Supplement × Supplement·a synergy·Emerging evidence

Creatine + Trimethylglycine

Synergy Emerging evidence

Endogenous creatine synthesis consumes a large share of the body's SAMe-derived methyl groups. Supplementing creatine reduces methylation demand, while TMG helps maintain SAMe supply; together they can support methylation economy and exercise outcomes.

From the database

What the row says.

Every entry follows the same shape: what is happening, the mechanism, and the recommendation.

Pair type
Synergy
Evidence
Emerging
Source citations
1
Scope
Supplement × Supplement
Last verified
June 4, 2026
SynergyEmerging evidence

What is happening. Endogenous creatine synthesis consumes a large share of the body's SAMe-derived methyl groups. Supplementing creatine reduces methylation demand, while TMG helps maintain SAMe supply; together they can support methylation economy and exercise outcomes.

Mechanism. The guanidinoacetate-to-creatine step (GAMT) is one of the largest consumers of SAMe; betaine supports methionine/SAMe regeneration, and exogenous creatine spares this methylation burden.

Recommendation. The combination is commonly used in athletic stacks and is generally safe. There is no need to separate dosing.

Stack Score

How it moves the number.

Effect on the composite score

If both Creatine and Trimethylglycine are in the same stack, this pair applies +2 to your Stack Score (per scored synergy row).

The full algorithm, the clamping rules, and four worked stacks are at /methodology/stack-score.

Sources

Sources, by evidence tier.

Every claim on this page is cited. PMIDs link straight to PubMed.

Reference material

1
  • 1Cholewa JM, et al. Effects of betaine on body composition, performance, and homocysteine thiolactone. J Int Soc Sports Nutr. 2013.Needs sourceNo link

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