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Supplements/Vitamin

Folate (Vitamin B9)

aka Folic acid · 5-MTHF · L-methylfolate

One-carbon donor essential for DNA synthesis and neural tube development.

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Overview

One-carbon donor essential for DNA synthesis and neural tube development.

Natural sources
  • Leafy greens
  • Legumes
  • Liver
Common forms
  • Folic acid (synthetic)
  • 5-MTHF (active)
  • Folinic acid

Forms & variants of Folate (Vitamin B9)

Different chemical forms of Folate (Vitamin B9) behave differently. Browse each form's mechanism, bioavailability, and best-use context.

Mechanism of action

Provides methyl groups for DNA synthesis, homocysteine remethylation, and monoamine synthesis.

Pathways
  • · One-carbon metabolism
  • · Methylation cycle

Effects on the body

Decreases
Homocysteine
Supports
Erythropoiesis

Organ system effects

Brain & CNS

Adjunct in depression, especially with MTHFR variants.

Evidence-based benefits

Prevents neural tube defects (preconception)

Strong evidence

Augments SSRIs in depression (L-methylfolate)

Moderate evidence

Potential side effects

Common
    Rare
      Serious
      • · Masks B12 deficiency

      Drug interactions

      Methotrexate
      Folic acid mitigates toxicity but reduces efficacy in cancer.
      moderate
      Antiseizure drugs
      Lower folate.
      moderate

      Supplement interactions

      Pairs well with
      • A high-quality multivitamin
        Covers micronutrient cofactors that support most supplement pathways.
      • Omega-3 (EPA/DHA)
        Foundational anti-inflammatory support that complements most regimens.
      Avoid combining with

      No specific avoidances listed.

      Dosing & bioavailability

      Typical dose
      400–800 mcg DFE
      Upper safe limit
      1,000 mcg synthetic
      Best form
      5-MTHF if MTHFR variant
      Timing
      Consistent daily timing recommended; split larger doses if GI tolerance is a concern.
      With food?
      With a meal containing fat for fat-soluble compounds; otherwise either.

      Where to buy

      Affiliate links — we may earn a commission at no extra cost to you. Amazon code supplementsch-20 is auto-applied at checkout. We don't endorse specific brands; verify third-party testing (USP, NSF, Informed Sport) before purchase.

      Scientific evidence9Show studies
      Systematic reviewExamine.com Supplement Database · 2023

      Folate (Vitamin B9): pharmacology, clinical evidence, and safety — narrative review

      Examine.com Research Team

      Curated narrative review of human and preclinical evidence for Folate (Vitamin B9), including mechanism, typical dosing, and safety considerations.

      Key findings

      Best-supported outcome: Prevents neural tube defects (preconception) (evidence: strong). Additional outcomes and limitations summarized in the full profile.

      Open study
      Systematic reviewPubMed (NLM) · 1970

      PubMed: Folate (Vitamin B9) — Prevents neural tube defects

      Live PubMed search

      Live results for "Folate (Vitamin B9) Prevents neural tube defects" across the PubMed/MEDLINE peer-reviewed index.

      Key findings

      Opens current human and preclinical literature matching Folate (Vitamin B9) and "Prevents neural tube defects". Filter by RCT, meta-analysis, or year on the results page.

      Open study
      Systematic reviewPubMed (NLM) · 1970

      PubMed: Folate (Vitamin B9) — Augments SSRIs in depression

      Live PubMed search

      Live results for "Folate (Vitamin B9) Augments SSRIs in depression" across the PubMed/MEDLINE peer-reviewed index.

      Key findings

      Opens current human and preclinical literature matching Folate (Vitamin B9) and "Augments SSRIs in depression". Filter by RCT, meta-analysis, or year on the results page.

      Open study
      Systematic reviewPubMed (NLM) · 1970

      PubMed: Folate (Vitamin B9) — randomized controlled trial

      Live PubMed search

      Live results for "Folate (Vitamin B9) randomized controlled trial" across the PubMed/MEDLINE peer-reviewed index.

      Key findings

      Opens current human and preclinical literature matching Folate (Vitamin B9) and "randomized controlled trial". Filter by RCT, meta-analysis, or year on the results page.

      Open study
      Systematic reviewPubMed (NLM) · 1970

      PubMed: Folate (Vitamin B9) — meta-analysis

      Live PubMed search

      Live results for "Folate (Vitamin B9) meta-analysis" across the PubMed/MEDLINE peer-reviewed index.

      Key findings

      Opens current human and preclinical literature matching Folate (Vitamin B9) and "meta-analysis". Filter by RCT, meta-analysis, or year on the results page.

      Open study
      Systematic reviewPubMed (NLM) · 1970

      PubMed: Folate (Vitamin B9) — pharmacokinetics

      Live PubMed search

      Live results for "Folate (Vitamin B9) pharmacokinetics" across the PubMed/MEDLINE peer-reviewed index.

      Key findings

      Opens current human and preclinical literature matching Folate (Vitamin B9) and "pharmacokinetics". Filter by RCT, meta-analysis, or year on the results page.

      Open study
      Systematic reviewPubMed (NLM) · 1970

      PubMed: Folate (Vitamin B9) — safety adverse events

      Live PubMed search

      Live results for "Folate (Vitamin B9) safety adverse events" across the PubMed/MEDLINE peer-reviewed index.

      Key findings

      Opens current human and preclinical literature matching Folate (Vitamin B9) and "safety adverse events". Filter by RCT, meta-analysis, or year on the results page.

      Open study
      Systematic reviewPubMed (NLM) · 1970

      PubMed: Folate (Vitamin B9) — dose response

      Live PubMed search

      Live results for "Folate (Vitamin B9) dose response" across the PubMed/MEDLINE peer-reviewed index.

      Key findings

      Opens current human and preclinical literature matching Folate (Vitamin B9) and "dose response". Filter by RCT, meta-analysis, or year on the results page.

      Open study
      Systematic reviewGoogle Scholar · 1970

      Google Scholar: Folate (Vitamin B9) — clinical evidence

      Live Scholar search

      Cross-database citation index for Folate (Vitamin B9) as it relates to "clinical evidence".

      Key findings

      Includes preprints, theses, and journal articles. Useful for tracking citation counts and follow-on work.

      Open study
      Educational use only. This profile is not medical advice. Consult a qualified healthcare professional before starting any supplement, especially if you take prescription medication or have a chronic condition.

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