vitamin

Vitamin E

Vitamin E is the collective name for a group of fat-soluble compounds with distinctive antioxidant activities. Alpha-tocopherol is the only form that is recognized to meet human requirements for vitamin E. Frank vitamin E deficiency is rare, but preterm infants with very low birth weight (<1,500 grams) might be deficient in vitamin E.

Where to get it

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Active compounds & mechanisms

Key compounds: Alpha-tocopherol

Research & evidence

Strong support Some support Weak or no supportColours show how well the sources back each point. The reason is next to each one.

Findings suggest vitamin E could play a role in reducing the risk of cardiovascular disease, but vitamin E has not been shown to prevent cardiovascular disease or reduce its morbidity or mortality in clinical trials.

Mixed evidenceSome support. Results are mixed

Study details

NIH ODS says: "these findings suggest that it could play a role in reducing the risk of cardiovascular disease" "has not been shown to prevent cardiovascular disease or reduce its morbidity or mortality in clinical trials"

The evidence to date is insufficient to support taking vitamin E to prevent cancer.

Limited evidenceSome support. Reviewers rated the certainty low

Study details

NIH ODS says: "The evidence to date is insufficient to support taking vitamin E to prevent cancer."

It has been suggested that regularly taking large doses of vitamin E supplements may even increase the risk of prostate cancer.

Limited evidenceSome support. The source hedges (“may” or “associated with”)

Study details

NIH ODS says: "suggest that regularly taking large doses of vitamin E supplements may even increase the risk of prostate cancer"

It is unclear whether vitamin E supplements can reduce the risk of developing age-related macular degeneration.

Limited evidenceSome support. Reviewers rated the certainty low

Study details

NIH ODS says: "it is unclear whether vitamin E supplements can reduce the risk of developing age-related macular degeneration"

Most studies have found that the use of vitamin E supplements does not help maintain cognitive function. More research is needed to identify the role of vitamin E, if any, in the management of cognitive impairment.

Not supported by current evidenceWeak or no support. Trials found no clear benefit

Study details

NIH ODS says: "most studies have found that the use of vitamin E supplements does not help maintain cognitive function" "More research is needed to identify the role of vitamin E, if any, in the management of cognitive impairment."

Dosage

FormAmount
Any formRecommended daily amounts for adults: 15 mg of alpha-tocopherol, or 19 mg during lactation. The upper limit is 1,000 mg for adults. One mg of vitamin E (alpha-tocopherol) is equivalent to 1 mg RRR-alpha-tocopherol or 2 mg all rac-alpha-tocopherol.
Dosage varies by body weight, age, sex, existing health conditions, current medications, and pregnancy/breastfeeding status. The amounts above reflect commonly studied or commonly recommended amounts, not a personal prescription. Always consult a healthcare provider before starting a new supplement, especially if you are pregnant, breastfeeding, managing a chronic condition, or taking medication.

Side effects

Well documented Reported (case reports, anecdotal or one study) None reportedThe circle shows how well documented an effect is, not how serious it is. A rarely reported effect can still be serious, so always read ‘When to stop’.

EffectFrequencyWhen to stop
Potential for hemorrhagic (bleeding) effects; use of vitamin E was associated with a significantly increased risk of hemorrhagic strokeReportedCase reports onlyNot statedStop and talk to a doctor if you notice any unexpected or concerning symptoms.

Safety & interactions

Safety

No adverse effects have been reported from consuming large amounts of vitamin E from food. The upper limits for vitamin E are based on the potential for hemorrhagic (bleeding) effects, and long-term intakes above the upper limit increase the risk of adverse health effects. The use of vitamin E was associated with a significantly increased risk of hemorrhagic stroke. It has also been suggested that regularly taking large doses of vitamin E supplements may even increase the risk of prostate cancer. Upper limits for infants have not been established.

Contraindications

No specific contraindications are listed by our sources. If you take warfarin or another anticoagulant, or simvastatin with niacin, see Drug interactions.

Drug interactions

Anticoagulants (such as warfarin)Established

NIH ODS lists anticoagulants such as warfarin (Coumadin) in its section on vitamin E interactions with medications, and says this can increase the risk of bleeding.

Simvastatin and niacin (combination therapy)Theoretical

NIH ODS lists people treated with a combination of simvastatin (Zocor) and niacin in its vitamin E drug interactions section. Our sources don't describe the effect.

Established: stated plainly by an authoritative source. Documented: supported by case reports or trial data. Theoretical: based on mechanism, animal data, or a cautious listing. Always check with your pharmacist or prescriber.

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