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Vitamin B9
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Vitamin B9 (Folic Acid)

Integrated Medicine

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Vitamin B-9, otherwise known as folic acid, serves as a coenzyme during the creation of DNA. This vitamin is also very important to the growth and reproduction of all body cells, including red blood cells. Great food sources of vitamin B-9 include liver and dark green leafy vegetables.

How This Vitamin Works in Your Body:
Formation of red blood cells
Creation of genetic material
Promotes a healthy pregnancy by regulating the nervous system development of the fetus
Helps treat anemic patients resulting from folic acid deficiency
Functions to metabolize proteins
Cervical dysplasia may be reduced

The Following People May Benefit from the Consumption of This Vitamin:
Those with increased nutritional needs
Pregnant or breastfeeding women or those planning to become pregnant
Oral contraceptive users
Substance abusers
Those who have undergone partial removal of the gastrointestinal tract

Where This Vitamin is Found:
Asparagus
Avocados
Bananas
Beans
Beets
Brewer’s yeast
Brussels sprouts
Cabbage
Calf liver
Cantaloupe
Citrus fruits/juices
Endive
Fortified grain products
Garbanzo beans (chickpeas)
Green, leafy
vegetables
Lentils
Sprouts
Wheat germ

How to Use:
Available as:
Liquid: the best form due to its high bioavailability and fast absorption. Always choose liquid as your first choice when supplementing your diet.

Tablets: Available as tablet. Swallow whole with a full glass of liquid without chewing or crushing. Take with or 1 to 1-1/2 hours after meals unless otherwise directed by your doctor.

Recommended Daily Intakes
Men: 400 mg
Women: 400 mg
Pregnancy: 600 mg
Lactation: 500 mg

Cautions:
Consult your doctor if you have:
Anemia
Taking methotrexate

Over 55:
Not overly necessary.

Pregnancy:
Always consult doctor during pregnancy. Keep within DRI.

Breastfeeding:
Always consult doctor during lactation. Keep within DRI.

Storage:
Heat and/or moisture may alter the vitamin. Refrigeration is recommended.

Symptoms of Deficiency:
Symptoms include anemia, mood disorders and gastrointestinal disorders. Neural tube defects may occur when a deficiency occurs during pregnancy.

Overdose:
Signs of Overdose:
In large doses, the following may occur:
Loss of appetite
Nausea
Flatulence
Abdominal distension
May produce folacin crystals in kidney

Side Effects:
Reaction or effect : What to do
Urine is bright-yellow : No action necessary.
Diarrhea : Discontinue. Consult doctor immediately.
Fever : Discontinue. Refer to your doctor soon.
Shortness of breath resulting from anemia : Discontinue. Refer to your doctor soon.
Skin rash : Discontinue. Consult doctor soon.

Interactions:
Interacts with : Combined effect
Analgesics : Folic acid efficacy reduced.
Antacids : Folic acid efficacy reduced.
Antibiotics : Low false results for serum folic acid test may occur.
Anticonvulsants : Folic acid and anticonvulsant efficacy reduced.
Chloramphenicol : Folic-acid deficiency occurs.
Cortisone drugs : Folic acid efficacy reduced.
Epoetin : Folic acid efficacy reduced.
Methotrexate : Folic acid efficacy reduced.
Oral contraceptives : May need increased consumption of folic acid.
Phenytoin : Phenytoin effect reduced. Avoid taking folic acid if you are a patient taking phenytoin.
Pyrimethamine : Folic acid and pyrimethamine efficacy reduced. Keep away from combination.
Quinine : Folic acid efficacy reduced.
Sulfa drugs : Effect of folic acid decreased.
Triamterene : Effect of folic acid decreased.
Trimethoprim : Effect of folic acid decreased.

Acidophilus (Lactobacillus)
Blue-Green Algae (Spirulina, Spirulina Maxima) Spirulina Platensis
Calcium (Calcium citrate) Calcium Gluconate)
Choline
Chondroitin Sulfate
Coenzyme Q (CoQ, Ubiquinoe, Coenzyme Q10)
Conjugated Linoleic Acid (CLA)
Creatine
Dehydroepiandrosterone (DHEA)
Desiccated Liver (Dessicated Liver)
Gamma-Linolenic Acid (GLA) Evening Primrose Oil)
Ginkgo Biloba (Ginkgoaceae)
Ginseng (Asian, American, Korean, Chinese, Panax, Quinquefolius)
Inositol (Myoinositol)
Iron (Ferrous Sulfate)

 
Jojoba (Goatnut, Simmondsia Chinensis)
L-Carnitine
Lecithin (Phosphatidylcholine)
Magnesium
Melatonin
Omega 3 Fatty Acids
Para-Aminobenzoic Acid (PABA)
Potassium (Potassium Chloride, Trikates)
Pregnenolone
Royal Jelly
Vitamin B-1 (Thiamine)
Vitamin B-2 (Riboflavin)
Vitamin B-3 (Niacin)
Vitamin B-5 (Pantothenic Acid)

 
Vitamin B-6 (Pyridoxine, pyridoxal phosphate)
Vitamin B-9 (Folic Acid) Folate, Pteroyiglutamic Acid) Folacin)
Vitamin B-12 (Cyanocobalamin)
Vitamin C (Ascorbic Acid)
Vitamin D (cholecalciferol, sunshine vitamin)
Vitamin E (alpha-tocopherol)
Vitamin H (Biotin)
Vitamin K (Phytonadione)
Vitamin P (Bioflavonoids, Phytochemicals)

 

 

Folic Acid Fortification Making A Dent

The policy of adding folic acid to grain foods -- including cereals, breads, pasta and flour -- instituted just 3 years ago by the US Food and Drug Administration (FDA) appears to be a success.

