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1Essential

Prenatal folate

Also sold as Folic acid, 5-MTHF, prenatal

Started before conception and continued through the first trimester without exception.

1TrustedSupp Tier System™ · Tier 1Take persistently
Check before you startThis one has documented interactions with medication classes where the consequences are serious. If you take any prescription medicine, run it past a pharmacist before starting.

How long to take it

From at least one month before conception through the first trimester, and often throughout pregnancy.

Who it's actually for

Anyone who could become pregnant. Neural tube closure happens before most people know they're pregnant.

Safe upper limit

Unverified
1,000 mcg per day of supplemental folic acid
High supplemental folic acid can mask B12 deficiency while nerve damage progresses underneath.
No source attached yet. Treat this as a starting point, not a citation, until reviewed.

Interactions to know about

  • Anti-seizure medicationPhenytoin, valproate, carbamazepine, lamotrigine
  • MethotrexateFolate antagonist

Other supplements:

Run your full list through the interaction check.

Practical notes

  • Start before trying, not after a positive test.
  • Some conditions and medications require a much higher prescribed dose — ask.