Unusual Tiredness That Doesn’t Go Away

Feeling tired all the time, even after a good night’s sleep, can be a surprising sign of low folate. Folate, also known as vitamin B9, is essential for helping your body make red blood cells. When you don’t have enough, your body struggles to deliver oxygen to your tissues, and you feel exhausted. According to the Centers for Disease Control and Prevention (CDC), folate deficiency is a leading cause of megaloblastic anemia, a condition that leads to persistent fatigue. If you notice you’re dragging through the day, and it’s not just because you stayed up late, your folate levels might be to blame. Eating more leafy greens like spinach and kale can make a difference. You might also benefit from fortified cereals and lentils, which are packed with folate. Many people don’t connect tiredness with vitamin deficiencies, but research shows it’s a common culprit.
Pale or Yellow-Tinged Skin

When your skin suddenly looks paler than usual or has a slight yellow tinge, it could mean you have low folate. This happens because a lack of folate leads to fewer healthy red blood cells, a condition that doctors call anemia. The World Health Organization notes that more than 200 million people worldwide suffer from anemia related to nutritional deficiencies, often folate. Pale or yellow skin is your body’s way of signaling that your blood isn’t carrying enough oxygen. To help bring back your natural glow, try adding more beans, oranges, and avocados to your meals. Eggs and sunflower seeds are also good sources. If the change in your skin tone is sudden or severe, it’s important to talk to a healthcare professional.
Shortness of Breath and Rapid Heartbeat

If you notice you’re getting winded more easily than usual, or your heart seems to race even when you’re resting, low folate might be the reason. Folate plays a big role in making the red blood cells that carry oxygen throughout your body. Without enough, your heart has to work overtime to deliver oxygen, which can lead to shortness of breath and a racing pulse. The National Institutes of Health (NIH) confirms that these symptoms often appear in people with folate-deficiency anemia. For many, adding folate-rich foods like asparagus, broccoli, and Brussels sprouts can help bring things back into balance. Even something as simple as peanut butter on whole grain bread can boost your intake. Ignoring these signs can be risky, so paying attention to them is a smart move.
Mouth Sores and Swollen Tongue

One of the more surprising signs of low folate is developing mouth sores or a swollen, red tongue. Doctors call this glossitis, and it often goes hand in hand with burning sensations or cracks at the corners of your mouth. According to recent studies in the British Journal of Nutrition, folate is vital for keeping the cells inside your mouth healthy. When you don’t get enough, these sensitive tissues break down more easily, leading to pain and discomfort. Foods like chickpeas, oranges, and fortified pasta can help heal and prevent these symptoms. Dairy products, while not high in folate, are often paired with folate-rich foods to make meals more balanced. If you find it hard to eat due to pain, a doctor can suggest folate supplements.
Difficulty Concentrating or “Brain Fog”

If you’re struggling to focus, forgetting simple things, or feeling like your brain is in a fog, low folate could be behind it. Research published in the American Journal of Clinical Nutrition shows that folate is essential for healthy brain function and neurotransmitter production. Without it, your brain literally can’t work as efficiently, leaving you feeling mentally sluggish. This is especially true for older adults, but anyone can be affected. Eating more dark leafy greens, citrus fruits, and fortified grains has been shown to improve mental clarity in people with low folate levels. Eggs and seeds also provide a folate boost to support cognitive health. Mental sharpness is closely tied to what you eat, and folate is a key ingredient for clear thinking.
Digestive Problems Like Diarrhea or Nausea

Digestive troubles that don’t seem to have a cause—like ongoing diarrhea, nausea, or even loss of appetite—can be linked to folate deficiency. Studies from the Harvard T.H. Chan School of Public Health reveal that folate helps maintain the lining of your digestive tract. When you’re low, your gut becomes more sensitive, and you’re more likely to experience discomfort. Adding foods such as lentils, romaine lettuce, and fortified rice can help restore your folate balance and ease symptoms. Citrus juices and berries are also gentle on the stomach and high in folate. If digestive issues persist, it’s always wise to seek medical advice to rule out other causes.
Increased Risk of Birth Defects During Pregnancy

Low folate is especially dangerous for pregnant women, as it increases the risk of neural tube defects in babies, such as spina bifida and anencephaly. The CDC reports that daily folic acid supplementation before and during early pregnancy can prevent up to 70% of these birth defects. That’s why it’s recommended that all women of childbearing age get at least 400 micrograms of folate per day, even if they’re not planning to have a baby right away. Foods like fortified breakfast cereals, dark green vegetables, and beans are important for pregnant women. Many prenatal vitamins also include folic acid, which is a synthetic form of folate proven to reduce these risks. Making these dietary choices can mean a healthier future for both mother and child.