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Vitamin E

Alpha-Tocopherol · Tocopherol · Vitamin E

Vitamine & Nährstoffe
Einheit:
µmol/L
Abbreviation
a-Tocopherol

Vitamin E test quantifies the concentration of alpha-tocopherol in the blood.

Reference Ranges

Reference
11.6–46.4µmol/L
11.6
20
30
46.4
LowNormalHigh
Reference
Optimal
Unit · µmol/L

Reference ranges may vary slightly based on laboratory standards.

Overview

Übersicht

Vitamin E, also known as alpha-tocopherol, is a fat-soluble antioxidant that plays a crucial role in protecting cell membranes from oxidative damage by scavenging lipid peroxides and free radicals. It is an essential nutrient for vertebrates, with deficiency states leading to various health issues such as diminished reproductive capabilities and muscular dystrophy. Clinically, vitamin E is significant for its antioxidant properties, which have been linked to the prevention of chronic diseases such as cancer and cardiovascular disorders. Researchers have observed that vitamin E levels may influence the pathogenesis of conditions like allergic rhinitis, particularly in pregnant women. In the context of athletic performance and biohacking, vitamin E is valued for its potential to reduce oxidative stress and enhance recovery, although its exact role in longevity is still under investigation. Caveats include the potential for confounding factors such as dietary intake and bioavailability differences between alpha- and gamma-tocopherol. Testing for vitamin E levels typically does not require fasting, but results can be influenced by recent dietary intake and supplementation.

Klinische Bedeutung

Elevated vitamin E levels are generally not associated with toxicity but may indicate excessive supplementation. Reduced levels can suggest poor dietary intake or malabsorption issues, potentially leading to increased oxidative stress and associated health risks.

Dynamics

Trend Interpretation

Rising Values

Progressively rising values may indicate excessive supplementation; consider re-evaluation of dietary sources and supplements.

Falling Values

Progressively falling values suggest potential malabsorption or dietary insufficiency.

Re-test Interval

4 weeks if outside optimal range

Etiology

Causes — High & Low

Cause

Elevated Levels

  • Excessive supplementation
  • High dietary intake
  • Liver disease
  • Hyperlipidemia
Cause

Low Levels

  • Poor dietary intake
  • Malabsorption syndromes
  • Cystic fibrosis
  • Chronic liver disease
Protocol

How to Optimize

Lever

Lifestyle

  • Regular exercise
  • Avoid smoking
  • Manage stress
Lever

Nutrition

  • Increase intake of nuts and seeds
  • Consume green leafy vegetables
  • Include vegetable oils
Lever

Supplementation

  • Vitamin E supplements
  • Mixed tocopherol supplements

Note:

Consult a healthcare provider before starting any supplementation, especially if on medication.

Testing Guidelines

✓Fasting Not Required
✓Not Time-Sensitive

Testing Frequency

Annually for healthy adults, more frequently if at risk for deficiency

Interfering Factors

  • Recent high-fat meal
  • Supplementation
  • Liver function

Related Peptides & Hormones

Cortisol

Correlated with

hormone

Open Research Questions

Current research suggests that the role of gamma-tocopherol as a biomarker for cancer and cardiovascular risk remains understudied, particularly regarding optimal reference ranges and the impact of dietary sources on plasma levels. Researchers have not yet established the precise mechanisms by which vitamin E influences allergic rhinitis in pregnant women, leaving questions about its therapeutic potential unanswered. Additionally, the interplay between tocopherol forms and their bioavailability warrants further investigation.

48 Research Publications

24,340

Total Citations

16

Human/RCT

80.5

Avg. Influence

2025

Latest

Sort
Filter
#01

The ferric reducing ability of plasma (FRAP) as a measure of "antioxidant power": the FRAP assay.

AnimalInfluence1009.0
23033
Researchers presented a novel method called the FRAP assay to measure the antioxidant power of plasma. They found that the assay is inexpensive, highly reproducible, and can be used to assess oxidative stress in biological fluids. The average FRAP value for healthy adults was found to be 1017 micromol/liter.
View on PubMed
#02

Gamma-tocopherol--an underestimated vitamin?

ReviewInfluence6.0
291
Researchers reviewed the biological activities of gamma-tocopherol, a major form of vitamin E in the diet. They found that gamma-tocopherol has distinct antioxidant properties and serves as a biomarker for cancer and cardiovascular risk. The study emphasized the need to consider its different bioavailability compared to alpha-tocopherol.
View on PubMed
#03

Vitamin E inadequacy in humans: causes and consequences.

