Research

Vitamin E

244 peer-reviewed studies curated from PubMed and Semantic Scholar.

78
Meta-analyses
11
Systematic reviews
117
RCTs
38
Other studies
Meta-analyses (32%)
Systematic reviews (5%)
RCTs (48%)
Observational (4%)

Studies

Sorted by quality and recency

2026·Oral oncology·Deysimara de Cássia Santos, Larissa Torres Fernandes, Danielle Negri Ferreira Neves, et al

Vitamin E in the management of oral mucositis: Systematic review with meta-analysis of randomized clinical trials.

Meta-analysisn = 715

Systematic review and meta-analysis of 14 randomized clinical trials evaluating the efficacy of vitamin E in the treatment of oral mucositis in cancer patients. The meta-analysis showed a significant reduction in the incidence of severe mucositis in the vitamin E group compared to controls, with consistent effects in both pediatric and non-pediatric populations.

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2025·Nutrition research (New York, N.Y.)·Arwa M Amin, Hamza Mostafa

Vitamin E and cognitive function: A systematic review of clinical evidence.

Systematic reviewn = 80,488Brain Health

Systematic review of 43 clinical studies involving 80,488 participants evaluating the role of vitamin E in cognitive function. The review suggests that vitamin E, particularly as a dietary component or in multivitamin supplements, is associated with a protective effect against cognitive impairment.

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2025·Food & function·Peixuan Tian, Hui Xia, Bihuan Hu, et al

Efficacy of vitamin E from dietary, circulation system, and supplementation on chronic obstructive pulmonary disease (COPD): a systematic review and meta-analysis.

Meta-analysisn = 65,425

This systematic review and meta-analysis evaluated the association between vitamin E consumption and chronic obstructive pulmonary disease (COPD) across 10 studies with 65,425 participants. The results indicated a significant protective effect of vitamin E intake against the onset risk of COPD, though no significant correlation was found with the risk of death from COPD. Subgroup analysis showed that different subtypes and sources of vitamin E were inversely associated with COPD.

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2025·Journal of orthopaedic surgery and research·Fanxiao Liu, Ling Gao, Dawei Wang, et al

The addition of vitamin E could reduce femoral head penetration of the polyethylene liners.

Meta-analysisn = 54,920

This meta-analysis investigated the effect of vitamin E-diffused highly cross-linked polyethylene liners in total hip arthroplasty. The pooled results from 23 studies with 54,920 participants showed a significant decrease in femoral head penetration at the last follow-up, mainly due to decreased wear in proximal directions. However, no significant improvements in clinical functions or complications were identified.

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2025·Hepatology (Baltimore, Md.)·Matheus Souza, Lubna Al-Sharif, Vanio L J Antunes, et al

Comparison of pharmacological therapies in metabolic dysfunction-associated steatohepatitis for fibrosis regression and MASH resolution: Systematic review and network meta-analysis.

Meta-analysisn = 9,324

Systematic review and network meta-analysis of 29 RCTs (n=9324) comparing pharmacological therapies for metabolic dysfunction-associated steatohepatitis (MASH). Pegozafermin, cilofexor + firsocostat, and other agents were effective for fibrosis regression and MASH resolution. Vitamin E + pioglitazone was among the interventions significantly better than placebo for MASH resolution.

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2025·European journal of medical research·Zhile Xiao, Xiaonan Li, Jiahong Gong, et al

Comparative efficacy of multiple drugs for non-alcoholic fatty liver disease: a Bayesian network meta-analysis.

Meta-analysisn = 2,143

This Bayesian network meta-analysis compared the efficacy of several hypoglycemic drugs and vitamin E in treating NAFLD. Vitamin E was found to improve liver enzyme levels and histological features, suggesting it may be a suitable option for nondiabetic patients with NAFLD.

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2025·Frontiers in immunology·Mahdi Moabedi, Alireza Milajerdi

The effect of co-administration of vitamin E and C supplements on plasma oxidative stress biomarkers and antioxidant capacity: a GRADE-assessed systematic review and meta-analysis of randomized controlled trials with meta-regression.

Meta-analysisn = 965Inflammation

This meta-analysis of 17 randomized controlled trials with a total sample size of 965 investigated the effect of co-administration of vitamins E and C on plasma oxidative stress biomarkers and antioxidant capacity. The study found significant beneficial effects on MDA, LP, TAC, and GPx, but not on SOD. Subgroup analyses showed significant effects in unhealthy participants and those receiving a placebo.

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2025·Annals of Medicine and Surgery·Bing Pan, Beilei Bi, F. Ruan, et al

Effects of vitamin supplementation on related symptoms in women with endometriosis: a systematic review and meta-analysis

Meta-analysisn = 562Womens Health

Systematic review and meta-analysis of 9 studies involving 562 patients evaluating the effects of vitamin supplementation on endometriosis symptoms. Vitamin E significantly alleviated pelvic pain, but no significant effects were observed for vitamin D or vitamin C combined with vitamin E on dysmenorrhea and dyspareunia.

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2025·Journal of dietary supplements·Mehdi Karimi, Sara Alipour, Samira Pirzad, et al

Effect of Vitamin E on Serum Adiponectin and Leptin in Adults: A Systematic Review and Meta-analysis.

Meta-analysis

This systematic review and meta-analysis evaluated the impact of vitamin E oral supplementation on serum adiponectin and leptin levels in adults. The pooled analysis of 10 RCTs showed no significant overall effect of vitamin E on adiponectin and leptin levels. However, long-term supplementation significantly increased adiponectin and reduced leptin levels in patients with nonalcoholic fatty liver disease (NAFLD).

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2025·Open veterinary journal·Ni Wayan Helpina Widyasanti, Sari Yanti Hayanti, Cecep Hidayat, et al

Effects of vitamin E supplementation on sow gestation: a meta-analysis.

Meta-analysis

Meta-analysis of 21 articles evaluating vitamin E supplementation in pregnant sows. Vitamin E increased α-tocopherol levels in sow serum during gestation and in piglet serum on the first day after birth, but did not significantly affect other reproductive parameters.

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2025·Scientific reports·Hazirah Watikah Abdah, Noorul Izzati Hanafi, Suhaila Abdul Muid, et al

Effect of tocotrienol-rich fraction (TRF) on lipid profile in hyperlipidemic experimental animal model: a systematic review and meta-analysis.

Meta-analysisHeart Health

This systematic review and meta-analysis evaluated the effects of tocotrienol-rich fraction (TRF) on lipid profiles in hyperlipidemic experimental animal models. TRF significantly reduced total cholesterol, LDL, and triglycerides, while increasing HDL, particularly in rats and mice. The study highlights the need for standardized protocols and physiologically relevant models for better assessment of TRF's therapeutic potential in CVD management.

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2025·European journal of pharmacology·Sepide Amini, Fatemeh Navab, Mohammad Hossein Rouhani, et al

The effect of vitamin E supplementation on serum low-density lipoprotein oxidization: A systematic review and meta-analysis of clinical trials.

Meta-analysisHeart Health

Systematic review and meta-analysis of clinical trials evaluating the impact of vitamin E supplementation on LDL oxidation. The analysis showed that vitamin E significantly reduced LDL oxidation and increased the lag time of LDL oxidation, indicating a positive effect on heart health.

