Vitamin E and Alzheimer's

Reference:  Mangialasche Neurobiol Aging

Vitamin E, in it’s alpha-tocopherol form has been a bit of bust as a
supplement to prevent aging related cognitive decline.  That has been a big
disappointment too.  It didn’t work with heart disease (least week) and it
made prostate cancer worse, (two weeks ago).  But we keep trying because
Vitamin E from food sources has been shown to slow down mild cognitive
decline and has been inversely associated with Alzheimer’s disease.  What
gives?

It’s the same old story you have heard for the last two weeks so the
pattern should feel familiar.  When you look at all the Vitamin Es, you
find that there are 8 of them, four in the tocopherol family and four in
the trienol family.  Dr Mangialasche reviewed a Swedish and a Finnish
population against all the Vitamin Es, including the tocotrienols.  In his
study he found that gamma-tocopherols was the most protective in the
Finnish patients, while the Swedish study showed that total toco and
trienols reduced Alzheimer’s risk as much as 50%.  He calls for more
research to tease out the protective effect that we find from the whole
family of E’s compared to simply alpha-tocophreol.  But it is clear that a
single one won’t do the work.  You need the whole mix of the rich family,
and that’s what you get from whole foods.

Another way to do aging research is to examine what difference chemicals do
to nematode worms that are very simple creatures.  Whether this research
extends to humans is another question, but it is interesting for basic
science questions.  Nematode worms only live 3 weeks so you can get a
pretty rapid turnaround in research questions.  Their immune defense
degrades rapidly and they get invaded by opportunistic bacteria.  All in 3
weeks.  Gamma tocotrienols extends their life span by markedly increasing
their defense to infection.  Alpha tocopherol, classical Vitamin E, blocks
any improvement.  Again, another example of the classical simply Vitamin E
causing a problem by blocking the other family members.

In nature, there is likely going to be some utility to the blocking effect
of Alpha tocopherol.   But right now, it’s the major Vitamin E that’s being
studied.  We see a positive effect of Vitamin E when we have the whole
family, all 8 of them, combined. We see a net negative affect when we give
a supplementary unbalanced amount of just the single alpha-tocopherol.
What’s a person to do?

WWW.   What Will Work for Me?  I’m seriously thinking about starting to
take Vitamin E again, but just as the toco-trienol form.  That is the form
that we seem to see the most protective effect on heart disease, cancer and
Alzheimer’s when you put the sum of them all together.  And that’s likely
the form we have lost the most from our diets when we stop eating whole
foods in balance, that are freshly prepared and eaten from local sources.
The story is still to play out and I look forward to seeing more meaningful
research.  But I’m not throwing out the idea that the Vitamin E’s are
possibly valuable.  My old bottle of alpha-tocopherol – that I threw out.
You should too.



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