Vitamin

Vitamin A

Also known as: retinol, retinyl palmitate, beta-carotene, preformed vitamin A, vitamin A palmitate

Overview

Vitamin A is essential for vision, immune function, cellular differentiation, and epithelial integrity. It plays a critical role in reducing child mortality and morbidity, particularly in populations with vitamin A deficiency or high infectious disease burden. Supplementation in deficient children significantly reduces the risk of death, measles, and diarrhea [7][1]. In very low birth weight infants, vitamin A supplementation reduces the risk of chronic lung disease and mortality, likely due to its role in lung development and respiratory tract integrity [6]. Maternal supplementation postpartum can improve breast milk retinol levels and infant vitamin A status, though effects vary by baseline deficiency [3]. However, in well-nourished populations or at high doses, vitamin A supplementation may not benefit and could potentially increase risks, such as in cancer prevention where a U-shaped response curve is observed—benefit in deficient individuals but potential harm in those with adequate or high status [4]. In HIV-positive pregnant women, vitamin A supplementation did not significantly reduce disease progression or mortality, though multivitamins showed benefit [5]. Evidence for adjunctive use in tuberculosis treatment is lacking [2].

Dosage Guide

Recommended Daily Allowance

For generally healthy individuals

Adults (≥19 years)700-900 mcg/day(RDA: 700 mcg for women, 900 mcg for men)
Children (1-13 years)300-600 mcg/day(Age-dependent: 300 mcg (1–3 y), 400 mcg (4–8 y), 600 mcg (9–13 y))
Pregnant women770 mcg/day
Breastfeeding women1300 mcg/day

Therapeutic Doses

For treatment of specific conditions

Deficiency treatment100,000-200,000 IU orally or IMHigh-dose regimen for 1–2 doses, depending on age and severity
Very low birth weight infants4000 IU/kg/dayIV or enteral, for prevention of chronic lung disease
Childhood supplementation in deficient areas100,000 IU (infants <12 mo), 200,000 IU (≥12 mo)Every 4–6 months in endemic deficiency areas

Upper Intake Limit

Maximum safe daily intake

3000 mcgTolerable upper intake level for adults; chronic high doses increase risk of hepatotoxicity and teratogenicity

Special Forms

Alternative forms for specific needs

Beta-carotene

Provitamin A; safer source in supplements due to self-regulated conversion, especially in non-deficient individuals

Retinyl palmitate

Stable synthetic form used in supplements and fortified foods

Clinical Notes

  • High-dose vitamin A is teratogenic; avoid doses >10,000 IU/day in pregnancy unless medically indicated and supervised.
  • Chronic high intake can lead to hepatotoxicity, bone abnormalities, and increased fracture risk.
  • Beta-carotene supplements may increase lung cancer risk in smokers; avoid high-dose beta-carotene in this population.
  • Monitor liver function in patients on long-term high-dose therapy.
  • Avoid concurrent high-dose vitamin A and isotretinoin due to risk of hypervitaminosis A.

Research

Key FindingsPubMed
1

Vitamin A supplementation improves child survival in settings with high mortality and vitamin A deficiency.

Vitamin A supplements in newborns and child survival.
BMJ (Clinical research ed.)2008
2

Weekly vitamin A (5000 IU) plus zinc did not improve sputum conversion or radiographic outcomes in pulmonary TB patients.

Randomized controlled trial of zinc and vitamin A as co-adjuvants for the treatment of pulmonary tuberculosis.
Tropical medicine & international health : TM & IH2010
3

Maternal and infant vitamin A supplementation increased milk retinol and improved infant vitamin A status in Kenya.

The effects of maternal and infant vitamin A supplementation on vitamin A status: a randomised trial in Kenya.
The British journal of nutrition2007
4

Micronutrient trials suggest a U-shaped risk curve: benefit in deficient populations, potential harm in sufficient populations.

