It is very difficult to ingest 400 – 600 mcg of folic acid per day from food without relying heavily upon wheat germ, wheat bran, cooked spinach, broccoli, beans and collard greens. As a rule, North Americans do not consume these foods in high enough quantities to derive the optimum benefits available from folic acid. This is yet another reason to educate patients on the principles of a healthy diet and to encourage them to use a high potency multiple vitamin and mineral each day. The 400 mcg contained within a multiple vitamin may not appear to stand out when surrounded by antioxidants and other more high profile ingredients, but this seemingly modest daily contribution of folic acid can be the difference between life and death for many patients, family members and friends, who value your advice on matters of preventive health care.

 

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