Leucovorin and Autism

A treatment under study that sparks debate and has Trump’s support

Frank D. Balbusano

12/22/20253 min read

Introduction

In recent years, leucovorin has begun to receive attention as a possible treatment for some symptoms associated with autism. Interest has increased not only due to certain clinical studies, but also because of public support from influential figures. Among them is former U.S. president Donald Trump, who recently expressed his support for this treatment, reopening the debate at both social and scientific levels.

However, the scientific community remains divided. For many families, this creates understandable doubts about its effectiveness, safety, and long-term benefits. At Little Smile Behavioral, we believe parents need clear, balanced, and evidence-based information.

What is leucovorin

Leucovorin is an active form of folic acid known as folinic acid. It has been used for decades in various medical treatments, especially in oncology and certain metabolic disorders. Unlike traditional folic acid, leucovorin can cross some metabolic barriers and reach the central nervous system more directly in certain cases.

Interest in its use for autism arose when some studies identified that certain children on the spectrum present alterations in folate metabolism, including the presence of antibodies against the folate receptor in the brain.

Why leucovorin is being studied in autism

Some research has observed that a specific subgroup of children with autism may experience improvements in areas such as language, attention, and social interaction after using leucovorin. These results appear more frequently in children who have folate receptor antibodies.

However, the effects are not universal. While some children show measurable progress, others do not present significant changes. This variability is one of the main reasons why the treatment remains a subject of debate.

Trump’s support and its impact on the public debate

Donald Trump’s public support for leucovorin has significantly increased the treatment’s visibility. This endorsement has sparked interest among families and has moved the conversation beyond the medical field into the social and media debate.

It is important to clarify that political or media support does not equal scientific approval. Treatment decisions should always be based on evaluations by healthcare professionals, peer-reviewed clinical studies, and each child’s individual profile.

Why there is division within the scientific community

The main point of caution is the lack of large-scale, long-term studies. Most available research is based on small samples and very specific profiles, which limits the ability to generalize results.

In addition, autism is a complex and heterogeneous neurodevelopmental condition. There is no single treatment that addresses all of its manifestations. For this reason, specialists warn against presenting leucovorin as a general solution or a cure.

What parents should keep in mind

Before considering leucovorin, it is important to remember that:

  • Autism presents differently in each child

  • A treatment that is effective for one child may not be effective for another

  • Any medical intervention must be supervised by a professional

  • Behavioral therapy remains a fundamental pillar of support

Understanding how neurodevelopmental diagnoses are made is key. We recommend reading:

👉 Is ADHD overdiagnosed? Uncomfortable truths about childhood diagnosis

The importance of behavioral support

Beyond medical treatments under study, evidence-based behavioral therapy continues to be one of the most effective tools to support children with autism and ADHD. These interventions help develop communication skills, emotional regulation, independence, and social skills.

Some children also display self-regulatory behaviors that raise questions for families. Understanding them is essential to responding appropriately. You can explore this further here:

👉 How to handle stimming in children with ADHD and autism

Conclusion

The debate surrounding leucovorin and autism reflects the complexity of neurodevelopmental conditions. Although support from public figures like Donald Trump has increased its visibility, the scientific evidence is still limited and requires further research.

Families should stay informed, ask questions, and always prioritize evidence-based interventions and professional guidance. Progress does not depend on a single solution, but on a consistent, informed, and individualized approach for each child.

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