Folate in the context of Spina bifida

B vitamins are a class of water-soluble vitamins that play important roles in cell metabolism and synthesis of red blood cells. They are a chemically diverse class of compounds.

Dietary supplements containing all eight are referred to as a vitamin B complex. Individual B vitamins are referred to by B-number or by chemical name, such as B₁ for thiamine, B₂ for riboflavin, and B₃ for niacin, while some are more commonly recognized by name than by number, such as pantothenic acid (B₅), biotin (B₇), and folate (B₉). B vitamins are present in protein-rich foods, such as fish, poultry, meat, dairy products, and eggs; they are also found in leafy green vegetables, beans, and peas. Fortified foods, such as breakfast cereals, baked products, and infant formulas, may contain B vitamins.

Light skin is a human skin color that has a low level of eumelanin pigmentation as an adaptation to environments of low UV radiation.Due to migrations of people in recent centuries, light-skinned populations today are found all over the world. Light skin is most commonly found amongst the native populations of Europe, East Asia, West Asia, Central Asia, South Asia, Siberia, and North Africa as measured through skin reflectance. People with light skin pigmentation are often referred to as "white", but the majority of countries officially categorize people by ethnic or national origin and not by perceived skin tone. Furthermore, definitions and perceptions of "ethnicity" or "race" vary greatly from country to country.

Humans with light skin pigmentation have skin with low amounts of eumelanin, and possess fewer melanosomes than humans with dark skin pigmentation. Light skin provides better absorption qualities of ultraviolet radiation, which helps the body to synthesize higher amounts of vitamin D for bodily processes such as calcium development. On the other hand, light-skinned people who live near the equator, where there is abundant sunlight, are at an increased risk of folate depletion. As a consequence of folate depletion, they are at a higher risk of DNA damage, birth defects, and numerous types of cancers, especially skin cancer. Humans with darker skin who live further from the tropics may have lower vitamin D levels, which can also lead to health complications, both physical and mental, including miscarriage and a greater risk of developing schizophrenia. These two observations form the "vitamin D–folate hypothesis", which attempts to explain why populations that migrated away from the tropics into areas of low UV radiation evolved to have light skin pigmentation.

Folate deficiency, also known as vitamin B₉ deficiency, is a low level of folate and derivatives in the body. This may result in megaloblastic anemia in which red blood cells become abnormally large, and folate deficiency anemia is the term given for this medical condition. Signs of folate deficiency are often subtle. Symptoms may include fatigue, heart palpitations, shortness of breath, feeling faint, open sores on the tongue, loss of appetite, changes in the color of the skin or hair, irritability, and behavioral changes. Temporary reversible infertility may occur. Folate deficiency anemia during pregnancy may give rise to the birth of low weight birth premature infants and infants with neural tube defects.

Not consuming enough folate can lead to folate deficiency within a few months. Otherwise, causes may include increased needs as with pregnancy, and in those with shortened red blood cell lifespan. Folate deficiency can be secondary to vitamin B₁₂ deficiency or a defect in homocysteine methyl transferase that leads to a "folate trap" in which is an inactive metabolite that cannot be recovered. Diagnosis is typically confirmed by blood tests, including a complete blood count, and serum folate levels. Increased homocysteine levels may suggest deficiency state, but it is also affected by other factors. Vitamin B₁₂ deficiency must be ruled out, if left untreated, may cause irreversible neurological damage.

Dark skin is a type of human skin color that is rich in melanin pigments. People with dark skin are often referred to as black people, although this usage can be ambiguous in some countries where it is also used to specifically refer to different ethnic groups or populations.

The evolution of dark skin is believed to have begun around 1.2 million years ago, in light-skinned early hominid species after they moved from the equatorial rainforest to the sunny savannas. In the heat of the savannas, better cooling mechanisms were required, which were achieved through the loss of body hair and development of more efficient perspiration. The loss of body hair led to the development of dark skin pigmentation, which acted as a mechanism of natural selection against folate (vitamin B9) depletion, and to a lesser extent, DNA damage. The primary factor contributing to the evolution of dark skin pigmentation was the breakdown of folate in reaction to ultraviolet radiation; the relationship between folate breakdown induced by ultraviolet radiation and reduced fitness as a failure of normal embryogenesis and spermatogenesis led to the selection of dark skin pigmentation. By the time modern Homo sapiens evolved, all humans were dark-skinned.

Riboflavin, also known as vitamin B₂, is a vitamin found in food and sold as a dietary supplement. It is essential to the formation of two major coenzymes, flavin mononucleotide and flavin adenine dinucleotide. These coenzymes are involved in energy metabolism, cellular respiration, and antibody production, as well as normal growth and development. The coenzymes are also required for the metabolism of niacin, vitamin B₆, and folate. Riboflavin is prescribed to treat corneal thinning, and taken orally, may reduce the incidence of migraine headaches in adults.

Riboflavin deficiency is rare and is usually accompanied by deficiencies of other vitamins and nutrients. It may be prevented or treated by oral supplements or by injections. As a water-soluble vitamin, any riboflavin consumed in excess of nutritional requirements is not stored; it is either not absorbed or is absorbed and quickly excreted in urine, causing the urine to have a bright yellow tint. Natural sources of riboflavin include meat, fish and fowl, eggs, dairy products, green vegetables, mushrooms, and almonds. Some countries require its addition to grains.