Evidence supporting the use of: Vitamin E (mixed tocopherols)
For the health condition: Fatty Liver Disease

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Synopsis

Source of validity: Scientific
Rating (out of 5): 3

Vitamin E, specifically in the form of mixed tocopherols or alpha-tocopherol, has been studied for its potential therapeutic effects in non-alcoholic fatty liver disease (NAFLD), particularly non-alcoholic steatohepatitis (NASH). Several randomized controlled trials and meta-analyses have evaluated its efficacy. The PIVENS trial (NEJM, 2010), a landmark study, demonstrated that 800 IU daily of vitamin E improved liver histology in non-diabetic adults with NASH compared to placebo. Improvements were seen in steatosis and inflammation, but not in fibrosis. Subsequent reviews and guidelines, such as those from the American Association for the Study of Liver Diseases (AASLD), cautiously recommend vitamin E in non-diabetic adults with biopsy-proven NASH, acknowledging the moderate quality of evidence and emphasizing risks versus benefits.

The proposed mechanism is vitamin E’s antioxidant effect, which may reduce oxidative stress implicated in the pathogenesis of fatty liver disease. However, evidence for benefit in broader NAFLD populations (including those with diabetes, advanced fibrosis, or cirrhosis) is limited or lacking, and concerns remain regarding long-term safety at high doses. There is also less research specifically on "mixed tocopherols" compared to alpha-tocopherol. Thus, while there is scientific support for vitamin E in select populations with fatty liver disease, the overall strength of evidence is moderate.

More about Vitamin E (mixed tocopherols)
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Other ingredients used for Fatty Liver Disease

akkermansia muciniphila
algal oil
alpha-glycosyl isoquercitrin
alpha-linolenic acid (ALA)
anthocyanins
arjun tree
artichoke
astaxanthin
banaba
barberry
barley
beet
berberine
bifidobacterium bifidum
bifidobacterium longum
black garlic
sesame
branched-chain amino acids
butyrate triglyceride
canola oil
catechins
caterpillar mushroom
cauliflower
chia seed
chicory
chlorella
chokeberry
choline
conjugated linoleic acid (CLA)
turmeric
curcumin
cyclodextrin
dandelion
diallyl disulfide (DADS)
EPA (eicosapentaenoic acid)
epigallocatechin gallate (EGCG)
fenugreek
fiber blend (proprietary)
fish oil
fish protein
flavonols
flaxseed
ginger
grape
hesperetin
kelp
l-carnitine
l-glutathione
l-methionine
l-taurine
lecithin
licorice root
liquid liver fractions
marine lipid
medium chain triglycerides (MCT)
milk thistle
naringin
niacin (vitamin B3)
nicotinamide riboside
oleanolic acid
oleic acid
olive
omega-3 fatty acids
omega-9 fatty acids
palmitoleic acid
perilla
phenolic acids
phosphatidylcholine
phospholipids
prebiotic blend (proprietary)
butyric acid
psyllium
reishi mushroom
resveratrol
silymarin
spirulina
tocotrienols
trans-pterostilbene
tributyrin
trimethylglycine (TMG)
triphala
Urolithin A
vitamin C
vitamin E
seaweed
mulberry
zinc
β-nicotinamide mononucleotide (NMN)
jiaogulan
enicostemma littorale
punarnava
picrorhiza kurroa
lingzhi
morus
ferulic acid
ganoderma
polyphenols
anemarrhena asphodeloides
coix
nopal
algae
AMP-activated protein kinase (AMPK)
ashitaba
4-hydroxyisoleucine
7,14-Hydroxy-Docosapentaenoic Acid
Arjuna
Apigenin
Aronia melanocarpa
Antrodia camphorata
Avocado
Ascophyllum nodosum
Acacetin
Alpha-Lipoic Acid
Astragaloside
Adzuki bean
Ampelopsin
Algal protein
Alisma
Arabinoxylan
Argan nut oil
Anemarrhena
alpha Methyl Tetradecylthioacetic Acid
Apocynin
Arjunolic acid
Borotutu
Brutieridin
Brown Algae
Brassica
Berberis (unspecified)
Baicalein
Blakeslea trispora
Betanin
Bifidobacteria
bile acid
Baicalin
Carqueja
Chebulic acid
Camelina Oil
Coriander
chlorogenic acid
Cynarin
Cruciferous
Chitin-Glucan Complex
Caulerpa okamurae
Copalchi
Curcuma
Corilagin
Crocetin
Cynaropicrin
corosolic acid
Carnosic acid
Diallyl sulfide
Danshen
Dihydromyricetin
DL-Methionine
Decursin
D-Pinitol
Diosgenin
Dithiolthiones
epicatechin
Eriocitrin
Ergothioneine
Erythrodiol
Eicosapentaenoic Acid
Eucommia ulmoides
Fiber
Rhubarb
walnut
Zucchini

Products containing Vitamin E (mixed tocopherols)

We currently have no products on Vitabase that contain this ingredient.