NHS advises pregnant women to take key vitamin for baby's brain and spine development
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If you’re planning to become pregnant or are currently expecting, there’s an essential vitamin you might not want to overlook, according to the NHS. This vitamin is folic acid, the synthetic version of folate, or vitamin B9, which is crucial for the production of healthy red blood cells and can be found in various foods.

The NHS advises, “You should start taking folic acid as soon as you begin trying to conceive, ideally starting three months prior, and continue during the first 12 weeks of pregnancy. This ensures that your baby’s brain and spinal cord develop correctly.”

Even beyond the initial 12 weeks, pregnant women can continue to benefit from folic acid. The vitamin supports red blood cell production, and your healthcare provider might recommend its continued use throughout pregnancy, particularly if you are anaemic or at risk of anaemia.

How much folic acid should I take?

The specific dosage and duration of folic acid intake can vary depending on individual circumstances. It’s crucial to consult with your doctor before beginning any new medication, vitamin, or supplement.

Typically, the recommended dose is 400 micrograms daily. However, if there’s a heightened risk of neural tube defects in your baby—conditions that may affect the brain or spine, such as spina bifida—your GP might prescribe a higher dose, usually 5 mg.

Your risk of having a baby with a neural tube defect could be increased if:

  1. You have previously had a pregnancy affected by a neural tube defect
  2. You or the baby’s biological father has a neural tube defect
  3. You or the baby’s biological father has a family history of neural tube defects
  4. You have diabetes
  5. You’re very overweight
  6. You have sickle cell disease
  7. You’re taking certain epilepsy medicines
  8. You’re taking antiretroviral medicines for HIV

Discussing fertility, the NHS reassures that there is “no evidence that folic acid reduces fertility in either men or women. Folic acid does not help you get pregnant, but it’s recommended while you’re trying to get pregnant and in the first 12 weeks of pregnancy.”

Should I take folic acid with food and water?

The NHS suggests: “You can take folic acid with or without food. Swallow the tablets whole with a drink of water. If you’re taking folic acid as a liquid, it will come with a plastic syringe or spoon to help you measure out the right dose. If you do not have one, ask your pharmacist for one. Do not use a kitchen teaspoon as it will not measure the right amount.”

What should I do if I forgot to take folic acid?

Missing one or two doses is usually not a problem. However, if you regularly forget to take folic acid or are unsure whether you should continue it, you should speak to your doctor.

It further warns: “Never take 2 doses to make up for a forgotten one. If you often forget doses, it may help to set an alarm to remind you. You could also ask your pharmacist for advice on other ways to help you remember to take your medicine.”

Taking too much folic acid is “unlikely to cause any harm” with folic acid being classed as “generally very safe” by the NHS. However, you should always “speak to your pharmacist or doctor” if you are worried.

What are good food sources of folate?

Folate is found in small amounts in many foods. Good sources include:

  1. Broccoli
  2. Brussels sprouts
  3. Leafy green vegetables, such as cabbage, kale, spring greens and spinach
  4. Peas
  5. Chickpeas and kidney beans
  6. Liver (avoid liver if you are pregnant)
  7. Breakfast cereals fortified with folic acid
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