Folic Acid
Overview
- Definition: Folic acid, also known as vitamin B9, is a water-soluble nutrient crucial for various bodily functions.
- Key Roles: Primarily involved in red blood cell production and DNA synthesis.
- Primary Prevention: Prevents neural tube defects (NTDs) like spina bifida in pregnant women.
- Supplementation Use: Addresses nutritional gaps and supports overall health, especially in individuals with dietary restrictions or increased needs.
Benefits
- Pregnancy and Fetal Development: Significantly reduces NTD risk (spina bifida, anencephaly) (1). Recommended daily intake: 400-800 mcg for pregnant women.
- Cognitive Function: Maintains cognitive health, potentially preventing or slowing cognitive decline and dementia (2). Often works synergistically with B6 and B12.
- Cardiovascular Health: Lowers homocysteine levels, reducing cardiovascular disease risk (heart attacks, strokes, peripheral artery disease) (3).
- Metabolic Health: Involved in amino acid, nucleic acid, and lipid metabolism; may regulate blood sugar and improve insulin sensitivity, reducing type 2 diabetes risk (4).
- Cancer Prevention: Some studies suggest a potential role in preventing certain cancers (colorectal, breast, pancreatic), but further research is needed (5).
- Physical Performance and Energy: Essential for red blood cell production, carrying oxygen to tissues and supporting physical performance; may reduce fatigue and improve exercise performance (6).
- Mental Health: Plays a role in neurotransmitter (serotonin, dopamine) synthesis; some research suggests it may alleviate depression symptoms (7).
- Immune System: Essential for proper immune system function, protecting against infections and diseases (8).
- Important Note: Excessive intake (above 1000 mcg/day) may have adverse effects, such as masking vitamin B12 deficiency. Consult a healthcare professional before supplementation.
References:
- Centers for Disease Control and Prevention. (2020). Folic Acid and Prevention of Birth Defects of the Brain and Spine.
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How It Works
- Active Form: Converted to tetrahydrofolate (THF), a coenzyme in amino acid, nucleotide, and other biomolecule metabolism.
- Mechanism of Action:
- Dietary Intake & Absorption: Ingested and absorbed in the small intestine.
- Conversion to THF: Converted to dihydrofolate (DHF) by dihydrofolate reductase (DHFR), then to THF.
- One-Carbon Unit Transfer: THF donates one-carbon units to enzymes, facilitating biomolecule synthesis.
- Affected Pathways:
- Nucleotide Synthesis: Essential for purine (adenine, guanine) and pyrimidine (thymine, cytosine, uracil) synthesis.
- Amino Acid Metabolism: Involved in metabolism of histidine, serine, and glycine.
- Homocysteine Metabolism: Regulates homocysteine levels by donating one-carbon units to methionine synthase (converting homocysteine to methionine).
- Methylation Reactions: Involved in methylation reactions via methionine synthase.
Dosage
General Health and Wellness:
- RDA: 400 mcg/day for adults.
- Typical Supplement Dose: 400-800 mcg/day.
- Timing: With food, preferably morning.
Pregnancy and Lactation:
- RDA: 600-800 mcg/day.
- Typical Supplement Dose: 600-1000 mcg/day.
- Timing: Begin at least 1 month pre-conception, continue throughout pregnancy and breastfeeding.
- Special Consideration: Higher doses (4000 mcg/day) may be needed for women with NTD history, under medical supervision.
Neural Tube Defect Prevention:
- High-Risk Individuals: 4000 mcg/day.
- Timing: Begin at least 1 month pre-conception, continue through first trimester.
- Special Consideration: Consult a healthcare provider.
Homocysteine Lowering:
- Typical Supplement Dose: 1000-5000 mcg/day.
- Timing: With B12 and B6 for enhanced effects.
- Special Consideration: Monitor B12 levels as high doses may mask deficiency.
Methotrexate Therapy:
- Typical Supplement Dose: 1000-5000 mcg/day.
- Timing: 24 hours after methotrexate administration.
- Special Consideration: Consult a healthcare provider; high doses may interfere with methotrexate efficacy.
Other Special Considerations:
- Kidney Disease: Lower doses (200-400 mcg/day) may be recommended.
- Epilepsy: May interact with anticonvulsants; monitor seizure activity and medication levels.
- Vegetarians: May need supplementation to ensure adequate intake.
Safety & Side Effects
Known Side Effects:
- Gastrointestinal: Nausea, vomiting, diarrhea, abdominal cramps, bloating.
- Allergic Reactions: Rash, itching, hives.
- Neurological (Rare): Seizures, irritability, nervousness.
- Sleep Disturbances: Insomnia, vivid dreams, restlessness.
Contraindications:
- Hypersensitivity to folic acid or formulation components.
- Pernicious anemia or other megaloblastic anemias (unless under close medical supervision) due to risk of masking B12 deficiency.
Drug Interactions:
- Anticonvulsants: (phenytoin, carbamazepine, valproic acid) – may reduce effectiveness.
- Methotrexate: May reduce effectiveness.
- Sulfonamides: May reduce effectiveness.
- Phenytoin: May increase risk of phenytoin toxicity.
- Barbiturates: May increase risk of barbiturate toxicity.
Safety Considerations:
- Pregnancy & Lactation: Essential but high doses (>5 mg/day) should be used cautiously.
- Pediatric Use: Safe, but high doses should be used cautiously due to risk of masking B12 deficiency.
- Geriatric Use: Safe, but may be more susceptible to gastrointestinal side effects.
- Renal Impairment: High doses may accumulate, increasing toxicity risk.
- Hepatic Impairment: High doses may accumulate due to impaired liver metabolism.
Chemistry
- Molecular Formula: C19H19N7O6
- IUPAC Name: (2S)-2-[(4-[(2-Amino-5-methyl-4-oxo-5,6,7,8-tetrahydro-1H-pteridin-6-yl)methyl]amino)benzoyl]amino]pentanedioic acid
- Key Structural Features:
- Pteridine ring (pyrimidine and pyrazine rings fused).
- Para-Aminobenzoic Acid (PABA) moiety.
- Glutamic acid moiety.
- Conjugated double bonds.
- Properties:
- Appearance: Yellow-orange crystalline powder, melting point ~250°C (dec).
- Solubility: Moderately soluble in water (~1.6 mg/mL at 25°C), soluble in dilute acids and bases.
- Stability: Stable in neutral and slightly acidic solutions; degrades in alkaline solutions or with exposure to light, heat, or oxygen.
- pH Dependence: Solubility and stability are pH-dependent, optimal at pH 6-8.
- Biological Activity: Precursor to tetrahydrofolate (THF).
Sources & Quality
Natural Sources:
- Leafy greens (spinach, kale, collard greens).
- Legumes (beans, lentils, peas).
- Citrus fruits (oranges, grapefruits, lemons).
- Whole grains (brown rice, quinoa, whole-wheat bread).
- Nuts and seeds (almonds, sunflower seeds, pumpkin seeds).
Extraction/Synthesis Methods:
- Fermentation (using microorganisms like bacteria and yeast).
- Chemical synthesis (from guanidine, malonic acid, and p-aminobenzoic acid).
- Extraction from yeast (Saccharomyces cerevisiae).
Quality Considerations for Supplements:
- Purity (≥ 95%).
- Stability (protect from light, heat, and moisture).
- Bioavailability (consider 5-methyltetrahydrofolate (5-MTHF) or folinic acid).
- Regulatory compliance (GMPs, third-party testing).
- Accurate label claims.
- Consider formulations with complementary nutrients (e.g., vitamin B12).
Where to Buy Folic Acid






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