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Department

Biochemistry

Preferred Sample Type

Vitamin E

Suitable Specimen Types

  • Serum
1 mL (minimum volume 0.5 mL)

Specimen Transport

Ambient temperature, protect from light.

Sample Processing in Laboratory

Protect from light.

Sample Preparation

Centrifuge immediately on receipt and store. Protect from light.

Turnaround Time

3 Weeks

Sample Stability

Samples should be stored protected from light at -20°C prior to analysis.

Vitamin E

General Information

Vitamin E is a potent lipid-soluble antioxidant, protecting against damage caused by free radicals. Vitamin E is found in nut oils, sunflower seeds, whole grains, wheat germ and spinach.

Vitamin E toxicity is very rare and is mainly associated with abuse of supplements. Severe deficiency, as may occur in persons with fat malabsorption or abetalipoproteinaemia, profoundly affects the central nervous system and can cause ataxia and peripheral neuropathy resembling Friedreich’s ataxia.

Vitamin E circulates in blood predominantly with low density lipoproteins. As the concentrations of serum lipids increase, vitamin E partitions out of the cellular membrane compartment into circulating lipoproteins. In patients with chronic cholestatic disease and hypercholesterolaemia, vitamin E deficiency could be missed if the lipid concentration is not taken into account. Vitamin E:cholesterol ratio is therefore a more accurate assessment of vitamin E status in patients with dyslipidaemia.

Patient Preparation

None

Notes

Protect sample from light immediately after collection.

Reference Range

0-1 year                                11.5-24.4 µmol/L

2-6 years                              7.0-21.0 µmol/L

7-12 years                           10.0-21.0 µmol/L

13-19 years                         13.0-24.0 µmol/L

Adults (>19 years)           9.5-41.5 µmol/L

 

Vitamin E:cholesterol ratio:         ≥2.22 µmol/mmol

Source of Reference Range

Reference range derived by City Hospital Birmingham

Specifications

  • EQA Scheme?: Yes