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2024·Scientific reports·Filippo Migliorini, Marcel Betsch, Nicola Maffulli, et al

Rate of revision and wear penetration in different polyethylene liner compositions in total hip arthroplasty: a Bayesian network meta-analysis.

Meta-analysisn = 37,352

Bayesian network meta-analysis comparing different polyethylene liners in total hip arthroplasty, including Vitamin E infused highly cross-linked polyethylene. XLPE and HXLPE liners showed the lowest wear penetration and revision rates over approximately 7 years of follow-up.

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2024·Molecular psychiatry·Marco Solmi, Michele Fornaro, Stefano Caiolo, et al

Efficacy and acceptability of pharmacological interventions for tardive dyskinesia in people with schizophrenia or mood disorders: a systematic review and network meta-analysis.

Meta-analysisn = 2,844

Systematic review and network meta-analysis of 46 trials (n=2844) evaluating pharmacological interventions for tardive dyskinesia in adults with schizophrenia or mood disorders. Valbenazine and vitamin E were found to be superior to placebo in reducing TD symptoms, with vitamin E showing a standardized mean difference of -0.49. Confidence in findings was low for most treatments.

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2024·The Cochrane database of systematic reviews·Hongzhu Wen, Hongyong Deng, Lili Yang, et al

Vitamin E for people with non-alcoholic fatty liver disease.

Meta-analysisn = 1,066

Meta-analysis of 16 RCTs involving 1066 participants with NAFLD, evaluating vitamin E alone or with vitamin C versus placebo or no intervention. Vitamin E likely reduces ALT and AST levels slightly, but effects on mortality, quality of life, and adverse events are uncertain due to very low certainty evidence.

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2024·Journal of diabetes research·Pan-Pan Zheng, Li-Wen Zhang, Dan Sheng, et al

Impact of Vitamin E Supplementation on High-Density Lipoprotein in Patients With Haptoglobin Genotype-Stratified Diabetes: A Systematic Review of Randomized Controlled Trials.

Systematic reviewn = 463Heart Health

Systematic review of randomized controlled trials evaluating the effect of vitamin E supplementation on HDL levels and function in individuals with diabetes stratified by haptoglobin genotype. Vitamin E did not affect HDL levels but improved cholesterol efflux and HDL lipid peroxides in individuals with Hp2-2 diabetes, indicating a pharmacogenetic interaction.

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2024·International journal of sports medicine·Katieli Santos de Lima, Felipe Schuch, Natiele Camponogara Righi, et al

Vitamin E Does not Favor Recovery After Exercises: Systematic Review and Meta-analysis.

Meta-analysisn = 298Recovery -Inflammation -Physical Performance -

Systematic review and meta-analysis of 20 studies with 298 participants evaluating the effects of vitamin E supplementation on recovery after exercise. Vitamin E showed no significant effects on oxidative stress, inflammatory response, muscle damage, soreness, or strength compared to placebo.

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2024·Alimentary pharmacology & therapeutics·Naim Alkhouri, Deanna McCarthy, Anne-Cécile V Bayne, et al

The effect of vitamin E and docosahexaenoic acid ethyl ester on Metabolic Dysfunction-Associated steatotic Liver Disease (MASLD)-A randomised, double-blind, placebo-controlled, parallel-group clinical trial (PUVENAFLD).

RCTn = 203

RCT evaluating the efficacy of vitamin E and DHA, alone or in combination, versus placebo in reducing liver fat content in adults with MASLD over 6 months. The study found no significant effect on hepatic steatosis or aminotransferase levels for any intervention group compared to placebo.

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2024·Journal of gastroenterology and hepatology·Nicholas Ming-Zher Chee, Ram Prasad Sinnanaidu, Wah-Kheong Chan

Vitamin E improves serum markers and histology in adults with metabolic dysfunction-associated steatotic liver disease: Systematic review and meta-analysis.

Meta-analysis

Systematic review and meta-analysis of randomized controlled trials assessing the effect of vitamin E on metabolic dysfunction-associated steatotic liver disease (MASLD). Vitamin E significantly reduced serum ALT and AST levels, steatosis, lobular inflammation, and hepatocyte ballooning, and increased MASH resolution, but did not reduce fibrosis.

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2024·Nutrition reviews·Enrico Maggio, Valeria Proietti Bocchini, Roberto Carnevale, et al

Vitamin E supplementation (alone or with other antioxidants) and stroke: a meta-analysis.

Meta-analysis

Meta-analysis of 16 randomized controlled trials evaluating the effect of vitamin E supplementation on stroke. Vitamin E alone did not reduce stroke incidence, while vitamin E with other antioxidants reduced ischemic stroke but increased hemorrhagic stroke risk, negating overall benefit.

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2023·Journal of neonatal-perinatal medicine·Si Liang Yao, Elisa Smit, David Odd

The effectiveness of interventions to prevent intraventricular haemorrhage in premature infants: A systematic review and network meta-analysis.

Meta-analysisn = 6,760

Systematic review and network meta-analysis of interventions to prevent intraventricular haemorrhage (IVH) in preterm infants. Vitamin E and indomethacin were identified as having the highest probability of being effective, but results are difficult to interpret due to study limitations.

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2023·Nutrition journal·Omid Asbaghi, Behzad Nazarian, Mojtaba Yousefi, et al

Effect of vitamin E intake on glycemic control and insulin resistance in diabetic patients: an updated systematic review and meta-analysis of randomized controlled trials.

Meta-analysisn = 2,171Nutrition

Updated systematic review and meta-analysis of 38 RCTs with 2171 diabetic patients evaluating the effect of vitamin E on glycemic control and insulin resistance. Vitamin E intake significantly lowered HbA1c, fasting insulin, and HOMA-IR, but not fasting blood glucose overall. Short-term interventions showed reduced fasting blood glucose.

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2023·Expert review of gastroenterology & hepatology·Yunpeng Gu, Lei Sun, Yining He, et al

Comparative efficacy of glucagon-like peptide 1 (GLP-1) receptor agonists, pioglitazone and vitamin E for liver histology among patients with nonalcoholic fatty liver disease: systematic review and pilot network meta-analysis of randomized controlled trials.

Meta-analysisn = 1,482

Systematic review and pilot network meta-analysis comparing the efficacy of GLP-1 receptor agonists, pioglitazone, and vitamin E in patients with nonalcoholic fatty liver disease (NAFLD). GLP-1 receptor agonists ranked first in improving liver histology, including steatosis and ballooning necrosis, and were as effective as pioglitazone and vitamin E.

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2023·Nutrients·Stamatina Vogli, Androniki Naska, Georgios Marinos, et al

The Effect of Vitamin E Supplementation on Serum Aminotransferases in Non-Alcoholic Fatty Liver Disease (NAFLD): A Systematic Review and Meta-Analysis.

Meta-analysisn = 794

Systematic review and meta-analysis of 12 randomized trials with 794 patients examining the effect of vitamin E supplementation on serum aminotransferase levels in NAFLD patients. Vitamin E supplementation at 400 IU/day and above reduced alanine aminotransferase (ALT) and aspartate aminotransferase (AST) levels compared to placebo or no intervention.

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2023·Molecular nutrition & food research·Ce Ni, Wenhua Zhou, Mengyuan Yu, et al

Vitamin E Treatment Improves the Antioxidant Capacity of Patients Receiving Dialysis: A Systematic Review and Meta-Analysis.

