L-Methylfolate Deficiency Symptoms, Causes, & Treatment | Methyl-Life - Methyl-Life® Supplements (2024)

Celiac disease and other conditions that impact absorption of nutrients are more commonly diagnosed today, but even knowing that you have a malabsorptive disorder may not help you get the nutrients you need.

If you suffer from celiac, Crohn's, inflammatory bowel disease, or even something rare like tropical sprue, you could be lacking in folate. In fact, as many as 20%to 60% of patients with inflammatory bowel disease are deficient in folate.

If your MTHFR gene has a specific mutation, you may not be producing the enzyme you need to convert dietary folate into methylfolate. This is most common in Hispanics, but many Asians and Caucasians also lack this enzyme.

In fact, as many as half of the world's population may have a MTHFR mutation. In order to get the amount of vitamin B9 required for good health, supplementation with 5-methyl-THF, the active form of folic acid, may be necessary.

Causes of Folate or Methylfolate Deficiency

If you have symptoms of folate deficiency or you have low serum levels of B9, there are some common causes to look into.

Your diet may be lacking. While many bread products and cereals in the U.S. are supplemented with folic acid, you may not be eating them -- or the fresh fruits, leafy green vegetables, nuts and seeds, and meats that contain folate.

You have a MTHFR genetic mutation. You can be tested to see if you have this genetic condition, which results in lower amounts of a crucial enzyme needed to convert dietary folate into a bioavailable form.

You suffer from a disease that impacts absorption. You maybe getting enough folate, but your body isn't taking it all in.

You are taking a medication that limits folate absorption.Drugs like phenytoin (Dilantin), trimethoprim-sulfamethoxazole, methotrexate, metformin, warfarin, sulfasalazine, and others can alter your body's ability to take in B vitamins, including folate.

You drink at least a moderate amount of alcohol on a regular basis. The occasional drink shouldn’t have much of an impact, but if you're drinking 8 ounces of wine or the equivalent each day, that could make it harder for your body to process folate.

Treating a Methylfolate Deficiency

Fortunately, in most cases, the treatment of a methylfolate deficiency is managed with regular supplementation.

For most, including those with a MTHFR mutation and those who have other issues with absorption, a methylfolate supplement is recommended.

This is the bioavailable form of folate and will be more quickly and completely absorbed for direct use at the body’s cellular level. It may also be advantageous to look at your diet and include more fruits and vegetables, as well as limit alcohol consumption.

L-Methylfolate Deficiency Symptoms, Causes, & Treatment | Methyl-Life - Methyl-Life® Supplements (2024)

FAQs

What are the symptoms of low L-methylfolate? ›

Signs of Low Folate
  • General weakness and fatigue;
  • Cardiovascular: Irregular heartbeat; shortness of breath;
  • Megaloblastic anemia, a condition where the lack of folate results in fewer red blood cells, and they appear larger ('megaloblastic') than normal;
  • Skin/hair: Hair loss; pale skin; mouth sores.
May 28, 2022

How do you fix methylfolate deficiency? ›

You may need to take folic acid supplements for at least 2 to 3 months. These may be pills or shots (injections). Eating foods high in folic acid and cutting your alcohol intake are also important.

What should you not take with methylfolate? ›

L-methylfolate may interact with the following drugs:
  • carbamazepine.
  • fosphenytoin.
  • phenobarbital.
  • phenytoin.
  • primidone.
  • pyrimethamine.
  • raltitrexed.
  • sulfasalazine.

Is L-methylfolate covered by insurance? ›

Important: do not take regular folate (or folic acid) supplements with L-methylfolate, as they can prevent its absorption in the brain. Check your multivitamin to see if it contains folate. Most insurers do not cover L-methylfolate, but it is very affordable ($10-15/month) over the counter. What about folic acid?

What are the neurological symptoms of folate deficiency? ›

The neurologic manifestations of folate deficiency overlap with those of vitamin B12 deficiency and include cognitive impairment, dementia, depression, and, less commonly, peripheral neuropathy and subacute combined degeneration of the spinal cord.

