L-Methylfolate vs Folic Acid: Choosing the Right One

Doctors Prescribed

L-Methylfolate vs Folic Acid:

L-methylfolate is the biologically active and bioavailable form of folate that the body can utilize immediately, whereas folic acid is a synthetic version that must first be converted into its active form. While most people can perform this conversion efficiently, individuals with genetic variations such as the MTHFR mutation may have reduced ability to do so. For those individuals, L-methylfolate is often the preferred option, while folic acid remains a widely used and effective choice for the general population, commonly found in fortified foods and standard dietary supplements.



Folate is an essential nutrient that plays a key role in overall health and supports various bodily functions, such as red blood cell production and DNA synthesis. You’ve probably heard about folic acid - a synthetic form of folate commonly used in supplements.

But have you ever considered L-methylfolate as an alternative? This naturally occurring form of folate offers higher bioavailability and is used in ACTIVIT formulation to support better absorption and overall nutritional balance.

In this article, we will explore the difference between folic acid and L-methylfolate to help you choose the right one for your daily routine.

Difference Between Folic Acid and L-Methylfolate

Though folic acid and L-methylfolate are the forms of vitamin B9, they differ in their effectiveness and absorption.

Here are the key differences between them.

1. Folic acid must be converted into L-methylfolate for absorption, a process that works efficiently for most people. However, for individuals with a genetic mutation like MTHFR, it becomes challenging, making comparatively less folate available for the body. In contrast, L-methyl folate is an active form, ensuring more folate is readily available to fulfill the body’s needs. 

2. L-methylfolate is natural and bioavailable. It is found in legumes, vegetables, and nuts, whereas folic acid is a synthetic form of vitamin B9. This bioavailability makes absorption more efficient and easier, especially for those with impaired absorption.

3. Folic acid is more affordable than L-methylfolate, making it a cost-effective option for general health purposes.

4. L-methylfolate is suitable for individuals with MTHFR mutations; it bypasses the need for conversion. In contrast, the best folic acid tablets in Pakistan are ideal for those without genetic issues and is commonly used in prenatal vitamins, food fortification, and general supplementation. 

When to choose L-methylfolate?

Individuals with MTHFR mutation may look for other options to ensure optimal folate levels and avoid complications. In this case, L-methylfolate is more bioavailable and ensures better absorption in the body. Additionally, it may support a healthy pregnancy for those with recurrent miscarriages and improve pregnancy outcomes. That is why ACTIVIT includes L-methylfolate, providing a bioavailable form suitable for everyone's needs.  

When can folic acid be used?

Folic acid tablets in Pakistan are suitable for people without genetic or metabolic issues. It is also a cost-effective solution for general populations, which may be fortified food or supplementation.

While folate vs folic acid is about how your body processes the natural form from food compared to the synthetic form used in supplements. 

Similar Benefits of Folic Acid and L-Methylfolate

1. Brain Health: Both folic acid and L-methylfolate reduce the risks of several mental conditions, such as depression. Additionally, low levels of folate are associated with decreased brain function and increased risk of dementia.  

2. Neural Tube Defects: Folate reduces the risk of birth defects, such as neural tube defects, during pregnancy. Since L-methylfolate is active, it quickly supports pregnant women with genetic factors that impair folate metabolism.

3. Heart Health: Folate-based supplements can reduce the risk of heart disease. By improving the blood flow, folate improves heart health and regulates blood pressure. 

4. Red Blood Cells Production: Both forms effectively improve the production of red blood cells, which help prevent anemia by ensuring oxygen transportation throughout the body.

5. Age-related Issues: Lastly, both the best folic acid tablets in Pakistan and L-methylfolate slow down the progression of age-related health problems, such as hearing loss and muscular degeneration. 

The Importance of Folate During Pregnancy

Folate is crucial for those trying to conceive, as it enhances pregnancy outcomes. Not only this, but it also helps reduce the risks of birth defects during pregnancy. By supporting the healthy development of the baby’s brain and spinal cord, folate prevents neural tube defects in the newborn.

Additionally, folate is crucial in DNA synthesis, cell growth, and red blood cell production (RBCs). Supporting these functions it helps prevent anemia and ensures sufficient oxygen transport to the mother and the baby. This efficient oxygen supply is essential for healthy fetal growth and development. 

Activit - healthy nutrition during pregnancy

While a healthy supply is crucial during pregnancy, a folate deficiency may have serious consequences. Therefore, healthcare providers emphasize maintaining adequate folate levels during pregnancy. For those with MTHFR mutation, L-methylfolate is a better choice as it provides folate in active form to effectively support maternal and fetal health.   

