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Vitamin

Folic Acid

Folic acid is the synthetic form of vitamin B9 used in supplements and fortified foods. The body converts it into active forms of folate.

Also listed as Vitamin B9, Pteroyl L-glutamic acid

What is actually prevented?

Folic acid around conception reduces the risk of neural tube defects. That specific preventive effect should not be read as a guarantee against every birth defect. The international review describes separate approaches for recurrence prevention and women with medical, surgical or genetic risk factors, rather than one high-dose regimen for everyone. 1

Pregnancy PrepSupported

Folic acid around conception reduces the risk of neural tube defects. That specific preventive effect should not be read as a guarantee against every birth defect. The international review describes separate approaches for recurrence prevention and women with medical, surgical or genetic risk factors, rather than one high-dose regimen for everyone. 1

Does lowering homocysteine improve memory?

Folate helps process homocysteine, an amino acid measured in blood, but a lower result does not automatically mean better cognition. Most clinical trials reviewed by NIH have not shown improved cognitive function or prevention of dementia from folic acid supplementation. Some subgroup findings are positive, so the evidence does not support a general memory-enhancement claim. 2

MemoryMixed

Folate helps process homocysteine, an amino acid measured in blood, but a lower result does not automatically mean better cognition. Most clinical trials reviewed by NIH have not shown improved cognitive function or prevention of dementia from folic acid supplementation. Some subgroup findings are positive, so the evidence does not support a general memory-enhancement claim. 2

Who is more likely to have low folate?

Malabsorption, including celiac disease and inflammatory bowel disease, can reduce folate absorption. Blood folate can help assess status, although serum levels are influenced by recent meals; red-cell folate reflects a longer period. Homocysteine alone is not a specific deficiency test because kidney function and other vitamins also affect it. 2

Effects by health goal

Open an effect to see the studies behind its rating. Bars show the size of the effect; the letter grades the evidence.

All studies

18 publications are linked to Folic Acid, newest first.

Effects of folic acid supplementation on cognitive function and inflammation in elderly patients with mild cognitive impairment: A systematic review and meta-analysis of randomized controlled trials.2024Effects of folic acid supplementation on cognitive impairment: A meta‐analysis of randomized controlled trials2024Folic acid - importance for human health and its role in COVID-19 therapy.2023Biological Role of Folic Acid in Pregnancy and Possible Therapeutic Application for the Prevention of Preeclampsia2023Does folic acid supplementation have a positive effect on improving memory? A systematic review and meta-analysis of randomized controlled trials2022The effects of folic acid supplementation on depression in adults: a systematic review and meta-analysis of randomized controlled trials2022Maternal folic acid and multivitamin supplementation: International clinical evidence with considerations for the prevention of folate-sensitive birth defects2021Neurodevelopmental effects of maternal folic acid supplementation: a systematic review and meta-analysis2021Beneficial effects of folic acid supplementation on lipid markers in adults: A GRADE-assessed systematic review and dose-response meta-analysis of data from 21,787 participants in 34 randomized controlled trials2021Folic acid supplementation and blood pressure: a GRADE-assessed systematic review and dose-response meta-analysis of 41,633 participants2021Baseline folic acid status affects the effectiveness of folic acid supplements in cognitively relevant outcomes in older adults: a systematic review2021Prenatal Primary Prevention of Mental Illness by Micronutrient Supplements in Pregnancy.2018The effects and potential mechanisms of folic acid on cognitive function: a comprehensive review2018New Perspective on Impact of Folic Acid Supplementation during Pregnancy on Neurodevelopment/Autism in the Offspring Children – A Systematic Review2016Effects of Two-Year Vitamin B12 and Folic Acid Supplementation on Depressive Symptoms and Quality of Life in Older Adults with Elevated Homocysteine Concentrations: Additional Results from the B-PROOF Study, an RCT2016Emerging roles for folate and related B-vitamins in brain health across the lifecycle2014High-dose folic acid supplementation effects on endothelial function and blood pressure in hypertensive patients: a meta-analysis of randomized controlled clinical trials.2009Folic acid enhances endothelial function and reduces blood pressure in smokers: a randomized controlled trial2002

Sources

  1. Folate: Fact Sheet for Health Professionals NIH Office of Dietary Supplements