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Vitamin E deficiency is a rare condition that causes neurological and muscular complications due to insufficient alpha tocopherol in the body. It is caused by fat malabsorption disorders, genetic conditions affecting lipid metabolism, or inadequate dietary intake in premature infants. The Vitamin E (Tocopherol) blood test is the most important test for diagnosis as it directly measures alpha tocopherol levels.
Vitamin E deficiency is caused by fat malabsorption disorders such as Crohn's disease, cystic fibrosis, chronic pancreatitis, or cholestatic liver disease that prevent proper absorption of fat-soluble vitamins. Genetic conditions like abetalipoproteinemia and ataxia with vitamin E deficiency (AVED) directly impair the body's ability to transport or utilize alpha tocopherol. Very low-birth-weight premature infants are also at high risk because they have limited fat stores and immature digestive systems that cannot adequately absorb dietary vitamin E.
The Vitamin E (Tocopherol) blood test is the most important test for Vitamin E deficiency because it directly measures alpha tocopherol levels in your blood, which is the most biologically active form of vitamin E in humans. This test can detect low levels before serious neurological damage occurs, making early intervention possible. When levels fall below the normal range, it confirms deficiency and helps your healthcare provider determine the appropriate supplementation dosage. The test is especially valuable for people with fat absorption disorders or unexplained neurological symptoms like muscle weakness, coordination problems, or vision changes.
You should get tested if you experience unexplained muscle weakness, coordination problems, difficulty walking, or balance issues that suggest nerve damage. Testing is also important if you have been diagnosed with fat malabsorption conditions like Crohn's disease, cystic fibrosis, chronic pancreatitis, or liver disease. People with unexplained vision problems, numbness or tingling in the extremities, or immune system dysfunction should also consider testing. If you are a parent of a premature infant or have a family history of genetic disorders affecting vitamin absorption, early screening can prevent serious complications.
What this means
Your testosterone levels are slightly below the optimal range. While this is not necessarily cause for concern, it may contribute to occasional fatigue, reduced motivation, or lower muscle mass over time.
Recommended actions
Increase resistance or strength training
Prioritize 7–8 hours of quality sleep per night, try to reduce stress
Include more zinc- and magnesium-rich foods (like shellfish, beef, pumpkin seeds, spinach)
Consider retesting in 3–6 months
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