ReviewInfluence14.0
239
This review addressed the inadequacy of dietary vitamin E in Americans, linking low levels to various health issues. Researchers emphasized the need for additional biomarkers to assess vitamin E status and discussed the adverse consequences of inadequate intake.
View on PubMed
#04

Hepatoprotective effect of curcumin and alpha-tocopherol against cisplatin-induced oxidative stress.

AnimalInfluence2.0
135
Researchers investigated the protective role of curcumin and alpha-tocopherol against cisplatin-induced oxidative stress in rats. They found that pre-treatment with these compounds improved liver function and reduced oxidative stress markers. The study suggests that the combination may help mitigate hepatotoxicity associated with cisplatin treatment.
View on PubMed
#05

Fat-Soluble Vitamins: Clinical Indications and Current Challenges for Chromatographic Measurement.

ReviewInfluence2.0
106
Researchers outlined the challenges in measuring fat-soluble vitamins, including vitamin E, in blood. They noted that deficiencies in these vitamins are linked to various health risks. The study emphasized the need for improved standardization and techniques for accurate quantification of these vitamins.
View on PubMed
#06

Lipid oxidation that is, and is not, inhibited by vitamin E: Consideration about physiological functions of vitamin E.

HumanInfluence2.0
103
This study examined the role of vitamin E in inhibiting lipid peroxidation and its antioxidant properties. Researchers found that vitamin E effectively scavenges lipid peroxyl radicals but is less effective against certain other radicals. The study highlighted the importance of vitamin E in maintaining health and preventing diseases related to oxidative stress.
View on PubMed
#07

Vitamin E, immune response, and disease resistance.

ReviewInfluence5.0
88
Researchers observed that vitamin E supplementation enhances immune response and disease resistance in various populations. They noted that vitamin E protects immune cells from oxidative damage and improves phagocytosis. The study emphasizes the greater effectiveness of vitamin E as an adjuvant in vaccines compared to dietary supplementation.
View on PubMed
#08

Vitamin E and Alzheimer's disease: what do we know so far?

Review
86
Researchers explored the potential of vitamin E as a clinical intervention for Alzheimer's disease. They found that lower circulating levels of vitamin E were associated with an increased risk of developing AD. However, randomized trials showed inconsistent evidence regarding the effectiveness of vitamin E supplementation.
View on PubMed
#09

The role of vitamin E in immune response and disease resistance.

ReviewInfluence2.0
84
Researchers found that vitamin E supplementation enhances immune response and disease resistance, particularly when combined with other antioxidants. They noted that the effectiveness of vitamin E depends on its delivery system, with targeted delivery to immune cells being more effective than general dietary intake. The study emphasizes the importance of optimal dosing.
View on PubMed
#10

Vitamin E and cancer prevention: Studies with different forms of tocopherols and tocotrienols.

ReviewInfluence1.0
57
This review focused on the cancer prevention activities of different forms of vitamin E. Researchers found that while alpha-tocopherol is the most studied, other forms like gamma- and delta-tocopherols show stronger cancer-preventive activities in laboratory studies, suggesting a need for further research.
View on PubMed

Clinical Trials (16)

16

Total Trials

1,922

Total Enrolled

Vitamin E Add-On Therapy, Thyroid Function & Oxidative Stress in Levothyroxine-Treated Hypothyroidism

NCT07781514ENROLLING_BY_INVITATION
Sponsor

Bangladesh Medical University

Enrollment

74

Started

2027

Primary outcome

Change in Malondialdehyde (nmol/L) level from baseline to 12 weeks

Hypothyroidism

Effect of Tocopherol and Ascorbic Acid on Neuroinflammation Markers Associated With Neuropeptide Expression in the AgRP/NPY and POMC Pathways in Mexican Population With Obesity

NCT07782411NOT_YET_RECRUITING
Sponsor

Autonomous University of Morelos

Enrollment

192

Started

2026

Primary outcome

decrese expression of neuroinflammation biomarkers

Obesity (BMI>30)Neuroinflammation

Comparison of the Removal of Uremic Toxins With Medium Cut-off and Super High-flux Vitamin E-coated Dialyzers

NCT05610683COMPLETED
Sponsor

Poitiers University Hospital

Enrollment

41

Started

2023

Primary outcome

Beta2-microglobulin reduction ratio (RR) after 3 months of SHFVE-HD and MCO-HD in a non-inferiority fashion.