Meta-analysisn = 512Inflammation

Systematic review and meta-analysis of 24 studies involving 512 dialysis patients. Vitamin E-coated dialyzer membranes and oral vitamin E intake improve antioxidant markers in hemodialysis patients, including SOD, GPX, and CAT levels. No significant effect observed in peritoneal dialysis patients.

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2023·JAMA network open·Richard T Bryan, Sarah J Pirrie, Ben Abbotts, et al

Selenium and Vitamin E for Prevention of Non-Muscle-Invasive Bladder Cancer Recurrence and Progression: A Randomized Clinical Trial.

RCTn = 270Longevity

This randomized clinical trial investigated the effects of selenium and vitamin E on the recurrence and progression of non-muscle-invasive bladder cancer (NMIBC) in 270 patients. Selenium supplementation did not reduce recurrence risk, while vitamin E was associated with an increased risk of recurrence. Neither supplement affected progression or overall survival.

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2023·Nutritional neuroscience·Fang Niu, Weihua Xie, Weili Zhang, et al

Vitamin C, vitamin E, β-carotene and risk of Parkinson's disease: a systematic review and dose-response meta-analysis of observational studies.

Meta-analysisBrain Health

Systematic review and meta-analysis of observational studies examining the relationship between vitamin C, vitamin E, and beta-carotene intake and Parkinson's disease risk. High-dose vitamin E intake was associated with a reduced risk of Parkinson's disease, while vitamin C showed no significant association, and beta-carotene had a borderline non-significant effect.

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2023·Nutrients·Manas Kotepui, Frederick Ramirez Masangkay, Aongart Mahittikorn, et al

Effect of Malaria on Blood Levels of Vitamin E: A Systematic Review and Meta-Analysis.

Meta-analysisImmunity

Systematic review and meta-analysis examining blood levels of vitamin E in malaria patients compared to uninfected individuals. Results show a significant reduction in vitamin E levels in malaria patients, especially in severe cases, suggesting a potential role of vitamin E in malaria pathogenesis.

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2023·Clinical nutrition ESPEN·Victor Alves de Oliveira, Iara Katrynne Fonseca Oliveira, Irislene Costa Pereira, et al

Consumption and supplementation of vitamin E in breast cancer risk, treatment, and outcomes: A systematic review with meta-analysis.

Meta-analysisWomens Health

Systematic review with meta-analysis assessing the effects of vitamin E consumption and supplementation on breast cancer risk, treatment, and outcomes. No significant association was found between vitamin E consumption and breast cancer risk, but an inverse association was observed with breast cancer recurrence. No impact on breast cancer mortality was noted.

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2023·Journal of digestive diseases·Ming Yue Wang, Kousalya Prabahar, Mihnea-Alexandru Găman, et al

Vitamin E supplementation in the treatment on nonalcoholic fatty liver disease (NAFLD): Evidence from an umbrella review of meta-analysis on randomized controlled trials.

Meta-analysis

Umbrella review of meta-analyses on RCTs assessing vitamin E supplementation in NAFLD patients. Vitamin E significantly decreased ALT, AST, fibrosis, and steatosis, but had no effect on GGT. Fibrosis scores notably decreased with dosages >600 IU/day and treatment duration ≥12 months.

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2023·Cureus·I. J. Mazhar, Mohamed Yasir, Saba Sarfraz, et al

Vitamin E and Pioglitazone: A Comprehensive Systematic Review of Their Efficacy in Non-alcoholic Fatty Liver Disease

Systematic review

Systematic review comparing the efficacy of vitamin E, pioglitazone, and their combination in treating NAFLD/NASH. The review found that both substances are effective in reducing steatosis, inflammation, and liver markers, with conflicting data on fibrosis resolution. Pioglitazone may have superior efficacy in fibrosis reduction, and the combination may be more effective for NASH resolution.

Semantic ScholarRead on Semantic Scholar
2022·European journal of clinical nutrition·Haiyang Kou, Zhong Qing, Hao Guo, et al

Effect of vitamin E supplementation in rheumatoid arthritis: a systematic review and meta-analysis.

Meta-analysisn = 39,845Joint Bone Health

Systematic review and meta-analysis of randomized controlled trials evaluating vitamin E supplementation in rheumatoid arthritis patients. Vitamin E was found to be more effective in reducing sensitive and swollen joints, and may improve gastrointestinal health, potentially aiding in the prevention and treatment of rheumatoid arthritis.

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2022·Frontiers in medicine·Qian Luo, Ruojun Wei, Yuzi Cai, et al

Efficacy of Off-Label Therapy for Non-alcoholic Fatty Liver Disease in Improving Non-invasive and Invasive Biomarkers: A Systematic Review and Network Meta-Analysis of Randomized Controlled Trials.

Systematic reviewn = 3,416

Systematic review and network meta-analysis of 27 RCTs with 3,416 patients evaluating vitamin E, pioglitazone, SGLT2 inhibitors, and GLP-1 receptor agonists for NAFLD. Vitamin E (δ-tocotrienol) was superior to placebo in decreasing GGT levels and improving NASH resolution.

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2022·The American journal of clinical nutrition·Jiayi Xu, Kristin A Guertin, Nathan C Gaddis, et al

Change in plasma α-tocopherol associations with attenuated pulmonary function decline and with CYP4F2 missense variation.

RCTn = 1,144

The study investigated the association between changes in plasma vitamin E levels and pulmonary function decline in 1144 men from the SELECT trial. Higher changes in vitamin E were linked to attenuated decline in FEV1, with genetic factors such as the CYP4F2 variant influencing the response to supplementation.

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2022·Post reproductive health·Mahsa Maghalian, Robab Hasanzadeh, Mojgan Mirghafourvand

The effect of oral vitamin E and omega-3 alone and in combination on menopausal hot flushes: A systematic review and meta-analysis.

Meta-analysisn = 1,100Womens Health

Systematic review and meta-analysis of 10 papers with 1100 participants on the effects of vitamin E and omega-3 on menopausal hot flushes. Combination of vitamin E and omega-3 significantly reduced the intensity of hot flushes compared to placebo, while omega-3 alone showed no significant effect. No serious adverse effects were reported.

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2022·Clinical nutrition ESPEN·Maryam Alikamali, Sakineh Mohammad-Alizadeh-Charandabi, Mahsa Maghalian, et al

The effects of vitamin E on the intensity of primary dysmenorrhea: A systematic review and meta-analysis.

Meta-analysisn = 1,002Womens Health

This systematic review and meta-analysis examined the effects of oral vitamin E supplementation on primary dysmenorrhea (PD) intensity. The analysis included eight articles with a total sample size of 1002 people, showing that vitamin E significantly reduced PD intensity in the first and second months compared to placebo. No serious side effects were reported.

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2022·Scientific reports·Hajar Heidari, Zahra Hajhashemy, Parvane Saneei

A meta-analysis of effects of vitamin E supplementation alone and in combination with omega-3 or magnesium on polycystic ovary syndrome.

Meta-analysisn = 504Womens Health Inflammation

This meta-analysis of 10 RCTs with 504 participants evaluated the effects of vitamin E supplementation, alone or in combination with omega-3 or magnesium, on polycystic ovary syndrome (PCOS). Vitamin E significantly reduced serum levels of TG, VLDL, LDL-c, TC, TC/HDL-c ratio, hs-CRP, and hirsutism score, and increased nitric oxide levels, highlighting its potential anti-hyperlipidemic, anti-oxidant, and anti-inflammatory properties in PCOS patients.

