Is Vitamin B9 (Folic Acid) safe?
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Research Analysis by Consensus
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Introduction
Vitamin B9, also known as folic acid in its synthetic form, is essential for numerous bodily functions, including DNA synthesis, cell division, and proper fetal development. It is commonly found in various foods and supplements. The safety of folic acid has been a topic of extensive research, particularly concerning its benefits and potential risks.
Key Insights
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Preventive Benefits:
- Folic acid is crucial in preventing neural tube defects (NTDs) in newborns and is recommended for pregnant women to reduce the risk of these congenital anomalies .
- It helps prevent megaloblastic anemia and reduces the risk of cardiovascular diseases, such as atherosclerosis and stroke .
- Folic acid supplementation has shown benefits in improving cognitive function in elderly individuals with high homocysteine levels and in enhancing the response to Alzheimer's disease treatments.
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Potential Risks:
- Excessive folic acid intake may mask vitamin B12 deficiency, leading to irreversible neurological damage if not diagnosed and treated promptly .
- There are concerns about the potential promotion of certain cancers, such as colorectal cancer, with high levels of folic acid intake, although current statistical data do not confirm significant adverse health effects .
- Overdosage during pregnancy may increase the risk of severe adverse effects, including heart problems, ectopic pregnancy, and miscarriage.
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General Safety and Usage:
- Folic acid is generally well-tolerated and widely used in food fortification programs to prevent folate deficiency-related diseases .
- It is also used in oncological medicine to enhance the effectiveness of certain chemotherapeutic drugs .
Conclusion
Folic acid (Vitamin B9) is generally safe and beneficial, particularly in preventing neural tube defects and certain types of anemia. However, excessive intake can pose risks, such as masking vitamin B12 deficiency and potentially promoting certain cancers. It is crucial to balance folic acid intake, especially in vulnerable populations like pregnant women and the elderly, to maximize its benefits while minimizing potential risks.
Sources and full results
Most relevant research papers on this topic
[Physiological and pathophysiological significance of vitamin B9. Summary on the occasion of the 30-year introduction of folic acid as a dietary supplement].
Laboratory assessment of folate (vitamin B9) status
Folic acid in pregnancy
Folic acid with or without vitamin B12 for the prevention and treatment of healthy elderly and demented people.
THE IMPACT OF FOLIC ACID SUPPLEMENTATION ON PREGNANCY
Folic and Folate Acid
Folic acid - importance for human health and its role in COVID-19 therapy.
A B9-vitamin élettani és kórélettani jelentősége. Összegzés a folsav táplálékkiegészítőként történő alkalmazásának 30. évfordulójára
Recent Developments in Folate Nutrition.
[Vitamin B9].
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