Hermetica Superfood Encyclopedia
The Short Answer
Quatrefolic is the glucosamine salt form of 5-methyltetrahydrofolate (5-MTHF), the active form of folate that bypasses genetic mutations in folate metabolism. It directly supports methylation processes, neurotransmitter synthesis, and homocysteine metabolism without requiring enzymatic conversion.
CategoryBranded Ingredient
GroupBranded B-Vitamin
Evidence LevelStrong
Primary KeywordQuatrefolic benefits
Synergy Pairings5
Health Benefits
Supports mental health by enhancing neurotransmitter synthesis, improving mood and reducing symptoms of depression. This is crucial for emotional well-being. - Enhances cardiovascular health by lowering homocysteine levels, reducing the risk of heart disease by up to 20%. This supports a healthy heart and circulatory system. - Boosts energy levels by improving cellular metabolism, leading to increased vitality and reduced fatigue. This is essential for an active lifestyle. - Supports fetal development by providing bioavailable folate, crucial for preventing neural tube defects during pregnancy. This is vital for maternal and fetal health. - Improves cognitive function by supporting brain health, which can enhance memory and focus. This is important for maintaining mental acuity. - Promotes healthy aging by supporting DNA synthesis and repair, which can reduce the risk of age-related diseases. - Enhances detoxification by supporting liver function, aiding in the removal of toxins from the body.
Origin & History

Natural habitat
Quatrefolic is a patented form of folate, specifically 5-MTHF, which is the active form of folic acid, designed for improved absorption and bioavailability.
“Folate has been a crucial nutrient historically, with its importance recognized in preventing neural tube defects during pregnancy.”Traditional Medicine
Scientific Research
Studies have shown that Quatrefolic is more bioavailable than traditional folic acid, supporting its use in folate supplementation, especially for those with MTHFR mutations.
Preparation & Dosage

Traditional preparation
Typical dosage ranges from 400 to 800 mcg per day. Consult a healthcare provider before use.
Nutritional Profile
How It Works
Mechanism of Action
Quatrefolic delivers 5-methyltetrahydrofolate directly to cellular methylation cycles, bypassing the MTHFR enzyme that converts folic acid to its active form. It serves as a methyl donor in the conversion of homocysteine to methionine and supports the synthesis of neurotransmitters including serotonin, dopamine, and norepinephrine through the methylation of tetrahydrobiopterin.
Clinical Evidence
Clinical trials with 5-MTHF supplementation show significant improvements in depression scores, with doses of 15mg daily demonstrating efficacy as adjunctive therapy in treatment-resistant depression. Cardiovascular studies indicate that 5-MTHF supplementation can reduce homocysteine levels by 13-20% within 8-12 weeks. The glucosamine salt form (Quatrefolic) shows superior stability and bioavailability compared to calcium salt forms in pharmacokinetic studies.
Safety & Interactions
Quatrefolic is generally well-tolerated with minimal side effects, though some individuals may experience initial mood changes or sleep disturbances as neurotransmitter levels adjust. It may interact with antifolate medications like methotrexate and could potentially mask vitamin B12 deficiency symptoms. Pregnant women should consult healthcare providers before supplementation, though folate is essential during pregnancy. Individuals with bipolar disorder should use caution as folate supplementation may trigger manic episodes.
Synergy Stack
Hermetica Formulation Heuristic
Frequently Asked Questions
What makes Quatrefolic different from regular folic acid?
Quatrefolic provides 5-MTHF, the active form of folate that doesn't require conversion by the MTHFR enzyme. This makes it effective for the 40% of people with MTHFR genetic variants who cannot efficiently process folic acid.
How much Quatrefolic should I take daily?
Typical dosages range from 400mcg to 15mg daily depending on the intended use. For general health, 400-800mcg is common, while therapeutic applications for mood support may use 5-15mg under medical supervision.
Can Quatrefolic help with depression?
Clinical studies show 5-MTHF can improve depression symptoms, particularly as adjunctive therapy with antidepressants. It works by supporting neurotransmitter synthesis and may be especially beneficial for those with folate deficiency or MTHFR mutations.
Is Quatrefolic safe to take with medications?
Quatrefolic may interact with antifolate drugs like methotrexate and could affect the metabolism of certain antidepressants. Always consult your healthcare provider before combining it with prescription medications, especially psychiatric drugs.
How long does it take for Quatrefolic to work?
Homocysteine levels typically improve within 4-8 weeks of consistent use. For mood-related benefits, some people notice changes within 2-4 weeks, though full effects may take 8-12 weeks as neurotransmitter levels stabilize.

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