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
Foods
Biological Mechanisms and Implications
No biological targets found for substance: Vitamin B9
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 Tao Huang et al. 2015
- 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










