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Melissa Brener, MS

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Vitamin A deficiency is not frequently a problem in the United States for two reasons. The first is that most people have enough food to eat. Over-eating is a bigger problem than deficiency. The second reason is that vitamin A is not water-soluble, so excess amounts can build up in the blood, causing toxicity.



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The Fat-Soluble Vitamins

Vitamin A


There are two basic types of vitamin A - retinoids and beta- carotene. Retinoids come from animal sources such as liver and eggs. Beta-carotene comes from plant sources, particularly deep green, orange or yellow vegetables and fruits.

Vitamin A Functions

1. Vitamin A helps many body processes work. It is most known for its vision-related functions. People who have mild vitamin A deficiencies may have night blindness. Those with more severe vitamin A deficiencies may become totally blind.

2. Vitamin A helps to build the immune system so the body is more resistant to disease.

3. Vitamin A plays a role in cell growth.

4. Vitamin A is important to healthy fetal development.

5. A vitamin A deficiency can cause the taste buds on the tongue to be less sensitive.

6. Vitamin A is an antioxidant. Antioxidants protect the body from some of the negative effects of oxygen. Vitamins C and E are also antioxidants. The antioxidant vitamins may protect against cancer, aging, heart disease and other diseases.

Vitamin A Deficiency and Toxicity Symptoms

A lack of vitamin A can produce several symptoms in the body. Some of these include hardening of the skin, night blindness, clouding of the cornea, liver damage and reduced growth rate in children. Vitamin A deficiency is not frequently a problem in the United States for two reasons. The first is that most people have enough food to eat. Over eating is a bigger problem than deficiency. The second reason is that vitamin A is not water-soluble, so excess amounts can build up in the blood, causing toxicity. The symptoms of too much vitamin A (toxicity) can range from headaches and joint pain to dry skin, hair loss and even death.

The RDA for vitamin A is 800 micrograms per day for men and 1000 micrograms per day for women.

Sources of Vitamin A

Good sources of retinoid vitamin A include liver, fish oil, eggs, margarine and milk that have been fortified with vitamin A. Good sources of beta-carotene include dark green, leafy vegetables and deep orange or yellow vegetables. Carrots, squash, broccoli, spinach and sweet potatoes are all good sources of beta-carotene.

Remember: carrots = carotene!

Vitamin D

Vitamin D is slightly different from the 12 other vitamins. This is the only vitamin that can be made in the body. When the skin is exposed to sunlight, the skin cells can make enough vitamin D to meet the body's needs. Usually, about 15 minutes per day of exposure to the sun is sufficient. Lighter-skinned and young people may need less sun, while darker-skinned and older people may need more. When vitamin D is made by the skin, it is called a hormone.

Vitamin D can also be obtained from foods. When a person gets the vitamin D they need from food rather than sunlight, vitamin D is a true vitamin. In the United States, milk is fortified with vitamin D, so even people who are not frequently in the sun can get enough vitamin D. Eggs, liver and fish oils are another dietary vitamin D source.

Vitamin D Functions

Vitamin D's major function is to keep the bones supplied with the calcium they need to stay strong. Depending on how much calcium the bones need, vitamin D can cause the intestines to absorb more calcium from food or the kidney to excrete less calcium.

Vitamin D Deficiency and Toxicity Symptoms

A lack of vitamin D in the diet can cause rickets, which is a disease characterized by weakened bones. Symptoms of rickets are bowed legs, enlarged head and deformed pelvis. Because vitamin D is a fat-soluble vitamin, it is possible to have too much in the body, causing toxicity. Children can have toxic levels of vitamin D if they consume just 5 times the RDA level. Too much vitamin D causes weakness, diarrhea, vomiting, mental confusion and calcium deposits in the organs.

Vitamin E

Vitamin E is an antioxidant, along with vitamins A and C. Vitamin E prevents free radicals (compounds in the body that look for electrons) from taking too many electrons from the body cells. Without vitamin E protecting the cell's electrons, the cell could be damaged or destroyed.

A vitamin E deficiency could cause destruction of the red blood cells in both children and adults.

Many people believe that vitamin E can halt or reverse the aging process or improve sexual function. However, these myths haven't been scientifically proved.

Vitamin E Deficiency and Toxicity

A vitamin E deficiency can be hard to detect because it can remain hidden for a long time. Those with the greatest risk for a vitamin E deficiency are people whose bodies can't absorb fat because of a disease such as cystic fibrosis. Symptoms of a vitamin E deficiency are usually neurological disorders that affect the eyes or spine.

Vitamin E is not a very toxic substance. If a person does consume too much though (over 500 micrograms per day), they might have symptoms such as nausea and vomiting, headaches, diarrhea and fatigue.

Sources of Vitamin E

Foods that contain high amounts of vitamin E include plant oils (corn, sunflower, safflower, soybean, peanut and others), margarine, leafy greens, oatmeal, peaches, eggs, liver, nuts, milk and whole grains. The RDA for vitamin E is 10 milligrams per day for men and 8 milligrams per day for women. A balanced diet usually provides an adequate amount of vitamin E.

Vitamin K

The major function of vitamin K is to aid in blood clotting. Vitamin K is needed by the body to make blood-clotting factors (agents that help the blood to clot) such as prothrombin. Without vitamin K, a person who receives a cut or scratch may continue to bleed. This is because the body can't make the clotting factors needed to form a scab. Frequently, when a person suffers a cerebrovascular accident (a stroke), their doctor prescribes a drug that keeps the blood from clotting too much. People taking these types of medications should consult their doctor or dietitian before consuming too much vitamin K because it could interfere with the medicine.

Excess bleeding is the biggest symptom of a vitamin K deficiency. This is especially dangerous for those about to undergo surgery. Vitamin K toxicity is very rare because it is removed from the body easily.

Green leafy vegetables are the best sources of vitamin K. Food sources include spinach and other leafy greens, green beans, broccoli and peas. Liver also contains vitamin K. The RDA for vitamin K is 60-80 micrograms per day for adults. Most people consume several times this amount, so deficiency is usually not a problem.

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