VIT-uh-min BEE-nine / FOH-late / FOH-lik AS-id
Vitamin
The vitamin that prevents birth defects and is essential for making DNA and new cells — especially critical for women who may become pregnant.
| Group | Recommended | Source |
|---|---|---|
| Adult male | 400 mcg DFE | NIH/IOM |
| Adult female | 400 mcg DFE | NIH/IOM |
| Pregnancy | 600 mcg DFE (+ 400 mcg folic acid supplement preconception) | WHO/IOM |
| Children | 150-300 mcg DFE (ages 1-13) | WHO |
| Older adults | 400 mcg DFE | NIH |
| Food | Amount | Where |
|---|---|---|
| Beef liver | 290 mcg per 100g | global |
| Lentils (cooked) | 181 mcg per 100g | South Asia/Middle East |
| Spinach (cooked) | 146 mcg per 100g | global |
| Black-eyed peas (cooked) | 210 mcg per 100g | Africa/Americas |
| Asparagus (cooked) | 149 mcg per 100g | Europe/Americas |
| Edamame | 303 mcg per 100g | East Asia |
| Fortified enriched flour | 140-150 mcg per 100g | Americas (mandatory since 1998) |
| Brussels sprouts (cooked) | 78 mcg per 100g | Europe |
Highest among our free foods — open the Food Explorer to compare.
Mild: Elevated homocysteine, fatigue, irritability, poor concentration
Moderate: Megaloblastic anemia (macrocytic, hypersegmented neutrophils), glossitis, diarrhea
Severe: Neural tube defects (spina bifida, anencephaly) in developing embryos, pancytopenia, increased cardiovascular risk from hyperhomocysteinemia
Time to onset: Serum folate drops within 3 weeks; megaloblastic changes in 4-5 months. NTDs occur within the first 28 days of gestation
Upper limit: 1000 mcg DFE/day from folic acid (supplements/fortification) — not applicable to food folate
Primary risk is masking B12 deficiency (corrects anemia but not neurological damage). Very high doses may promote growth of pre-existing neoplasms (controversial). May reduce efficacy of antifolate drugs (methotrexate, trimethoprim).
Food folate: ~50% bioavailable; folic acid (supplement, empty stomach): ~100%; folic acid (with food): ~85%. 1 mcg DFE = 1 mcg food folate = 0.6 mcg folic acid (supplement with food)
Helped by: Vitamin C (stabilizes reduced folates), Vitamin B12 (methionine synthase regenerates THF from 5-MTHF)
Hindered by: Alcohol (impairs absorption and increases urinary excretion), Methotrexate (dihydrofolate reductase inhibitor), Phenytoin, sulfasalazine, trimethoprim, MTHFR C677T polymorphism (reduced enzyme activity)
Folate is very heat-sensitive and water-soluble; 50-90% can be lost during boiling. Steaming and microwaving preserve more folate. Canned vegetables retain less folate than fresh or frozen. Ascorbic acid in cooking water helps stabilize folate.
Evidence grades: A — meta-analyses / large trials; B — cohort studies & guidelines; C — expert consensus. Links open in a new tab.