Methylation, homocysteine reduction, and DNA repair

Folate (Vitamin B9)

Folate is essential for one-carbon metabolism, DNA methylation, and homocysteine clearance. Deficiency is strongly associated with elevated homocysteine and cardiovascular risk. MTHFR variants affect conversion efficiency of folic acid to active methylfolate.

Evidence Level A

Evidence and Risk Labels

Evidence A/B/C reflects research maturity, and risk levels reflect monitoring needs. These labels support comparison, not diagnosis or treatment decisions.

See full scoring guide

Clinical Snapshot

Effect Size
Large in deficiency; meaningful homocysteine reduction in hyperhomocysteinemia; modest in replete individuals
Safety
Low Risk

High-dose folic acid can mask B12 deficiency; prefer methylfolate (5-MTHF) in MTHFR C677T carriers. Avoid very high doses without monitoring.

Research Dosing

This reflects common ranges and protocols used in published studies, not personal medical advice.

Typical Daily Dose
400-800 mcg (as methylfolate preferred)
Timing
With meals
Protocol Duration in Studies
Ongoing; part of B-complex protocol

MTHFR variant individuals should use methylfolate form, not folic acid.

Best Fit Profiles

  • homocysteine reduction, DNA methylation support, MTHFR variant individuals

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