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2022·Nutrients·Ainsley Ryan Yan Bin Lee, Areeba Tariq, Grace Lau, et al

Vitamin E, Alpha-Tocopherol, and Its Effects on Depression and Anxiety: A Systematic Review and Meta-Analysis.

Meta-analysisn = 354Mood Stress

Systematic review and meta-analysis of vitamin E supplementation effects on depression and anxiety. Meta-analysis of 354 participants showed a standardized mean difference favoring vitamin E for depression and anxiety, but results were inconclusive. Future studies should consider larger sample sizes and exclude other constituents like omega-3 fatty acids.

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2022·Clinical nutrition ESPEN·Maria do Perpetuo Socorro de Sousa Coelho, Irislene Costa Pereira, Kynnara Gabriella Feitosa de Oliveira, et al

Chemopreventive and anti-tumor potential of vitamin E in preclinical breast cancer studies: A systematic review.

Systematic review

This systematic review evaluated the antitumor and chemopreventive activity of different vitamin E isoforms (tocopherols and tocotrienols) in preclinical breast cancer studies. The review included in vitro and animal studies, finding that vitamin E delayed tumor development, reduced tumor size, and affected gene expression related to apoptosis and immune response. Conflicting results were noted on oxidative stress markers and antioxidant activity.

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2022·Scientific reports·Ghazale Tefagh, Moloud Payab, Mostafa Qorbani, et al

Effect of vitamin E supplementation on cardiometabolic risk factors, inflammatory and oxidative markers and hormonal functions in PCOS (polycystic ovary syndrome): a systematic review and meta-analysis.

Meta-analysisHormone Health Inflammation Heart Health

This systematic review and meta-analysis assessed the effects of vitamin E supplementation on cardiometabolic risk factors, inflammatory and oxidative markers, and hormonal functions in women with PCOS. Vitamin E supplementation improved lipid profiles, decreased insulin and HOMA-IR levels, and positively affected hormonal parameters such as LH, testosterone, FSH, and progesterone concentrations.

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2022·Gynecological endocrinology : the official journal of the International Society of Gynecological Endocrinology·Sebastián Yalle-Vásquez, Karem Osco-Rosales, Wendy Nieto-Gutierrez, et al

Vitamin E supplementation improves testosterone, glucose- and lipid-related metabolism in women with polycystic ovary syndrome: a meta-analysis of randomized clinical trials.

Meta-analysisWomens Health Hormone Health Heart Health Nutrition

This meta-analysis assessed the effect of vitamin E supplementation on various health markers in women with polycystic ovary syndrome (PCOS). Vitamin E supplementation improved glucose, lipid, and androgenic-related biomarkers, but had no impact on female sex hormones, HDL-cholesterol, BMI, and hirsutism. The certainty of the evidence was very low to moderate.

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2022·Frontiers in nutrition·Yuandi Xi, Xianyun Wang, Kuo Liu, et al

Vitamin E concentration in breast milk in different periods of lactation: Meta-analysis.

Meta-analysis

Meta-analysis of vitamin E concentration in breast milk during different stages of lactation. The study found that vitamin E concentration decreases from colostrum to mature milk, with colostrum in Asian countries having lower vitamin E levels compared to Western countries.

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2022·Nutrients·Wei Qi Loh, Jiyoung Youn, Wei Jie Seow

Vitamin E Intake and Risk of Prostate Cancer: A Meta-Analysis.

Meta-analysisMens Health

Meta-analysis of observational and interventional studies examining the association between vitamin E intake and prostate cancer risk. Overall, vitamin E intake showed no significant effect on prostate cancer risk, but supplemental vitamin E was associated with reduced risk in European studies.

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2021·Nutrition and cancer·Dorothee Retzlaff, Jennifer Dörfler, Sabine Kutschan, et al

The Vitamin E Isoform α-Tocopherol is Not Effective as a Complementary Treatment in Cancer Treatment: A Systematic Review.

Systematic reviewn = 1,941Inflammation Longevity

Systematic review of 20 studies with 1941 cancer patients assessing the impact of alpha-tocopherol on cancer treatment outcomes. Results were heterogeneous, with some studies showing improvement in mucositis and CIPN, but overall, alpha-tocopherol is discouraged due to potential negative influence on survival rates.

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2021·Clinical nutrition ESPEN·Fateme Hamedi-Kalajahi, Meysam Zarezadeh, Azadeh Dehghani, et al

A systematic review and meta-analysis on the impact of oral vitamin E supplementation on apolipoproteins A1 and B100.

Meta-analysisn = 1,284

This systematic review and meta-analysis evaluated the impact of oral vitamin E supplementation on apolipoproteins A1 and B100 levels. Seven studies with 1284 participants were included. The analysis found no significant effect of vitamin E on ApoA1 and ApoB levels.

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2021·International journal of molecular sciences·Thi Thuy Uyen Nguyen, Ji-Hyun Yeom, Won Kim

Beneficial Effects of Vitamin E Supplementation on Endothelial Dysfunction, Inflammation, and Oxidative Stress Biomarkers in Patients Receiving Hemodialysis: A Systematic Review and Meta-Analysis of Randomized Controlled Trials.

Meta-analysisn = 491Inflammation Heart Health

Systematic review and meta-analysis of 11 RCTs with 491 patients receiving hemodialysis, assessing vitamin E supplementation effects. Vitamin E significantly decreased biomarkers of endothelial dysfunction, inflammation, and oxidative stress, suggesting potential benefits for cardiovascular health in this population.

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2021·Annals of nutrition & metabolism·Huikai Miao, Rongzhen Li, Dongni Chen, et al

Protective Effects of Vitamin E on Chemotherapy-Induced Peripheral Neuropathy: A Meta-Analysis of Randomized Controlled Trials.

Meta-analysisn = 488

Meta-analysis of 8 RCTs involving 488 patients examining the effect of vitamin E supplementation on chemotherapy-induced peripheral neuropathy (CIPN). Vitamin E supplementation of 600 mg/day was associated with a lower incidence of CIPN and improved neurotoxicity scores compared to placebo.

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2021·Frontiers in Pharmacology·Jie Chen, Haili Shan, Wenjun Yang, et al

Vitamin E for the Prevention of Chemotherapy-Induced Peripheral Neuropathy: A meta-Analysis

Meta-analysisn = 486

Meta-analysis of 9 RCTs with 486 patients comparing vitamin E to control for preventing chemotherapy-induced peripheral neuropathy (CIPN). Vitamin E significantly reduced the incidence of all-grade CIPN and total neuropathy scores, but not severe CIPN. Subgroup analysis of double-blind RCTs showed no significant effect on all-grade CIPN.

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2021·Free radical biology & medicine·Francesco Violi, Cristina Nocella, Lorenzo Loffredo, et al

Interventional study with vitamin E in cardiovascular disease and meta-analysis.

Meta-analysisHeart Health

This meta-analysis reviews the impact of vitamin E on the atherothrombotic process in cardiovascular disease. It describes experimental and clinical studies, noting that while observational studies show an inverse association between vitamin E levels and CVD, interventional trials with vitamin E supplements have provided negative results.

