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Clinical signs typically develop in middle aged ferrets, average 4.5 yrs . old, but any age can be affected.1 No gender predilection has been described.
The most consistent finding in over 90% of cases is progressive alopecia developing over the dorsal hips and tail.
In the 1950s and 1960s, scientists began to discover the biochemical mechanisms of action for folate.
In 1960, researchers linked folate deficiency to risk of neural tube defects.
By December 2018, 62 countries mandated food fortification with folic acid.
Canadian public health efforts centered on promoting awareness of the significance of folic acid supplementation for all women of childbearing age and decreasing socio-economic inequalities by providing practical folic acid support to vulnerable sets of women.
Folic acid food fortification became mandatory in 1998, with the fortification of 150 µg of folic acid per 100 grams of enriched flour and uncooked cereal grains.
The United States Department of Agriculture, Agricultural Research Service maintains a food composition database from which folate content in hundreds of foods could be searched as shown in the table.
Pruritus over the dorsum, aggression between cage mates, or worsening musky odor can occur in combination or as the sole clinical sign.
A whole blood count is typically within reference range though estrogen induced bone marrow suppression can be done.
References
One method to differentiate between folate deficiency and vitamin B12 deficiency is by testing for methylmalonic acid levels.
Normal MMA levels indicate folate deficiency and elevated MMA levels indicate vitamin B12 deficiency.
- Animals, including humans, cannot synthesize folate and for that reason must obtain folate from their diet.
- In 2012 the delayed mandatory fortification program was revoked and replaced by way of a voluntary program, with the hope of achieving a 50% bread fortification target.
- The supplement of folinic
- Research found a connection between depression and low degrees of folate.
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A defect in homocysteine methyltransferase or perhaps a deficiency of B12 can lead to a so-called “methyl-trap” of THF, in which THF converts to methyl-THF, causing a deficiency in folate.
Thus, a deficiency in B12 can cause accumulation of methyl-THF, mimicking folate deficiency.
In 2012 the delayed mandatory fortification program was revoked and replaced by a voluntary program, with the hope of achieving a 50% bread fortification target.
Some evidence links a shortage of folate with clinical depression.
Limited evidence from randomized controlled trials showed using folic acid along with selective serotonin reuptake inhibitors could have benefits.
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