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Who Needs A Folic Acid Supplement?

While shopping for a supplement, you might come across the word " folic acid" or "folate", or "Vitamin B9" on the label of a product. Basically, "folic acid" or "folate" or "Vitamin B9" mean the same thing. Folate, also known as vitamin B9, is a water-soluble type of vitamin B. It is an essential nutrient that our body cannot produce, so we have to get it from our diet. On the other hand, folic acid is man-made folate produced in labs and added to supplements, multivitamins, and fortified foods such as cereals and bakery products. So, the only difference between folate (Vitamin B9) and folic acid is how we get the nutrient into the body.

Related: What Should Be Eaten During Pregnancy? A FULL GUIDE

Benefits of Folic Acid

The body needs folic acid to perform some fundamental processes which help to keep us healthy. For example, Folic acid helps the body form healthy red blood cells. These cells help to transport oxygen and nutrients to the lungs and tissues. They also form blood clots which prevent excess blood loss when we are injured. More so, red blood cells help to filter waste products to the kidneys and liver, thus keeping our blood clean. Secondly, Folic acid is very important for cell division. For this reason, Research has discovered that folic acid help to prevent birth defects known as neural tube defects. These defects occur when the tube linking the mother to the unborn child does not close properly. This can cause a spinal cord or a brain defect in unborn babies. So, it is advised to take high folic acid during pregnancy to ensure that your unborn child grows and develop properly.


Food Sources of Folic Acid

  • Leafy green vegetables, such as cabbage, kale, spring greens and spinach
  • Other vegetables like Asparagus, Beetroot, Broad beans, Broccoli and Brussels sprouts
  • Meat and meat parts such Beef, Pork, Veal, Chicken liver, Ox's liver, Pig's liver.
  • Wheat bread, peas, eggs (especially chicken eggs)
  • Fruits like Avocado, Raspberries, Banana and Strawberries
  • Fortified food like milk, ice cream and breakfast cereals.

Note: Folate can be easily destroyed by heat. So when cooking your folate foods, avoid eating overcooking your fruits and vegetables.

People Who Need A Folic Acid Supplement.

Shortage of folic acid can put the body at certain risks, such as folate deficiency anaemia and low immunity. It can also result in a high risk of birth defects. Some classes of people have a high chance of developing a folic acid deficiency than others. So, they are advised to eat folate food and take a recommended dose of folic acid regularly. These classes of people include:

1.People Who Do Not Eat Folate Rich Foods

Folic acid is present in specific types of foods, especially legumes and vegetables. So, People who do not eat these types of foods are at risk of developing a deficiency. These people generally include those who eat an unbalanced and unhealthy diet and people who regularly misuse alcohol.

2.People With Folate Malabsorption

Some people may eat folate rich foods, but their body is unable to absorb the nutrient from the food. This often happens when a person is suffering from a digestive disorder, such as coeliac disease. In this case, they need to take folic acid supplements to maintain a healthy nutrient level in their body.  

3.People Who Pee Too Much

Folate is a water-soluble vitamin which the body is unable to store for long periods of time. So, People who pee frequently may be losing folate from their bodies. Peeing excessive is usually not normal. It may be due to: failure in kidney function and liver damage caused by drinking too much alcohol.

4.People Who Take Some Medications

Taking some drugs can affect the folate level in your body or make the folate harder to absorb. These types of drugs include:

  • Anticonvulsants (medicines used to treat epilepsy)
  • Methotrexate (a drug used to treat cancer).
  • Colestyramine (a drug used to lower the amount of cholesterol in the blood)
  • Sulfasalazine (a drug used to treat rheumatoid arthritis)

5. Pregnant women

Folic acid supports cell division during pregnancy. Due to this reason, it helps an unborn baby's brain, skull and spinal cord to develop properly. Most times, it's hard for pregnant women to get enough folate recommended for a healthy pregnancy from food alone. That is why doctors advise that pregnant women take 400 micrograms of a folic acid tablet every day until they are 12 weeks pregnant. If you are trying to conceive, you should also eat enough folate food or take a supplement during that period. Some classes of pregnant women may be required to increase their daily dose of folic acid if they fall into any of these categories:

  • If they have diabetes
  • If they take anti-epilepsy medicine.
  • If they take antiretroviral medicine for HIV.

How to Take a Folic Acid Supplement

Both children and adults can take a folic acid supplement. You can also buy a folic acid supplement from a pharmacy an online health store like Gogoherbs. Folic acid supplements are usually sold as tablets or in liquid form. Sometimes, folic acid may be available as one product, or it may be combined with other vitamins and minerals (as a multivitamin and mineral supplement). Here are the recommended doses for different classes of people.

CLASSAgeDaily dose in micrograms
MalesOver 18280
FemalesOver 18240
Pregnant womenOver 18400
Breastfeeding womenOver 18480
MalesOver 60320
FemalesOver 60300

Please note: If your child is under 12 months old, the doctor will calculate the correct dose based on your child's weight. You can take folic acid with or without food. If your doctor has prescribed folic acid for you, take folic acid as directed by your doctor. If you have any questions about folic acid, be sure to consult a doctor or a licensed pharmacist.

Michael Yeung
Author: Michael Yeung

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