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2021·Clinical nutrition (Edinburgh, Scotland)·Mohammad Reza Emami, Sanaz Jamshidi, Meysam Zarezadeh, et al

Can vitamin E supplementation affect obesity indices? A systematic review and meta-analysis of twenty-four randomized controlled trials.

Meta-analysisPhysique -

Systematic review and meta-analysis of 24 RCTs assessing the effect of vitamin E supplementation on obesity indices. No significant effect was found on weight, BMI, or waist circumference overall, but subgroup analysis suggested an increase in BMI among participants with normal BMI.

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2021·BioMed research international·Qian-Yue Cheng, Bin-Fei Zhang, Peng-Fei Wen, et al

Vitamin E-Enhanced Liners in Primary Total Hip Arthroplasty: A Systematic Review and Meta-Analysis.

Meta-analysis

Systematic review and meta-analysis evaluating the use of vitamin E-enhanced liners in total hip arthroplasty. The study found that vitamin E-enhanced liners reduced the all-cause revision rate and femoral head penetration compared to liners without vitamin E, but did not improve clinical function.

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2021·PloS one·Xiaofang Liu, Guang Yang, Mengxin Luo, et al

Serum vitamin E levels and chronic inflammatory skin diseases: A systematic review and meta-analysis.

Meta-analysisSkin Hair Health

Systematic review and meta-analysis evaluating the association between serum vitamin E levels and chronic inflammatory skin diseases. The analysis found lower vitamin E levels in patients with vitiligo, psoriasis, atopic dermatitis, and acne compared to controls.

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2021·Diabetes & metabolic syndrome·Abolfathi Mohammad, Ebrahim Falahi, Mohd Yusof Barakatun-Nisak, et al

Systematic review and meta-analyses of vitamin E (alpha-tocopherol) supplementation and blood lipid parameters in patients with diabetes mellitus.

Meta-analysisHeart Health -

Systematic review and meta-analysis evaluating the efficacy of alpha-tocopherol supplementation on lipid parameters in diabetes mellitus patients. The results showed no significant effects on lipid profiles except when used for 12 weeks or more.

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2020·Stroke and vascular neurology·Hong Chuan Loh, Renly Lim, Kai Wei Lee, et al

Effects of vitamin E on stroke: a systematic review with meta-analysis and trial sequential analysis.

Meta-analysisn = 148,016Heart Health

Systematic review and meta-analysis of 18 studies with 148,016 participants evaluating vitamin E supplementation versus placebo/no vitamin E on stroke risk. No significant difference was found in total, fatal, and non-fatal stroke prevention, but vitamin E showed a significant risk reduction in ischaemic stroke. More studies are needed to control random errors.

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2020·Scientific reports·Omid Asbaghi, Mehdi Sadeghian, Behzad Nazarian, et al

The effect of vitamin E supplementation on selected inflammatory biomarkers in adults: a systematic review and meta-analysis of randomized clinical trials.

Meta-analysisn = 2,102Inflammation

Systematic review and meta-analysis of 33 RCTs with 2102 individuals examining the effect of vitamin E supplementation on inflammatory biomarkers. Vitamin E, particularly alpha-tocopherol, significantly reduced serum CRP and TNF-α concentrations, with a notable effect at dosages ≥700 mg/day. The effect on IL-6 was significant in specific subgroups.

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2020·Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology·Jiaqi Huang, Howard N Hodis, Stephanie J Weinstein, et al

Serum Metabolomic Response to Low- and High-Dose Vitamin E Supplementation in Two Randomized Controlled Trials.

RCTn = 254

Two RCTs examined serum metabolomic responses to low- and high-dose vitamin E supplementation in men. Significant alterations in serum alpha-carboxyethyl hydrochroman sulfate, alpha-tocopherol, and beta/gamma-tocopherol were observed. High-dose vitamin E in VEAPS significantly decreased Clactone sulfate, correlated with changes in androgenic steroid metabolites.

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2020·The Cochrane database of systematic reviews·Peter O Okebukola, Sonal Kansra, Joanne Barrett

Vitamin E supplementation in people with cystic fibrosis.

Meta-analysisn = 141Nutrition

This meta-analysis reviewed the effects of vitamin E supplementation in people with cystic fibrosis, including four studies with 141 participants. The studies used different formulations and doses of vitamin E. Results indicated that vitamin E supplementation may improve serum vitamin E levels, although the evidence quality was low. No significant data on other outcomes like lung function or quality of life were available.

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2020·Journal of gastroenterology and hepatology·Andreas Vadarlis, Christina Antza, Dimitra Rafailia Bakaloudi, et al

Systematic review with meta-analysis: The effect of vitamin E supplementation in adult patients with non-alcoholic fatty liver disease.

Meta-analysis

Systematic review and meta-analysis of randomized clinical trials examining vitamin E supplementation in adults with non-alcoholic fatty liver disease (NAFLD). Vitamin E reduced liver enzyme levels and improved liver pathology, low-density lipoprotein cholesterol, fasting blood glucose, and serum leptin values, suggesting it could be a promising treatment option for NAFLD.

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2020·The Journal of clinical psychiatry·Bekir B Artukoglu, Fenghua Li, Natalia Szejko, et al

Pharmacologic Treatment of Tardive Dyskinesia: A Meta-Analysis and Systematic Review.

Meta-analysis

Meta-analysis and systematic review examining pharmacologic treatments for tardive dyskinesia. Vitamin E and vitamin B6 were associated with significant reduction in TD symptoms compared to placebo. Evidence of publication bias and a negative association of dose and duration with efficacy suggest benefits of vitamin E may be overstated.

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2020·Journal of cranio-maxillo-facial surgery : official publication of the European Association for Cranio-Maxillo-Facial Surgery·Rafael Correia Cavalcante, Guilherme Tomasetti

Pentoxifylline and tocopherol protocol to treat medication-related osteonecrosis of the jaw: A systematic literature review.

Systematic reviewJoint Bone Health

Systematic literature review on the effectiveness of pentoxifylline and tocopherol (PENTO protocol) for medication-related osteonecrosis of the jaw (MRONJ). The PENTO protocol was reported to relieve painful symptoms and promote significant new bone formation, suggesting potential usefulness in non-surgical management of MRONJ.

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2020·Journal of dairy science·MohammadHossein Moghimi-Kandelousi, Ali A Alamouti, Mahdi Imani, et al

A meta-analysis and meta-regression of the effects of vitamin E supplementation on serum enrichment, udder health, milk yield, and reproductive performance of transition cows.

Meta-analysisNutrition Womens Health

Meta-analysis of 53 trials evaluating vitamin E supplementation in transition cows. Vitamin E improved reproductive performance, reduced days open, and decreased services per conception, but did not affect somatic cell counts or colostrum quality. Serum vitamin E levels increased, and effects were modulated by selenium supplementation.

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2019·Nutritional neuroscience·Wanyu Wang, Jiao Li, Huizhen Zhang, et al

Effects of vitamin E supplementation on the risk and progression of AD: a systematic review and meta-analysis.

Meta-analysisn = 14,262

Systematic review and meta-analysis evaluating the effects of vitamin E supplementation on the risk and progression of Alzheimer's disease (AD). The study included five cohort studies and three RCTs with a total of 14,262 participants. The pooled relative risk for vitamin E supplementation and AD risk was 0.81, but no unified outcome measure was available for AD progression. The study concluded that there is insufficient evidence to determine the association between vitamin E and AD.

