{"id":633684,"date":"2025-10-14T09:30:36","date_gmt":"2025-10-14T13:30:36","guid":{"rendered":"https:\/\/www.singlecare.com\/blog\/?p=633684"},"modified":"2025-09-29T15:32:49","modified_gmt":"2025-09-29T19:32:49","slug":"too-much-folic-acid-symptoms","status":"publish","type":"post","link":"https:\/\/www.singlecare.com\/blog\/too-much-folic-acid-symptoms\/","title":{"rendered":"Can you take too much folic acid?"},"content":{"rendered":"<p><span style=\"font-weight: 400;\">Folate is vitamin B9. Found in leafy greens, citrus fruits, and other foods, this water-soluble B vitamin helps the body make red blood cells and supports cell growth and function. Although folate naturally occurs in some foods and is added to others, some people need extra, so they take <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/folic-acid\"><span style=\"font-weight: 400;\">folic acid supplements<\/span><\/a><span style=\"font-weight: 400;\">, a synthetic form of folate. Pregnant women need to be especially mindful about getting enough folate because it can help reduce the risk of congenital disorders such as spina bifida in developing fetuses. However, it\u2019s important to take only the recommended amount, and only for the recommended length of time, because it <\/span><i><span style=\"font-weight: 400;\">is<\/span><\/i><span style=\"font-weight: 400;\"> possible to get too much of a good thing.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\t\t<div id=\"coupon-cta\" class=\"coupon-cta master-template\">\n\t\t\t<p id=\"headline\">Save up to 80% on Folic acid with SingleCare<\/p>\n\t\t\t<p id=\"subheadline\">Different pharmacies offer different prices for the same medication. SingleCare helps find the best price for you.<\/p>\n\t\t\t<div class=\"details-wrap\">\n\t\t\t\t<div class=\"details\">\n\t\t\t\t\tFolic acid 1 mg (90 Tablets)\t\t\t\t<\/div>\n\t\t\t\t<div class=\"address\">\n\t\t\t\t\t23666 - Hampton, VA\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<div class=\"api-response\">\n\t\t\t\t\t\t<div class=\"coupon\">\n\t\t\t<div class=\"logo\">\n\t\t\t<img decoding=\"async\" src=\"https:\/\/images.singlecare.com\/content\/images\/pharmacy\/logo-color-kroger.svg\" alt=\"Kroger Pharmacy\" \/>\t\t\t<\/div>\n\t\t\t<div class=\"price\">\n\t\t\t\t<div class=\"price-number\">\n\t\t\t\t\t$7.99<br\/>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"price-signup\">\n\t\t\t\t\t<span class=\"info-icon\">i<\/span>\n\t\t\t\t\tPrice with <a href=\"https:\/\/www.singlecare.com\/prescription\/folic-acid#blog-cta\">signup<\/a>\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<div class=\"couponbtn\">\n\t\t\t\t<a target=\"_blank\" href=\"https:\/\/www.singlecare.com\/prescription\/folic-acid#blog-cta\">Get free coupon<\/a>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"coupon\">\n\t\t\t<div class=\"logo\">\n\t\t\t<img decoding=\"async\" src=\"https:\/\/images.singlecare.com\/content\/images\/pharmacy\/logo-color-harristeeter.svg\" alt=\"Harris Teeter Pharmacy\" \/>\t\t\t<\/div>\n\t\t\t<div class=\"price\">\n\t\t\t\t<div class=\"price-number\">\n\t\t\t\t\t$7.99<br\/>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"price-signup\">\n\t\t\t\t\t<span class=\"info-icon\">i<\/span>\n\t\t\t\t\tPrice with <a href=\"https:\/\/www.singlecare.com\/prescription\/folic-acid#blog-cta\">signup<\/a>\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<div class=\"couponbtn\">\n\t\t\t\t<a target=\"_blank\" href=\"https:\/\/www.singlecare.com\/prescription\/folic-acid#blog-cta\">Get free coupon<\/a>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t<a target=\"_blank\" href=\"https:\/\/www.singlecare.com\/prescription\/folic-acid#blog-cta\" class=\"coupon-see-all-btn\">See Folic acid prices at all pharmacies<\/a>\n\t\t<\/div>\n\n\t\t<\/span><\/p>\n<h2 id=\"can-you-take-too-much-folic-acid\"><span style=\"font-weight: 400;\">Can you take too much folic acid?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">\u201cIt is possible to consume too much folic acid, likely from taking in too much daily rather than one big dose,\u201d says <\/span><a href=\"https:\/\/www.novanthealth.org\/pf\/providers\/1467071225\/maria-d-iorio\"><span style=\"font-weight: 400;\">Maria D\u2019Iorio<\/span><\/a><span style=\"font-weight: 400;\">, MD, an OB-GYN with Novant Health in Winston-Salem, North Carolina.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">It\u2019s most likely to occur from taking high-dose supplements for extended periods of time and not from just eating foods that are high in folate, says <\/span><a href=\"https:\/\/www.novanthealth.org\/pf\/providers\/1336313410\/sandi-hamilton\"><span style=\"font-weight: 400;\">Sandi Hamilton<\/span><\/a><span style=\"font-weight: 400;\">, MS, RD, a registered dietitian with Novant Health. For example, one possible way to consume too much folic acid is by taking a prenatal vitamin containing folic acid in addition to another folic acid supplement. In other words, more isn\u2019t always better.