I just took folate tablets with a balanced diet as the multi vitamins would make me sick and I'd end up puking them back up within 15 minutes of taking them, which kind of defeated the purpose. I think if you have a healthy diet, a probiotic is actually more important than a multi-V, so that you know the flora bub is going to cop a mouth full of on they way out is good flora and not in imbalance that can lead to things like reflux.