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Folic Acid

Vitamin

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:

  1. Centers for Disease Control and Prevention. (2020). Folic Acid and Prevention of Birth Defects of the Brain and Spine.
  2. [Reference 2 needed]
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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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Nature Made

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Pure Encapsulations

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Vitamatic

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NOW Foods

$5.20
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