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Fat-soluble vitamin

Vitamin E

alpha-tocopherol

Fat-soluble antioxidant protecting cell membranes; immune function

Essential nutrient

Reference intakes (RDA or AI) are set by the National Academies of Sciences, Engineering, and Medicine. Deficiency thresholds come from clinical and WHO guidance.

At a glance

Women, 19-50
15 mg alpha-tocopherol
Men, 19-50
15 mg alpha-tocopherol
Upper limit (adults)
1,000 mg/day (supplemental)
How common is deficiency?
Uncommon as true deficiency; but dietary intake below requirement is COMMON in the US

Food sources

Animal sources
Fish (salmon, trout), shellfish, egg yolk, fortified products
Plant sources
Sunflower seeds, almonds, hazelnuts, wheat germ oil, sunflower/safflower oil, peanuts, spinach, avocado

Deficiency and testing

Signs of deficiency
Peripheral neuropathy, ataxia, muscle weakness, retinopathy, impaired immune response, hemolytic anemia (premature infants)
Who is at higher risk
Fat malabsorption (cystic fibrosis, cholestatic liver disease), abetalipoproteinemia, ataxia with vitamin E deficiency (genetic), premature infants
How it is tested
Serum/plasma alpha-tocopherol (HPLC), ideally expressed as ratio to total lipids (cholesterol + triglycerides)
Cut-offs
Serum alpha-tocopherol <5 mg/L (about <12 umol/L); alpha-tocopherol:lipid ratio <0.8 mg/g

Supplement forms

Common forms
natural d-alpha-tocopherol (RRR), synthetic dl-alpha-tocopherol (all-rac), tocopheryl acetate/succinate, mixed tocopherols, tocotrienols.
More effective
natural d-alpha-tocopherol (about twice the biological activity of synthetic per mg, and is the form the RDA is based on); taken with a fat-containing meal. Mixed tocopherols give gamma-tocopherol as well.
Less effective
synthetic dl-alpha (the label 'dl' = synthetic; needs a higher dose for the same effect); high-dose alpha-tocopherol alone (lowers gamma-tocopherol, no proven benefit, may raise bleeding risk and, in some trials, prostate cancer risk); tocotrienols (limited human data).

Safety, interactions and halal notes

Safety and interactions
Upper limit for adults: 1,000 mg/day (supplemental). Going above the upper limit over time can cause harm, so check labels and talk to a clinician before high-dose supplements.
Halal note
The nutrient itself is not a halal question. For supplements, check the delivery form: gelatin (pork or non-halal bovine), capsule shells, glycerin, and alcohol-based carriers need halal certification. Ask for the halal certificate, not just a label claim. This is general guidance, not a certification.

Frequently asked questions

How much Vitamin E do adults need per day?

Women 19-50: 15 mg alpha-tocopherol. Men 19-50: 15 mg alpha-tocopherol. Upper limit: 1,000 mg/day (supplemental). Needs change with age, pregnancy and health conditions.

What are the signs of Vitamin E deficiency?

Peripheral neuropathy, ataxia, muscle weakness, retinopathy, impaired immune response, hemolytic anemia (premature infants). These signs are not specific, so only a clinician with the right tests can confirm a deficiency.

What are the best food sources of Vitamin E?

Animal sources: Fish (salmon, trout), shellfish, egg yolk, fortified products. Plant sources: Sunflower seeds, almonds, hazelnuts, wheat germ oil, sunflower/safflower oil, peanuts, spinach, avocado.

Which form of Vitamin E supplement is best?

natural d-alpha-tocopherol (about twice the biological activity of synthetic per mg, and is the form the RDA is based on); taken with a fat-containing meal. Mixed tocopherols give gamma-tocopherol as well.

Sources

  1. NIH Office of Dietary Supplements fact sheet

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