What variations of vitamin E exist?

A fat-soluble antioxidant that helps protect cell membranes from damage. It has a mild blood-thinning effect, which matters if you take other blood thinners. It comes in 4 forms, and they aren't all the same. Here's how they differ.

For education only. What's right for you depends on your health and your medications, so check with your provider before you start or switch. Book a consult 

Our top pick

The whole family

Mixed tocopherols

Includes the different kinds of vitamin E found in food, not just one.

Good for: Everyday use

Every form, in plain words

Our top pick

The whole family

Mixed tocopherols

Includes the different kinds of vitamin E found in food, not just one.

Good for: Everyday use

Also good

The single natural one

Natural d-alpha-tocopherol

The kind your body uses best, but large amounts of it alone can lower the other kinds.

Also good

The cousin compounds

Tocotrienols

A related family of vitamin E. Research looks promising but is still early.

Spotting a good one on the shelf

Look for

  • Look for 'Mixed tocopherols' on the label (the whole family)

Watch out for

  • 'dl-alpha-tocopherol' on the label, which means the lab-made form
  • High-dose vitamin E taken for a long time without a clear reason. Some studies link this to more harm than good.

Check with your provider first if…

  • You take a blood thinner or a drug that keeps platelets from clumping (warfarin, apixaban, clopidogrel, aspirin), since vitamin E can raise bleeding risk
  • You have a bleeding or clotting disorder, low vitamin K, or a history of stroke
  • You have surgery or dental work coming up. Your care team may ask you to stop beforehand.
  • You're in cancer treatment. Check with your oncology team first.

In Dr. Lesher's store

4 products in Dr. Lesher's dispensary have vitamin E. Here's which form, where the label says.

Dr. Lesher, ND

Ready to find the root cause?

Dr. Lesher is a Naturopathic Doctor who focuses on autoimmune and chronic conditions in women. Since 2020, she's helped hundreds of patients stop managing symptoms and start healing.

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