Vitamin E is a group of fat-soluble antioxidant compounds, with alpha-tocopherol being the most biologically active form measured in clinical practice. Serum tocopherol levels reflect dietary intake, gastrointestinal absorption efficiency, and hepatic metabolism. Laboratory assessment typically includes alpha-tocopherol and, in specialized panels, gamma-tocopherol concentrations. Vitamin E functions primarily as a chain-breaking antioxidant, protecting polyunsaturated fatty acids in cell membranes from lipid peroxidation by neutralizing free radicals. It is absorbed in the small intestine via micellar solubilization, transported in chylomicrons, and subsequently distributed via LDL and HDL lipoproteins; hepatic alpha-tocopherol transfer protein (α-TTP) preferentially retains alpha-tocopherol for redistribution. Vitamin E also plays roles in immune modulation, platelet aggregation inhibition, and gene expression regulation.
Vitamin E is a fat-soluble nutrient that acts as an antioxidant, protecting your cells from damage. Your body stores it in fat tissue and needs dietary fat to absorb it properly. Low levels are uncommon in healthy people but can occur if your body has trouble absorbing fat due to certain digestive or liver conditions, and can affect your nervous system over time. High levels are usually due to taking supplements and are generally not harmful, though very large amounts may affect blood clotting. Your doctor will consider your overall health and other lab results when interpreting this test.
When elevated: Elevated serum vitamin E levels most commonly reflect high-dose supplementation and are generally considered benign; however, very high levels may impair vitamin K-dependent coagulation factor activity, potentially increasing bleeding risk, particularly in patients on anticoagulant therapy. When low: Low serum vitamin E is associated with fat malabsorption syndromes and can lead to progressive neurological dysfunction including spinocerebellar ataxia, peripheral neuropathy, ophthalmoplegia, and hemolytic anemia, particularly in neonates and individuals with chronic malabsorptive conditions.
Vitamin E supports recovery by protecting muscle cell membranes from oxidative stress induced by intense training. While adequate levels help maintain immune function and reduce exercise-induced inflammation, excessive supplementation beyond dietary needs does not enhance performance and may blunt beneficial adaptive training responses.
Turnaround Time
3 days (up to 7 days)
Fasting Required
No
Order online
Choose your lab and check out. We send your lab requisition automatically — no doctor visit needed.
Get your sample collected
Visit a lab service center near you for a quick blood draw (or book at-home phlebotomy where available).
See your results
Your results land in your Insider portal, ready to review and act on — that easy.
Your price
$35.00$105
3.0× less than retail
Versus the typical direct-to-consumer retail price for this test (illustrative — consumer prices vary by provider and region).
$35.00
Peer-reviewed sources supporting the educational content on this page.