
Betaine-to-Choline Ratio

BET / CHOL
Description
"Betaine-to-Choline Ratio" test evaluates how well your body balances two nutrients essential for methylation and liver health. An imbalance may raise concerns about poor nutrient intake, metabolic dysfunction, or cardiovascular risk. It’s especially useful when symptoms like fatigue, fatty liver, or cognitive changes suggest nutrient imbalance. A blood sample is used to calculate the ratio. Results support treatment plans involving dietary adjustments or supplements. Regular monitoring helps maintain proper methylation and prevent long-term health complications.
Test Category
Metabolites, Essential Nutrients, Vitamins
Procedure
Invasive
Sample Type
Blood – Serum
Units
Ratio
Procedure Category
Blood Draw
Test Group
Methylation Group
Test Group Description
Methylation Group: Centered on evaluating methylation levels and associated parameters, this group provides insights into methylation processes and their related health implications.
Optimal Range
For All Individuals:
Conventional Unit: Not Available
SI Unit: Not Applicable
Normal Range
For All Individuals:
Conventional Unit: 2.60–7.70 R
SI Unit: Not Applicable
Results That Differ From The Norm (Direct and Indirect Causes)
Increased levels may indicate:
Dietary intake
Methylation pathway dysregulation (Abnormalities in the biochemical process of methylation, favoring betaine accumulation)
Homocystinuria (A rare inherited disorder affecting the metabolism of the amino acid methionine)
Supplement use
Decreased levels may indicate:
Certain medications or treatments (e.g., medications that interfere with choline absorption or utilization)
Malabsorption disorders
MTHFR gene mutations (Genetic variations affecting the methylation process)
Specific dietary deficiencies (e.g., low intake of betaine-rich foods)
Key Reasons For Testing
Liver Function Assessment: Evaluates the ratio to assess liver metabolism and fat regulation.
Cardiovascular Risk Prediction: Identifies links between the ratio and heart disease risks, such as inflammation or cholesterol imbalance.
Methylation Capacity Evaluation: Assesses the body’s ability to perform methylation, supported by betaine and choline.
Nutritional Status Monitoring: Tracks dietary intake and metabolism of these essential nutrients.
Health Status Conditions It May Be Used To Assess
Currently, this test is not directly associated with any conditions listed on the Health Status page. However, it may be included as part of a broader set of tests linked to specific health conditions.
Some Prominent Medical Labs That May Offer This Test
Please note that this particular test has not been associated with any of the listed prominent medical labs. We recommend enquiring with your private physician or nearest hospital to determine where this specific test can be performed.
References
Important Note
Any medical procedure yielding results outside the norm may be directly or indirectly linked to the conditions outlined on this page. Various factors, including genetics, medication and supplement usage, recent illnesses, pregnancy, pre-test eating, smoking, and stress, can impact the test's outcome. Additionally, factors like false positives, false negatives, inaccurate analyses, and others can influence results.
Reference ranges, which help healthcare professionals interpret medical tests, may vary depending on age, gender, and other factors. They may also differ between laboratories due to variations in instruments and methods used. Optimal ranges are designed for preventive purposes, aiming to identify trends and potential risks early, while normal ranges reflect conventional laboratory values indicating no current disease or pathology. Your healthcare practitioner may have specific reasons for testing that deviate from the usual or may interpret results differently based on individual circumstances. Proper interpretation typically involves considering clinical findings and other diagnostic tests. Hence, it is crucial to provide your healthcare professionals with a comprehensive medical history, consult with them for result interpretation, and follow their guidance for potential re-testing or additional diagnostics.
Disclaimer
This content is provided solely for informative and educational purposes. It is not intended as a substitute for medical advice or treatment from a personal physician. Regarding the interpretation of their medical test results and/or specific health questions, it is recommended that all readers and viewers consult their physicians or other qualified health professionals. The publisher is not responsible for any adverse health effects that may result from reading or following the information in this educational content. Before beginning any nutrition, supplement, or lifestyle program, all viewers, especially those taking prescription or over-the-counter medications, should consult their physician or health care practitioner.
Please note that while prominent lab names are included in this content, we cannot guarantee that these labs offer all the tests mentioned. For confirmation, individuals should contact the labs directly or consult their medical practitioners. The information provided reflects general knowledge at the time of publication and may not include recent updates or emerging research. Readers should verify details with qualified professionals to ensure the most up-to-date and accurate guidance.
[1] Zeisel SH, da Costa KA. Choline: an essential nutrient for public health. Nutr Rev. 2009;67(11):615-623.
[2] Corbin KD, Zeisel SH. Choline metabolism provides novel insights into nonalcoholic fatty liver disease and its progression. Curr Opin Clin Nutr Metab Care. 2012;15(6):585-592.
[3] Li Z, Vance DE. Phosphatidylcholine and choline homeostasis. J Lipid Res. 2008;49(6):1187-1194.
[4] Obeid R, Herrmann W. Homocysteine and lipids: S-adenosyl methionine as a key intermediate. FEBS Lett.2009;583(11):1753-1763.
[5] Ueland PM. Choline and betaine in health and disease. J Inherit Metab Dis. 2011;34(1):3-15.
[6] Zeisel SH, Mar MH, Howe JC, Holden JM. Concentrations of choline-containing compounds and betaine in common foods. J Nutr. 2003;133(5):1302-1307.
[7] Konstantinova SV, Tell GS, Vollset SE, et al. Divergent associations of plasma choline and betaine with components of metabolic syndrome in middle-aged and elderly men and women. J Nutr. 2008;138(5):914-920.
[8] Detopoulou P, Panagiotakos DB, Antonopoulou S, et al. Dietary choline and betaine intakes in relation to concentrations of inflammatory markers in healthy adults: the ATTICA study. Am J Clin Nutr. 2008;87(2):424-430.
[9] Resseguie M, Song J, Niculescu MD, Zeisel SH. Phosphatidylethanolamine N-methyltransferase is regulated by feedback from methylation metabolites. J Biol Chem. 2007;282(42):29885-29893.
[10] Wang Z, Klipfell E, Bennett BJ, et al. Gut flora metabolism of phosphatidylcholine promotes cardiovascular disease. Nature. 2011;472(7341):57-63.