Folate Is An Umbrella Term

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1 How to know when and how to introduce folate. What is the best form for you? Folate Is An Umbrella Term Folic Acid Folinic Acid 5-MTHF There are three forms of folate: Folic acid manmade synthetic form and not ideal if you have the MTHFR gene Folinic acid active form and helps with DNA/purine synthesis and is important in regenerative 5- MTHF 5-MTHF active form that s crucial for DNA/RNA, protein synthesis, fat metabolism, neurotransmitter synthesis.

2 Folic acid Man made, synthetic form Has no physiological function in the body until it is converted to dihydrofolate The folate receptor prefers to bind to this so blocking a pathway for our natural food based folates Folinic acid Also known as calcium folinate, 5-formyltetrahydrofolate Unlike folic acid it is metabolically active

3 5-MTHF Active Folate Affected by the MTHFR gene

4 So what might give you clues that folate is low? 1. Anyone on any of these drugs for a period of time. Drugs that affect the methylation cycle Antacids (deplete B12) Cholestyramine (deplete cobalamin and folate absorption) Colestipol (decrease cobalamin and folate absorption) Methotrexade (inhibits DHFR) Nitrous oxide (inactivates MS) High dose Niacin (depletes SAMe and limits pyridoxal kinase active B6) Theophylline (limits pyridoxal kinase = active B6) Cyclosporin A (decreases renal function and increases Hcy) Metformin (decreases cobalamin absorption) Phenytoin (folate antagonist) Oral contraceptives ( deplete folate) Antimalarials JPC-2056, Pyrimethamine, Proguanil (inhibits DHFR) Antibiotic Trimethoprim (inhibits DHFR) Ethanol (depletes folate and cobalamin) Bactrim (inhibits DHFR) Sulfasalazine (inhibits DHFR) Triamterene (inhibits DHFR) 2. Family History of any of the following: - Miscarriage - Anxiety - Depression perhaps antidepressants don t work for you? - Stroke - Heart attack - Chronic fatigue at an early age - multiple chemical sensitivities

5 3. Bloods - Is homocysteine high? - Is MCV (red blood cell marker) high? - Is RDW (red cell distribution width) > 13%? 4. Signs and symptoms - Greying Hair - Fatigue - Mouth sores - Tongue swelling - Growth problems

6 Steps to choose your folate. 1. Avoid folic acid and folic acid containing foods like: - Commercial bread flour - Packaged goods - Protein powders - Protein balls - Breakfast cereals fortified with folic acid (folate) - If any food says folate in the ingredients then it will be folic acid. 2. Folinic vs. methyl? - If you have a family history of oestrogen dominant conditions like endometriosis, fibroids, fibrocystic breasts, etc. then be cautious with methyl s. Start very slowly. - If you have MTHFS ++ then start with folinic and use cofactors for MTHFS like magnesium - If you react to typical B vitamins and feel sick and don t feel good, use 5-MTHF - If you have suffered anxiety and depression and typical antidepressants don t work then a combination of methyl/folinic may be your best option. - If you have COMT++ use folinic and low dose methyl s. Always try to work with a qualified practitioner that will assist you in this process. Next week we will be discussing methyl side effects so make sure you read this BEFORE you start with methyl folate. Always purchase niacin with your methyl so you have the antidote with you.

7 Products: Total B methyl B vitamins including methyl AUSTRALIA & NZ - INTERNATIONAL - Total B folinic B vitamins including folinic acid Total B methyl/folinic B vitamins including folinic/methyl (COMING SOON) (COMING SOON)

8 Dose? ALWAYS START LOW. 1. Make sure that Starter B and your B12 are in place first. 2. Always have your niacin on hand before you start. Folate Trial Instructions Start with 200mcg of methylfolate. Take ½ for the first 5 days after breakfast with your Starter B. First 5 days 1/2 Next 5 days 1 Next 5 days 1 and ½ Next 5 days 2 tablets. You continue to increase only if you have no negative side effects like increase in anxiety, decrease in mood, muscle aches and pains, rash, sleep disturbance Please read the side effects sheet before you start.

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