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Vitamin A

Proper name Retinol
Category Vitamin
Functions Essential for the formation of visual purple (rhodopsin), the pigment in the eye that allows vision.
Essential for maintaining the integrity of epithelial tissue, i.e., the skin and mucus membranes, and linings of many organs and tissues.
Supports immune function, primarily by maintaining the health of the skin and mucus membranes, thus creating a barrier to infection. Vitamin A is also an anti-oxidant.
Helps reduce the risk of cancer, particularly of epithelial cell cancers such as cancers of the mouth, bladder, skin, stomach, cervix and breast. This effect is best documented for the ingestion of natural sources of beta carotene.
Necessary for the growth of bone and teeth, especially the enamel of teeth, and for the growth of soft tissue as well.
Required for sexual maturation during adolescence and for adult reproductive health as well. Deficiency of vitamin A can cause degeneration of the reproductive glands and sterility.
RDA Men 5,000 IU, Women 4,000 IU, Pregnant 5,000 IU, Lactating 1,200 IU, Children 2, 000 to 4,000 IU
Therapeutic dose 10,000 to 25,000 IU. Doses in excess of 100,000 IU have been used under medical supervision. - Persons with hepatitis, cirrhosis, gall stones or other impediments to normal amounts of bile in the intestines may need to take the micellized form of vitamin A. - Persons with pancreatitis or cystic fibrosis may need to take the aqueous or micellized forms of vitamin A.
Toxicity Toxic effects have been reported in adults taking over 50,000 IU oil soluble vitamin A daily for several years and one case of taking 18,500 to 60,000 IU of water soluble A for several months. On the other hand, doses as high as 1,000,000 IU have been taken for 5 years without toxicity. Vitamin A excess is the most common cause of vitamin toxicity. - Symptoms of hypervitaminosis A include: dry itchy skin, brittle nails, hair loss, bone pain, gingivitis, headaches, muscle and joint pain, thickening of long bones, loss of hair, superficial retinal hemorrhages, exopthalmos (bulging eyes), anorexia, jaundice, fatigue, diarrhea, susceptability to infections, night sweats, peripheral edema, headaches (from increased intracranial pressure), hepatic enlargement and dysfunction, and tingling in the extremities. - Fetal malformations were noted in the fetus of a mother who ingested 150,000 IU of vitamin A daily for 2 months around the time of conception.
Best forms  Micellized or Aqueous Deficiency symptoms - Night blindness or poor night vision. Drying and hardening of the epithelial tissue of the eye and in extreme cases, blindness. - Dry, scaly rough skin with small, hard bumps (hyperkeratinosis). - Bone deformities and dental carries. - Lack of sexual maturation or functioning.
Food sources Halibut or cod liver oil, liver, egg yolk, butter, cream and kidney are food sources of vitamin A. There are many plant sources of pro-vitamin A, i.e., beta carotene.
Lab tests Serum vitamin A.
Drug interactions Vitamin A is depleted with ingestion of mineral oil, Colestipol, Cholestyramine and Neomycin. Nutrient interactions - Works well with other nutrients. Facilitates zinc absorption. Requires vitamin E for absorption.
Metabolism

Vitamin A is fat soluble and needs to be consumed with fat in order to be absorbed. Pancreatic lipase is needed to split fats into smaller units and mix them with water (hydrolysis) in the upper intestine. Bile is needed so that vitamin A may be transported with fat and bile in minute globules called micelles to the intestinal wall. - Vitamin A may be produced in the body by splitting beta carotene in the intestines. Beta carotene is found in plants and is composed of two vitamin A molecules joined head to head. An enzyme in the intestines separates the molecules. - 90% of the body's vitamin A is stored in the liver. These stores can last 6-12 months on average without additional intake of vitamin A.



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