Research suggests that betaine supplementation may offer modest benefits for muscle strength, power, and body composition, though the overall evidence remains inconsistent and conclusions should be drawn cautiously. The available literature includes randomized controlled trials, systematic reviews, observational studies, and narrative reviews, with findings that frequently conflict: some trials report meaningful improvements in strength, power output, and favorable hormonal changes such as elevated testosterone, while others — including a 2017 systematic review covering seven RCTs — found no significant ergogenic effect in the majority of studies examined. Studies indicate that betaine may be better supported for certain outcomes, such as upper-body power or CrossFit-style performance, than for others like squat-based lower-body strength or total training volume, and one well-designed RCT found that betaine performed notably worse than creatine as a performance supplement. Limitations across the body of research include small sample sizes, short supplementation durations, the use of multi-ingredient products that make it difficult to isolate betaine's specific contribution, and a general lack of between-group statistical significance even in trials that report within-group improvements, all of which prevent firm conclusions about betaine's effectiveness for muscle strength and growth.
Citations from PubMed and preprint sources. Match score (0-100) reflects automated search ranking, not clinical appraisal.
| Title | Type | Year | Direction | Match |
|---|---|---|---|---|
| Effects of Betaine Supplementation on Muscle Strength and Power: A Systematic... | Systematic review | 2017 | Mixed | 98 |
| Ergogenic effects of betaine supplementation on strength and power performance. | Other | 2010 | Supports | 97 |
| Effects of 6-Week Betaine Supplementation on Muscular Performance in Male Col... | Other | 2022 | Supports | 95 |
| Creatine but not betaine supplementation increases muscle phosphorylcreatine ... | RCT | 2012 | — | 95 |
| Effects of betaine on performance and body composition: a review of recent fi... | Review | 2014 | Supports | 90 |
| Decoding Betaine: A Critical Analysis of Therapeutic Potential Compared with ... | Review | 2024 | Mixed | 88 |
| Betaine supplementation improves CrossFit performance and increases testoster... | RCT | 2023 | Supports | 88 |
| The Impacts of Combined Blood Flow Restriction Training and Betaine Supplemen... | RCT | 2022 | — | 82 |
| Serum betaine is inversely associated with low lean mass mainly in men in a C... | Other | 2016 | Supports | 78 |
| The effects of 14-week betaine supplementation on endocrine markers, body com... | RCT | 2021 | Mixed | 75 |
| Effects of a pre-workout supplement on lean mass, muscular performance, subje... | RCT | 2014 | Supports | 72 |
| The Effect of Choline and Resistance Training on Strength and Lean Mass in Ol... | RCT | 2023 | — | 60 |