Nutrient Database

Vitamin E

vitamin

Approved

General information about nutrients. No diagnosis, no medical advice. If you take medication, are pregnant or have a medical condition, talk to your doctor before taking supplements.

With fatty mealFasting safe

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Overview

Fat-soluble vitamin. Vitamin E contributes to the protection of cells from oxidative stress.

Interactions

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High-dose E may antagonize K1

High-dose vitamin E (>400 IU/day) can antagonize vitamin K1 by interfering with vitamin K-dependent carboxylation of clotting factors, potentially increasing bleeding risk in K1-deficient individuals.

Top 5 food sources

Sunflower seedsalmondshazelnutsspinachavocado

Expert opinions

NIH

The NIH UL of 1,000 mg/day for alpha-tocopherol is grounded in increased bleeding risk and mortality signals from the SELECT and HOPE trials at pharmacologic doses. The RDA sits at 15 mg/day and is easily met through nuts, seeds, and plant oils. Isolated dl-alpha-tocopherol (synthetic) is no longer recommended — mixed tocopherols and tocotrienols better mirror the dietary matrix. Observational data flag caution in smokers and patients on anticoagulants, where high-dose E raised adverse-event rates.

Recommended dose: 15 mg

Source: NIH

Current Research

Current evidence favors mixed tocopherols and tocotrienols over isolated alpha-tocopherol, which can deplete gamma-tocopherol. Meta-analyses show no benefit from synthetic vitamin E supplementation in healthy adults, with harm signals above 400 IU/day. Whole-food E from nuts, seeds, olive oil, and leafy greens delivers the full vitamer family. Higher-dose supplementation is reserved for documented deficiency, for example with fat malabsorption.

Source: Current Research

Expert profiles summarise publicly available statements. The named people do not cooperate with Stackwell and have not authorised these summaries. Not medical advice.

Expert consensus: Moderate

Dietary intake usually sufficient. Supplementation controversial for healthy individuals.