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Is There Another Name for Folic Acid? Understanding Folate and Vitamin B9

4 min read

According to the Centers for Disease Control and Prevention, folic acid fortification of grain products has helped reduce neural tube defects by up to 70% in the United States. So, is there another name for folic acid? The term 'folic acid' is often used interchangeably with 'folate,' but they are not the same thing.

Quick Summary

Folic acid is the synthetic form of vitamin B9, while folate is the natural form found in food. Though often used interchangeably, key differences in absorption and metabolism exist. Bioactive versions like 5-MTHF also play an important role in how the body uses this essential nutrient.

Key Points

  • Folate vs. Folic Acid: Folate is the natural form of vitamin B9 found in foods, while folic acid is the synthetic version used in supplements and fortified grains.

  • Different Absorption: Folic acid is generally better absorbed by the body than natural folate from food sources.

  • Active Form 5-MTHF: Both folate and folic acid must be converted into the active form, 5-MTHF, for the body to use them.

  • MTHFR Gene Impact: People with an MTHFR gene mutation may have trouble converting folic acid into 5-MTHF, making 5-MTHF supplements a more direct option for them.

  • Pregnancy Health: Adequate vitamin B9 intake is crucial before and during early pregnancy to help prevent neural tube defects.

  • Masking B12 Deficiency: Excessive folic acid intake from supplements can potentially mask the symptoms of a vitamin B12 deficiency.

In This Article

The Distinction Between Folic Acid and Folate

Many people search for 'is there another name for folic acid?' because the terms are frequently used without proper context. In truth, folic acid is the synthetic, manufactured version of vitamin B9, while folate is the name for vitamin B9 as it occurs naturally in foods. Both are crucial for health, but they are processed differently by the body.

Folic acid is water-soluble and is added to fortified foods like bread, rice, and cereals, and it's also found in most dietary supplements. The synthetic form is generally more stable and better absorbed by the body than the folate found naturally in food sources. Once ingested, folic acid is converted into its active form, 5-methyltetrahydrofolate (5-MTHF), through a metabolic process.

Conversely, folate is found naturally in a wide variety of foods. The name itself comes from the Latin word "folium," meaning leaf, as leafy green vegetables are among the richest sources. Natural folate also needs to be converted into 5-MTHF before it can be utilized by the body, a process that occurs in the digestive system.

The Importance of Vitamin B9

Whether in its natural or synthetic form, vitamin B9 is essential for numerous bodily functions. Its primary role is in cell growth, replication, and DNA synthesis and repair. A deficiency can lead to serious health issues, including megaloblastic anemia, where red blood cells become abnormally large and are unable to function correctly.

For pregnant individuals, adequate vitamin B9 intake is especially critical. A lack of folate or folic acid in the early stages of pregnancy can lead to severe birth defects known as neural tube defects (NTDs), such as spina bifida. This is why folic acid supplementation is often recommended for women who are pregnant or trying to conceive.

Bioactive Folates: The Role of 5-MTHF

In recent years, an active form of folate, 5-methyltetrahydrofolate (5-MTHF), has gained prominence. For most people, the body effectively converts folic acid and folate into 5-MTHF. However, a significant portion of the population carries a genetic variation, known as an MTHFR gene mutation, that can impact their ability to make this conversion efficiently.

For these individuals, taking a supplement containing the active 5-MTHF directly can potentially be more effective. Unlike folic acid, 5-MTHF does not need to be processed by the MTHFR enzyme, allowing it to bypass the genetic pathway and provide the body with usable folate.

Key Differences at a Glance: Folic Acid vs. Folate

Feature Folic Acid Folate (Natural) 5-MTHF (Active Folate)
Origin Synthetic (lab-made) Naturally occurring in foods Bioactive form in the body/supplements
Source Supplements, fortified foods Leafy greens, legumes, fruits Specialized supplements
Bioavailability High absorption rate Lower and more variable absorption rate Direct absorption, generally high bioavailability
Metabolism Requires conversion via MTHFR enzyme Converted in the intestine via MTHFR enzyme Does not require MTHFR enzyme for activation
Availability Over-the-counter supplements, fortified foods Whole foods Niche supplements
Potential for Excess Can accumulate in the bloodstream if not metabolized properly, potentially masking vitamin B12 deficiency. Very low risk of excess intake from food sources. Not associated with masking B12 deficiency.

Sources of Folate and Folic Acid

Ensuring adequate intake of vitamin B9 can be achieved through both diet and supplements. Here are some excellent sources:

  • Dark Leafy Greens: Spinach, kale, romaine lettuce, and turnip greens.
  • Legumes: Lentils, chickpeas, black beans, and kidney beans are all sources of folate.
  • Fruits: Citrus fruits like oranges, as well as papayas and bananas.
  • Fortified Grains: Many cereals, breads, rice, and pastas in countries with fortification programs contain added folic acid.
  • Other Vegetables: Asparagus and broccoli are particularly good sources.
  • Animal Products: Beef liver and eggs contain natural folate.

The Bottom Line

In summary, the most common 'other name' for folic acid is folate, though they describe different versions of vitamin B9. Folic acid is the synthetic form used in supplements and fortified foods, while folate is the natural form found in whole foods. For most people, both are effective, but knowing the distinction is important for those with certain genetic conditions or specific health goals. For high-risk pregnancies, folic acid remains the most studied and frequently recommended supplement.

Conclusion

To answer the question, "Is there another name for folic acid?" is to clarify the subtle but significant difference between the synthetic nutrient (folic acid) and its natural counterpart (folate). While they are both forms of vitamin B9, their sources, absorption rates, and metabolic pathways vary. For most people, both sources contribute to a healthy folate status, but understanding the specific form can be beneficial, particularly for pregnant individuals and those with an MTHFR gene variant. Always consult a healthcare provider for personalized advice on supplementation and dietary intake.

Frequently Asked Questions

Folate is the natural form of vitamin B9 found in foods, while folic acid is the synthetic form produced in laboratories and used in fortified foods and dietary supplements.

Folic acid is generally more easily and efficiently absorbed by the body than the naturally occurring folate found in food sources.

5-MTHF, or L-methylfolate, is the active form of vitamin B9 that the body uses. Both natural folate and synthetic folic acid must be converted into 5-MTHF before they can be utilized.

Ensuring adequate vitamin B9 intake is very important for women who can become pregnant, as it helps reduce the risk of neural tube defects in the baby.

High intake of folic acid from supplements can potentially mask the symptoms of a vitamin B12 deficiency. It's important to be mindful of overall intake.

Excellent food sources of natural folate include leafy green vegetables (like spinach and romaine lettuce), legumes (such as lentils and chickpeas), citrus fruits, and asparagus.

Some individuals with an MTHFR gene variation may have difficulty converting folic acid into its active 5-MTHF form. For these people, a direct 5-MTHF supplement may be a more readily usable option.

References

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Medical Disclaimer

This content is for informational purposes only and should not replace professional medical advice.