Folate Deficiency, Causes (ex. medications), Pathogenesis, Symptoms, Diagnosis and Treatment

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  • čas přidán 13. 09. 2019
  • Lesson on Folate Deficiency: In-Depth Overview of the Causes, Pathogenesis, Signs and Symptoms, Diagnosis and Treatment. Folate (or Vitamin B9) is an essential water soluble vitamin that is necessary for red blood cell development and maintenance, due to it being required in nucleic acid synthesis. There are several categories of causes of folate deficiency including reduced dietary intake, malabsorption, impaired metabolism, and increased utilization. In this lesson, we discuss in detail the many causes within each of these categories. We also discuss the classic signs and symptoms of folate deficiency, the characteristic findings on laboratory investigations, how to diagnose and what we do to treat folate deficiency. We also discuss why folate is important during pregnancy, specifically with regards to neural tube development.
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Komentáře • 134

  • @hollymurphy-jerrett1894
    @hollymurphy-jerrett1894 Před rokem +26

    I have chronic folate deficiency and one of the main symptoms I experience is low mood. When my folate levels are good I feel mentally very well, I don’t have depression or low mood or anything like that, but when my folate is low, my mood is low.

  • @Zetsuke4
    @Zetsuke4 Před 4 lety +12

    Please post more videos! I love your teaching style so much. The most effective format I have seen on CZcams honestly

  • @24carrotgold8
    @24carrotgold8 Před rokem +14

    MTHFR defect runs in my family. Unfortunately my niece got the defect from her father's side as well. A genetic savvy doctor prescribed Thorne Methyl Guard prior to pregnancy and she carried twins almost to full term. Mark was 5 lbs and Penny was 2.9 lbs. Autopsy on Penny's umbilical cord showed a missing artery. After 3 weeks in NICU she came home and overcame digestive issues and is now a thriving child. Her little sister born 2 years later had a normal development because my niece continued with the supplementation.

    • @astromob1
      @astromob1 Před 4 měsíci

      Which genetic savvy Dr did she see?

    • @24carrotgold8
      @24carrotgold8 Před 4 měsíci

      @@astromob1 Kadlec Regional Medical Center, Richland Washington was doing the research. Her Dr. Is no longer there.

  • @emilywood6830
    @emilywood6830 Před 3 lety +26

    A medication I wish you included was the hormonal birth control pill which decreases many key vitamins, including B12 and B9

  • @cricket700612
    @cricket700612 Před 2 lety +6

    Excellent video! Thank you! Precise and instructive.

  • @Frommel2000
    @Frommel2000 Před 2 lety +21

    0:20 Folate does not come from fortified grains. Fortified grains contain folic-acid which can be harmful when taken long term.

    • @yellowiris123
      @yellowiris123 Před rokem +4

      Fortified grains have folic acid, which is synthetic, man-made. I have the mutation of the MTHFR gene and my body does not use folic acid.

    • @nomadicexplorers
      @nomadicexplorers Před rokem +1

      @@yellowiris123 you just need riboflavin to fix the MTHFR

    • @yellowiris123
      @yellowiris123 Před rokem +2

      @@nomadicexplorers never heard that. I do take methylfolate

    • @nomadicexplorers
      @nomadicexplorers Před rokem +1

      @@yellowiris123 Chris Masterjohn has a great article on it.

    • @NeitouSama
      @NeitouSama Před 8 měsíci

      @@nomadicexplorersnonsense, l methlyfolate is the only remedy, stop spreading misinformation.

  • @CreatingintheWaiting
    @CreatingintheWaiting Před 2 lety +1

    Excellent!
    I wonder if this is why I have hyperuricemia

  • @sugarwalker89
    @sugarwalker89 Před 2 lety +1

    Great job young man!

  • @caroline61804
    @caroline61804 Před 3 lety +13

    If you lack methylation correct it via supplementing with B2 first. Add B9 aka folate and B12 after like a week of supplementing with B2

    • @edimoelvis9904
      @edimoelvis9904 Před rokem

      So the Methylation issue can fixed by B2? Like permanently fixed?

    • @edimoelvis9904
      @edimoelvis9904 Před rokem

      But what is the best form of B2 to take?

    • @caroline61804
      @caroline61804 Před rokem +1

      @@edimoelvis9904 the cheapest most common one. Works for me

  • @MyNguyen-hz1gn
    @MyNguyen-hz1gn Před 2 lety +1

    Great thank you. it helps me a lot.

