  • Individuals with elevated homocysteine levels: This is the most direct and evidence-backed application.

  • Those with certain genetic variations: Common genetic traits, such as in the MTHFR gene, can slow down the methylation cycle. TMG provides an alternative pathway, offering a "biochemical bypass" to help keep the system working efficiently.

Important Safety Notes

TMG and B vitamins are generally considered safe for most people. The most common side effects are mild digestive issues like nausea or bloating.

However, it is important to be aware that high doses of TMG (typically 4 grams per day or more) have been shown to increase LDL ("bad") cholesterol levels in some studies. For this reason, anyone with high cholesterol or heart health concerns should consult a healthcare professional before use. These supplements are also not recommended for children or for women who are pregnant or breastfeeding without a doctor's guidance.

The Takeaway

Methylation support with TMG and B vitamins is not a cure-all, but it is a powerful tool for optimizing a fundamental bodily process. When used correctly and as part of a personalized health strategy, it can offer targeted support for maintaining cellular health and overall vitality. As with any supplement, it is best to speak with a knowledgeable healthcare provider to determine if it is right for you.



  • TMG (trimethylglycine) and B vitamins (like folate and B12) work together to recycle homocysteine, an amino acid that can be harmful at high levels. By turning homocysteine back into a useful compound, these nutrients keep the methylation cycle running smoothly, supporting heart, liver, and cellular health.

  • Research-backed benefits include:

    • Lowering elevated homocysteine levels (supported by clinical trials)

    • Mood support when combined with SAMe, which relies on methylation for its effects

    • Potential liver support, since methylation is key to detoxification

    • Possible endurance benefits for athletes, though research is mixed

  • This type of methylation support may be especially useful for:

    • Individuals with elevated homocysteine, confirmed by a blood test

    • People with genetic variations such as MTHFR polymorphisms, which can slow methylation

    • Adults seeking targeted cellular and cardiovascular support, under professional guidance

  • Yes, they are generally well-tolerated. The most common side effects are mild digestive issues, such as nausea or bloating.

    However, consider the following precautions:

    • High doses of TMG (4 g/day or more) may raise LDL (“bad”) cholesterol

    • People with heart health concerns should consult a healthcare professional

    • Not recommended for children, pregnancy, or breastfeeding without medical advice

  • Yes. Because methylation is involved in neurotransmitter production and energy metabolism, TMG and B vitamins may:

    • Enhance mood support, especially when paired with SAMe

    • Promote overall cellular vitality by improving energy-related biochemical pathways


Works Cited

  1. pmc.ncbi.nlm.nih.gov, accessed June 27, 2025, https://pmc.ncbi.nlm.nih.gov/articles/PMC7730869/#:~:text=Methylation%20is%20a%20universal%20biochemical,tagging%20on%20histones%20and%20DNA.

  2. Methylation: An Ineluctable Biochemical and Physiological Process ..., accessed June 27, 2025, https://pmc.ncbi.nlm.nih.gov/articles/PMC7730869/

  3. DNA Methylation: What to Know About This Biological Process - Wild Health, accessed June 27, 2025, https://www.wildhealth.com/blog/dna-methylation-what-to-know-about-this-biological-process

  4. Methylation | All Natural Advantage, accessed June 27, 2025, https://www.allnaturaladvantage.com.au/wp-content/uploads/2021/02/Methylation.pdf

  5. What is DNA methylation? | DNA Methylation Overview - biomodal, accessed June 27, 2025, https://biomodal.com/blog/the-fascinating-world-of-dna-methylation/

  6. DNA methylation - Wikipedia, accessed June 27, 2025, https://en.wikipedia.org/wiki/DNA_methylation

  7. nutripath.com.au, accessed June 27, 2025, http://nutripath.com.au/wp-content/uploads/2014/09/NP-NEW-TestFlyerA4-METHYLATION-Tests-v1.0.pdf

