Folate vs. Folic Acid: Dispelling the Myths and Confusion Around Vitamin B9

7 Jul 2023 · 29 min
29:07

Dr. Doni Wilson explains the difference between synthetic folic acid and natural/methyl folate, why folate is critical (red blood cell production, fetal development, neurotransmitter synthesis, detoxification, DNA protection), and how genetics—especially MTHFR C677T and A1298V variants—plus stress, medications, inflammation, gut health, toxins, and nutrient status influence an individual’s ability to convert and use folate. She recommends testing homocysteine and methylmalonic acid over standard folate/B12 blood tests, considers gene panels useful but not determinative, and urges choosing methylfolate-containing products over folic acid.

Questions this video answers

C677T and A1298 (often referred to as 677 and 1298).

Estimated decreases range from ~10–40% for one variant, ~40–60% for two variants (same or across loci), and up to ~80% for homozygous C677T.

Homocysteine and methylmalonic acid (MMA); specialty active-folate tests are also available.

Green vegetables (spinach, broccoli, asparagus, Brussels sprouts), liver and meats, eggs, sunflower seeds, beans, peanuts.

She cites a standard dietetic recommendation of 600–800 IUs of folic acid (noting she converts that to methylfolate as a bare minimum).

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