Tier 4
Sumet Kumar Singh et al. · Frontiers in pharmacology · 2026
Narrative review. Reviews methyl donation, osmotic protection and proposed cardiometabolic, liver and renal mechanisms.
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Tier 4
Guangfu Zhao et al. · Frontiers in immunology · 2018
Narrative review. Describes possible effects on NF-kappaB, NLRP3, oxidative stress and inflammatory signaling.
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Tier 4
Emilia Zawieja et al. · Ageing research reviews · 2025
Narrative review with a structured literature search. Reviews plausible aging-related pathways involving methylation, mitochondria, muscle and inflammation, while identifying major clinical gaps.
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Tier 4
Manan Bhatt et al. · Basic & clinical pharmacology & toxicology · 2023
Narrative review. Maps proposed brain effects and unresolved questions about transport, neurotransmission and neuronal protection.
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Tier 4
Aisha Rehman et al. · European journal of nutrition · 2022
Narrative review. Summarizes how betaine might modify methylation and lipid handling in alcohol-related fatty liver.
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Tier 4
Weiqiang Chen et al. · Nutrition research reviews · 2022
Narrative review. Reviews proposed metabolic, inflammatory and mitochondrial pathways relevant to fatty liver.
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Tier 4
Madan Kumar Arumugam et al. · Biology · 2021
Narrative review. Surveys betaine's osmolyte and methyl-donor functions and a wide range of proposed organ-protective effects.
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Tier 4
Yaoyao Xia et al. · Frontiers in immunology · 2018
Narrative review. Explains proposed routes by which betaine could affect IL-1beta production, processing and release.
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Tier 4
Yue-Yue Zhang et al. · Current drug targets · 2025
Narrative review. Reviews antidepressant hypotheses involving inflammation, stress and energy metabolism.
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Tier 4
Stuart A S Craig · The American journal of clinical nutrition · 2004
Narrative review. Provides a foundational overview of food sources, osmoprotection and methyl-group donation.
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Tier 4
Chelsea Truitt et al. · Frontiers in nutrition · 2021
Narrative review. Reviews betaine's role in lowering homocysteine in inherited homocystinuria.
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Tier 4
Per Magne Ueland et al. · Clinical chemistry and laboratory medicine · 2005
Narrative review. Describes the relationship between betaine status, folate-dependent pathways and fasting/post-load homocysteine.
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Tier 4
Bojana Filipčev et al. · Foods (Basel, Switzerland) · 2018
Narrative review. Summarizes betaine concentrations in grains and how processing or fortification can change food content.
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Tier 4
Christopher R Day et al. · Biochimica et biophysica acta · 2016
Narrative review. Reviews chemistry and largely animal evidence for effects on liver metabolism, arguing for better human trials.
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Tier 4
Brandon D Willingham et al. · Nutrients · 2020
Narrative review. Proposes mechanisms by which betaine might improve heat tolerance, based mainly on cell and animal work.
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Tier 4
Michael Lever et al. · Clinical biochemistry · 2010
Narrative review. Integrates betaine's roles in osmotic control, methyl metabolism and clinical biomarker interpretation.
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Tier 2
Mohammad Moslem Imani et al. · International orthodontics · 2019
Systematic review and meta-analysis of genetic association studies. A four-study genetic meta-analysis linked one BHMT variant with cleft lip/palate susceptibility, with inconsistent findings for another variant.
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Tier 4
Sandeep Mukherjee · World journal of gastroenterology · 2020
Narrative review. Discusses mixed human liver-trial results and the rationale for renewed controlled research.
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Tier 4
Ashal Ilyas et al. · Frontiers in molecular biosciences · 2022
Narrative review. Contrasts TMAO and betaine biology, including osmotic, methylation and biomarker roles.
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Tier 4
Krystyna Yeroshkina et al. · Nutrition reviews · 2023
Narrative review. Examines how betaine and BHMT variation might interact with folate-related metabolism.
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Tier 4
Icksoo Lee · Cells · 2021
Narrative review. Reviews experimental effects of betaine and other compounds on cytochrome-c oxidase and mitochondrial regulation.
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Tier 4
Dejan Dobrijević et al. · Molecules (Basel, Switzerland) · 2023
Narrative review. Reviews natural food sources, metabolism, extraction and analytical methods for betaine as a food ingredient.
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Tier 4
Per Magne Ueland · Journal of inherited metabolic disease · 2011
Narrative review. Explains the connection between choline oxidation, betaine and folate-linked one-carbon metabolism.
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Tier 4
Arne Schousboe et al. · European journal of pharmacology · 2004
Narrative review. Discusses betaine/GABA transporter pharmacology as a possible route to anticonvulsant drug development.
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Tier 4
J S Handler et al. · Kidney international · 1996
Narrative review. Reviews how hypertonicity regulates betaine and myo-inositol transport in renal-cell models.
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Tier 4
A J Barak et al. · Alcohol (Fayetteville, N.Y.) · 1996
Narrative review. Summarizes rodent evidence that betaine supports SAM generation and modifies ethanol-associated liver fat.
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Tier 4
Stefanie Kickinger et al. · Neuropharmacology · 2019
Narrative review. Reviews BGT1 structure, function and experimental inhibitors, highlighting uncertainty about its brain role.
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Tier 4
Donglan Luo et al. · Food science & nutrition · 2025
Narrative review. Reviews betaine sources, synthesis, extraction and proposed health mechanisms, especially from animal research.
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Tier 4
Dong Hwan Kim et al. · Journal of cancer prevention · 2014
Narrative review. Reviews experimental effects of baicalein and betaine in inflammation-associated colon tumor models.
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Tier 2
Hélène Pellanda · Clinical chemistry and laboratory medicine · 2013
Human tissue and cell-line study. BHMT expression and activity were markedly reduced in the investigated tumor material and HepG2 cells.
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Tier 4
Giovanni Buonaiuto et al. · Antioxidants (Basel, Switzerland) · 2025
Narrative review. Surveys betaine nutrition across humans and several animal species, including metabolic and osmotic mechanisms.
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Tier 4
Sathish Kumar Perumal et al. · Frontiers in nutrition · 2025
Narrative review. Reviews a gut-liver hypothesis linking betaine, intestinal barrier function and chronic liver injury.
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Tier 4
Livia Alvarenga et al. · Current nutrition reports · 2022
Narrative review. Reviews betaine biology, disease-associated blood levels and experimental kidney-protective findings.
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Tier 4
Stephen A Kempson et al. · Frontiers in physiology · 2014
Narrative review. Compares BGT1's well-characterized renal osmotic role with less certain liver and brain functions.
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Tier 4
Amy Lawson-Yuen et al. · Molecular genetics and metabolism · 2006
Narrative review. Reviews prescription betaine for elevated homocysteine and emphasizes methionine monitoring in susceptible patients.
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Tier 4
Cheng Wang et al. · European journal of pharmacology · 2021
Narrative review. Maps candidate signaling pathways through which betaine might affect experimental liver injury.
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