  8. The Methylation Cycle - Documenting Hope, accessed June 27, 2025, https://documentinghope.com/methylation-cycle/

  9. Demystifying Methylation: Patterns, Processes and the Pivotal Role of B vitamins., accessed June 27, 2025, https://todayspractitioner.com/nutritional-medicine/demystifying-methylation-patterns-processes-and-the-pivotal-role-of-b-vitamins/

  10. The Role of B Vitamins in Methylation Processes: Clinical Applications, accessed June 27, 2025, https://www.rupahealth.com/post/the-role-of-b-vitamins-in-methylation-processes-clinical-applications-and-dosage-guidelines

  11. Methylation: A little-known but essential process - Life Extension, accessed June 27, 2025, https://www.lifeextension.com/magazine/1998/8/report2

  12. Methyl Benefits | White Paper from DaVinci Laboratories, accessed June 27, 2025, https://info.davincilabs.com/methyl-benefits-white-paper

  13. Trimethylglycine - Wikipedia, accessed June 27, 2025, https://en.wikipedia.org/wiki/Trimethylglycine

  14. Beneficial Effects of Betaine: A Comprehensive Review - PMC - PubMed Central, accessed June 27, 2025, https://pmc.ncbi.nlm.nih.gov/articles/PMC8224793/

  15. Methylation cycle hypothesis - MEpedia, accessed June 27, 2025, https://me-pedia.org/wiki/Methylation_cycle_hypothesis

  16. B Vitamins and One-Carbon Metabolism: Implications in Human Health and Disease - MDPI, accessed June 27, 2025, https://www.mdpi.com/2072-6643/12/9/2867

  17. Why We Added Inositol, Choline and TMG to Our New B-Complex Supplement, accessed June 27, 2025, https://www.ithrive.shop/blogs/essential-insights/why-we-added-inositol-choline-and-tmg-to-our-new-b-complex-supplement

  18. Betaine supplementation decreases plasma homocysteine in ..., accessed June 27, 2025, https://pmc.ncbi.nlm.nih.gov/articles/PMC3610948/

  19. Guide To Trimethylglycine Use, Dosage & Risks - TMG - Vitality Pro, accessed June 27, 2025, https://vitality-pro.com/tmg/benefits-dosage-side-effects-tmg/?currency=USD

  20. Health Functionalities of Betaine in Patients With Homocystinuria - Frontiers, accessed June 27, 2025, https://www.frontiersin.org/journals/nutrition/articles/10.3389/fnut.2021.690359/full

  21. Guide To Trimethylglycine Use, Dosage & Risks | Vitality Pro, accessed June 27, 2025, https://vitality-pro.com/tmg/benefits-dosage-side-effects-tmg/

  22. Betaine supplementation decreases plasma homocysteine in healthy adult participants: A meta-analysis - ResearchGate, accessed June 27, 2025, https://www.researchgate.net/publication/256333799_Betaine_supplementation_decreases_plasma_homocysteine_in_healthy_adult_participants_A_meta-analysis

  23. Betaine Supplementation Decreases Plasma Homocysteine in Healthy Adult Participants: A Meta-Analysis - PubMed, accessed June 27, 2025, https://pubmed.ncbi.nlm.nih.gov/23997720/

  24. What is the function of Trimethylglycine (TMG)? - Dr.Oracle AI Medical Assistant, accessed June 27, 2025, https://www.droracle.ai/articles/22772/what-is-the-function-of-trimethylglycine-tmg

  25. Trimethylglycine as a therapeutic supplement | EBSCO Research Starters, accessed June 27, 2025, https://www.ebsco.com/research-starters/consumer-health/trimethylglycine-therapeutic-supplement

  26. The preventive efficacy of vitamin B supplements on the cognitive decline of elderly adults: a systematic review and meta-analysis - PubMed, accessed June 27, 2025, https://pubmed.ncbi.nlm.nih.gov/34134667/

