Hathcock · The American journal of clinical nutrition 2005 · narrative review · n=?

Vitamins E and C are safe across a broad range of intakes.

Cited 305 times in the scientific literature.

Level 5 - mechanism / opinion, no new human data

Narrative review of safety data without systematic review or meta-analytic methodology described.

PubMed 15817846 · doi:10.1093/ajcn/81.4.736 · record verified 2026-08-30

What was done

The authors reviewed clinical trial evidence and safety databases evaluating dietary supplementation of vitamins E and C across a range of intakes in adults.

What was found

The abstract reports no consistent pattern of adverse events across clinical trials. Vitamin C supplementation showed occasional gastrointestinal upset or mild diarrhea from unabsorbed quantities, but theoretical risks concerning iron absorption and metabolism were not confirmed. Evidence of bleeding or other harms from high vitamin E was judged unconvincing. The review concluded that vitamin E up to 1600 IU (1073 mg RRR-alpha-tocopherol) and vitamin C up to 2000 mg/day appear safe for most adults. No numerical effect sizes, sample counts, or statistical analyses are reported in the abstract.

Why it matters

It synthesizes clinical safety data supporting tolerable upper intake levels for two of the most widely consumed dietary antioxidant supplements.

Limits

The abstract does not state the number of studies reviewed, search criteria, inclusion criteria, or trial durations. As a narrative review, it lacks formal risk-of-bias assessment and quantitative meta-analysis of rare or long-term adverse events.

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