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Types of Vitamin B9 (Folate): Forms & Bioavailability

Evidence:Strong
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This content is for informational purposes only and does not constitute medical advice. Statements about dietary supplements have not been evaluated by the FDA and are not intended to diagnose, treat, cure, or prevent any disease. Individual results may vary — consult your healthcare provider before starting any supplement. Full disclaimer

Forms Comparison

FormBioavailabilityBest For
Folic Acid (Synthetic)HighStandard supplementation and food fortification — most studied form; requires DHFR enzyme conversion
L-Methylfolate (5-MTHF)Very HighMTHFR variants and active folate needs — directly bioactive, bypasses conversion; preferred for those with MTHFR C677T or A1298C polymorphisms
Folinic Acid (5-Formyl-THF)HighMedical use — bypass of dihydrofolate reductase, used in methotrexate rescue protocols

Folic Acid (Synthetic)

Bioavailability: High. Best for: Standard supplementation and food fortification — most studied form; requires DHFR enzyme conversion.

L-Methylfolate (5-MTHF)

Bioavailability: Very High. Best for: MTHFR variants and active folate needs — directly bioactive, bypasses conversion; preferred for those with MTHFR C677T or A1298C polymorphisms.

Folinic Acid (5-Formyl-THF)

Bioavailability: High. Best for: Medical use — bypass of dihydrofolate reductase, used in methotrexate rescue protocols.

References

  1. RCTMRC Vitamin Study Research Group (1991). Prevention of neural tube defects: results of the Medical Research Council Vitamin Study. Lancet. DOI PubMed
  2. Meta-analysisHomocysteine Lowering Trialists' Collaboration (1998). Lowering blood homocysteine with folic acid based supplements: meta-analysis of randomised trials. BMJ. DOI PubMed
  3. RCTPapakostas GI, Shelton RC, Zajecka JM, et al. (2012). L-methylfolate as adjunctive therapy for SSRI-resistant major depression. American Journal of Psychiatry. DOI PubMed