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The body absorbs folic acid into the bloodstream through the intestines. The liver then converts it into other forms of folate. Folic acid is water-soluble, meaning that if you <\/span><a href=\"https:\/\/ods.od.nih.gov\/factsheets\/Folate-HealthProfessional\/\"><span style=\"font-weight: 400;\">take too much<\/span><\/a><span style=\"font-weight: 400;\">, it will be excreted in your urine.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The amount of folate needed varies. Most adults need <\/span><a href=\"https:\/\/my.clevelandclinic.org\/health\/diseases\/22198-folate-deficiency\"><span style=\"font-weight: 400;\">400 micrograms (mcg<\/span><\/a><span style=\"font-weight: 400;\">) daily, although breastfeeding mothers need <\/span><a href=\"https:\/\/my.clevelandclinic.org\/health\/diseases\/22198-folate-deficiency\"><span style=\"font-weight: 400;\">500 mcg<\/span><\/a><span style=\"font-weight: 400;\"> daily. <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/pregnant-women-folic-acid\/\"><span style=\"font-weight: 400;\">Pregnant people need even more folate<\/span><\/a><span style=\"font-weight: 400;\">: <\/span><a href=\"https:\/\/my.clevelandclinic.org\/health\/diseases\/22198-folate-deficiency\"><span style=\"font-weight: 400;\">600 mcg<\/span><\/a><span style=\"font-weight: 400;\"> daily is recommended to reduce the risk of neural tube defects such as spina bifida in developing babies.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Occasionally, someone will have a <\/span><a href=\"https:\/\/my.clevelandclinic.org\/health\/diseases\/22198-folate-deficiency\"><span style=\"font-weight: 400;\">folic acid deficienc<\/span><\/a><span style=\"font-weight: 400;\">y because they don\u2019t eat enough foods that contain folate or they don\u2019t absorb folic acid well, due to a health condition such as Crohn\u2019s disease, celiac disease, inflammatory bowel disease, or excessive alcohol consumption. In such cases, their healthcare provider might also recommend a <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/folic-acid\"><span style=\"font-weight: 400;\">folic acid supplement<\/span><\/a><span style=\"font-weight: 400;\">.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Others who can benefit from supplementation include people with hyperhomocysteinemia, or high levels of homocysteine in the blood, which is linked to an increased risk of cardiovascular disease. Children who take <\/span><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/29368110\/\"><span style=\"font-weight: 400;\">antiepileptic drugs (AEDs) for seizures may need to take folic acid supplements<\/span><\/a><span style=\"font-weight: 400;\"> to help control their seizures. <\/span><a href=\"https:\/\/www.jrheum.org\/content\/41\/6\/1049.short\"><span style=\"font-weight: 400;\">People taking <\/span><\/a><a href=\"https:\/\/www.singlecare.com\/prescription\/methotrexate\"><span style=\"font-weight: 400;\">methotrexate<\/span><\/a><a href=\"https:\/\/www.jrheum.org\/content\/41\/6\/1049.short\"><span style=\"font-weight: 400;\"> for rheumatoid arthritis<\/span><\/a><span style=\"font-weight: 400;\"> may benefit from taking folic acid to reduce gastrointestinal side effects like nausea, vomiting, and abdominal pain.<\/span><\/p>\n<h3 id=\"the-difference-between-folate-and-folic-acid\"><span style=\"font-weight: 400;\">The difference between folate and folic acid<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Folate is dietary vitamin B. Folic acid is a synthetic form of the vitamin, taken when you can&#8217;t get enough from the foods you eat.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">It\u2019s generally best for most people to <\/span><a href=\"https:\/\/www.mayoclinic.org\/drugs-supplements-folate\/art-20364625\"><span style=\"font-weight: 400;\">get folate from the food they eat<\/span><\/a><span style=\"font-weight: 400;\">. Dietary folate is available in <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/folic-acid-foods\/\"><span style=\"font-weight: 400;\">many foods<\/span><\/a><span style=\"font-weight: 400;\">, including:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Dark green leafy vegetables<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Other vegetables, such as asparagus, Brussels sprouts, and broccoli<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Citrus fruits<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Peas, beans, and legumes<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Liver<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Eggs and dairy<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Seafood<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Many breads, pastas, and cereal products are <\/span><a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC9875360\/\"><span style=\"font-weight: 400;\">fortified with folic acid<\/span><\/a><span style=\"font-weight: 400;\">. However, sometimes it\u2019s hard for people to get all the folate they need from food (even fortified food). In that case, they can turn to folic acid supplements. Usually, a prenatal vitamin will contain the necessary folate for pregnant women, according to D\u2019Iorio. Women at higher risk for pregnancies with neural tube defects, such as a family history of spina bifida, may need a higher dose through the first trimester.