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2019·Bioscience reports·Youxu Leng, Hairong Zhou, Fanjing Meng, et al

Association of vitamin E on the risk of ovarian cancer: a meta-analysis.

Meta-analysisn = 4,597Womens Health -

Meta-analysis of 14 observational studies with 4597 patients assessing the association of vitamin E intake on ovarian cancer risk. The analysis found no significant effect of high vitamin E intake from food or supplements on ovarian cancer risk.

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2018·The Cochrane database of systematic reviews·Karla Soares-Weiser, Nicola Maayan, Hanna Bergman

Vitamin E for antipsychotic-induced tardive dyskinesia.

Meta-analysisn = 478Brain Health

Meta-analysis of 13 randomized trials with 478 participants with antipsychotic-induced tardive dyskinesia. Vitamin E showed no clear improvement in TD symptoms compared to placebo, but may protect against symptom deterioration. Evidence quality was low, and further research is needed.

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2018·International journal of oral and maxillofacial surgery·A Kolokythas, J T Rasmussen, J Reardon, et al

Management of osteoradionecrosis of the jaws with pentoxifylline-tocopherol: a systematic review of the literature and meta-analysis.

Meta-analysisn = 211Joint Bone Health

Systematic review and meta-analysis evaluating the use of pentoxifylline and tocopherol (PENTO) in the treatment of osteoradionecrosis (ORN) of the jaws. Out of 211 patients treated, 126 recovered fully or improved significantly, while 60 remained the same, 10 were lost to follow-up, and the disease progressed in 15. The literature supports the use of PENTO for ORN treatment.

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2017·Journal of Korean medical science·Myung Hyun Cho, Soo Nyung Kim, Hye Won Park, et al

Could Vitamin E Prevent Contrast-Induced Acute Kidney Injury? A Systematic Review and Meta-Analysis.

Meta-analysisn = 623

A systematic review and meta-analysis of four RCTs with 623 participants assessed the effects of vitamin E on contrast-induced acute kidney injury (CIAKI). Vitamin E significantly reduced the risk of CIAKI by 62% and decreased serum creatinine increase after contrast administration, though changes in glomerular filtration rate were not significant.

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2017·The Cochrane database of systematic reviews·Nicolas Farina, David Llewellyn, Mokhtar Gad El Kareem Nasr Isaac, et al

Vitamin E for Alzheimer's dementia and mild cognitive impairment.

Meta-analysisn = 304Brain Health -Longevity -

This meta-analysis assessed the efficacy of vitamin E in treating mild cognitive impairment (MCI) and Alzheimer's disease (AD). The review found no evidence that vitamin E prevents progression to dementia or improves cognitive function in MCI or AD. However, it may slow functional decline in AD. Vitamin E was not associated with an increased risk of serious adverse events or mortality.

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2016·Medicine·Ratree Sawangjit, Bunchai Chongmelaxme, Pochamana Phisalprapa, et al

Comparative efficacy of interventions on nonalcoholic fatty liver disease (NAFLD): A PRISMA-compliant systematic review and network meta-analysis.

Meta-analysisn = 3,802

Systematic review and network meta-analysis of 44 studies with 3802 participants comparing interventions for NAFLD. Vitamin E, along with OCA and TZD, significantly improved histological outcomes in NAFLD, including resolution of NASH and improvements in NAS, steatosis, ballooning, and inflammation.

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2015·The Cochrane database of systematic reviews·Alice Rumbold, Erika Ota, Hiroyuki Hori, et al

Vitamin E supplementation in pregnancy.

Meta-analysisn = 22,129Womens Health

Meta-analysis of 21 trials involving 22,129 pregnant women assessing vitamin E supplementation, often in combination with vitamin C and other agents. No clear difference was found for stillbirth, neonatal death, pre-eclampsia, preterm birth, or intrauterine growth restriction. Vitamin E was associated with decreased risk of placental abruption but increased risk of abdominal pain and term prelabour rupture of membranes.

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2015·Hepatology (Baltimore, Md.)·Siddharth Singh, Rohan Khera, Alina M Allen, et al

Comparative effectiveness of pharmacological interventions for nonalcoholic steatohepatitis: A systematic review and network meta-analysis.

Meta-analysisn = 964

Bayesian network meta-analysis of nine RCTs with 964 patients with NASH comparing vitamin E, TZDs, pentoxifylline, and obeticholic acid. Vitamin E, TZDs, and obeticholic acid showed high-quality evidence for improving ballooning degeneration. Pentoxifylline and obeticholic acid improved fibrosis with moderate-quality evidence.

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2014·PloS one·Ran Cui, Zhu-Qing Liu, Qing Xu

Blood α-tocopherol, γ-tocopherol levels and risk of prostate cancer: a meta-analysis of prospective studies.

Meta-analysisn = 370,000Mens Health

Meta-analysis of nine nested case-control studies involving approximately 370,000 participants examined the association of blood alpha-tocopherol and gamma-tocopherol levels with prostate cancer risk. Blood alpha-tocopherol levels were inversely associated with prostate cancer risk, while gamma-tocopherol levels showed no significant association.

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2013·Amyotrophic lateral sclerosis & frontotemporal degeneration·D Michal Freedman, Ralph W Kuncl, Stephanie J Weinstein, et al

Vitamin E serum levels and controlled supplementation and risk of amyotrophic lateral sclerosis.

RCTn = 29,127

The study investigated the relationship between serum alpha-tocopherol (vitamin E) levels and the risk of amyotrophic lateral sclerosis (ALS) in 29,127 Finnish male smokers. It was part of the Alpha-Tocopherol, Beta-Carotene Cancer Prevention (ATBC) Study, a prospective cohort and randomized controlled trial. Results suggested a potential protective effect of higher serum alpha-tocopherol levels on ALS risk, though further pooled analyses are needed.

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2012·The Cochrane database of systematic reviews·Nicolas Farina, Mokhtar Gad El Kareem Nasr Isaac, Annalie R Clark, et al

Vitamin E for Alzheimer's dementia and mild cognitive impairment.

Meta-analysisn = 769Brain Health -

Meta-analysis assessing the efficacy of vitamin E in the treatment of Alzheimer's dementia (AD) and prevention of progression of mild cognitive impairment (MCI) to dementia. Three studies were included, with mixed results: some benefit was noted in one AD study, but no significant effects were found in another AD study and the MCI study. Overall, no convincing evidence was found for vitamin E's benefit in AD or MCI treatment.

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2011·JAMA·Eric A Klein, Ian M Thompson, Catherine M Tangen, et al

Vitamin E and the risk of prostate cancer: the Selenium and Vitamin E Cancer Prevention Trial (SELECT).

RCTn = 34,887Mens Health

The Selenium and Vitamin E Cancer Prevention Trial (SELECT) involved 34,887 men randomized to receive selenium, vitamin E, both, or placebo. The study found that vitamin E supplementation significantly increased the risk of prostate cancer compared to placebo.

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2011·Human molecular genetics·Jacqueline M Major, Kai Yu, William Wheeler, et al

Genome-wide association study identifies common variants associated with circulating vitamin E levels.

