Methylfolate (5-MTHF) is the final active form of folate that donates methyl groups in one-carbon metabolism. Its primary function: (1) remethylating homocysteine to methionine (via methionine synthase + B12), reducing cardiovascular-toxic homocysteine; (2) methionine → S-adenosylmethionine (SAMe) → methyl donor for DNA methylation, neurotransmitter synthesis (serotonin, dopamine, norepinephrine), and 200+ methylation reactions; (3) thymidylate synthesis for DNA replication (critical in pregnancy). The MTHFR enzyme converts folic acid → dihydrofolate → tetrahydrofolate → 5-MTHF. Variants (C677T, A1298C) reduce this enzyme's efficiency, creating a bottleneck that supplemental 5-MTHF bypasses entirely.
Based on independent third-party laboratory analysis
Category pass rate: ~75%. Dose accuracy and dissolution are the main issues.
Independently graded against 173,636 indexed supplements with 177 published clinical interactions, sourced from PubMed, FDA CAERS, openFDA, and NIH DSLD | Last updated:
Not medical advice. Based on published clinical research and systematic reviews.