How does L-Methylfolate make you feel? ›

However, not all studies on the subject have found that taking l-methylfolate causes a significant reduction in symptoms. In some people, l-methylfolate can cause side effects, such as anxiety or digestive symptoms. It is also unsuitable for those who take certain medications or have some health conditions.

What disorder is folate deficiency linked to? ›

Untreated folic acid deficiency can lead to megaloblastic anemia and pancytopenia. In addition, it can cause glossitis, angular stomatitis, and oral ulcers [2].

What happens if folate deficiency is left untreated? ›

Research has shown a lack of folate in your body may increase your risk of cardiovascular disease (CVD). CVD is a general term that describes a disease of the heart or blood vessels, such as coronary heart disease (CHD).

How long does it take to get rid of folate deficiency? ›

Most people need to take folic acid tablets for about 4 months. But if the underlying cause of your folate deficiency anaemia continues, you may have to take folic acid tablets for longer, possibly for life. Before you start taking folic acid, your GP will check your vitamin B12 levels to make sure they're normal.

What supplements should be avoided with MTHFR? ›

Folic acid is the synthetic form of folate that cannot be used by those with a MTHFR defect and which can be very toxic. avoid any supplements with folic acid and only take L-MTHF forms, which are the methylated forms that my body can use. Also take a methyl-B12 which is supposed to help the body use L-MTHF.

What medications to avoid if you have MTHFR? ›

Drugs to avoid with MTHFR Mutation
  • Antacids (depletes B12)
  • Proton Pump Inhibitors (depletes B12)
  • Cholestyramine (depletes B12 & folate)
  • Cholestipol (depletes B12 & folate)
  • Methotrexate (inhibits DHFR: Folate->THF)
  • Nitrous Oxide (Inhibits MTR – Methionine Synthase)
Apr 13, 2017

What should people with MTHFR avoid? ›

Foods to Avoid with MTHFR

Reduce intake of inflammatory foods such as sugar, gluten, refined grains, dairy, trans fats, and processed snacks. Those with gluten sensitivity and MTHFR can suffer a double blow as the symptoms of both can amplify one another. Gluten is also a major cause of inflammation in the gut lining.

Can you buy L-methylfolate over-the-counter? ›

All forms of folate are available OTC, even l-methylfolate, which comes as both OTC and prescription-only products. The prescription form is FDA regulated as a “medical food” (under the brand name Deplin).

How do I know if I need L-methylfolate? ›

Deficiency of folate may be asymptomatic or present with the symptoms of anemia, diarrhea, loss of appetite, and weight loss. Additional signs are weakness, sore tongue, headaches, heart palpitations, irritability, and behavioral disorders.

How can I get L-methylfolate naturally? ›

Foods high in L-methylfolate (Folate)
  1. Sprouted legumes (e.g. mung bean, lentil, chickpea, whitebeans)
  2. Spinach.
  3. Romaine Lettuce.
  4. Cauliflower.
  5. Asparagus.
  6. Broccoli.
  7. Kale.
  8. Cabbage.
Apr 10, 2018

How do you know if you need L-Methylfolate? ›

For women, one sign of not having enough methylfolate can be fertility-related issues. Low levels of methylfolate can impact the way the body deals with estrogen, which can cause hormonal imbalances. This can cause symptoms such as heavy periods, fibroids, endometriosis and polycystic ovary syndrome (PCOS).

What does methylfolate deplete? ›

Glutathione– as cells divide with more methylfolate, glutathione levels get depleted. Restoring levels can help significantly.

How do you increase L-Methylfolate? ›

Foods high in L-methylfolate (Folate)
  1. Sprouted legumes (e.g. mung bean, lentil, chickpea, whitebeans)
  2. Spinach.
  3. Romaine Lettuce.
  4. Cauliflower.
  5. Asparagus.
  6. Broccoli.
  7. Kale.
  8. Cabbage.
Apr 10, 2018

Who needs L-Methylfolate? ›

They are used to treat or prevent low folate levels. Low folate levels can lead to certain types of anemia. Conditions that can cause low folate levels include poor diet, pregnancy, alcoholism, liver disease, certain stomach/intestinal problems, kidney dialysis, among others.

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