Meta-analysisn = 5,006

Genome-wide association study identified common genetic variants associated with circulating alpha- and gamma-tocopherol concentrations in two adult cohorts of 5006 men of European descent. Three loci were associated with alpha-tocopherol levels, with two novel SNPs and one previously reported locus confirmed. These SNPs are linked to lipid metabolism and regulation.

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2011·The Cochrane database of systematic reviews·Karla Soares-Weiser, Nicola Maayan, John McGrath

Vitamin E for neuroleptic-induced tardive dyskinesia.

Meta-analysisn = 427Brain Health

Meta-analysis of 11 randomized trials with 427 participants assessing vitamin E for neuroleptic-induced tardive dyskinesia. No clear difference was found between vitamin E and placebo for clinically relevant improvement in TD, but vitamin E may protect against symptom deterioration.

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2010·Pakistan journal of pharmaceutical sciences·Mubashir Aslam Arain, Asma Abdul Qadeer

Systematic review on "vitamin E and prevention of colorectal cancer".

Meta-analysisn = 94,069Longevity -

Systematic review and meta-analysis of four trials with 94069 participants assessing vitamin E for primary prevention of colorectal cancer. The review found no sufficient evidence that vitamin E decreases the risk of colorectal cancer incidence.

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2009·Cancer research·Joanne L Watters, Mitchell H Gail, Stephanie J Weinstein, et al

Associations between alpha-tocopherol, beta-carotene, and retinol and prostate cancer survival.

RCTn = 29,133Mens Health

The study investigated the effects of serum alpha-tocopherol, beta-carotene, and retinol concentrations on prostate cancer survival in men from the alpha-Tocopherol, beta-Carotene Cancer Prevention Study. Higher serum alpha-tocopherol was associated with improved prostate cancer survival, while beta-carotene and retinol showed no apparent effects.

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2008·The Cochrane database of systematic reviews·Mokhtar Gad El Kareem Nasr Isaac, Rebecca Quinn, Naji Tabet

Vitamin E for Alzheimer's disease and mild cognitive impairment.

Meta-analysisn = 769Brain Health -

Meta-analysis assessing the efficacy of Vitamin E in the treatment of Alzheimer's disease and prevention of progression of Mild Cognitive Impairment to Alzheimer's disease. The analysis found no significant evidence of efficacy for Vitamin E in preventing or treating cognitive impairment, though some benefit was noted in fewer participants reaching certain endpoints in Alzheimer's disease. More participants taking Vitamin E suffered falls.

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2007·Ophthalmology·William G Christen, Robert J Glynn, Emily Y Chew, et al

Vitamin E and age-related cataract in a randomized trial of women.

RCTn = 39,876

RCT of 39,876 healthy female health professionals aged 45 or older, receiving 600 IU natural-source vitamin E or placebo every other day for an average of 9.7 years. The study found no significant difference in the incidence of age-related cataract or its subtypes between the vitamin E and placebo groups.

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2005·The Cochrane database of systematic reviews·A Rumbold, C A Crowther

Vitamin E supplementation in pregnancy.

Meta-analysisn = 566

Meta-analysis of four trials involving 566 women at high risk of pre-eclampsia or with established pre-eclampsia, assessing vitamin E supplementation in combination with other supplements. No significant differences were found for stillbirth, neonatal death, perinatal death, preterm birth, intrauterine growth restriction, or birthweight. A decreased risk of clinical pre-eclampsia was observed with fixed-effect models but not with random-effects models.

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2004·Annals of the New York Academy of Sciences·K Kraemer, W Koch, P P Hoppe

Is all-rac-alpha-tocopherol different from RRR-alpha-tocopherol regarding cardiovascular efficacy? A meta-analysis of clinical trials.

Meta-analysisn = 83,800Heart Health -

Meta-analysis of 14 clinical studies with 83,800 subjects comparing RRR- and all-rac-alpha-tocopherol for cardiovascular efficacy. No significant differences were found between the vitamin E forms, supporting the safety of vitamin E supplements up to 800 mg/d for up to 6.5 years.

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2004·Chest·Harri Hemilä, Jarmo Virtamo, Demetrius Albanes, et al

Vitamin E and beta-carotene supplementation and hospital-treated pneumonia incidence in male smokers.

RCTn = 29,133Immunity

The ATBC study, a randomized, double-blind, placebo-controlled trial, examined the effects of vitamin E and beta-carotene supplementation on pneumonia incidence in 29,133 male smokers. Overall, neither supplement affected pneumonia risk, but vitamin E reduced risk in those who started smoking later, while beta-carotene increased it.

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2004·Ophthalmology·John J McNeil, Luba Robman, Gabriella Tikellis, et al

Vitamin E supplementation and cataract: randomized controlled trial.

RCTn = 1,193

RCT of 1193 subjects aged 55 to 80 years assessing the effect of 500 IU daily vitamin E supplementation on age-related cataract incidence and progression over 4 years. The study found no significant difference in cataract incidence or progression between the vitamin E and placebo groups.

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2003·Medicine and science in sports and exercise·Harri Hemilä, Jarmo Virtamo, Demetrius Albanes, et al

Physical activity and the common cold in men administered vitamin E and beta-carotene.

RCTn = 14,401Immunity

Cohort study from the ATBC Study examining the effect of vitamin E and beta-carotene on common cold risk in 14,401 middle-aged male smokers. Physical activity had no association with cold risk, but vitamin E and beta-carotene increased the risk of colds in subjects engaging in heavy exercise at leisure.

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2002·BMJ (Clinical research ed.)·Hugh R Taylor, Gabriella Tikellis, Luba D Robman, et al

Vitamin E supplementation and macular degeneration: randomised controlled trial.

RCTn = 1,193

RCT of 1193 healthy volunteers aged 55-80 years testing vitamin E 500 IU daily versus placebo for four years. The study found no significant effect of vitamin E supplementation on the incidence or progression of early or late age-related macular degeneration.

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·Archives of internal medicine·Jae Hee Kang, Nancy Cook, JoAnn Manson, et al

A randomized trial of vitamin E supplementation and cognitive function in women.

RCTn = 6,377Brain Health -

The Women's Health Study, a randomized, double-blind, placebo-controlled trial, examined the effects of vitamin E supplementation on cognitive function in 6377 women aged 65 years or older. Over 9.6 years, no significant cognitive benefits were observed in the vitamin E group compared to placebo.

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2026·Drug design, development and therapy·Khlood Mohammad Aldossary, Hend Talkhan, Furqan M Abdulelah, et al

Immunomodulatory and Anti-Inflammatory Effects of Ketotifen Versus Vitamin E in Patients with Non-Alcoholic Fatty Liver Disease: A Randomized Pilot Study.

RCTn = 60Inflammation

Randomized pilot study comparing ketotifen and vitamin E in 60 individuals with NAFLD over six months. Ketotifen showed superior improvements in hepatic steatosis, fibrosis severity, glycemic outcomes, and inflammatory markers compared to vitamin E. Ketotifen was well tolerated, with drowsiness as the most common adverse event.

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2026·International ophthalmology·Parul Jain, Pushkar Rangari, Paromita Dutta, et al

Vitamin E TPGS-enhanced riboflavin accelerated transepithelial cross-linking versus accelerated epithelium-off protocol in progressive keratoconus: a prospective randomized trial.

