Needed every time a cell divides, and a partner to B12 in methylation.
Mechanisms, studies and evidence grades for each claim above.
Works through one-carbon carriers (THF/5-MTHF), supporting thymidylate and purine synthesis, and feeding the B12-dependent conversion of homocysteine back to methionine. This is the pathway the Metabolic Health hub's L-5-MTHF supplement entry bypasses directly for people with a documented folate gap or MTHFR variant.
↑ back to summaryRDA roughly 400 mcg DFE/day for adults; ~600 mcg DFE/day in pregnancy. Upper limit for synthetic folic acid is 1,000 mcg/day (adults).
↑ back to summaryMegaloblastic anemia, fatigue, glossitis; elevated homocysteine. In pregnancy, increased risk of neural tube defects. Neurologic symptoms point toward B12 deficiency rather than folate alone — worth distinguishing since they're often discussed together.
↑ back to summaryExcess folic acid may mask an underlying B12 deficiency, delaying diagnosis.
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