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Ferrous salt/folic acid is a supplement used to prevent iron deficiency and folic acid deficiency during pregnancy. [1] It can also be used to treat iron deficiency anemia. [1] It is a fixed dose combination of ferrous salt and folic acid. [1] It is taken by mouth. [1] Side effects may include dark stools, constipation, and abdominal pain. [1]
Folic acid, which is the synthetic form of the vitamin folate, is critical both in pre- and peri-conception. [7] Deficiencies in folic acid may cause neural tube defects (NTDs). Women who had 0.4 mg of folic acid in their systems due to supplementing 3 months before childbirth significantly reduced the risk of NTDs. [29]
Normal doses are considered safe in pregnancy. [5] No overdosage or toxicity has been reported with this drug. [2] Hydroxocobalamin is the natural form of vitamin B 12 and a member of the cobalamin family of compounds. [6] [7] It is found in both raw and cooked beef, together with other cobalamins. [8]
The most commonly fortified food is wheat flour, followed by maize flour and rice. From country to country, added folic acid amounts range from 0.4 to 5.1 mg/kg, but the great majority are in a more narrow range of 1.0 to 2.5 mg/kg, i.e. 100–250 μg/100g. [32]
Elevated methylmalonic acid levels may also indicate a deficiency. [2] Individuals with low or marginal values of vitamin B 12 in the range of 148–221 pmol/L (200–300 pg/mL) may not have classic neurological or hematological signs or symptoms. [2] Treatment is by vitamin B 12 supplementation, either by mouth or by injection. [3]
Treatment may include dietary changes and folic acid supplements. [1] Dietary changes including eating foods high in folate such as, fruits and green leafy vegetables can help. [1] Prevention is recommended for pregnant women or those who are planning a pregnancy. [1] Folate deficiency is very rare in countries with folic acid fortification ...
However, the NHS recommends 10μg of Vitamin D per day throughout the pregnancy and while breastfeeding, and 400μg of folic acid during the first trimester (first 12 weeks of pregnancy). [15] Some women may need to take iron, vitamin C, or calcium supplements during pregnancy, but only on the advice of a doctor.
It is recommended to accompany regular meals with a daily prenatal vitamin supplement that has sufficient folic acid and iron content. [ 30 ] If the fetus is predicted to have low birth weight, in addition to the general recommendations, it would be ideal to increase caloric intake, which can be done by having extra Food Guide Servings daily ...