Anything that decreases of absorption in the gut can lead to Vitamin E deficiency. These would include diseases like alcoholism, cirrhosis of the liver, gastric or intestinal surgery, crohn's disease and pancreatic disease. Any disorder which results in decreased fat metabolism can result in Vitamin E deficiency.
Some of the symptoms of being unable to absorb fat are chronic diarrhea, greasy stools, poor transmission of nerve impulses, muscle weakness and blindness. Other more common symptoms which are not so easy to point just at Vitamin E deficiency are apathy, chest pain, lethargy, inability to concentrate, premature aging, indigestion, heart palpitations with increased blood pressure, muscle weakness, and irritability. As you can see these are not specific and may point to many other problems.
A piece of good news here is that most adults have fairly large stores of vitamin E in adipose (fat) tissue. Now if you have one of the chronic illnesses, these storage units may be empty.
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