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Blutwerte · Marker

Folsäure

Folic Acid · Folate · Vitamin B9 · 5-MTHF

Vitamine & Nährstoffe
Einheit:
nmol/L
Abbreviation
Folate

This test quantifies the concentration of folate in the blood, reflecting dietary intake and absorption efficiency.

Reference Ranges

Reference
7–45nmol/L
7
15
30
45
LowNormalHigh
Reference
Optimal
Unit · nmol/L

Ranges may vary based on age, sex, and physiological conditions like pregnancy.

Overview

Übersicht

Folate, also known as folic acid or vitamin B9, is a water-soluble B vitamin essential for various metabolic processes, including DNA synthesis, repair, and methylation. It acts as a cofactor in one-carbon metabolism, facilitating the transfer of methyl groups necessary for the synthesis of nucleotides and amino acids. Folate is obtained through the diet and synthesized by gut microbiota, with absorption occurring primarily in the small intestine. Clinically, folate is crucial for preventing neural tube defects in developing embryos, and deficiencies are linked to anemia, cognitive impairments, and increased risk of cardiovascular diseases. Folate deficiency can result from poor dietary intake, malabsorption syndromes, and increased physiological demands, such as during pregnancy. In the context of athletic performance and biohacking, adequate folate levels support optimal cellular function and energy metabolism, potentially enhancing recovery and endurance. However, excessive folate intake, particularly from supplements, may mask vitamin B12 deficiency and could promote the growth of precancerous cells. Researchers observed that folate levels can be influenced by factors such as alcohol consumption, obesity, and renal function. Testing should consider potential confounders like recent dietary changes or gastrointestinal health.

Klinische Bedeutung

Elevated folate levels may indicate excessive supplementation or dietary intake, while reduced levels suggest dietary deficiency, malabsorption, or increased physiological demand. Both extremes can have significant health implications.

Dynamics

Trend Interpretation

Rising Values

Progressively rising folate levels may suggest excessive supplementation or dietary intake. Re-test in 4 weeks if levels exceed the upper reference range.

Falling Values

Progressively falling levels may indicate dietary insufficiency or malabsorption issues.

Re-test Interval

4 weeks if outside optimal range

Etiology

Causes — High & Low

Cause

Elevated Levels

  • Excessive supplementation
  • High dietary intake
  • Vitamin B12 deficiency
  • Liver disease
  • Hypothyroidism
Cause

Low Levels

  • Poor dietary intake
  • Malabsorption syndromes
  • Alcoholism
  • Pregnancy
  • Chronic kidney disease
Protocol

How to Optimize

Lever

Lifestyle

  • Limit alcohol consumption
  • Maintain a healthy weight
  • Manage chronic conditions like diabetes
  • Regular health check-ups
Lever

Nutrition

  • Consume leafy greens
  • Include fortified cereals
  • Eat legumes and beans
  • Incorporate citrus fruits
Lever

Supplementation

  • Folic acid supplements
  • Multivitamins containing folate

Note:

Consult a healthcare provider before starting supplements, especially if pregnant or managing chronic health conditions.

Testing Guidelines

✓Fasting Not Required
✓Not Time-Sensitive

Testing Frequency

Annually for adults or as advised by a healthcare provider if at risk of deficiency.

Interfering Factors

  • Recent dietary changes
  • Gastrointestinal disorders
  • Alcohol consumption

Related Markers

Related Peptides & Hormones

Vitamin B12

Correlated with

vitamin

Open Research Questions

Current research suggests that reference ranges for folate levels and optimal targets for various populations, particularly in relation to vitamin B12 interactions, remain debated. Researchers have not yet established the full impact of high folate concentrations on neurodevelopmental outcomes and cancer risk. Additionally, clinical questions regarding the efficacy of folate transport mechanisms in neurodevelopmental disorders and the role of folate in methanol poisoning management remain unanswered.

