FOLIC ACID
DESCRIPTION: Folic acid is part of the water-soluble vitamin B complex and functions as a coenzyme,
together with vitamins B12 and C, in the breakdown and utilization of proteins. Folic acid performs its
basic role as a carbon carrier in the formation of heme, the iron-containing protein found in hemoglobin,
necessary for the formation of red blood cells. It also is needed for the formation of nucleic acid, which is
essential for the processes of growth and reproduction of all body cells.
Folic acid is necessary for proper brain function, being concentrated in the spinal and extracellular fluids. It
is essential for mental and emotional health. It also increases the appetite and stimulates the production of
hydrochloric acid, which helps prevent intestinal parasites and food poisoning. In addition, it aids in
performance of the liver. Folic acid is easily destroyed by high temperature, exposure to light, and being
left at room temperature for long periods of time.
In surveys conducted, folic acid was shown to be one of the nutrients most often deficient in our diets. The
best sources of folic acid are green leafy vegetables, liver, and brewer's yeast.
ABSORPTION AND STORAGE: Folic acid is absorbed in the gastrointestinal tract by active transport
and diffusion and is stored primarily in the liver. Sulfa drugs may interfere with the bacteria in the
intestine which manufacture folic acid, Aminoperin and steptomycin destroy folic acid. Any disease such as
sprue, celiac disease, or any illness accompanied by vomiting of diarrhea that interferes with the
absorption of food can result in a deficiency. Oral contraceptives interfere with the absorption of
folic acid.
DOSAGE AND TOXICITY:
The recommended Dietary Allowance of folic acid is 400 micrograms for adult, 800 micrograms during
pregnancy, and 600 micrograms during lactation.
Requirements can vary with individual metabolic rate. Hemolytic anemia and hyperthyroidism need
higher quantities. Stress and disease increase the body's need for folic acid, as does the consumption of
alcohol. There is no known toxicity of this vitamin, although an excessive intake of folic acid can mask a
vitamin B12 deficiency.
DEFICIENCY EFFECTS AND SYMPTOMS:
Deficiency of folic acid results in poor growth, graying hair, glossitis (tongue inflammation), and
gastrointestinal-tract disturbances arising form inadequate dietary intake, impaired absorption, excessive
demands by tissue of the body, and metabolic disturbances. Because of the role folic acid plays in the
formation of red blood cells, a deficiency could lead to anemia that cannot be corrected by supplementary
iron. A folate deficiency can lead to irritability, forgetfulness, and mental sluggishness. It can be the cause
of lesions at the corners of the mouth called cheiloses. A deficiency has been found in mentally retarded
children, the aged, and in people with ailments such as Hodgkin's disease and leukemia where the
requirement for folic acid is above normal.
Alcohol, phenobarbital and anticonvulsants can produce a folic acid deficiency. Low serum and
cerebrospinal fluid folate levels have been observed in epileptics administered anticonvulsant medication.
In the past few years there have been a number of studies implicating folic acid deficiency as a
contributing factor in mental illness. Studies have shown that prolonged folic acid deficiency can cause
neurological changes and mental deterioration. Because of their close interrelationship, vitamin B12, in
almost every case, should accompany any folic acid therapy.
A need for the vitamin is especially increased during pregnancy. The fetus, meeting its need for rapid
growth, easily depletes the mother's reserves. The World Health Organization reports that one-third to
one-half of pregnant women are folic acid deficient in the last three months of pregnancy. Almost any
interference with the metabolism of folic acid in the fetus encourages deformities such as cleft palate, brain
damage, or slow development and poor learning ability in the child. In addition, deficiency of folic acid may
lead to toxemia, premature birth, afterbirth hemorrhaging, and megaloblastic anemia in both mother and
child.
SUGGESTED RICH SOURCES OF FOLIC ACID |
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