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Folate (Vitamin B9) 用于 Coronary Artery Disease (CAD)

C

CSPPT showed stroke benefit but not MI benefit. HOPE-2 was negative for cardiovascular events despite homocysteine reduction. Research suggests benefit may be limited to populations without folic acid fortification.

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结论

            
            
CSPPT showed stroke benefit but not MI benefit. HOPE-2 was negative for cardiovascular events despite homocysteine reduction. Research suggests benefit may be limited to populations without folic acid fortification.

            
            
        

    











    
    

        
        

            

  
Key Statistics





            


    

        
10

        
研究数量

    

    

        
40000

        
受试者

    

    

        
            
            ↔
            
        
        
Mixed

    

    

        C

        
等级

    




        


        
        

        
        
        

            

  
Dosage & Usage





            
mg = milligrams · mcg = micrograms (1,000× smaller) · IU = International Units


            
            

                
常用剂量

                

                    
                    

                        
general:

                        
400 mcg DFE/day

                    

                    
                    

                        
homocysteinereduction:

                        
400-800 mcg/day folic acid (with B12 and B6)

                    

                    
                

                
                

                    上限： 1,000 mcg/day folic acid from supplements
                

                
            

            

            

            
            

                最佳服用时间： With or without food; consistent daily timing preferred
            

            
        

        

        
        
        

            

  
Safety & Side Effects





            

                
                

                    
已报告的副作用

                    
    
                        
                        
  • 
                            ⚠
                            Generally very well-tolerated
                        
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                            ⚠
                            May mask vitamin B12 deficiency at high doses
                        
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  • 
                            ⚠
                            Rare: mild gastrointestinal discomfort
                        
    • 
                        
                    

                

                

                
                

                    
已知相互作用

                    
    
                        
                        
  • 
                            ●
                            Methotrexate (folate may reduce efficacy)
                        
    • 
                        
                        
  • 
                            ●
                            Antiepileptic drugs (phenytoin, carbamazepine — mutual interference)
                        
    • 
                        
                        
  • 
                            ●
                            Vitamin B12 (co-supplementation recommended for homocysteine reduction)
                        
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                        可耐受最高摄入量： 1,000 mcg/day folic acid from supplements
                    

                

                
            

            

                在开始服用任何补充剂之前，请务必咨询您的医疗保健提供者。
            

        

        

        
        
        

            

  
Frequently Asked Questions





            




    
    

        
            Does Folate (Vitamin B9) help with Coronary Artery Disease (CAD)?
            
        
        

            Based on 10 studies with 40,000 participants, there is limited but promising evidence that Folate (Vitamin B9) may support Coronary Artery Disease (CAD) management. Our evidence grade is C (Some Evidence).
        

    

    
    

        
            How much Folate (Vitamin B9) should I take for Coronary Artery Disease (CAD)?
            
        
        

            Studies have used various dosages. A commonly studied range is 400 mcg DFE/day. Always consult your healthcare provider before starting any supplement regimen.
        

    

    
    

        
            Are there side effects of Folate (Vitamin B9)?
            
        
        

            Reported side effects may include Generally very well-tolerated, May mask vitamin B12 deficiency at high doses, Rare: mild gastrointestinal discomfort. Most side effects are mild and dose-dependent. Consult your doctor if you experience any adverse reactions.
        

    

    
    

        
            How strong is the evidence for Folate (Vitamin B9) and Coronary Artery Disease (CAD)?
            
        
        

            We rate the evidence as Grade C (Some Evidence). This rating is based on 10 peer-reviewed studies with 40,000 total participants. The overall direction of effect is mixed.
        

    

    




        

        

        
        
        

            

  
Related Evidence





            

                
                

                    
其他成分用于 Coronary Artery Disease (CAD)

                    

                        
                        
                            Omega-3 Fatty Acids (EPA/DHA)
                            B

                        
                        
                        
                            Magnesium
                            C

                        
                        
                        
                            Selenium
                            C

                        
                        
                    

                

                

                
                

                    
Folate (Vitamin B9) 用于其他健康状况

                    

                        
                        
                            Elevated Homocysteine (Hyperhomocysteinemia)
                            B

                        
                        
                    

                

                
            

        

        

    


    
    












    

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