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Vitamin B9 (Folate; 5-MTHF)

Overview

Vitamin B9, commonly known as folate, is a water-soluble vitamin that plays a central role in one-carbon metabolism and methylation processes. The active form, 5-MTHF (5-methyltetrahydrofolate), is an essential cofactor in the remethylation of homocysteine to methionine, which is then converted to S-adenosylmethionine (SAMe). SAMe fuels the synthesis of dopamine, norepinephrine, and serotonin and drives phospholipid methylation in neuronal membranes. Folate works synergistically with other B vitamins (B6, B2, B12) and minerals (zinc) in methylation processes, and deficiencies in these nutrients are correlated with ADHD symptoms.

Recipes

5 recipes containing this substance

Chocolate Quinoa Crisp Clusters

A delicious cereal-to-snack hybrid with satisfying crunch, steady energy, and a low glycemic profile. Perfect for breakfast or anytime snacking.

Mitochondrial Power Bowl

A nitrate-rich, polyphenol-dense bowl supporting mitochondrial function, ATP generation, and metabolic resilience

Turmeric Lentil Dahl

Anti-inflammatory curcumin-rich lentil dish supporting gut health, NF-κB inhibition, and SCFA production

Foods

23 foods containing this substance

Asparagus

FOS prebiotic fiber and folate source

Black Beans

Legume with polyphenols and protein; optimal soaking conditions detailed

Broccoli

Cruciferous vegetable rich in sulforaphane, folate, and glutathione precursors

Cabbage

Base for sauerkraut; fiber and vitamin C

Cauliflower

Cruciferous vegetable with fiber and B vitamins

Chickpeas

Legume providing protein, fiber, folate, magnesium, and B6

Edamame

Young soybeans providing NMN (NAD+ precursor) and complete plant protein

Eggs

Complete protein with choline, B vitamins, and phospholipids

Kale

Leafy green rich in iron, magnesium, zinc, quercetin, and carotenoids

Lentils

Legume rich in protein, fiber, folate, iron, and prebiotics

Liver

Nutrient-dense organ meat with bioavailable B12, retinol, iron, and CoQ10

Oranges

Vitamin C for iron absorption enhancement

Parsley

Reduces harmful cholesterol oxidation products when added to cooking

Peanuts

Niacin, resveratrol, and plant protein for NAD+ and mitochondrial support

Peas

Plant protein, fiber, and thiamine source

Quinoa

Pseudograin with complete protein, magnesium, and GABA potential in sourdough

Soy

Complete plant protein with isoflavones (genistein) and choline

Spinach

Leafy green rich in iron, magnesium, folate, and carotenoids

Strawberries

Polyphenol-rich berries supporting cognitive function

Swiss Chard

Leafy green rich in iron, magnesium, folate, and carotenoids

Biological Mechanisms and Implications

Biological TargetTherapeutic AreasMechanism of Action
MethylationEssential cofactor in remethylation of homocysteine to methionine, which is converted to S-adenosylmethionine (SAMe); SAMe fuels synthesis of dopamine, norepinephrine, and serotonin and drives phospholipid methylation in neuronal membranes
Neurochemical BalanceSupports neurotransmitter synthesis through methylation; cofactor for dopamine synthesis alongside iron, B6, and omega-3s

References

  • Methylation is a fundamental biochemical process playing a pivotal role in neurotransmitter synthesis, phospholipid metabolism, and gene expression; nutrient-dependent methylation supports recycling of homocysteine into methionine
  • B vitamins, particularly B6, B2, folate (5-MTHF), and B12, are essential cofactors in remethylation of homocysteine to methionine, which is converted to SAMe
  • Folic acid supplementation (0.5-5 mg/day) typically reduces plasma homocysteine by ~25%; adding B12 gives an additional ~7% reduction Collaboration 1998
  • While folate is normally considered the primary nutrient for homocysteine reduction, long-chain omega-3 fatty acids and vitamin B12 also contribute meaningfully; B12+fish oil lowered plasma homocysteine by 39% Tao Huang et al. 2015
  • B vitamin supplementation slowed cognitive decline only in participants with adequate omega-3 status, supporting a nutrient synergy model Oulhaj et al. 2016
  • Elevated plasma homocysteine is frequently elevated in ADHD and other neurodegenerative disorders Yu et al. 2020
  • Homocysteine is implicated in the induction of oxidative stress, modulation of oxygen levels, and initiation of lipid peroxidation pathway Lukovac et al. 2024
  • MTHFR polymorphisms reduce the efficiency of folate cycling and methylation, increasing susceptibility to cognitive dysfunction and ADHD-related symptoms
  • Research indicates that deficiencies in vitamins and minerals essential for methylation, such as folate, vitamin B12, and zinc, are correlated to ADHD symptoms Razavinia et al. 2024
  • Dietary patterns rich in fibre, folate, and omega-3 fatty acids were associated with reduced ADHD symptoms Millichap and Yee 2012
  • Isoquercetin bioavailability is improved by simultaneous ingestion with vitamin C, folate, and additional flavonoids Y. Li et al. 2016