Medications · Energy & nutritional

Methylfolate

Active folate (5-MTHF) for methylation pathway support.

What it does

What Methylfolate is and why doctors prescribe it.

Methylfolate (5-methyltetrahydrofolate, 5-MTHF) is the active form of folate that crosses the blood-brain barrier and participates directly in methylation. Doctors prescribe it for folate deficiency, MTHFR-related considerations, and as part of methylation-supportive protocols.

How it works

Mechanism in plain English.

Folate is required for one-carbon metabolism — DNA synthesis, methylation, and homocysteine clearance. The body converts dietary folate and folic acid through several enzymatic steps to active 5-MTHF; some patients have impaired conversion (MTHFR polymorphisms) and benefit from direct methylfolate prescribing.

How long it's been studied

Research history.

Folate biology has been studied since the 1940s. Active 5-MTHF is the form best characterized for direct clinical use; pharmaceutical-grade methylfolate has been clinically used in compounding and prescription products for the last 15+ years.

Dosing

Clinical context for the prescribing doctor.

Doctor-prescribed. Compounded methylfolate is typically dispensed in capsule strengths from 0.4 mg to 15 mg daily, with strength selected based on indication, labs, and concurrent therapy. Your doctor monitors folate, B12, and homocysteine.

This page is informational, not a dispensing aid. Methylfolate is dispensed only on a patient-specific prescription written by a licensed doctor for an identified patient. Compounded drugs are not FDA-approved and should not be evaluated using branded-drug trial data. Availability varies by state and prescribed medication.

How to access Methylfolate through RonanRx

Three paths.

Doctors can prescribe compounded Methylfolate for individual patients through RonanRx. Patients with a doctor can sign up to receive their prescription. Patients without a doctor can learn how the referral works.

For doctors

Request a partnership call.

A pharmacist will follow up within two business days. We'll cover state availability, supported formulations, and what integration looks like for your clinic.

Request partnership call →

Patient with a doctor

Sign up to receive your prescription.

If your doctor has already prescribed Methylfolate, sign up so we can prepare and ship your medication. The signup wizard collects intake and connects you to the prescribing workflow.

Sign up →

Patient without a doctor

Get referred by a partner clinic.

RonanRx prescribes through partner clinics — we don't initiate prescriptions on this site. Read how the referral process works and how to find a partner clinic in your state.

For patients →