Counseling

How do I assess the individual's need for folic acid?

It is important to determine the individual's history before providing a recommendation.

If the individual is female, determine if she:

• Has had a prior NTD-affected pregnancy
• Is taking medications that may inhibitthe absorption of folic acid
• Has had a miscarriage
• Has other condition that may increase her need for folic acid
• Is planning to become pregnant
• Is of Hispanic origin
• Has barriers preventing her from taking folic acid and/or eating a healthy diet

If the individual is male, determine if he:

• Has conditions that may impact his need for folic acid
• Has barriers preventing him from taking folic acid and/or eating a healthy diet

If the individual is an adult, beyond age 50 determined if:

• Has conditions that may impact his/her need for folic acid
• Has barriers preventing him/her from taking folic acid and/or eating a healthy diet

It is important to determine which barriers may prevent an individual from consuming an appropriate amount of folic acid so that you can tailor your recommendations and comments accordingly.