Lessons learned from randomized clinical trials of micronutrient supplementation for cancer prevention.
Annual review of nutrition2012
5

Vitamin A supplementation alone did not reduce HIV disease progression or mortality in pregnant women.

A randomized trial of multivitamin supplements and HIV disease progression and mortality.
The New England journal of medicine2004
6

Vitamin A supplementation reduces risk of chronic lung disease and mortality in very low birth weight infants.

Vitamin A supplementation to prevent mortality and short- and long-term morbidity in very low birth weight infants.
The Cochrane database of systematic reviews2016
7

Vitamin A supplementation every 4–6 months reduced mortality, diarrhea, and measles in children under 10 years.

Effect of vitamin A supplementation on childhood morbidity and mortality.
Indian journal of medical sciences2002

Products Containing Vitamin A(6 reports)

AstaCarotenoid Complex with Lutein, Lycopene, Astaxanthin, and Vitamin A
AstaCarotenoid Complex with Lutein, Lycopene, Astaxanthin, and Vitamin A
California Gold Nutrition
B+
You get: 850 mcgGoal: 700-900 mcg

This supplement combines multiple carotenoids—lutein, lycopene, astaxanthin, and vitamin A—with supporting antioxidants to target eye health, oxidative stress reduction, and immune modulation. The primary ingredients—lutein, astaxanthin, and lycopene—are included at doses aligned with clinical research, particularly for macular pigment enhancement and antioxidant activity.

Vitamins A, D, K, High Potency
Vitamins A, D, K, High Potency
Nature's Truth
C+
You get: 1,500 mcgGoal: 300-900 mcg

This high-potency supplement combines vitamins A, D, and K—fat-soluble nutrients critical for immune function, bone health, and vascular integrity. Vitamin D is provided at a clinically relevant dose of 5,000 IU, which aligns with therapeutic regimens for correcting deficiency and supporting immune health. While vitamins A and K are included in meaningful amounts, their doses may exceed dietary needs and require caution in certain populations.

Iron with Cofactors
Iron with Cofactors
Seeking Health
B
You get: 300 mcg RAEGoal: 700-900 mcg/day

This supplement delivers a high-dose of elemental iron (29 mg) as the primary active ingredient, formulated with cofactors such as vitamin C, riboflavin, copper, and biotin to support iron metabolism and red blood cell formation. The dose of iron is within the therapeutic range for treating iron deficiency, particularly in at-risk populations such as women of reproductive age and pregnant individuals.

Multivitamin (predicted)
Multivitamin (predicted)
Unknown
B+
You get: 450 mcgGoal: 700-900 mcg

This multivitamin formulation delivers essential vitamins at moderate doses, with vitamin D3, vitamin A, and B-complex vitamins as primary contributors to nutritional support. The inclusion of clinically relevant forms such as D3 (cholecalciferol) and methylfolate-capable dosing suggests a focus on bioavailability and metabolic utility.

Daily Multivitamin (predicted)
Daily Multivitamin (predicted)
Unknown
B+
You get: 900 mcgGoal: 700-900 mcg

This multivitamin provides a comprehensive blend of essential vitamins at doses aligned with recommended dietary allowances and evidence-based clinical ranges. Vitamin D, B12, and folate are included at levels shown to support immune, neurological, and cardiovascular health, particularly in at-risk populations.

Nestlé HealthScience Vitality Multivitamin (predicted)
Nestlé HealthScience Vitality Multivitamin (predicted)
Nestlé
B-
You get: 20% DVGoal: 700-900 mcg/day

This multivitamin supplement from Nestlé provides clinically relevant doses of vitamin D and calcium as primary nutrients, supporting bone and immune health. Vitamin D (12 mcg) aligns with therapeutic dosing for insufficiency, while calcium (350 mg) contributes meaningfully to daily requirements. Other vitamins and minerals are included at supportive levels, enhancing overall micronutrient intake without targeting specific deficiencies.