Folic Acid vs Folate: What You Really Need to Know Before Choosing a Prenatal

Why Folate Matters When You're Trying to Conceive

When it comes to preconception and pregnancy, folate isn’t just a nice-to-have—it’s essential.

This powerhouse nutrient plays a critical role in supporting healthy ovulation, balanced thyroid function, sustained energy levels, and proper glucose and carbohydrate metabolism. It also supports skin health, immune function, and, most famously, helps prevent neural tube defects. But that’s not all. Folate has also been linked to lowering the risk of congenital heart defects, low birth weight, and preterm birth.

Pretty incredible, right?

However, Not All Prenatal Vitamins Are Created Equal and Folic Acid and Folate ARE NOT the same thing!

I can’t tell you how many times I’ve heard clients say, “My doctor told me all vitamins are the same.”

Here’s the truth: they’re not.

Many standard prenatal supplements contain synthetic folic acid, the man-made version of folate. The issue? Not everyone can process it effectively, particularly those with a genetic variation known as MTHFR.

Up to 60% of the population may have some degree of MTHFR gene variation, which can impair the body’s ability to convert folic acid into its active, usable form.

Why This Is a Problem

If your body can’t convert folic acid properly, that synthetic version can actually build up in your system rather than being used effectively. This unmetabolised folic acid can interfere with important cellular processes and may even block your body’s ability to use folate properly. That means you could be faithfully taking your prenatal every day—and still be missing out on one of the most critical nutrients for pregnancy.

Even worse? This can increase your risk of complications like:

• Neural tube defects in your baby

• Preterm birth

• Placental issues

• Elevated homocysteine levels, which can affect cardiovascular and reproductive health

All while giving you the illusion that you’re covered.

What You Can Do

If you haven’t had genetic testing done (most people haven’t), it’s a good idea to speak with a functional GP, fertility-focused naturopath, or qualified nutritionist. They can guide you toward a high-quality prenatal that contains methylated folate (5-MTHF), the bioavailable form your body can actually use.

Yes, these supplements can cost a bit more. But if you’re one of the roughly 1 in 2 people with a reduced ability to process synthetic folic acid, the investment is 100% worth it, for your health, and your future baby’s health.

My Top Recommendation

One of the brands I trust and personally recommend is NaturoBest. Their prenatals contain activated folate (5-MTHF) and are designed to support your body through preconception and pregnancy with high-quality, bioavailable ingredients.

And it’s not just for women, NaturoBest also offers a Men's Preconception Multi, specifically formulated to support sperm health, motility, and overall reproductive wellness. Because fertility is a team effort.

💛 Use my link here for 10% off your first order.

The Bottom Line

When you're preparing for pregnancy, quality matters. Don’t settle for a one-size-fits-all vitamin. Folate in its active form (methylfolate) can make a real difference, especially if you're among the many who need that extra support.

Supporting your body before pregnancy isn’t just about getting pregnant, it’s about creating the healthiest possible foundation for the tiny human you're hoping to grow.