  • @dianarhyne
    @dianarhyne Před rokem +5

    Folic acid form is in fortified foods, like grains and cereals. This form is harder for many people to use. It can actually do more harm.
    Folate form is best.

  • @User-to7nb
    @User-to7nb Před 4 lety

    This is my lesson today. HOW DID YOU KNOW?!

  • @FLgardener67
    @FLgardener67 Před 3 lety +35

    My Doctor has me on Folate, B- complex and B 12 supplements due to having MTHFR mutation. Can you update your video's highlighting this. Thank you

    • @susanfrail9564
      @susanfrail9564 Před 2 lety +2

      Hi could you please give me more information on what you take please

    • @brianohamill7236
      @brianohamill7236 Před 2 lety +9

      Kinda shocked that he didn’t mention the MTHFR problem

    • @MR.SKANDAL0121
      @MR.SKANDAL0121 Před 2 lety +1

      What is MTHFR I've been suffering with folate deficiency for years & take vitamin b supplements I feel there is something causing this but I don't know know

    • @24carrotgold8
      @24carrotgold8 Před rokem +2

      @@susanfrail9564 Thorne Methyl Guard about $50 at Amazon. Folate and B12.

    • @yellowiris123
      @yellowiris123 Před rokem +8

      @MR SKANDAL BEATS 0121 the MTHFR gene mutation. All humans have the MTHFR gene. About 50% of the population have a mutation of that gene. Those without the mutation it is expressed as CC. One C from each parent. So somebody with the mutation can be expressed as CT, TC or TT. I have the TT expression of the gene, so the mutation comes from both of my parents. So I have the more difficult version of the mutation. My body does not process vitamin b9 (folate) well. The folic acid which is fortifying much of the foods in the US, is fake, synthetic, man-made. My body does not use it much at all. I took medicine called Trileptal and I had mouth sore to the bone. Trileptal strips your body of folate and since my body doesn't process it well anyway, I had a major deficiency. The Dr office ran a DNA test and I have this mutation. I hope this explanation helps.

  • @Meisterling
    @Meisterling Před 24 dny

    Great video!

  • @user-zk8ed4kd2b
    @user-zk8ed4kd2b Před 2 lety +1

    Would you include plaque psoriasis as one of the exfoliative skin conditions?

  • @hasanshokor3255
    @hasanshokor3255 Před 4 lety +1

    Thank you very much love your videos, hope more terms 🌾☘🌱💐

  • @user-zk8ed4kd2b
    @user-zk8ed4kd2b Před 2 lety +1

    What could account for an RBC of 5.42 and a hematocrit of 46.6 with a serum folate of 5.0 in a 65 year old female with psoriasis? Wouldn't the RBC and hematocrit be lower?

  • @justinhale5693
    @justinhale5693 Před rokem +9

    My wife has the MTHFR gene and has always had nausea in the morning. It was worse when pregnant. We have three children. The first and last were supplemented with *folate* but for the second she used *folic acid*. The second was the only to have a tongue tie and after using methyl folate she no longer is nauseous in the morning. This is just FYI. Who knows if it is a coincidence.

    • @KBB-nf1dr
      @KBB-nf1dr Před 8 měsíci

      MTHFR it’s not a gene, mutation genes, don’t mutate, it’s a hereditary Passover of a damaged liver, agent, orange glyphosate, DDT mercury, any number of people have tested positive to MTHFR , and then detox the liver and tested negative afterwards, medical research and training is funded and manipulated by the pharmaceutical industry they always put the blame back on the victim, by saying it’s genetic, it’s not.

  • @sportspharmacists
    @sportspharmacists Před 4 lety +3

    Can you update this video series for folic acid and furin in covid?

  • @abdelraouflaouisset7957
    @abdelraouflaouisset7957 Před 8 měsíci

    thank you!

  • @sajidkhanmahmood
    @sajidkhanmahmood Před 3 lety +12

    very good presentation. I have just been diagnosed with severe folic acid deficiency. I have been on sodium valporate for epilepsy for the last 20 years and never did any Dr recommend any supplementation until the last week when i started to suffer from severe tiredness and feeling dizzy at which point a blood test showed the deficiency.

    • @yellowiris123
      @yellowiris123 Před rokem +2

      Take methylfolate so your body can use the folate. Also, ask Dr for a DNA test for MTHFR gene mutation which around 50% of the population has. That could be causing the deficiency.

