Vitamin A — Frequently Asked Questions
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Frequently Asked Questions
What is the difference between retinol and beta-carotene?
What is the difference between retinol and beta-carotene?
Retinol is preformed vitamin A found in animal products (liver, dairy, eggs) and is immediately usable by the body. Beta-carotene is a provitamin A carotenoid found in orange and green vegetables that must be converted to retinol in the intestine. Conversion is inefficient — roughly 12 mcg beta-carotene equals 1 mcg retinol. Beta-carotene is safer because conversion is self-regulated, preventing toxicity.
Can you take too much vitamin A?
Can you take too much vitamin A?
Yes, preformed vitamin A (retinol) is toxic at chronically high doses. The upper limit is 3,000 mcg RAE (10,000 IU) daily. Excess causes liver damage, headache, bone loss, and birth defects. Beta-carotene is much safer because the body limits its conversion to retinol. Smokers should avoid high-dose beta-carotene due to increased lung cancer risk.
Who is at risk for vitamin A deficiency?
Who is at risk for vitamin A deficiency?
Those at highest risk include people in developing countries with limited dietary diversity, premature infants, people with fat malabsorption disorders (celiac disease, Crohn's, cystic fibrosis), and strict vegans who do not consume adequate carotenoid-rich foods. Alcoholism also increases deficiency risk due to impaired liver storage and metabolism.
References
- Imdad A, Herzer K, Mayo-Wilson E, Yakoob MY, Bhutta ZA (2010). Vitamin A supplementation for preventing morbidity and mortality in children from 6 months to 5 years of age. Cochrane Database of Systematic Reviews. DOI PubMed
- Age-Related Eye Disease Study 2 Research Group (2013). Lutein + zeaxanthin and omega-3 fatty acids for age-related macular degeneration: the AREDS2 randomized clinical trial. JAMA. DOI PubMed
- Alpha-Tocopherol, Beta Carotene Cancer Prevention Study Group (1994). The effect of vitamin E and beta carotene on the incidence of lung cancer and other cancers in male smokers. New England Journal of Medicine. DOI PubMed