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Vitamin B9 is needed for DNA synthesis and proper cell division. In early pregnancy — often even before a woman knows she is pregnant — the tissues and neural tube of the foetus are actively forming. This is why an adequate folate level in the body matters well in advance, not only after the pregnancy has been confirmed.
Folic acid is also involved in blood formation and amino acid metabolism, including the metabolism of homocysteine — a substance whose level is linked to the functioning of the cardiovascular system. These functions are relevant not only when preparing for conception but also at other stages of life.
Women of reproductive age who are planning a pregnancy are generally advised to start taking folic acid in advance — the specific timing and dosage should be discussed with a gynaecologist or GP, as individual needs may differ.