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Folic acid supplementation — DRCOG MCQ

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ModerateAntenatal CareFolic acid supplementationDRCOG

A 22-year-old woman at 9 weeks' gestation asks whether she should continue folic acid. She has a BMI of 42 kg/m² and no epilepsy or diabetes. She has been taking an over-the-counter 400 microgram tablet daily. What would you advise?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: E — Use high-dose folic acid until 12 weeks' gestation

A BMI above 30 kg/m² is an indication for high-dose folic acid pre-conception and through the first trimester. Continuing a standard dose is suboptimal for her risk profile. The clinical pearl is that primary care should identify high-dose folic acid indications before or very early in pregnancy.

Reference: NICE NG201; BNF