Vitamin E deficiency is a rare condition that may have underlying causes. Therefore it’s best to consult with a doctor if you show any symptoms.
Vitamin E is a fat-soluble vitamin with antioxidant qualities that helps keep your immune system strong and regulate your metabolic processes. It occurs naturally in a wide range of foods and is even added to certain food products to help you increase your intake.
Because of this, developing a vitamin E deficiency is rare unless you have an underlying health condition. High doses of vitamin E can increase a risk of bleeding.
See your doctor if you begin experiencing any of the following symptoms of deficiency:
- difficulty with walking or coordination
- muscle pain or weakness
- visual disturbances
- peripheral neuropathy
- general unwellness
If you suspect a vitamin E deficiency, consult your doctor. You may or may not need supplements to bring your vitamin E levels up. Even if supplements are called for, it’s best to focus on a healthy diet that includes many foods rich in vitamin E.
Diet
You can find vitamin E in a wide range of foods. These include:
- nuts and seeds, such as almonds, sunflower seeds, peanuts, and peanut butter
- whole grains
- vegetable-based oils, especially olive and sunflower
- leafy vegetables
- fortified cereals
- kiwi
- mango
Supplementation
Although taking supplements is a popular way to add vitamins and minerals to your diet, you should be cautious about taking vitamin E in supplement form.
Even if you do purchase a supplement from a reputable brand, there’s a chance that it can interfere with other medications that you’re taking.
Some of the medications that may be affected include:
- anticoagulants
- antiplatelets
- simvastatin
- niacin
- chemotherapy drugs
- radiotherapy drugs
It may be unclear what vitamin E you’re getting. For examples, some supplements only contain one type of vitamin E. Your body needs alpha-tocopherol, the only kind it can process.
Concentrated supplements — not multivitamins — may contain more vitamin E than you need. Excess vitamin E may
Adults and children 14 years and older need 15 milligrams (mg) of vitamin E per day.
Children under this age need a smaller dose on a daily basis:
- ages 1 to 3: 6 mg/day
- ages 4 to 8: 7 mg/day
- ages 9 to 13: 11 mg/day
Women who are breastfeeding should get 19 mg per day.
Combining just a few foods per day will help you meet your vitamin E intake. For example:
- One ounce of sunflower seeds contains 7.4 mg of vitamin E.
- Two tablespoons of peanut butter contain 2.9 mg of vitamin E.
- A half cup of spinach contains 1.9 mg of vitamin E.
Vitamin E deficiency can be the result of an underlying condition. Some conditions prevent your body from being able to adequately absorb fats, including fat-soluble nutrients like vitamin E.
This includes:
- exocrine pancreatic insufficiency
- cholestasis
- cystic fibrosis
- primary biliary cirrhosis
- Crohn’s disease
- short bowel syndrome
In some cases, vitamin E deficiency results from a rare genetic condition known as ataxia with vitamin E deficiency (AVED). This condition is neurologically based and affects muscle control and coordination. It’s
See your doctor if you notice symptoms related to a vitamin E deficiency and have a condition that affects your body’s ability to absorb fat.
Your doctor will determine the best course of action for your vitamin E deficiency. Your doctor may decide that a high-dose supplement or a water-soluble vitamin E supplement is more appropriate.
Once a diagnosis has been made, you can work with your doctor to develop a treatment plan suited to your needs. This can help restore your vitamin E levels if you follow the plan.
But if left untreated, your symptoms may worsen over time. This can lead to additional complications and may impact your overall quality of life.
Article resources
- Ataxia with vitamin E deficiency. (2023). https://rarediseases.org/rare-diseases/ataxia-with-vitamin-e-deficiency/
- Kemnic TR, et al. (2023). Vitamin E deficiency.
https://www.ncbi.nlm.nih.gov/books/NBK519051/Trusted Source - Pazirandeh S, et al. (2022). Overview of vitamin E. https://www.uptodate.com/contents/overview-of-vitamin-e
- Schuelke M. (2023). Ataxia with vitamin E deficiency.
https://www.ncbi.nlm.nih.gov/books/NBK1241/Trusted Source - Vitamin E. (2021).
https://ods.od.nih.gov/factsheets/VitaminE-HealthProfessional/Trusted Source - Vitamin E. (2023). https://www.hsph.harvard.edu/nutritionsource/vitamin-e/