Vitamin E

Protects unsaturated fats in cell membranes from oxidation.

Swiss reference value

Switzerland age 18–65: 11 mg/day women, 13 mg/day men.

Good food sources

Nuts, seeds, wheat germ, vegetable oils, avocado and green vegetables.

When intake or status is low

Rare; severe fat malabsorption can cause nerve damage, muscle weakness and haemolytic anaemia.

Long-term health connections

Deficiency mainly affects people with fat absorption or transport disorders. High-dose supplements do not reliably prevent chronic disease.

Skin, hair and nails

No reliable hair or nail signs.

Who is more at risk

Fat malabsorption and rare genetic fat-transport disorders.

How to assess it

Use laboratory testing for clinical suspicion and interpret relative to blood lipids.

Supplements: when to consider

Food first; routine high-dose supplements are not indicated.

Too much and safety

High supplemental doses can promote bleeding and interact with anticoagulants.

International reference systems