  27. Dietary intakes and biomarker patterns of folate, vitamin B6, and vitamin B12 can be associated with cognitive impairment by hypermethylation of redox-related genes NUDT15 and TXNRD1 - PubMed Central, accessed June 27, 2025, https://pmc.ncbi.nlm.nih.gov/articles/PMC6787977/

  28. B vitamins and prevention of cognitive decline and incident dementia: a systematic review and meta-analysis - Oxford Academic, accessed June 27, 2025, https://academic.oup.com/nutritionreviews/article-pdf/80/4/931/42784983/nuab057.pdf

  29. Effect of Folic Acid, Betaine, Vitamin B6, and Vitamin B12 on Homocysteine and Dimethylglycine Levels in Middle-Aged Men Drinking White Wine - PubMed Central, accessed June 27, 2025, https://pmc.ncbi.nlm.nih.gov/articles/PMC4728648/

  30. Meta-analysis of the relationship between homocysteine level and metabolic cardiovascular disease - J Clin Cardiol, accessed June 27, 2025, https://lcxxgen.whuhzzs.com/article/doi/10.13201/j.issn.1001-1439.2024.02.006

  31. Betaine and Folate Status as Cooperative Determinants of Plasma Homocysteine in Humans | Arteriosclerosis, Thrombosis, and Vascular Biology - American Heart Association Journals, accessed June 27, 2025, https://www.ahajournals.org/doi/10.1161/01.atv.0000151283.33976.e6

  32. What is the significance of Trimethylglycine (TMG)? - Dr.Oracle AI Medical Assistant, accessed June 27, 2025, https://www.droracle.ai/articles/81428/tmg

  33. Betaine benefits, dosage, and side effects - Examine.com, accessed June 27, 2025, https://examine.com/supplements/betaine/

  34. Effect of homocysteine-lowering nutrients on blood lipids: results ..., accessed June 27, 2025, https://pubmed.ncbi.nlm.nih.gov/15916468/

  35. BETAINE ANHYDROUS: Overview, Uses, Side Effects, Precautions, Interactions, Dosing and Reviews - WebMD, accessed June 27, 2025, https://www.webmd.com/vitamins/ai/ingredientmono-1008/betaine-anhydrous

  36. Betaine for Nonalcoholic Fatty Liver Disease: Results of a ..., accessed June 27, 2025, https://www.researchgate.net/publication/26889714_Betaine_for_Nonalcoholic_Fatty_Liver_Disease_Results_of_a_Randomized_Placebo-Controlled_Trial

  37. Betaine improves nonalcoholic fatty liver and associated hepatic insulin resistance: a potential mechanism for hepatoprotection by betaine - PMC, accessed June 27, 2025, https://pmc.ncbi.nlm.nih.gov/articles/PMC2993168/

  38. Effects of betaine on non-alcoholic liver disease | Nutrition Research Reviews, accessed June 27, 2025, https://www.cambridge.org/core/journals/nutrition-research-reviews/article/effects-of-betaine-on-nonalcoholic-liver-disease/2D5336C8DC2EA17ACE7E2783FD0DCA0F

  39. Betaine for nonalcoholic fatty liver disease: results of a randomized placebo-controlled trial, accessed June 27, 2025, https://pubmed.ncbi.nlm.nih.gov/19824078/

  40. Role of betaine in liver disease-worth revisiting or has the die been cast?, accessed June 27, 2025, https://www.wjgnet.com/1007-9327/full/v26/i38/5745.htm

  41. Prospective study on safety and efficacy of trimethylglycine in patients with non-alcoholic fatty liver disease with or without fibrosis - International Journal of Health Sciences and Research, accessed June 27, 2025, https://www.ijhsr.org/IJHSR_Vol.14_Issue.2_Feb2024/IJHSR-Abstract08.html

  42. Prospective study on safety and efficacy of trimethylglycine in ..., accessed June 27, 2025, https://www.ijhsr.org/IJHSR_Vol.14_Issue.2_Feb2024/IJHSR08.pdf

