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Vitamin B9 (Folate)

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.

Folate is like the copy machine for your DNA — every time a cell needs to divide and make a copy of its genetic code, folate is required. During rapid growth (pregnancy, childhood), the copy machine runs overtime.

What it does in the body

  • Thymidylate synthesis (dTMP — essential for DNA replication)
  • Purine synthesis (building blocks of DNA and RNA)
  • Homocysteine remethylation to methionine (via methionine synthase, B12-dependent)
  • S-adenosylmethionine (SAM) generation for methylation reactions
  • Neural tube closure in embryonic development

How much you need (Daily Value)

GroupRecommendedSource
Adult male400 mcg DFENIH/IOM
Adult female400 mcg DFENIH/IOM
Pregnancy600 mcg DFE (+ 400 mcg folic acid supplement preconception)WHO/IOM
Children150-300 mcg DFE (ages 1-13)WHO
Older adults400 mcg DFENIH

Richest food sources

FoodAmountWhere
Beef liver290 mcg per 100gglobal
Lentils (cooked)181 mcg per 100gSouth Asia/Middle East
Spinach (cooked)146 mcg per 100gglobal
Black-eyed peas (cooked)210 mcg per 100gAfrica/Americas
Asparagus (cooked)149 mcg per 100gEurope/Americas
Edamame303 mcg per 100gEast Asia
Fortified enriched flour140-150 mcg per 100gAmericas (mandatory since 1998)
Brussels sprouts (cooked)78 mcg per 100gEurope

If you don't get enough

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

Too much

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).

How well you absorb it

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)

Cooking & storage

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.

Did you know. Mandatory folic acid fortification of grain has reduced neural tube defects by 20-50% in countries that have implemented it. WHO estimates that NTDs affect approximately 300,000 newborns annually worldwide, many in countries without fortification programs.

Educational reference only. Nutrient needs vary with age, sex, health, and medication. Not medical or dietary advice. See our full disclaimer.
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Evidence grades: A — meta-analyses / large trials; B — cohort studies & guidelines; C — expert consensus. Links open in a new tab.

AFolate Fact Sheet for Health Professionals — NIH Office of Dietary Supplements, 2023
APrevention of neural tube defects: results of the MRC Vitamin Study — The Lancet, 1991
AGuideline: Optimal serum and red blood cell folate concentrations in women of reproductive age for prevention of neural tube defects — WHO, 2015