Blood samples taken after folic acid supplementation show a 38% higher level of folate than samples taken before folic acid fortification; 96% of the people who had blood drawn after supplementation had acceptable folate levels. Among the people who had blood drawn before fortification, 87% had acceptable folate levels.

The government decided to mandate folic acid fortification as part of an effort to reduce the number of children born with neural tube defects, a type of birth defect that affects the brain and spinal cord and includes spina bifida.

Results of earlier studies demonstrated that folic acid supplementation before pregnancy and during the first weeks of pregnancy could reduce the risk of these defects.

The neural tubes close at about week 3 or 4 of pregnancy, so many women don't even know they are pregnant at that early stage. Initially, the government campaigned to simply have women of childbearing age routinely take folic acid supplements but compliance was very low. That's when the FDA decided to order mandatory fortification, she said.

Annual Meeting Of The Federation Of American Societies For Experimental Biology In Orlando, FL April 1, 2001

 

Folic Acid Good For Arteriosclerosis Prevention

Folic acid may lower the risk of heart disease by preventing damage to the inner lining of arteries.

The study found that heart disease patients who took 5 milligrams (mg) of folic acid daily for 12 weeks had slightly better functioning of their arterial inner lining, or endothelium, than those who took an inactive placebo, and a greater ability of their arteries to widen appropriately.

According to the researchers, folic acid may work by lowering homocysteine, a substance in the blood that has been linked to heart disease. Too much homocysteine, which is formed naturally when protein is broken down, may cause oxidative damage to the endothelium, the study concludes.

Oxidative damage is caused by free radicals -- byproducts of the body's normal processes that can damage body tissues. In 1998, the US Food and Drug Administration implemented a policy of adding folic acid to grain foods -- including cereals, breads, pasta and flour.

Journal of the American College of Cardiology June 1, 2001;37:1858-1863

 

Folic Acid for Heart Health

Supplements containing the B vitamin folic acid may help reduce the risk of heart disease, stroke, and blood clots associated with high levels of the amino acid homocysteine in the blood.

While homocysteine is a normal byproduct of metabolism of the amino acid methionine, high levels of it in the blood can be dangerous. Studies have shown that with each unit increase of homocysteine, the risk of ischemic heart disease, which reduces blood flow to the heart, increased by 32 to 42 percent. Risks for stroke and deep vein thrombosis (DVT), blood clots in deep veins that can be life threatening, showed similar increases.

Folic acid helps to break down homocysteine, and it is thought that homocysteine levels can be lowered with daily folic acid supplements, thereby reducing the risks of heart disease, stroke and DVT.

However, the review notes that because few studies have shown that folic acid prevents these conditions, the American Heart Association does not recommend taking the vitamin specifically for this purpose.

British Medical Journal 2002;325:1202-1206 Full Text Article

 

Folic Acid Also Helpful for Down's Syndrome Prevention

Women who are pregnant may be able to reduce their newborn’s risk of Down’s syndrome by taking folic acid before pregnancy, according to researchers.

Folic acid, found in supplements and foods such as broccoli, protects against neural-tube defects, and researchers have found that families with a high-risk of such defects may also be at an increased risk of Down’s syndrome, or vice versa.

There may be a link between the two conditions, so researchers suggest a dose of five mg of folic acid could reduce the risk of Down's syndrome as well the risk of neural-tube defects (NTD) in newborns.

NTDs, which are the abnormal development of the neural tube, which becomes the brain or spinal cord, in early pregnancy, can cause serious mental and physical impairment. Spina bifida and anencephaly, the partial or complete absence of the brain, are the most severe NTDs.

Mothers of babies with NTDs have been found to have problems metabolizing folic acid, which may also be a risk factor for trisomy 21, the chromosomal abnormality that causes Down’s syndrome.

In a study of 493 families who had had a previous pregnancy which was affected by NTD and 516 families who had had a pregnancy affected by Down's syndrome, there were five times the number of Down’s syndrome affected pregnancies among the NTD group as expected from women of the same age.

Further, there was an increase in NTD cases in the families at a higher risk of Down's syndrome.

Researchers recommend that women take extra folic acid before conception and in the first two months of pregnancy, saying that folate supplementation during this time has the potential to reduce the risk of Down's syndrome.

Lancet April 19, 2003;361:1331-35

 

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