Prostate Cancer: High folate and vitamin B12 may increase the risk
ETimes October 16, 2025 01:39 PM
Did you know that too much of a good thing can sometimes backfire? Recent research suggests that high levels of folate and vitamin B12 , essential nutrients for overall health, may increase the risk of prostate cancer . A collaborative study published in analyzed data from six large cohort studies, including 6,875 prostate cancer cases and 8,104 controls.

The researchers found that men with higher circulating folate and vitamin B12 levels had a modestly increased risk of prostate cancer, with the association particularly strong for high-grade cases. While folate and B12 are crucial for DNA synthesis , repair, and overall cell health, excessive levels may inadvertently promote the growth of pre-existing cancer cells.

This study highlights the delicate balance required in nutrient intake and the importance of monitoring supplementation. Understanding these findings can help men make informed choices about diet, supplements, and prostate health .



Understanding folate and vitamin B12 in prostate health
Folate and vitamin B12 play a key role in DNA synthesis and repair, which are vital for healthy cell division. Adequate levels prevent mutations and support cellular function, but research shows that excessively high levels may have unintended consequences. High circulating folate and vitamin B12 could potentially stimulate the growth of abnormal prostate cells, increasing the risk of prostate cancer, especially aggressive forms.



Key findings from the study on folate, vitamin B12, and prostate cancer
The collaborative analysis pooled data from six cohorts across the UK, Norway, and the US. Blood samples collected from 1981 to 2008 were measured for folate and B12 levels, with participants followed for an average of 8.9 years.

Major findings include:

  • Men in the highest fifth of circulating folate had a 13% higher risk of prostate cancer compared to those in the lowest fifth.
  • High vitamin B12 levels were associated with a 12% increased prostate cancer risk .
  • The link was strongest for high-grade prostate cancer, where elevated folate levels more than doubled the risk.

There was no significant association with advanced-stage disease. These findings suggest that while vitamins are essential, excessive levels may contribute to prostate cancer progression in some men.



Why high folate and vitamin B12 may increase prostate cancer risk
Folate and B12 are crucial for methylation and DNA synthesis, processes necessary for normal cell growth. However, if abnormal cells already exist in the prostate, high vitamin levels could inadvertently fuel their growth. This explains why the association was strongest with high-grade prostate cancer. The study emphasizes the need for moderation and caution with high-dose supplementation, particularly in men at risk of prostate cancer.



Balancing vitamin intake for prostate health
Maintaining adequate but not excessive folate and B12 levels is key. Foods such as leafy greens, legumes, eggs, and fortified cereals provide natural sources of folate, while meat, dairy, and fortified plant-based alternatives supply B12. Men considering high-dose supplements should consult a healthcare professional to assess whether supplementation is necessary. Regular screening and balanced nutrition remain central to prostate health.



Implications of vitamin B12 on men and public health
This research reinforces the idea that more is not always better. While vitamins are essential for overall health, blindly taking high-dose supplements may carry risks, particularly for prostate cancer. Healthcare providers should guide patients on safe supplementation levels, and public awareness about moderation is crucial. Men with elevated folate or B12 levels may benefit from regular prostate screenings to monitor their health proactively.



The collaborative study provides important insights into the link between circulating folate, vitamin B12, and prostate cancer risk. While these nutrients are essential for DNA repair and overall health, excessive levels, especially from supplements, may increase the risk of high-grade prostate cancer.

Men should focus on balanced diets, consult healthcare professionals before taking supplements, and maintain regular screenings. Understanding the right nutrient balance can help reduce prostate cancer risk while supporting overall health.




Disclaimer: This article is for general informational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider regarding any medical condition or lifestyle change.




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