How Deplin® Compares to Folic Acid
- Folic acid requires a 4 step transformation process to be converted to the active form of folate, L-methylfolate.
- Upon absorption, Deplin® can cross the blood brain barrier and is immediately available for use by the brain.
- The C/T and T/T polymorphisms confer a compromised ability to breakdown folic acid into L-methylfolate, the only form of folate that can be used by the brain to make serotonin, norepinephrine and dopamine.
- L-methyfolate is unaffected by both C/T and T/T polymorphisms.

Why Folic Acid Cannot be Substituted for Deplin®
The prevalence of C/T and T/T polymorphisms is higher in individuals with depression.
The frequency of the T/T and C/T polymorphisms has been shown to occur in up to 70% of individuals with depression.
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Depressed patients are at higher risk for the most serious polymorphism (T/T).
The T/T polymorphism occurs nearly twice as often in depressed patients compared to the general population.
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There are certain groups at higher risk for the most serious polymorphism (T/T).
The T/T polymorphism occurs nearly twice as often in Hispanic and Mediterranean populations than it does in the general population.10 Individuals who are Hispanic and depressed, or Mediterranean and depressed, are at significantly greater risk for this serious polymorphism.
Bioavailability
The peak concentration of methylfolate (5-MTHF) following the administration of 5-MTHF was more than seven times higher compared to the peak level of 5-MTHF following the administration of folic acid, irrespective of the patient's MTHFR genotype.14
Deplin® (L-methylfolate) is an orally administered medical food for use only under medical supervision for the dietary management of suboptimal folate levels in depressed patients.
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