  43. Prospective study on safety and efficacy of trimethylglycine in patients with non-alcoholic fatty liver disease with or without fibrosis - ResearchGate, accessed June 27, 2025, https://www.researchgate.net/publication/378297007_Prospective_study_on_safety_and_efficacy_of_trimethylglycine_in_patients_with_non-alcoholic_fatty_liver_disease_with_or_without_fibrosis

  44. Study Details | A Feasibility Trial of OCM Supplements for the ..., accessed June 27, 2025, https://clinicaltrials.gov/study/NCT05720702?cond=%22Fatty%20Liver%20Disease%22&intr=%22Pyridoxal%22&viewType=Table&rank=3

  45. The Science Behind TMG And Its Health Benefits - HealthTechzone, accessed June 27, 2025, https://www.healthtechzone.com/topics/healthcare/articles/2024/05/20/459613-science-behind-tmg-its-health-benefits.htm

  46. B vitamins and prevention of cognitive decline and incident dementia: a systematic review and meta-analysis - PubMed, accessed June 27, 2025, https://pubmed.ncbi.nlm.nih.gov/34432056/

  47. B vitamins and prevention of cognitive decline and incident dementia: a systematic review and meta-analysis - Oxford Academic, accessed June 27, 2025, https://academic.oup.com/nutritionreviews/article/80/4/931/6357328

  48. B vitamins and prevention of cognitive decline and incident dementia: A systematic review and meta‐analysis | Request PDF - ResearchGate, accessed June 27, 2025, https://www.researchgate.net/publication/357455591_B_vitamins_and_prevention_of_cognitive_decline_and_incident_dementia_A_systematic_review_and_meta-analysis

  49. B Vitamins and Homocysteine Levels | Food for the Brain, accessed June 27, 2025, https://foodforthebrain.org/b-vitamins-and-homocysteine/

  50. TMG Supplements: Benefits, Side Effects, Dosage, and More - Healthline, accessed June 27, 2025, https://www.healthline.com/nutrition/tmg-supplement

  51. Betaine Supplement - Methylation Support | BrainMD, accessed June 27, 2025, https://brainmd.com/betaine-tmg

  52. Making the case for prophylactic use of betaine to promote brain health in young (15–24 year old) athletes at risk for concussion - PMC - PubMed Central, accessed June 27, 2025, https://pmc.ncbi.nlm.nih.gov/articles/PMC10556504/

  53. Exploring Trimethyl glycine (TMG): Health Benefits, and Dosage - Decode Age, accessed June 27, 2025, https://decodeage.com/blogs/supplements/exploring-trimethyl-glycine-tmg-health-benefits-and-dosage

  54. Metabolic Effects of Betaine: A Randomized Clinical Trial of Betaine Supplementation in Prediabetes - PMC - National Institutes of Health (NIH) |, accessed June 27, 2025, https://pmc.ncbi.nlm.nih.gov/articles/PMC6692715/

  55. Methylation Support® Vitamin Supplement - Amy Myers MD, accessed June 27, 2025, https://www.amymyersmd.com/products/methylation-support

  56. The Best Supplements To Take To Support Methylation - Rupa Health, accessed June 27, 2025, https://www.rupahealth.com/post/the-best-methylation-supplements

  57. Betaine (Trimethylglycine) – Health Information Library | PeaceHealth, accessed June 27, 2025, https://www.peacehealth.org/medical-topics/id/hn-2807004

  58. Betaine (oral route) - Mayo Clinic, accessed June 27, 2025, https://www.mayoclinic.org/drugs-supplements/betaine-oral-route/description/drg-20062216

  59. Vitamins and minerals - B vitamins and folic acid - NHS, accessed June 27, 2025, https://www.nhs.uk/conditions/vitamins-and-minerals/vitamin-b/

  60. www.ncbi.nlm.nih.gov, accessed June 27, 2025, https://www.ncbi.nlm.nih.gov/books/NBK114313/#:~:text=The%20Tolerable%20Upper%20Intake%20Level,day%20of%20vitamin%20B6.