RCTn = 50

Prospective randomized trial comparing accelerated transepithelial corneal collagen cross-linking using Vitamin E TPGS-enhanced riboflavin with accelerated epithelium-off protocol in progressive keratoconus. Both groups showed significant improvement in visual acuity and keratometric parameters at 12 months, with differences in corneal thickness behavior and demarcation line depth.

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2025·American journal of perinatology·Jessica L Pippen, Paula McGee, James M Roberts, et al

The Effect of Maternal Antioxidant Vitamin Supplementation on Maternal and Cord Blood Adiponectin Concentrations.

RCTn = 198

Secondary analysis of an RCT investigating prenatal vitamin C and E supplementation on adiponectin concentrations in pregnant participants and their newborns. Adiponectin concentrations at delivery were higher in the vitamin group compared to placebo, with significant interactions based on baseline adiponectin levels. Vitamin supplementation was associated with higher adiponectin at delivery for those with high baseline levels, but lower cord blood adiponectin for those with low baseline levels.

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2025·Clinical nutrition (Edinburgh, Scotland)·Mohamed A ElLaboudy, Maha M Saber, Amira A Adly, et al

Oxidative stress markers and tissue iron overload after 12-months vitamin E supplementation for children with transfusion-dependent β-thalassemia on different iron chelators: A randomized placebo-controlled trial.

RCTn = 180Inflammation Heart Health

This randomized controlled trial investigated the efficacy and safety of vitamin E supplementation as an adjuvant therapy to iron chelators in 180 pediatric patients with transfusion-dependent β-thalassemia. Vitamin E supplementation led to significant decreases in transfusion index, serum ferritin, and liver iron content, while improving hemoglobin levels and oxidative stress markers compared to baseline and placebo.

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2025·Irish journal of medical science·Adil Khaliq, Haroon Badshah, Yasar Shah

Combination therapy with vitamin E and ertugliflozin in patients with non-alcoholic fatty liver disease and type 2 diabetes mellitus: a randomized clinical trial.

RCTn = 173Inflammation

A 24-week, double-blind, randomized controlled trial on 173 patients with NAFLD and T2DM evaluated the effects of vitamin E and ertugliflozin, individually and in combination, alongside pioglitazone therapy. The combination of vitamin E and ertugliflozin showed the highest decrease in liver fat content and significant improvements in glycemic control, HbA1c, triglycerides, and liver enzymes.

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2025·Cell reports. Medicine·Yu Song, Wenjing Ni, Minghua Zheng, et al

Vitamin E (300 mg) in the treatment of MASH: A multi-center, randomized, double-blind, placebo-controlled study.

RCTn = 124

This multi-center, randomized, double-blind, placebo-controlled study evaluated the efficacy and safety of vitamin E 300 mg for treating metabolic dysfunction-associated steatohepatitis (MASH) in 124 non-diabetic participants. The vitamin E group showed significant improvements in hepatic histology, steatosis, lobular inflammation, and fibrosis stages compared to placebo.

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2025·Journal of vascular and interventional radiology : JVIR·Tae Won Choi, Je Hwan Won, Jinoo Kim, et al

Comparison of 2 Paclitaxel-Coated Balloons with Different Excipients for the Treatment of Femoropopliteal Artery Disease: A Randomized Prospective Trial.

RCTn = 119

This randomized prospective trial compared the effectiveness and safety of a novel drug-coated balloon (DCB) using shellac plus vitamin E as an excipient with a reference DCB using urea in patients with femoropopliteal arterial disease. The study found that the new DCB was noninferior in terms of late lumen loss at 6 months compared to the reference DCB, with no significant differences in clinically-driven target lesion revascularization, major amputation, and all-cause mortality.

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2025·Scientific reports·Monica Dinu, Sara Ristori, Giuditta Pagliai, et al

Effects of meat-based, meat-based with α-tocopherol, and pesco-vegetarian diets on biomarkers associated with colorectal cancer risk: a randomized behavioral intervention trial.

RCTn = 113Inflammation

This 12-week randomized, open-label study evaluated the impact of three diets on colorectal cancer risk markers: a meat-based diet, a meat-based diet with alpha-tocopherol supplementation, and a pesco-vegetarian diet. The study found that the meat-based diet increased several biomarkers associated with colorectal cancer risk, while alpha-tocopherol supplementation attenuated some adverse effects. The pesco-vegetarian diet was associated with a more favorable biochemical and inflammatory profile.

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2025·Nutrition, metabolism, and cardiovascular diseases : NMCD·Bangwei Chen, Yaxin Li, Zhiming Li, et al

Vitamin E ameliorates blood cholesterol level and alters gut microbiota composition: A randomized controlled trial.

RCTn = 90Heart Health Gut Health

RCT with 90 healthy individuals assessing the impact of vitamin E on blood cholesterol levels and gut microbiota. Vitamin E reduced LDL-C levels and increased the abundance of SCFA-producing bacteria and bile acid metabolizers.

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2025·Trials·Kasra Saeedian, Saeed Davaryar, Maryam Emadzadeh, et al

The impact of vitamin E supplementation on sperm analysis in varicocelectomy patients: a triple-blind randomized controlled trial.

RCTn = 90Sexual Health

Triple-blind RCT evaluating the impact of vitamin E supplementation on sperm analysis in 90 varicocelectomy patients. The vitamin E group showed significantly higher improvements in sperm motility compared to placebo, suggesting potential benefits for male infertility related to varicocele.

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2025·Clinical therapeutics·Amr Y Zakaria, Rehab Badawi, Hasnaa Osama, et al

New Approach Combination-Dosed Therapy for Nonalcoholic Steatohepatitis Versus Vitamin E: A Randomized Controlled Trial.

RCTn = 90

This randomized controlled trial compared the efficacy of N-acetyl cysteine (NAC) and rosuvastatin (RSV) with conventional vitamin E in patients with nonalcoholic steatohepatitis (NASH). Group 2, treated with NAC/RSV, showed significant improvements in liver steatosis, fibrosis, metabolic parameters, and health-related quality of life compared to the vitamin E group.

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2025·Clinical nutrition ESPEN·Hajar Mafakher, Azadeh Ebrahimzadeh, Adeleh Sahebnasagh, et al

Effect of vitamin E supplementation on recovery and recurrence prevention in women with lower urinary tract infections: A triple-blind randomized clinical trial.

RCTn = 88Recovery Womens Health

Triple-blind randomized clinical trial evaluating the effect of vitamin E supplementation on recovery and recurrence prevention in women with lower urinary tract infections. The intervention group receiving vitamin E showed significant improvements in urinary frequency and dysuria, faster recovery time, and lower UTI recurrence rates compared to the control group.

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2025·BMC pediatrics·Nutthida Hemprachitchai, Rattanaporn Praneetponkang, Pakawan Wongwerawattanakoon, et al

Measures of cellular oxidative damage following vitamin E supplementation in young patients with transfusion-dependent thalassemia: a double-blind randomized controlled trial.

RCTn = 74Inflammation

Double-blind RCT of 74 transfusion-dependent thalassemia patients aged 10-25 years, comparing vitamin E 400 IU/day to placebo for 6 months. Vitamin E significantly reduced oxidative damage markers in β-Thal-NS patients, improving RBC pathology without affecting Hb levels or platelet pathology.

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