    • @sajidkhanmahmood
      @sajidkhanmahmood Před rokem +2

      @@yellowiris123 interesting I would like to ask for this test but here in the UK we can't ask for specific tests. We can only get tests which the Dr feels appropriate.

    • @yellowiris123
      @yellowiris123 Před rokem

      I would just mention you had heard that a folate deficiency could be caused by genetics. Could that be my problem? Maybe he'll order a test.

    • @edimoelvis9904
      @edimoelvis9904 Před rokem

      ​@@sajidkhanmahmoodAre you saying that in the whole of UK there is a not a single private Lab for you to go do your own preferred Test? Hmmmm

    • @The_New_Abnormal_World_Order
      @The_New_Abnormal_World_Order Před 7 měsíci +1

      I'm also on valproate. It angers me that our Drs don't mention any of this. I also read that valproate depletes L-carnitine and inositol. I hope you're doing better now.

  • @ZerHour
    @ZerHour Před rokem +5

    I believe there's a growing link with folate issues and the CV virus ,I got the virus and it wiped out my folate big time ,still undergoing treatments

    • @key2lyfe
      @key2lyfe Před 10 měsíci

      Can you elaborate, please? What symptoms did you have .

    • @astromob1
      @astromob1 Před 4 měsíci

      How did symptoms indicate low folate?

  • @susanfrail9564
    @susanfrail9564 Před 2 lety

    Hi somatic healer can you please give me more information on what you take

  • @El.1355
    @El.1355 Před 3 lety +14

    I was losing vision, getting disorientated, headaches and motion sickness feeling and diareah Absolutely horrible.

    • @THEPLANETEARTH
      @THEPLANETEARTH Před 2 lety +1

      How are you now?

    • @hiq4509
      @hiq4509 Před rokem

      Because of folate?

    • @stefstef434
      @stefstef434 Před rokem

      Omg same !!! I had low acid folic

    • @fnatic7629
      @fnatic7629 Před 3 měsíci

      Same issue how did you fix it?

    • @leighmegan13
      @leighmegan13 Před 3 měsíci

      @@fnatic7629speak to a doctor to get your blood checked, you will usually be prescribed a 4 month course of folic acid to help you.

  • @victorgopio3119
    @victorgopio3119 Před 3 lety +1

    Theres more ads than any other video i have seen damn... hahahaha useful informtion...

  • @antipharma1615
    @antipharma1615 Před 3 lety +15

    should never use folic acid instead use the methylated ,5-mthf, variant as 60% got mutations of the methyl tetra hydro folate reductace enzyme and therefore cant in a good way convert folic acid to the active form

    • @tangomcphearson74
      @tangomcphearson74 Před 2 lety +3

      I agree completely

    • @prasadgaikwad7108
      @prasadgaikwad7108 Před rokem +1

      my b9 level is 1.2 and i took 2.5 mg
      foluc acid tablet for a week. it didnt
      help but gave me constipation. then
      i tried l methylfolate 1 mg .it gave
      me result the very next day.

    • @123private3
      @123private3 Před 4 měsíci

      @@prasadgaikwad7108my folate level is 0.47 how to recover it and how many days takes to improve symptoms plz share your experience.

  • @bugpray
    @bugpray Před rokem +1

    i have a folate deficiency from a blood test and i really don’t know why, i’ve never been told i just take folic acid

  • @jiayouchinese
    @jiayouchinese Před rokem +2

    Genetic conditions also cause issues with low folate, and resveratrol intake reduces folate.

  • @linfu-sheng9066
    @linfu-sheng9066 Před 3 lety +11

    I went to see a psychiatrist for depression a couple years ago, took a swab test and found out (if I remember correctly) that my problem isn't the typical brain receptors being too small to allow serotonin in, but instead my body has a hard time absorbing folic acid, and just doesn't make enough serotonin. I think I was told to try out a B vitamin? Does this sound familiar to anyone? And if so what supplements should I be taking? Thanks

    • @binathere2574
      @binathere2574 Před 2 lety

      watch NOOTROPICSEXPERT on youtube for the information you seek.

    • @binathere2574
      @binathere2574 Před 2 lety +2

      @Ed I've been drinking green smoothies for at least 25 years. Greens are the best way to get folate. I At one point I was not looking after myself. My folate was low. Yes methyl folate is good. I used it when my folate was low. Normal levels now.