\u00a0<\/span><\/p>\n<h2 id=\"6-symptoms-of-too-much-folic-acid\"><span style=\"font-weight: 400;\">6 symptoms of too much folic acid<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">You might wonder if you would even know if you were taking too much folic acid. It might not always be easy to tell. \u201cMany people would not be symptomatic from folic acid excess,\u201d says D\u2019Iorio. \u201cThere is no evidence that it would cause spotting or adverse pregnancy effects.\u201d<\/span><\/p>\n<p><span style=\"font-weight: 400;\">However, it\u2019s still possible to experience some symptoms or signs of consuming excessive amounts of folic acid. Here are some possible symptoms of taking too much:<\/span><\/p>\n<h3 id=\"1-digestive-issues\"><span style=\"font-weight: 400;\">1. Digestive issues<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">One of the most likely <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/folic-acid-side-effects\/\"><span style=\"font-weight: 400;\">side effects<\/span><\/a><span style=\"font-weight: 400;\"> of excessive folic acid intake is an upset stomach, including nausea, diarrhea, or abdominal cramps.\u00a0<\/span><\/p>\n<h3 id=\"2-hypersensitivity\"><span style=\"font-weight: 400;\">2. Hypersensitivity<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Another possible side effect of too much folic acid is hypersensitivity. This may include symptoms such as skin rashes, redness, itching, and trouble breathing. However, this may also indicate an <\/span><a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC6299334\/\"><span style=\"font-weight: 400;\">allergic reaction<\/span><\/a><span style=\"font-weight: 400;\">.\u00a0<\/span><\/p>\n<h3 id=\"3-mood-changes\"><span style=\"font-weight: 400;\">3. Mood changes<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Confusion or irritability can also result from taking too much folic acid by mouth, according to the <\/span><a href=\"https:\/\/www.mayoclinic.org\/drugs-supplements-folate\/art-20364625\"><span style=\"font-weight: 400;\">Mayo Clinic<\/span><\/a><span style=\"font-weight: 400;\">. Insomnia is another possible symptom of excessive folic acid intake.<\/span><\/p>\n<h3 id=\"4-anemia\"><span style=\"font-weight: 400;\">4. Anemia<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Taking large amounts of folic acid can mask the effects of a deficiency in a different B vitamin that the body does not produce on its own: <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/vitamin-b12\"><span style=\"font-weight: 400;\">B12<\/span><\/a><span style=\"font-weight: 400;\">. Vitamin B12 helps the body make red blood cells and DNA, and keeps blood and nerve cells healthy. Some <\/span><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/40813465\/\"><span style=\"font-weight: 400;\">research<\/span><\/a><span style=\"font-weight: 400;\"> suggests that excessively high levels of folate can contribute to a decline in vitamin B12 levels. A <\/span><a href=\"https:\/\/my.clevelandclinic.org\/health\/diseases\/22831-vitamin-b12-deficiency\"><span style=\"font-weight: 400;\">vitamin B12 deficiency<\/span><\/a><span style=\"font-weight: 400;\"> can lead to anemia, as well as other potential health problems, including damage to the nervous system. The Mayo Clinic suggests taking a supplement that contains the 100% daily recommended value of both vitamin B12 and folic acid.<\/span><\/p>\n<h3 id=\"5-neurological-concerns\"><span style=\"font-weight: 400;\">5. Neurological concerns<\/span><\/h3>\n<p><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/40712485\/\"><span style=\"font-weight: 400;\">Research<\/span><\/a><span style=\"font-weight: 400;\"> suggests that excess folic acid poses a risk to the nervous system. Too much folic acid can mask or even worsen the neurologic symptoms of vitamin B12 deficiency. The potential neurologic changes may include cognitive slowing and neuropathy, D\u2019Iorio says. Instead, the body needs the correct balance of folate and <\/span><a href=\"https:\/\/www.singlecare.com\/conditions\/too-much-B12-symptoms\"><span style=\"font-weight: 400;\">vitamin B12<\/span><\/a><span style=\"font-weight: 400;\">. This and anemia are the two most serious consequences of taking too much folic acid.