library.onepin.app/methylfolate Peptide Education Library
Education only, not medical advice 21+ Every dose is an example to finalize with a licensed provider

OnePin Peptide Library · Metabolic

Metabolic Bioactive Folate (5-MTHF / L-Methylfolate)

Methylfolate

L-Methylfolate · 5-MTHF · L-5-MTHF · Active Folate

Bioactive Folate (5-MTHF / L-Methylfolate)Methylation Cycle CofactorMTHFR Variant SupportDietary Supplement / EU Pharmaceutical

Methylfolate (5-methyltetrahydrofolate / 5-MTHF / L-methylfolate) is the bioactive form of folate (vitamin B9) - the form that crosses the blood-brain barrier and participates directly in methylation cycle reactions. Standard folic acid (synthetic, oxidized) requires conversion through dihydrofolate reductase and methylenetetrahydrofolate reductase (MTHFR) to become bioactive 5-MTHF.

Quick Start
Route
Oral capsule or sublingual
Start low
400-800mcg daily (general); 1-15mg (depression)
Frequency
1x daily
Timing
Independent

Morning preferred.

Start here. Every protocol below is ordered lowest-first. Begin at the smallest effective dose, hold about a week to assess tolerance, and step up only if needed.

Tiered Protocols · lowest first
Quick Start
Conservative start
400-800mcg daily (general); 1-15mg (depression) · Oral capsule or sublingual · 1x daily
Lowest starting point. Hold about a week to assess tolerance before stepping up.
400-800mcg daily (general); 1-15mg (depression)
1x daily
Standard
Methylation Support
400-1000 mcg · Oral · Daily
human clinical trial · Papakostas et al. 2012 (Am J Psychiatry 169(12):1267-74; senior author Fava)
400-1000 mcg
Daily
01

How it works

Methylfolate functions in the methylation cycle:

Direct Bioactive Form

5-MTHF is the active form used in DNA methylation, neurotransmitter synthesis (serotonin, dopamine, norepinephrine), and homocysteine recycling. No conversion needed.

Bypasses MTHFR

Standard folic acid requires MTHFR enzyme conversion to 5-MTHF; MTHFR polymorphisms (C677T, A1298C) reduce this. Methylfolate provides direct active form.

SAMe Production

5-MTHF donates methyl groups to homocysteine, producing methionine and ultimately SAMe (universal methyl donor).

Neurotransmitter Synthesis

Folate cycle is required for tetrahydrobiopterin (BH4) regeneration - cofactor for serotonin, dopamine, NE synthesis. Methylfolate supports neurotransmitter production.

Homocysteine Reduction

Lowers serum homocysteine - cardiovascular risk marker.

Avoids Unmetabolized Folic Acid

Some individuals accumulate unmetabolized folic acid on high-dose synthetic folic acid - theoretical concerns for cancer and immune function. Methylfolate avoids this.

02

What to expect

Early
Days 1–7

Days 1-14: subtle effects.

Mid
Weeks 2–4

Weeks 2-6: peak depression effects.

Later
Weeks 4–12

Long-term sustained.

03

Evidence

HumanStrong
AnimalPresent
In-vitroPresent
2012L-methylfolate as adjunctive therapy for SSRI-resistant major depression · Papakostas GI et al, American Journal of Psychiatry ↗peer reviewed
2011Folate and folic acid in pregnancy · Greenberg JA et al, Reviews in Obstetrics and Gynecology ↗review
2013MTHFR polymorphism, folate metabolism, and depression · Bottiglieri T, International Review of Neurobiology ↗review
04

Interactions & stacking

What's safe to combine, and what belongs in a separate pin.

Keep separate

05

Side effects & safety

Commonly reported

  • Generally well-tolerated
  • Mild headache (rare)

Less common & notes

  • Mania in bipolar at high doses.
  • Methotrexate antagonism.
  • Long-term safety good.
06

Pharmacokinetics

Illustrative plasma concentration · 24 h
Half-life
~3 hours plasma
Peak · Tmax
1-2 hours
Elimination
Cumulative methylation cycle effects over weeks
Activity
Daily dosing for sustained effects

Storage. Capsule. Cool dry location, light-sensitive.

07

Regulatory status

Dietary supplement (US, DSHEA). Deplin (L-methylfolate) is FDA medical food for depression.

Put it to work

Calculate, log & track

Open Methylfolate straight into OnePin with your vial and dose pre-filled, then let it handle the syringe math and remind you before the vial runs out.

Open Methylfolate in the app →

Go deeper

The guide & community

The complete Methylfolate walkthrough, real protocol discussion and coaching live inside the BlessUp community on Skool.

Join the community ↗
Open in app Community