Methylfolate (5-MTHF) vs NAC (N-Acetyl Cysteine)
Vitamin vs Immune · evidence-backed comparison
- • NAC (N-Acetyl Cysteine) has the broader effect profile across the 9 effect categories.
- • Methylfolate (5-MTHF) has higher bioavailability (better absorption).
Side-by-side traits
| Trait | Methylfolate (5-MTHF) | NAC (N-Acetyl Cysteine) |
|---|---|---|
Category | Vitamin | Immune |
Active compound | L-5-methyltetrahydrofolate | N-acetyl L-cysteine |
Form available | Capsule, Tablet | Capsule, Powder |
Source | synthetic | synthetic |
Typical dose | 400–1000 mcg daily | 600–1800 mg daily |
Dose range | 400–1000 mcg | 600–1800 mg |
Loading protocol | — | — |
Best taken with | with food | empty stomach or with food |
Best time of day | morning | any |
Bioavailability How efficiently the body absorbs and utilizes the compound. | Very High (5/5) | Moderate (3/5) |
Onset time | Cumulative: 4–8 weeks | Acute and cumulative |
Half-life | ~3 hours | ~6 hours |
Evidence level Quality and quantity of human research. | Strong (multiple RCTs / meta-analyses) | Strong (multiple RCTs / meta-analyses) |
Overall effect Subjective effect magnitude. | Low (2/5) | Moderate (3/5) |
Muscle / strength | Very Low (1/5) | Low (2/5) |
Physical energy | Moderate (3/5) | Low (2/5) |
Focus / cognition | Moderate (3/5) | Low (2/5) |
Mood / stress | High (4/5) | Moderate (3/5) |
Sleep quality | Very Low (1/5) | Very Low (1/5) |
Immunity | Low (2/5) | High (4/5) |
Recovery Post-exercise recovery support. | Very Low (1/5) | Moderate (3/5) |
Longevity / healthspan | Moderate (3/5) | High (4/5) |
Safety rating 5 = exceptionally well-tolerated; 1 = significant risk profile. | High (4/5) | High (4/5) |
Price per serving Approximate USD per typical daily dose. | $0.22 | $0.22 |
Vegan friendly | Yes | Yes |
Gluten free | Yes | Yes |
3rd-party tested | Yes | Yes |
About Methylfolate (5-MTHF)
Pre-methylated folate that bypasses MTHFR variants. Essential during pregnancy and for treatment-resistant depression with low folate.
About NAC (N-Acetyl Cysteine)
Glutathione precursor used clinically for liver protection (acetaminophen overdose). Strong evidence for OCD, COPD, and PCOS.
Vetted brands, third-party testing, ships worldwide.
Vetted brands, third-party testing, ships worldwide.
Methylfolate (5-MTHF) safety
Common side effects:
- • Anxiety / irritability (over-methylation)
- • Insomnia (PM use)
Avoid if:
- • Bipolar disorder
Drug interactions:
- • Methotrexate
- • Antiseizure meds
NAC (N-Acetyl Cysteine) safety
Common side effects:
- • Sulfur smell
- • GI upset
- • Headache
Avoid if:
- • Asthma (rare bronchospasm)
Drug interactions:
- • Nitroglycerin
- • Anticoagulants
- • Activated charcoal
Common uses
- • Pregnancy
- • MTHFR variants
- • Depression
- • Homocysteine
Stacks well with: Vitamin B12 (Methylcobalamin), Betaine Anhydrous
Common uses
- • Liver protection
- • Lung health
- • OCD / mental health
- • PCOS
Stacks well with: Vitamin C, Selenium (Selenomethionine)
Related comparisons
Medical disclaimer
SupplementDuel is for educational purposes only and is not medical advice. Consult a physician before starting, stopping, or combining supplements — especially if you are pregnant, breastfeeding, take prescription medication, or have a chronic condition.