Research also supports this recommendation. The 1000 Genomes Project indicates that approximately 25% of the world’s population carries the MTHFR mutation, with studies showing that 49.2% of fertile women and 58.5% of infertile women have this mutation. Given this high prevalence, L-methylfolate becomes a more suitable option as it ensures optimal folate levels without relying on the body’s ability to convert folic acid into an active form.

L-Methylfolate or Folic Acid Deficiency Symptoms

Common symptoms of folate deficiency include:

1. Tiredness and lack of energy

2. Pale skin

3. Digestive issues, including diarrhea and loss of appetite 

4. Sores and swelling in the mouth

5. Mouth ulcers

6. Irritability or mood changes

Severe deficiency may also lead to serious conditions such as depression, confusion, or dementia.

Natural Sources of Folate

Many foods are natural sources of folate, such as:

1. Green leafy vegetables: Spinach, turnip greens, brussels sprouts, broccoli, lettuce, and mustard greens.

2. Fruits: Oranges, lemons, melons, strawberries, and bananas.

3. Nuts and seeds: Hazelnuts, sunflower seeds, peanuts, flax seeds, almonds, pumpkins, and sesame seeds.

4. Other Foods: Liver, beans, whole grains, eggs, and aquatic foods.

If you feel your diet may not provide enough folate, you can consider taking ACTIVIT multivitamin, which provides 400 mcg of l-methylfolate to help support your daily needs.

Side Effects of Taking Too Much Folate

Taking too much folate may cause nausea, bloating, and sleep disturbances. Higher folate levels may also mask vitamin B12 deficiency, leading to nerve damage.

While the standard folate dosage for most adults is 400 micrograms, you should always consult your healthcare provider before taking vitamin B9 supplementation. 

Choosing the Best Folate Supplement

When choosing a folate supplement, consider the following factors:

1. Form of folate: L-methylfolate is an active and bioavailable form that offers better absorption than the best folic acid tablets in Pakistan.

2. Dosage: The daily recommended dosage of folate is 400 mcg, but it may vary depending on individual needs.

3. Additives and allergens: Choose organic supplements that are free from unnecessary fillers or artificial ingredients.

One such supplement that contains folate in its bioavailable form is ACTIVIT, which provides 400 mcg of L-methylfolate to support your overall health.  

To Sum Up

Folate plays a crucial role in our body; it supports red blood cell production, DNA and RNA synthesis, and overall cellular functions. Folic acid is widely used due to its ease of access and cost-effectiveness. Research also indicates that folic acid prevents the risks of neural tube defects, which is why it is a preferred supplement during pregnancy. However, due to its higher bioavailability, L-methylfolate is a better choice for direct utilization in the body without needing conversion. 

Frequently Asked Questions

  1. Does folic acid cause constipation?

Generally, folic acid does not cause constipation. However, taking it in higher doses or with other medications may cause digestive discomfort, bloating, and constipation. To reduce these effects, you should increase your water intake while using folic acid supplements.

  1. What is methylfolate?

Methylfolate (L-methyl folate) is the active form of folate that your body can use directly, and it is included in ACTIVIT— a medical-grade multivitamin in Pakistan. Unlike folic acid, it does not need to be converted in the liver. This makes methylfolate a good option for people who have difficulty converting folic acid due to genetic factors or absorption issues. That is why the best folic acid tablets in Pakistan contain l-methylfolate in their formulation. 

  1. Can folic acid cause weight gain?

Folic acid does not cause weight gain because it has no calories and does not affect fat storage. If you notice any weight changes while taking folic acid, they may be linked to hormonal changes, pregnancy, and other supplements taken alongside.  

  1. Does folic acid regulate periods?

Research shows that there is no association between folic acid and menstrual cycle regulation and intensity of menstrual bleeding. 

  1. How much folic acid is needed during pregnancy?

Most health professionals recommend 400 to 600 mcg of folic acid daily before conception and during early pregnancy. This quantity of folic acid supports proper fetal development, especially in the first trimester. However, sometimes women need more doses, so it’s best to consult your healthcare provider.

  1. What foods to avoid when taking folic acid?

There are no specific foods that must be avoided when taking folic acid. However, excessive alcohol intake should be limited, as it can interfere with folate absorption. Also, folic acid may work well with a diet rich in leafy greens, legumes, fruits, and whole grains.




References: 

1. https://www.cancer.gov/publications/dictionaries/cancer-drug/def/l-methylfolate

2. https://pmc.ncbi.nlm.nih.gov/articles/PMC6630484/

3. https://pmc.ncbi.nlm.nih.gov/articles/PMC10309424/

4. https://www.uclahealth.org/news/article/why-every-woman-needs-folic-acid 

 

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