Myths vs facts: Folsäure and Wechseljahre

Folic acid (vitamin B9) is often linked to pregnancy, but it also plays a role during menopause – surrounded by myths. Fact: Folic acid lowers homocysteine, a risk factor for cardiovascular disease, which increases after menopause. Some observational studies suggest an association between low folate intake and higher cardiovascular risk. However, large randomized trials proving a clear benefit of supplementation are lacking. Another myth: folic acid can reduce hot flashes. There is no robust evidence for this. Moreover, high folic acid intake can mask vitamin B12 deficiency, which is more common in older women. The German Nutrition Society recommends obtaining folate from food (green vegetables, legumes) and only supplementing when deficiency or elevated homocysteine is confirmed. DNA testing for MTHFR variants is not routinely indicated, as evidence for personalized dosing remains weak. Bottom line: folic acid is not a menopause miracle, but a relevant nutrient for heart health – with clear evidence limitations.