Place · Level 3 · Supplement
甘氨酸戴 3 个甲基 · 同型半胱氨酸再甲基化双轨制副路 · MTHFR 突变者最受益 · 一碳代谢最后一块拼图
synergy · 3
Choline and betaine are two ends of one methyl ledger. In the liver choline is oxidised to betaine (a one-way step — there's no route back), and betaine hands over its methyl to turn homocysteine back into methionine. Run the other way: short on choline, the liver takes the backup line (PEMT) and builds choline-containing phospholipid itself — burning three methyls per molecule. So 'not eating enough choline' and 'methylation is under strain' are two descriptions of the same thing in the liver.
TMG fuels the BHMT backup; when MTR is limited by B12 / folate / MTHFR, betaine carries Hcy back to methionine.
There are two routes back from homocysteine to methionine: one runs on folate and B12, the other has TMG (betaine) hand over a methyl directly. Under methylation strain they run in parallel — neither replaces the other.