Vitamins

Vitamin E

Fat-soluble antioxidant that contributes to the protection of cells from oxidative stress.

Also known as Tocopherol, Alpha-Tocopherol, Mixed Tocopherols, Tocotrienols, Vit E

Common doses

200-400 IU

Best timing

Morning

Food

Take with food

Interactions

2 known

Vitamin E is a group of eight fat-soluble compounds (four tocopherols and four tocotrienols), with alpha-tocopherol being the most biologically active form in humans. It functions primarily as a lipid-soluble antioxidant, protecting cell membranes from oxidative damage.

Vitamin E supplementation has a complicated history. Early observational studies suggested strong cardiovascular benefits, but large-scale RCTs (HOPE, ATBC) failed to confirm these and some suggested harm at high doses (>400 IU/day). This led to a significant reassessment of Vitamin E supplementation.

Current thinking favours modest Vitamin E supplementation (100-200 IU) or dietary intake rather than mega-doses. The full spectrum of Vitamin E (mixed tocopherols and tocotrienols) may be preferable to isolated alpha-tocopherol, as high-dose alpha-tocopherol can deplete gamma-tocopherol.

Key benefits

Antioxidant protection

Vitamin E contributes to the protection of cells from oxidative stress. It is the primary lipid-soluble antioxidant in cell membranes.

Immune function

Vitamin E supports immune function, particularly in older adults. The SENIEUR study showed improved immune response in elderly subjects at 200 IU/day.

Skin health

Vitamin E supports skin health by protecting against UV-induced oxidative damage and supporting the skin barrier.

Available forms

d-Alpha-Tocopherol

Natural form. About twice as bioactive as the synthetic form. Look for 'd-alpha' not 'dl-alpha' on labels.

Mixed Tocopherols

Contains alpha, beta, gamma, and delta tocopherols. More closely mirrors dietary vitamin E. May be preferable to isolated alpha-tocopherol.

Tocotrienols

The other half of the vitamin E family. Emerging research for cardiovascular and neuroprotective benefits. Found in palm oil, rice bran, and annatto.

dl-Alpha-Tocopherol

Synthetic form. 50% less bioactive than the natural form. Cheaper. Check labels carefully.

Food sources

  • Sunflower seeds
  • Almonds
  • Wheat germ oil
  • Avocado
  • Spinach
  • Red bell peppers

Signs of deficiency

  • Muscle weakness
  • Vision problems
  • Impaired immune function
  • Numbness and tingling
  • Difficulty walking

Upper intake limit

1,000 mg/day (approximately 1,500 IU natural or 1,100 IU synthetic). However, doses above 400 IU/day have been associated with increased all-cause mortality in meta-analyses.

Research summary

Strong evidence as a cellular antioxidant. Mixed evidence for cardiovascular benefit. The SELECT trial found no prostate cancer benefit and a possible slight increase in risk. Current recommendation: moderate doses (100-200 IU) of mixed tocopherols from diet and supplements, not mega-doses of isolated alpha-tocopherol.

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Zinc + IronCaution

Zinc and Iron compete for the same absorption pathway. Take at least 2 hours apart.

Supplements

Vitamin D35,000 IU
Daily · Morning
Iron36 mg
Daily · Morning
Magnesium400 mg
Daily · Evening
Zinc15 mg
Daily · Evening
Ashwagandha600 mg
Daily · Evening
Vitamin K2100 mcg
Daily · Morning
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This information is for educational purposes only. It is not medical advice and does not diagnose, treat, cure, or prevent any disease. Always consult a qualified healthcare professional.