Folic Acid and Autism Risk in Pregnancy
No one takes more folic acid than pregnant women. They're told it's essential.
They're told it prevents birth defects.
Some doctors prescribe four to five thousand micrograms of it
daily. These women are doing exactly what they've been told
to do, and
that's the tragedy. Two landmark studies found something
deeply troubling. Researchers at John Hopkins measured
folate levels in mothers shortly after delivery.
Mothers with extremely high folate levels, more than four times what's considered
adequate, had double the risk of having a child with
autism.
When very high folate was combined with very high vitamin B12,
the
risk jumped to seventeen point six times higher.
But the more revealing study measured cord blood, the blood that passes
directly from the mother to baby through the placenta.
Babies with the highest unmetabolized folic acid levels had more
than double the autism risk. In African American children,
nearly ten-fold. Here's the critical finding: the
increased risk was specific to
unmetabolized folic acid, not total folate, not
methylfolate, just a synthetic form the body cannot
process. The researchers stated it very clearly,
"Higher concentrations of cord unmetabolized folic acid, but
not methylfolate or total folate, were associated with
increased risk autism spectrum disorder." The problem isn't
folate. Folate is essential for fetal development.
The problem is the form. Throughout pregnancy, unmetabolized
folic acid from supplements and fortified food crosses
placenta and accumulates in the developing baby.
It binds the folate receptors in the forming brain, blocking the
active folate those neurons desperately need during the most
critical time of development. Over ninety percent of newborns
have detectable unmetabolized folic acid in their cord
blood before they take their first breath.
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