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Biomarkervitamins minerals

Vitamin E, Serum

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.

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What this test reveals

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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.

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What abnormal values may indicate

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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.

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For athletes

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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.

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Turnaround Time

3 days (up to 7 days)

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Fasting Required

No

scienceExpected Results

1 result
Vitamin E, Serum
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How it works

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    Visit a lab service center near you for a quick blood draw (or book at-home phlebotomy where available).

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Your price

$35.00$105

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Versus the typical direct-to-consumer retail price for this test (illustrative — consumer prices vary by provider and region).

BioReference

$35.00

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References (3)

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