NEVER WITHOUT
Folate and B12
Folate on its own can hide a lack of B12 while nerve damage progresses unnoticed. Our rules never serve folate without B12, and this formula uses 5-MTHF, the form that makes that masking less likely. That masking matters most if you are over 50, vegetarian or vegan, or take PPIs or metformin.
NOT STACKED AT FULL DOSE
B12 + folate
That formula carries 800 µg of folate. With the 400 µg here it would be 1,200 µg, above the 1,000 µg upper limit, and our rules block any formula that would take you over a limit. Your B6 is counted the same way, against 12 mg a day.
TALK TO A DOCTOR FIRST
Not for everyone
Not with liver disease or an intestinal obstruction. Stop at any sign of liver trouble: yellowing skin, unusual tiredness, abdominal pain, dark urine. Ask first if you are pregnant or breastfeeding (only a modified version is allowed, and bacopa is avoided for lack of data), under 18, or have an active stomach ulcer, asthma or COPD, a slow heart rate, heart block, WPW or another rhythm problem, an underactive thyroid, peripheral neuropathy, polycythaemia vera, unexplained macrocytic anaemia or cancer. The same if you have a bleeding disorder or planned surgery (stop 1–2 weeks before), or take anticoagulants, levodopa without carbidopa, isoniazid, cycloserine, anticonvulsants, hydralazine, penicillamine, theophylline, methotrexate, trimethoprim, sulfasalazine, pyrimethamine, cholestyramine, oral contraceptives, nitrous oxide (repeated anaesthesia), H2 blockers, chloramphenicol, colchicine, anticholinergics, cholinesterase inhibitors, sedatives, thyroid hormone, calcium-channel blockers, or long-term metformin or PPIs. Contains fish, so not suitable for vegans or vegetarians. Contains soy unless the label says otherwise. Do not exceed the dose, keep out of reach of young children, and do not use it in place of a varied diet. The app asks before it ever assigns this one.