End Stage Renal Disease (ESRD)

Vitamin E Combined With Fruquintinib and Tislelizumab in Microsatellite Stabilized Metastatic Colorectal Cancer Patients

NCT05771181Phase 2RECRUITING
Sponsor

Fudan University

Enrollment

25

Started

2023

Primary outcome

objective response rate (ORR)

Colorectal CancerMicrosatellite Stable Colorectal Carcinoma

Evaluation of Medium Cross-linked Polyethylene With and Without Vitamin E for Total Knee Arthroplasty

NCT04618016ACTIVE_NOT_RECRUITING
Sponsor

Aesculap AG

Enrollment

605

Started

2021

Primary outcome

Clinical Outcome measured with the KSS [performance]

Osteoarthritis, KneeArthritis, RheumatoidIntra-Articular FracturesJoint InstabilityGenu Valgum or Varum

The Effect of Alpha-tocopherol in Hemolysis and Oxidative Stress Marker on the Red Cell Membrane Beta-thalassemia Major

NCT03948737COMPLETED
Sponsor

Indonesia University

Enrollment

40

Started

2016

Primary outcome

The effects of α-tocopherol in hemolysis marker on the red cell membrane of β-thalassemia major

Beta Thalassemia Major AnemiaHemolysisOxidative Stress

Relationship of Haptoglobin Phenotype to Vascular Function and Response to Vitamin E Supplementation in Patients With Diabetes Mellitus Type 2: The EVAS Trial

Sponsor

Tan Tock Seng Hospital

Enrollment

300

Started

2015

Primary outcome

Endothelial function

Diabetes Mellitus

Vitamin E Pharmacokinetics and Biomarkers in Normal and Obese Women

NCT00862433Phase 1COMPLETED
Sponsor

National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)

Enrollment

50

Started

2014

Primary outcome

Measure Vitamin E Kinetics

DiabetesFatty LiverObesityHealthy Volunteers

Vitamin E Supplementation in Burned Patients

NCT01749371Phase 2/3COMPLETED
Sponsor

The University of Texas Medical Branch, Galveston

Enrollment

27

Started

2013

Primary outcome

Number of Participants Assessed for Plasma Alpha- and Gamma-Tocopherol Levels

Burn

Enhancing Treatment of Iron Deficiency and Iron Deficiency Anemia With an Antioxidant, Vitamin E

NCT01700426Phase 1COMPLETED
Sponsor

University of Colorado, Denver

Enrollment

44

Started

2011

Primary outcome

Evaluation of iron status, as represented by serum ferritin, to be compared between groups

Iron DeficiencyIron Deficiency Anemia

VITAMIN E, C and ZINC IN PATIENTS WITH SKIN CANCER: INFLUENCE ON OXIDATIVE STRESS AND INFLAMMATORY STATE

NCT02248584COMPLETED
Sponsor

University of Campinas, Brazil

Enrollment

60

Started

2011

Primary outcome

OXIDATIVE STRESS BIOMARKERS

Skin Neoplasms

Silybin - Vitamin E- Phospholipids Complex Reduces Liver Fibrosis in Patients With Chronic Hepatitis C Treated With Peg-IFN-a and RBV

NCT01935817Phase 3COMPLETED
Sponsor

University of Catania

Enrollment

64

Started

2010

Primary outcome

transforming growth factor beta

Liver Fibrosis

Efficacy of Alpha Tocopherol for Prevention of Contrast-induced Nephropathy in Chronic Kidney Disease (CKD) Patients

NCT01061320Phase 3UNKNOWN
Sponsor

Thammasat University

Enrollment

200

Started

2010

Primary outcome

The primary end-point of this study is the development of CIN in placebo group compared with alpha tocopherol group.

Contrast Induced Nephropathy

Vitamin E Supplements in Treating Patients Undergoing Surgery for Colorectal Cancer

NCT00905918Phase 1COMPLETED
Sponsor

Rutgers, The State University of New Jersey

Enrollment

14

Started

2009

Primary outcome

Plasma and urine levels of α-, γ-, and δ-tocopherols, and prostaglandin E2

Colorectal Cancer

Type 2 Diabetes Haptoglobin Phenotype and Vitamin E

NCT01113671Phase 2/3COMPLETED
Sponsor

Technion, Israel Institute of Technology

Enrollment

90

Started

2009

Primary outcome

Reverse Cholesterol transport of the HDL

Diabetes Mellitus Type 2

13-Cis Retinoic Acid With or Without Vitamin E for Prevention of Lung Cancer

NCT00002586Phase 2COMPLETED
Sponsor

University of Colorado, Denver

Enrollment

96

Started

1993

Primary outcome

Treatment failure

Drug ToxicityLung Cancer

Publication Trend

Research publications about Vitamin E over time

10total
1
'96
1
'09
1
'18
2
'21
2
'22
2
'23
1
'24

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