    • @samsonslmpson1986
      @samsonslmpson1986 Před rokem +2

      I take sublingual b12 5000mcg and sublingual methyl folate 1000mcg every 2 days. You can get both from sprouts. Try it out. Hopefully it helps.

    • @cindywhittaker3003
      @cindywhittaker3003 Před 7 měsíci +1

      Do you have MTHFR? You need methylated B vitamins.

  • @justwatchingvids1560
    @justwatchingvids1560 Před 9 měsíci

    Is 3.2 low or is that normal (above 3)

  • @vaishnavkadam6909
    @vaishnavkadam6909 Před rokem

    How folates are useful for increasing haemoglobin

  • @garrettsmelosky5008
    @garrettsmelosky5008 Před 4 měsíci +1

    Folic not folate acid is added to foods in the US. Folic is the synthetic version that people struggle to use.

  • @ruthjohnson4380
    @ruthjohnson4380 Před 2 lety +3

    Also scleroderma can cause malabsorption.

  • @K4katwc
    @K4katwc Před 2 lety +2

    I had pretty severe anemia with low hemoglobin. It was macrocytic megaloblastic anemia in 2012. I've been on Folic Acid 4mg per day every day since. But you only recommended 1mg. Should I question my dose? I've never been told the cause of my deficiency either. I've scheduled an appointment with a GI doc to investigate. Maybe ill find out.

    • @freeminded7790
      @freeminded7790 Před 2 lety +1

      Folic acid is synthetic and should be avoided. Avoid all fortified iron-folic acid produce, there’s been studies done and it’s shown to be horrible for our health!!!!

    • @K4katwc
      @K4katwc Před 2 lety +1

      @@freeminded7790 ok. What should I take instead? & how much?

    • @binathere2574
      @binathere2574 Před 2 lety

      @@K4katwc watch NOOTROPICS EXPERT on youtube for the information you seek

    • @K4katwc
      @K4katwc Před 2 lety

      @@binathere2574 thanks!

  • @banzobeans
    @banzobeans Před 11 měsíci

    2:37 is this theoretical or evidence-based?

  • @kp5659
    @kp5659 Před rokem +1

    Does folic acid deficiencies cause hairliss

  • @missbeaussie
    @missbeaussie Před 2 lety +2

    Just started ozempic two weeks ago and did blood yesterday which came back for low folate

    • @astromob1
      @astromob1 Před 4 měsíci

      It created low folate? Ozempic lowers folate?

  • @jbeauty4150
    @jbeauty4150 Před měsícem

    I'm having a hard time treating my folate deficiency. Getting severe side effects. Have you heard of this?

  • @urfavegemini4231
    @urfavegemini4231 Před 2 lety +4

    Drs just TEXT me saying I have this. I have a history if autoimmune disease, ITP. I got HYSTERICAL at first, I didn't understand what they where telling me... few hours dabbing on Internet, I'm calm, I will get better with the meds, I will not panic... I am OK!!!
    I am mad they text me tho, with my history and also autistic... I need then to call and explain to me !!

  • @tonyacampbell4903
    @tonyacampbell4903 Před 3 lety +10

    Another reason is MTHFR.

    • @saragiddings1984
      @saragiddings1984 Před rokem

      What is that?

    • @astromob1
      @astromob1 Před 4 měsíci

      Is that the genetic cause that he barely mentioned but does not cover?

  • @street_fighter_mx5
    @street_fighter_mx5 Před 2 lety +4

    Type A+ blood type people can’t absorb b vitamins well. It’s very common to be deficient for this group

    • @anjareefschlager8317
      @anjareefschlager8317 Před rokem

      Thanks, this is so helpful. So how do you handle this? Supplementing? Juicing? And what's the reason for the malabsorption? Cheers from Berlin

  • @ldjt6184
    @ldjt6184 Před 3 lety +5

    What about methylfolate supplements as opposed to the fake folic acid?

    • @pelletey
      @pelletey Před 3 lety

      its not fake, synthetic is different to fake. It is still processable by the body's enzymes

    • @ldjt6184
      @ldjt6184 Před 3 lety +3

      @@pelletey folate is better than folic acid as I've learned.

    • @ldjt6184
      @ldjt6184 Před 3 lety +3

      @@pelletey Don't even bother with folic acid supplements.

