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Pregnancy

Talk about every stage of pregnancy, from early symptoms to preparing for birth.

High bmi and folic acid

3 replies

VioIetMoon · 04/09/2025 20:04

I found out the other day im pregnant. ( I had not taken folic acid during the time of conception until finding out as I was unwell after ivf treatment. I spontaneously conceived during treatment ) Prior to that I had taken 400ug. i think I'm about 5 weeks now.
I've been reading that a higher bmi requires a higher dose of folic acid. I'm now stressing that I haven't been taking folic acid and now that I am, it's a low dose. It says gp can prescribe 5mg but my gp is making me wait weeks for a telephone appointment.

Just wondering has everyone with a higher bmi been advised to take higher dose? My bmi is currently 34

OP posts:
tinkxo · 04/09/2025 20:12

I’m pregnant with DC2 and my BMI is 31. My GP told me the NICE guidance has changed and they don’t automatically advise higher dose folic acid for BMI >30 now, only if you have other additional risk factors for neural tube defects in baby.

Here’s a link which tells you more including what the additional risks include - https://cks.nice.org.uk/topics/pre-conception-advice-management/management/advice-for-all-women/#advice-on-folic-acid

Michelle292 · 04/09/2025 20:21

Hey another BMI queen here lol I'm on the 5mg of folic acid, was taking the regular amount before hand. The hospital prescribed it for during my booking appointment when I was approx 8 weeks so it's worth getting in touch to ask their advice if your GP will take too long

heroinechic · 05/09/2025 01:46

Do you need a telephone appointment? Could you just tell the receptionist that you’re pregnant and need a prescription for higher dose folic acid and ask if the GP can do the prescription? Time is of the essence really.

With my first I didn’t tell the GP till I was about 7.5 weeks and they just prescribed it then. I had some left over so started taking it asap when I found out about my second.

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