39 Research Publications

1,461

Total Citations

12

Human/RCT

3.9

Avg. Influence

2024

Latest

Sort
Filter
#01

The Concept of Folic Acid in Health and Disease.

ReviewInfluence14.0
262
This study examined the role of folates in health and disease, highlighting their importance as cofactors in essential metabolic pathways. Researchers found that folate deficiencies can arise from poor diet, malabsorption, and other health conditions. Additionally, high folate levels may pose risks during embryonic development and cancer progression.
View on PubMed
#02

Maternal Multivitamin Intake, Plasma Folate and Vitamin B12 Levels and Autism Spectrum Disorder Risk in Offspring.

HumanInfluence12.0
203
This study explored the association between maternal multivitamin intake during pregnancy and the risk of Autism Spectrum Disorder (ASD) in offspring. Researchers found that moderate supplementation was linked to a decreased risk of ASD, while very high levels of maternal plasma folate and vitamin B12 were associated with an increased risk. This suggests a complex relationship between nutrient levels and developmental outcomes.
View on PubMed
#03

Methanol poisoning.

ReviewInfluence7.0
189
Researchers observed that methanol poisoning can be influenced by folate metabolism, with folate potentially aiding in the removal of toxic metabolites. The study highlighted the importance of laboratory confirmation in managing methanol intoxication.
View on PubMed
#04

Folic Acid and the Prevention of Birth Defects: 30 Years of Opportunity and Controversies.

ReviewInfluence6.0
126
This review examined the impact of folic acid fortification on preventing neural tube defects, noting a significant reduction in defect rates and increased blood folate levels in populations with fortification programs. Researchers emphasized the need for further studies to explore interactions between folic acid and vitamin B12.
View on PubMed
#05

Folate Receptor as a Biomarker and Therapeutic Target in Solid Tumors.

ReviewInfluence1.0
86
This study explored the potential of the folate receptor, particularly FRα, as a biomarker for cancer diagnosis and prognosis. Researchers observed that several types of cancers overexpress this receptor, indicating its relevance in cancer biology and treatment strategies.
View on PubMed
#06

Rare fragile sites.

ReviewInfluence4.0
86
This study discussed rare fragile sites associated with folate sensitivity, particularly focusing on CCG repeat expansions. Researchers noted that only two fragile sites have clear clinical significance related to intellectual disability.
View on PubMed
#07

Laboratory assessment of folate (vitamin B9) status.

ReviewInfluence1.0
86
Researchers assessed various laboratory markers for evaluating folate status. They found that measuring total folate abundance in serum and red cells is common, but challenges exist in analysis. The study emphasizes the importance of accurate folate assessment to prevent deficiencies and associated health risks.
View on PubMed
#08

Maternal Folic Acid Supplementation Mediates Offspring Health via DNA Methylation.

ReviewInfluence2.0
86
Researchers observed that maternal folic acid supplementation is linked to offspring health through DNA methylation processes. The study highlighted the importance of balancing folate intake to prevent both deficiency and excess during pregnancy.
View on PubMed
#09

Clinicopathologic features of folate-deficiency neuropathy.

HumanInfluence1.0
64
This study highlighted the characteristics of neuropathy caused by folate deficiency, which presented as a slowly progressive sensory-dominant condition. Researchers emphasized the need for awareness of folate deficiency in neuropathy diagnosis.
View on PubMed
#10

Genetic and epigenetic interactions between folate and aging in carcinogenesis.

Animal
58
Researchers examined the interactions between folate, aging, and colon cancer risk. They found that aging may increase susceptibility to folate depletion, which could enhance cancer risk. However, modest folate supplementation appeared to reverse adverse effects of aging on folate metabolism, suggesting a protective role against carcinogenesis.
View on PubMed

Clinical Trials (12)

12

Total Trials

8,906

Total Enrolled

Efficacy of Melatonin in the Treatment of Diabetic Nephropathy Compared With Folic Acid

NCT07825961COMPLETED
Sponsor

Tanta University

Enrollment

75

Started

2025

Primary outcome

Change in the urine albumin-to-creatinine ratio (UACR)

MelatoninDiabetic NephropathyFolic Acid

Impact of a MVM to Support Biomarkers Associated With Conception and Pregnancy in Healthy Women.

