Vitamin E (Alpha-Tocopherol)
Fat-soluble antioxidant that protects cell membranes from oxidative damage. Liver continuously resecretes RRR-alpha-tocopherol to maintain plasma levels.
Projected serum levels — 400 IU (≈ 268 mg), once daily
Maintenance schedule: 400 IU (≈ 268 mg) once daily (oral).
Loading schedule: 1.2k IU on day 1, then 400 IU (≈ 268 mg) once daily — reaching therapeutic levels sooner.
Modeled steady state after ~6 days: peak ≈ 245 mg, trough ≈ 195 mg body load. Population-based estimate over 16 days for a reference dose at a 70 kg reference body mass — the interactive app scales curves to your doses, timing, and body mass.
Key facts
- Category
- Vitamin
- Route modeled
- Oral
- Model confidence
- inferred
- Half-life
- 2 days
- Common dose
- 400 IU (≈ 268 mg)
- Suggested maximum
- 1k IU/day
- Reference dose range
- 200–1k IU (single dose)
- Suggested cadence
- once daily
- Validated against
- 267 mg oral — Cmax 11 mg/L at 10 h
Documented interactions
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danger
Levothyroxine (Synthroid) + Vitamin E (Alpha-Tocopherol)
Vitamin E (Alpha-Tocopherol) may displace Levothyroxine (Synthroid) from plasma protein binding sites, transiently raising free drug concentration. This drug has a narrow therapeutic index; free…
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danger
Warfarin (Coumadin) + Vitamin E (Alpha-Tocopherol)
Vitamin E (Alpha-Tocopherol) may displace Warfarin (Coumadin) from plasma protein binding sites, transiently raising free drug concentration. This drug has a narrow therapeutic index; free…
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warning
Apigenin + Vitamin E (Alpha-Tocopherol)
Apigenin may displace Vitamin E (Alpha-Tocopherol) from plasma protein binding sites, transiently raising free drug concentration.
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warning
Aripiprazole (Abilify) + Vitamin E (Alpha-Tocopherol)
Aripiprazole (Abilify) may displace Vitamin E (Alpha-Tocopherol) from plasma protein binding sites, transiently raising free drug concentration.
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warning
Armour Thyroid (Desiccated Thyroid Extract) + Vitamin E (Alpha-Tocopherol)
Vitamin E (Alpha-Tocopherol) may displace Armour Thyroid (Desiccated Thyroid Extract) from plasma protein binding sites, transiently raising free drug concentration.
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warning
Aspirin (Acetylsalicylic Acid) + Vitamin E (Alpha-Tocopherol)
Vitamin E has antiplatelet activity. Combined with aspirin, bleeding risk is significantly increased.
Serum checks 258 modeled interaction pairings for vitamin e (alpha-tocopherol) across your whole stack — absorption conflicts, enzyme inhibition, and nutrient depletion included.
Research behind this entry
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Alpha-tocopherol: roles in prevention and therapy of human disease
Mechanistic and clinical review of alpha-tocopherol as the principal lipid-phase chain-breaking antioxidant in human membranes. It also reviews the mixed clinical-trial record and emphasizes that biochemical antioxidant…
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Meta-analysis: high-dosage vitamin E supplementation may increase all-cause mortality
Meta-analysis of 19 trials found that high-dose vitamin E (400 IU/day or more) may increase all-cause mortality, suggesting lower doses are preferable.
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Vitamin E supplementation and cardiovascular events in high-risk patients (HOPE study)
Large RCT of 9,541 high-risk patients found vitamin E 400 IU/day did not reduce cardiovascular events or cancer, establishing that supplementation does not prevent heart disease.
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Vitamin E in the primary prevention of cardiovascular disease and cancer: the Women's Health Study
RCT of 39,876 women found vitamin E supplementation (600 IU every other day) did not prevent cancer or major cardiovascular events but reduced cardiovascular death by 24%.
6 published studies referenced in the app, each with a plain-language summary.