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Folate / Folic acid: how much to take

Folate is needed for cell division and to prevent neural tube defects in early pregnancy. Supplements use folic acid or methylfolate, which count for more than food folate.

Calculator Official intake Study doses Best form Works with Safety Sources

Adults 18+ only
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Official daily intake

EFSA (European Food Safety Authority)

PRI (population reference intake)

Men330 µg
Women330 µg
Pregnancy600 µg
Breastfeeding500 µg

Safe upper limit: 1,000 µg a day

Safe limit is for folic acid and methylfolate from supplements and fortified foods, counted as plain µg (not DFE).

Source: EFSA 2017 · EFSA 2025

NIH / NASEM (United States)

RDA (recommended dietary allowance)

Men400 µg
Women400 µg
Pregnancy600 µg
Breastfeeding500 µg

Safe upper limit: 1,000 µg a day

Safe limit is for synthetic folic acid, counted as plain µg (not DFE).

NIH advises women who could become pregnant to take 400 µg folic acid a day from supplements or fortified food.

Source: National Academies (NASEM) 2019

Targets are in µg DFE (dietary folate equivalents). 1 µg folic acid taken with food counts as about 1.7 µg DFE.

Doses used in studies

These are doses tested in research, not personal advice. Some exceed the upper limit because they were short courses or given under medical care.

Strong evidenceStrong: meta-analyses of randomised trials or a large trial, with results that agree.Based on 1 official reference.How grades work

Women planning pregnancy (general advice)

400 µg a day

Official US advice: 400 µg folic acid a day from supplements or fortified food for all women who could become pregnant, on top of food folate.

National Academies (NASEM) 2019

Strong evidenceStrong: meta-analyses of randomised trials or a large trial, with results that agree.Based on 1 randomised trial.How grades work

After a previous pregnancy with a neural tube defect (medical supervision)

4,000 µg a day

The MRC trial gave 4 mg folic acid a day around conception and cut recurrence by 72%. This is far above the safe limit and is a prescribed dose, not a self-care dose.

MRC Vitamin Study Research Group 1991

Moderate evidenceModerate: smaller trials, mixed results or official guidance.Based on 1 randomised trial.How grades work

Lower stroke risk in people with high blood pressure (low-folate population)

800 µg a day

CSPPT: 20,702 adults with high blood pressure in China took enalapril with or without 0.8 mg folic acid. Strokes were about 21% fewer with folic acid (2.7% vs 3.4%). China had no folic acid food fortification, so the effect may be smaller where flour is fortified.

Huo Y et al. 2015

Best form and why

Best form

Folic acid (µg on label)

Why: Folic acid is the form that prevented neural tube defects in the landmark trials and is used in food fortification.

Alternatives: Methylfolate (5-MTHF) is the active form and needs no conversion. In a 2026 trial in 110 pregnant women at equal molar doses it matched folic acid on red-cell folate and homocysteine, and left about half as much unmetabolised folic acid in the blood. Folic acid stays the pick because it is the form that prevented neural tube defects in the landmark trials, and it costs less.

MRC Vitamin Study Research Group 1991 · Ernawati E et al. 2026

Works with

Helps or needs

  • Vitamin B12Moderate evidenceModerate: smaller trials, mixed results or official guidance.Based on 1 official reference.How grades work

    Large amounts of folic acid can correct the anaemia of B12 deficiency but not the nerve damage, so a B12 problem can go unnoticed. If you take folic acid, make sure your B12 intake is adequate too.

    NIH Office of Dietary Supplements 2026

Forms and labels

  • Folic acid (µg on label)
  • Methylfolate / 5-MTHF (µg on label)
  • Label already shows µg DFE

For targets, PillMath converts folic acid to DFE (x1.7 EFSA, x1.67 NIH). For the safe limit it counts the plain µg.

Food sources

Leafy greens, legumes, liver, citrus, fortified cereals.

Interactions

High folic acid can mask B12 deficiency anaemia while nerve damage goes on. Methotrexate and some anti-seizure drugs interact.

Safety

The safe limit (1000 µg) is for folic acid and methylfolate from supplements and fortified food.

Pregnant, breastfeeding, on medication, or managing a health condition? Check with a doctor or pharmacist before starting a supplement.

Sources

  1. Official reference EFSA (2017). Dietary Reference Values for nutrients: Summary report. EFSA Supporting Publications
  2. Official reference EFSA (2025). Overview on Tolerable Upper Intake Levels as derived by the SCF and the EFSA NDA Panel (version 11, August 2025). EFSA
  3. Official reference National Academies (NASEM) (2019). Dietary Reference Intakes: RDA, AI and UL tables (via NIH ODS Nutrient Recommendations). Food and Nutrition Board
  4. Randomised trial MRC Vitamin Study Research Group (1991). Prevention of neural tube defects: results of the Medical Research Council Vitamin Study. Lancet 338:131-137
  5. Randomised trial Huo Y et al. (2015). Efficacy of folic acid therapy in primary prevention of stroke among adults with hypertension in China (CSPPT). JAMA 313:1325-1335 (ACC trial summary)
  6. Randomised trial Ernawati E et al. (2026). Comparative bioavailability of 5-methyltetrahydrofolate and folic acid in pregnant women: a randomized controlled trial. Clin Nutr ESPEN 76:105107
  7. Official reference NIH Office of Dietary Supplements (2026). Folate: fact sheet for health professionals (checked November 2026). NIH ODS

Values checked: November 12, 2026.

Fact sheets on other sites

Independent summaries to read alongside this page. PillMath is not affiliated with these sites.

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