NCT06505408COMPLETED
Sponsor

Perelel Inc.

Enrollment

60

Started

2024

Primary outcome

Change from baseline (week 0) to end of intervention (week 12) on Serum Folate

Healthy Adult Women of Child Bearing Age

Quadruple Fortified Salt Trial in India

Sponsor

Cornell University

Enrollment

1,000

Started

2023

Primary outcome

Concentrations of erythrocyte folate and serum folate

AnemiaFolate DeficiencyVitamin B 12 Deficiency

Natural Folate vs. Synthetic Folic Acid in Pregnancy

NCT04022135COMPLETED
Sponsor

University of British Columbia

Enrollment

60

Started

2019

Primary outcome

Concentration of red blood cell folate levels

Pregnancy

Polymorphism C677T MTHFR and Folate Intake in Inflammatory Biomarkers

NCT03186196COMPLETED
Sponsor

Federal University of Paraíba

Enrollment

48

Started

2016

Primary outcome

Change in value of Interleukins

Overweight and Obesity

Study of Mirvetuximab Soravtansine in Combination With Bevacizumab, Carboplatin, Pegylated Liposomal Doxorubicin, Pembrolizumab, or Bevacizumab + Carboplatin in Participants With Folate Receptor Alpha (FRα) Positive Advanced Epithelial Ovarian Cancer, Primary Peritoneal, or Fallopian Tube Cancer

NCT02606305Phase 1/2COMPLETED
Sponsor

ImmunoGen, Inc.

Enrollment

264

Started

2016

Primary outcome

Number of Participants With Treatment-Emergent Adverse Events (TEAEs)

Epithelial Ovarian CancerPrimary Peritoneal CancerFallopian Tube Cancer

Folate Receptor in Diagnosing Ovarian Cancer Using Serum Samples From Patients With Newly Diagnosed Pelvic Mass or Previously Diagnosed Ovarian Cancer

NCT02520115Phase 1COMPLETED
Sponsor

Barbara Ann Karmanos Cancer Institute

Enrollment

50

Started

2015

Primary outcome

Arm I: To evaluate the ability to increase serum Folate Receptor (FR) levels in patients with newly diagnosed adnexal masses or ovarian cancer utilizing Dexamethasone (DEX) and Valproic Acid (VA).

Adnexal MassBorderline Ovarian Epithelial TumorOvarian Clear Cell TumorOvarian Endometrioid TumorOvarian NeoplasmOvarian Serous TumorRecurrent Ovarian Carcinoma

Folic Acid and Zinc Supplementation Trial (FAZST)

NCT01857310COMPLETED
Sponsor

Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)

Enrollment

2,370

Started

2013

Primary outcome

Live Birth

PregnancyLive BirthSpontaneous Abortion

Folic Acid Supplementation in Women of Child Bearing Age

NCT01841658COMPLETED
Sponsor

University of Georgia

Enrollment

50

Started

2013

Primary outcome

Cell-type-specific DNA methylation

Obesity

FACT Biomarker Subgroup Analysis

NCT03981029COMPLETED
Sponsor

Ottawa Hospital Research Institute

Enrollment

51

Started

2011

Primary outcome

Folate Status

Pre-Eclampsia

Correspondence of Folate Dietary Intake and Biomarker Data

NCT03089684COMPLETED
Sponsor

National Institute of Health and Nutrition

Enrollment

4,878

Started

2011

Primary outcome

Folate status

Folate Deficiency

Chemoprevention With Folic Acid

NCT00018551Phase 2COMPLETED
Sponsor

US Department of Veterans Affairs

Started

1998

Colon CancerAdenomaColonic Polyps

Publication Trend

Research publications about Folsäure over time

7total
1
'03
1
'19
2
'20
1
'21
2
'22

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