Folic acid is probably the nutrient that appears most frequently in discussions related to pre-pregnancy planning. But there are many different ways of asking about how to take it. In this week's Q&A, Leila Wa will answer the 5 most common questions about folic acid that pre-pregnancy families have.

1. Question 1: When Should I Start Taking It?

It is generally recommended to start taking folic acid 3 months before pregnancy, and continue doing so until early pregnancy (at least 12 weeks into pregnancy), to prevent neural tube defects. People who are trying to conceive through IVF also follow the same guidelines for pre-pregnancy planning. It's important to consult with a doctor regarding dosage requirements.

2. Question 2: What Is the Recommended Dose?

The standard recommended dose is 0.4 milligrams (400 micrograms) of folic acid per day. However, individuals who have had a history of neural tube defects, those taking certain medications (such as antiepileptic drugs), or those with specific genetic mutations may need higher doses. It's important to get a proper assessment from a doctor before increasing the dose on your own.

3. Question 3: Do Men Need to Take Folic Acid Too?

Men can benefit from taking folic acid, as it helps improve sperm quality. However, the evidence is not as strong as the evidence supporting its use in preventing neural tube defects in women. It's better to ensure a balanced diet for both men and women. If necessary, doctors can decide whether to recommend additional supplementation based on semen test results.

4. Question 4: Is a Diet-Based Approach Enough?

Dark green vegetables, animal livers, and beans contain natural folic acid. However, natural folic acid is easily destroyed by heat, and its absorption rate is unstable. Relying solely on a diet-based approach may not be sufficient to achieve the required preventive dose. Therefore, additional supplements are still the main recommendation.

5. Question 5: What Should I Do If I Miss a Dose?

If you miss a dose occasionally, there's no need to panic. Just take the missed dose when you remember, but don't double the dose at once. Regular adherence is more important than being precise every time.

6. A Reminder from Leila Wa

Folic acid is a "foundation" supplement, but it isn't a "panacea." It prevents specific defects, but it doesn't increase the chances of conception, nor does it replace other tests. Treat it as a daily habit, rather than a source of anxiety.