  61. Vitamin B6 - Consumer - NIH Office of Dietary Supplements, accessed June 27, 2025, https://ods.od.nih.gov/factsheets/VitaminB6-Consumer/

  62. nutritionsource.hsph.harvard.edu, accessed June 27, 2025, https://nutritionsource.hsph.harvard.edu/folic-acid/#:~:text=Toxicity,mask%20a%20vitamin%20B12%20deficiency.

  63. What are the side effects of Betaine? - Patsnap Synapse, accessed June 27, 2025, https://synapse.patsnap.com/article/what-are-the-side-effects-of-betaine

  64. Betaine Anhydrous: Uses, Side Effects, Dosage & Interactions - Apollo Hospitals, accessed June 27, 2025, https://www.apollohospitals.com/corporate/medicines/betaine-anhydrous/

  65. TMG - Source Naturals, accessed June 27, 2025, https://www.sourcenaturals.com/products/GP1296/

  66. Betaine: Uses, Interactions, Mechanism of Action | DrugBank Online, accessed June 27, 2025, https://go.drugbank.com/drugs/DB06756

  67. Betaine: MedlinePlus Drug Information, accessed June 27, 2025, https://medlineplus.gov/druginfo/meds/a608012.html

  68. Safety of betaine as a novel food pursuant to Regulation (EU) 2015 ..., accessed June 27, 2025, https://www.efsa.europa.eu/en/efsajournal/pub/5658

  69. Safety of betaine as a novel food pursuant to Regulation (EC) No 258/97 - PMC, accessed June 27, 2025, https://pmc.ncbi.nlm.nih.gov/articles/PMC7009864/

  70. Maximum levels for the addition of vitamin B1, vitamin B2 and pantothenic acid to foods including food supplements, accessed June 27, 2025, https://www.bfr.bund.de/cm/349/maximum-levels-for-the-addition-of-vitamin-b1-vitamin-b2-and-pantothenic-acid-to-foods-including-food-supplements.pdf

  71. Vitamin B6 - Health Professional Fact Sheet, accessed June 27, 2025, https://ods.od.nih.gov/factsheets/VitaminB6-HealthProfessional/

  72. Folate - Consumer - NIH Office of Dietary Supplements, accessed June 27, 2025, https://ods.od.nih.gov/factsheets/Folate-Consumer/

  73. Folate (Folic Acid) - Vitamin B9 - The Nutrition Source, accessed June 27, 2025, https://nutritionsource.hsph.harvard.edu/folic-acid/

  74. www.healthline.com, accessed June 27, 2025, https://www.healthline.com/nutrition/too-much-vitamin-b12#:~:text=Since%20B12%20is%20a%20water,its%20low%20level%20of%20toxicity.

  75. Nutrition Needs for Older Adults: Vitamin B-12 - ACL.gov, accessed June 27, 2025, https://acl.gov/sites/default/files/nutrition/Nutrition-Needs_Vitamin-B12_FINAL-2.18_508.pdf

  76. How Much Vitamin B12 Is Too Much? - Healthline, accessed June 27, 2025, https://www.healthline.com/nutrition/too-much-vitamin-b12

  77. Vitamin B12 - Health Professional Fact Sheet - NIH Office of Dietary Supplements, accessed June 27, 2025, https://ods.od.nih.gov/factsheets/VitaminB12-HealthProfessional/

  78. Table 17. Dietary Reference Intakes (DRIs): Tolerable Upper Intake ..., accessed June 27, 2025, https://www.ncbi.nlm.nih.gov/books/NBK278991/table/diet-treatment-obes.table17die/


Content Disclaimer

This information was generated and formatted using AI technology to summarize and present current scientific research on the specified supplement. While every effort has been made to ensure accuracy, clarity, and relevance, the information provided should not be considered a substitute for professional medical advice. All health claims are supported by citations from peer-reviewed studies and credible sources, which have been included for transparency and verification. Always consult a qualified healthcare provider before making decisions related to supplement use or health interventions.


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