    • @pelletey
      @pelletey Před 3 lety +1

      @@ldjt6184 it depends on your genes, some people have the enzymes to break down folic acid fine.

    • @ldjt6184
      @ldjt6184 Před 3 lety +5

      @@pelletey But for those who accumulate a lot of unmetabolized folic acid there can be health problems. Best not to take it.

  • @00DaNnY000
    @00DaNnY000 Před 11 měsíci

    I’m on PPI’s and apparently they effect the absorption of B9/folate. and my bloods have come back low in B9 and folate now I’m on 5MG a day for 4 months I drink zero alcohol

    • @jbeauty4150
      @jbeauty4150 Před 3 měsíci

      How are you doing now? Are you still taking 5 mg?

  • @joesphbegley3088
    @joesphbegley3088 Před rokem +2

    I developed folate deficiency due to malabsorption caused by daily use of Gaviscon antacid

    • @yellowiris123
      @yellowiris123 Před rokem

      The medication Trileptal strips your body of folate as well.

  • @lakdasadassanayake9127
    @lakdasadassanayake9127 Před rokem +3

    Folate is said to be good for nerves.

  • @binathere2574
    @binathere2574 Před 2 lety +2

    watch NOORTROPICS EXPERT on youtube. He has a much more comprehensive information.

  • @TheSophiejadeable
    @TheSophiejadeable Před 2 lety +3

    I have reoccurring folate deficiency and have been prescribed folic acid 3 times by my gp. My gp is adamant its my diet but I just don't think it is.

    • @binathere2574
      @binathere2574 Před 2 lety

      Folic acid in available from green leafy vegetables. Maybe also consider green barley powder.

    • @marijkevandeneijnden8971
      @marijkevandeneijnden8971 Před 2 lety +4

      Get a test if you have a 5-mthfr mutation. Maybe that's the cause why you can't absorb it

  • @joshnajosheru
    @joshnajosheru Před 3 lety

    Does taking folate reduce ur b12 levels?

    • @maheshtanay
      @maheshtanay Před 3 lety +4

      You have to take both to work better function. Methylfolate and methylcobalamin these two forms can cross blood brain barrier.

    • @edimoelvis9904
      @edimoelvis9904 Před rokem +1

      Yes folate helps the body utilize B12 better . So use both together.

  • @ldjt6184
    @ldjt6184 Před rokem +2

    You are an expert on some things, but folic acid isn't one of them.

  • @Liakoss
    @Liakoss Před 8 měsíci +2

    Never give folic acid... Always supplement with active folate. Many people for many reasons cannot convert folic acid to 5 mthfr. The reasons are many. This guide is wrong.

  • @eclipsekcb9201
    @eclipsekcb9201 Před rokem +1

    Stay away from folic acid or any synthetic vitamins. It's worth the studying.

  • @moonbunny7380
    @moonbunny7380 Před 2 lety

    Can someone tell me why my docter said i have low folic acid but not anemia

    • @daisiesandpandas1218
      @daisiesandpandas1218 Před rokem

      You can have low folic acid but not low haemoglobin - low haemoglobin is anaemia.

    • @moonbunny7380
      @moonbunny7380 Před rokem

      @@daisiesandpandas1218 I am now diagnosed with folate anemia and haemacromotosis

    • @milks0ap002
      @milks0ap002 Před rokem +1

      I have low folate but not anemia. But i do feel dizzy and tired/ weak. did you have those symptoms as well? ive been taking supplements for a week now but i gotta wait longer i think bv i still feel miserable

    • @moonbunny7380
      @moonbunny7380 Před rokem

      @@milks0ap002 low folate IS folate anemia, im tired alot but that's mostly due to haemacromotosis but a side effect in both I'm sure

    • @123private3
      @123private3 Před 4 měsíci

      @@milks0ap002same here I also have folate deficiency but normal hemoglobin and same symptoms weakness, fatigue, dizziness, low vision, tired. My folate level is 0.47. How many days takes to recover from symptoms plz share your thoughts.

  • @jessicablackmore8447
    @jessicablackmore8447 Před 6 měsíci

    Synthetic folate is not good for ys.

  • @irienerd8178
    @irienerd8178 Před 7 měsíci

    You need METHYLfolate so the "fortified" stuff is crap.

  • @Texas903G
    @Texas903G Před rokem +2

    Horrible brain fog