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Not optional since Mtx inhibits your ability to have normal folate levels .
The extra folic acid brings things back to normal .
Did your Gi prescribe folic acid ? http://www.medscape.com/viewarticle/588229
If I don't take the folic acid I get cracks in the corners of my mouth. I've had to ask to increase the folic acid to 3*5mg per week and that seems to work.
How much were you prescribed?
Yes, you need to take it because it's stopping your body from receiving it otherwise. Id ask the Dr about l-methylfolate instead which is the active folate and not the synthetic.
If I don't take the folic acid I get cracks in the corners of my mouth. I've had to ask to increase the folic acid to 3*5mg per week and that seems to work. How much were you prescribed?
Late to the party but yes you should take it. My daughter stopped taking hers for a few weeks because she felt fine and she went anemic. Doc did blood tests and found low folate levels or some such thing and told her it was because she stopped taking her folic acid.
What is the difference between standard folate tablets and l-methylfolate? I currently take 20mg mtx and 0.5 folate tablets daily . I find MTX tends to amplify my anxiety. Perhaps it has something to do with my folate absorption...?
L-methylfolate is the active version the body recognizes fir absorption. Folic acid is synthetic and needs to go through several stages to turn into l-methylfolate. If your doctor is ok with it id definitely buy the active one.