Folic Acid Dosage During Early Pregnancy: Key Questions Answered

Q: Folic Acid Dosage During Early Pregnancy: Key Questions Answered

Hello： During pregnancy, it is advisable to choose supplements such as "Haclicon Prenatal Folic Acid Tablets" that are approved by the Department of Health and to follow the recommended dosage. <br>A dosage of 400 mcg or 800 mcg is acceptable. <br>If the pregnant woman has underl

Folic acid dosage during pregnancy?

Dear Doctor,
I would like to ask a few questions.
I have been taking folic acid since the early stages of my pregnancy, starting from around ten weeks.
Currently, I am eleven weeks along and taking "Haclicon Prenatal Folic Acid Tablets" produced by Yongxin, which contains 800 micrograms of folic acid along with vitamin B12.
The pharmacist mentioned that it also contains an ingredient to help with nausea during pregnancy (I forgot the name).
I have the following concerns that I would like your clarification on, thank you!
1.
Is it too much to take one tablet of 800 micrograms of folic acid daily? My neighbor suggested that 400 micrograms is sufficient.
2.
After taking folic acid, I feel much more energetic, similar to having a cup of coffee, and I no longer feel drowsy.
Is this a good thing?
3.
I also noticed a decrease in my nausea after taking folic acid.
Should I be concerned about this?
4.
Can I continue taking folic acid until the tenth month of pregnancy? I have heard that it is most effective during the first three months, while others suggest taking it until delivery.
Since folic acid is water-soluble, it is said that excess will be excreted.
Is this understanding correct?
Sincerely, Kelly

Kelly, 30~39 year old female. Ask Date: 2010/12/02

Dr. Dong Yuhong reply Obstetrics and Gynecology

Hello: During pregnancy, it is advisable to choose supplements such as "Haclicon Prenatal Folic Acid Tablets" that are approved by the Department of Health and to follow the recommended dosage.
A dosage of 400 mcg or 800 mcg is acceptable.
If the pregnant woman has underlying medical conditions or has experienced previous miscarriages or abnormal fetal outcomes, it is recommended to consult your attending physician for appropriate dosage supplementation.
Women of childbearing age are advised to supplement with folic acid before conception, during pregnancy, and while breastfeeding.
Taking supplements can alleviate discomfort during pregnancy, which also contributes to maintaining the health of the pregnant woman.
Thank you.

Reply Date: 2010/12/02

More Info

Dear Kelly,
Thank you for your questions regarding folic acid supplementation during early pregnancy. It's great to see that you are being proactive about your health and the health of your baby. Let’s address your concerns one by one.

1. Folic Acid Dosage: The recommended daily intake of folic acid for pregnant women is typically 600 to 800 micrograms (mcg). Since you are taking 800 mcg, you are within the recommended range. Your neighbor's suggestion of 400 mcg is generally the baseline for women who are planning to conceive or are in the early stages of pregnancy. However, during the first trimester, higher doses are often recommended to help prevent neural tube defects. Therefore, your current dosage is appropriate, especially since you are in your first trimester.

2. Feeling More Energetic: It’s not uncommon for women to feel more energetic after starting folic acid supplementation. Folic acid plays a crucial role in DNA synthesis and cell division, which can contribute to overall well-being. However, if you feel overly stimulated, similar to the effects of caffeine, it might be worth discussing with your healthcare provider. It's important to ensure that your energy levels are coming from a balanced diet and not just from supplementation.

3. Reduced Nausea: Many women experience nausea during early pregnancy, and while some find that folic acid helps alleviate this, it’s essential to consider that nausea can vary widely among individuals. If you find that your nausea has decreased significantly, it may be a positive sign, but it’s always good to monitor how you feel overall. If you have concerns about your symptoms or any changes, consulting your healthcare provider is advisable.

4. Duration of Folic Acid Supplementation: The recommendation to take folic acid typically extends beyond the first trimester. While the critical period for preventing neural tube defects is during the first 12 weeks of pregnancy, many healthcare providers recommend continuing folic acid supplementation throughout the entire pregnancy and even while breastfeeding. This is because folic acid is a water-soluble vitamin, and excess amounts are excreted through urine, making it generally safe to consume in higher amounts than the baseline requirement. Continuing to take folic acid until delivery can support the overall health of both you and your baby.

In summary, your current folic acid intake of 800 mcg is appropriate for your stage of pregnancy, and the benefits you are experiencing, such as increased energy and reduced nausea, are generally positive. It is always best to consult with your healthcare provider regarding any supplements you are taking, especially if you have any concerns or experience any unusual symptoms. They can provide personalized advice based on your health history and current pregnancy.

Wishing you a healthy and happy pregnancy!
Best regards,
Doctor Q&A Teams

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