Folic Acid Deficiency: Causes, Symptoms, and Prevention

Folic Acid Deficiency: Causes, Symptoms, and Prevention

Despite efforts by the U.S. Food and Drug Administration (FDA) to fortify the American diet with folic acid since the 1990s, some individuals may still be at risk of folic acid deficiency, leading to potential health issues.

What Causes Folic Acid Deficiency?
Folic acid deficiency can result from various factors, including:

  • Dietary Choices: Inadequate intake of fruits and vegetables or overcooking foods, which destroys folate.
  • Lifestyle Habits: Excessive alcohol consumption.
  • Health Conditions: Diseases such as Celiac or Crohn’s that hinder nutrient absorption.
  • Medical Treatments: Certain medications or dialysis treatments.

Symptoms of Folic Acid Deficiency
Early signs of folic acid deficiency often appear gradually and may include:

  • Fatigue
  • Irritability
  • Dizziness

As the condition progresses, symptoms can worsen to include:

  • Redness or pain in the tongue
  • Weight loss
  • Diarrhea
  • Depression

Severe deficiency may lead to folate-deficiency anemia or pancytopenia, a life-threatening condition where the body lacks sufficient red and white blood cells and platelets. In pregnant individuals, a deficiency can increase the risk of neural tube defects in developing babies.

Preventing and Treating Folic Acid Deficiency
To reduce the risk of deficiency:

  • Eat foods rich in folate, such as citrus fruits, spinach, broccoli, asparagus, and fortified products like bread and pasta.
  • Avoid overcooking vegetables to preserve their folate content.
  • Pregnant individuals or those planning pregnancy should take prenatal vitamins containing at least 400 mcg of folic acid.

For those already experiencing symptoms, consulting a healthcare provider is crucial. Blood tests can confirm a deficiency, and treatment typically involves folic acid supplements. With proper intervention, the condition is manageable and preventable.

For more information on folic acid and its health benefits, consult your doctor or visit your local pharmacy.