\u00a0<\/span><\/p>\n<h3 id=\"6-kidney-problems\"><span style=\"font-weight: 400;\">6. Kidney problems<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Some <\/span><a href=\"https:\/\/jamanetwork.com\/journals\/jamainternalmedicine\/fullarticle\/2544880\"><span style=\"font-weight: 400;\">research<\/span><\/a><span style=\"font-weight: 400;\"> indicates that folic acid may help slow the progression of chronic kidney disease. However, high doses of folic acid could be problematic for the kidneys, as other <\/span><a href=\"https:\/\/www.sciencedirect.com\/science\/article\/abs\/pii\/S0940299310001429\"><span style=\"font-weight: 400;\">research<\/span><\/a><span style=\"font-weight: 400;\"> suggests that a high concentration of folic acid may contribute to acute renal failure. People with kidney disease should discuss the appropriate use of folic acid supplements with their healthcare provider.\u00a0<\/span><\/p>\n<h2 id=\"who-s-at-risk-for-folic-acid-overload\"><span style=\"font-weight: 400;\">Who\u2019s at risk for folic acid overload?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Anyone who\u2019s taking folic acid supplements should be cautious about taking the appropriate amount, as recommended by their healthcare provider.\u00a0\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u201cWhile we still recommend folic acid supplementation in the pre-conception period and first trimester, it\u2019s important to be mindful of your folic acid intake, especially if you are consuming high amounts of folic acid-fortified products,\u201d D\u2019Iorio says.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">People with certain health conditions and treatments that require supplementation with folic acid should also be mindful. Take the total supplement dosage and the dietary folic acid into account. When shopping for food, look for the \u201c<\/span><a href=\"https:\/\/nyaspubs.onlinelibrary.wiley.com\/doi\/full\/10.1111\/nyas.13499\"><span style=\"font-weight: 400;\">enriched<\/span><\/a><span style=\"font-weight: 400;\">\u201d label that indicates that foods like breakfast cereals contain a certain amount of added folic acid.\u00a0<\/span><\/p>\n<h2 id=\"taking-folic-acid-safely\"><span style=\"font-weight: 400;\">Taking folic acid safely<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Before you start taking any news supplements, including folic acid, it\u2019s important to understand if you even need to take one. For example, are you planning to become pregnant? Do you have a deficiency, or are you at risk for a folate deficiency?\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Even though supplements are sold over the counter, there are many <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/folic-acid-side-effects\/\"><span style=\"font-weight: 400;\">potential drug interactions that could occur<\/span><\/a><span style=\"font-weight: 400;\">. \u201cIt is important to report the supplements you are taking or have taken to your healthcare provider so they can advise you on what to change or check your blood levels if excessive supplementation is suspected,\u201d Hamilton says. \u201cLab testing is the best way to determine if folic acid levels in the blood are in the appropriate range.\u201d\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">You also need to read labels carefully. According to the National Institutes of Health (NIH) Office of Dietary Supplements, a number of different bottles on the pharmacy shelf can <\/span><a href=\"https:\/\/ods.od.nih.gov\/factsheets\/Folate-HealthProfessional\/\"><span style=\"font-weight: 400;\">contain folic acid<\/span><\/a><span style=\"font-weight: 400;\">:\u00a0<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Prenatal vitamins<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Multivitamins<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Supplements with B-complex vitamins<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Folic acid-only supplements<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">The dosage amounts can vary. \u201cIf you\u2019re at all concerned, I recommend reviewing with your healthcare provider,\u201d D\u2019Iorio says.<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Folate is vitamin B9. Found in leafy greens, citrus fruits, and other foods, this water-soluble B vitamin helps the body make red blood cells and supports cell growth and function. Although folate naturally occurs in some foods and is added to others, some people need extra, so they take folic acid supplements, a synthetic form [&hellip;]<\/p>\n","protected":false},"author":135,"featured_media":633672,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[11],"tags":[8970,8615,812],"coauthors":[9482],"class_list":["post-633684","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-wellness","tag-breastfeeding","tag-pregnancy","tag-supplements","wpautop"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.4 (Yoast SEO v27.4) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Can you take too much folic acid? 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