What to watch with Folsäure and menopause?

During menopause, folic acid (vitamin B9) remains important for cell division and homocysteine regulation. However, a key concern is that high folic acid intake from supplements can mask a vitamin B12 deficiency, which becomes more common with age. Untreated B12 deficiency can lead to neurological damage. Therefore, it is advisable to check B12 status before starting folic acid supplementation. Some studies suggest adequate folate may be linked to lower cardiovascular risk and better cognitive function, but the evidence is moderate and not specific to menopause. The recommended daily intake is 400 mcg, but many menopause multivitamins contain higher doses. Excessive intake (above 1000 mcg daily) should be avoided unless prescribed by a doctor. It is preferable to obtain folate from natural sources such as leafy greens, legumes, and whole grains. In summary: folic acid can be beneficial during menopause, but caution is needed regarding dosage and potential masking of B12 deficiency.