As we spoke before, 𝐕𝐢𝐭𝐚𝐦𝐢𝐧 𝐀 is 𝘧𝘢𝘵-𝘴𝘰𝘭𝘶𝘣𝘭𝘦.
We don’t eat Vit A, even in supplements.
When we consume fruits, vegetables or supplements, in reality, we are taking something called “𝘳𝘦𝘵𝘪𝘯𝘺𝘭 𝘦𝘴𝘵𝘦𝘳𝘴” (also known as preformed Vit A) or 𝘱𝘳𝘰𝘷𝘪𝘵𝘢𝘮𝘪𝘯 𝘈.
One way or another, they suffer alterations to become 𝘳𝘦𝘵𝘪𝘯𝘰𝘭𝘴. This is simply because those are easier absorbed in the small bowel.
Those tissues are mainly:
Another group of molecules called 𝐋𝐃𝐋 (𝘓𝘰𝘸-𝘋𝘦𝘯𝘴𝘪𝘵𝘺 𝘓𝘪𝘱𝘰𝘱𝘳𝘰𝘵𝘦𝘪𝘯𝘴) might also do that transport.
𝐕𝐞𝐫𝐲 𝐢𝐦𝐩𝐨𝐫𝐭𝐚𝐧𝐭 𝐭𝐨 𝐤𝐧𝐨𝐰:
Bear in mind any disease affecting the bowels (and I am referring to the 𝘴𝘮𝘢𝘭𝘭 𝘣𝘰𝘸𝘦𝘭) will affect fat absorption capacity. In turn, this will affect Vitamin A absorption as well.
Remember we spoke about Vit A being fat soluble?
Conditions that affect Vit A absorption:
People with any of these conditions should take 𝐕𝐢𝐭 𝐀 𝐬𝐮𝐩𝐩𝐥𝐞𝐦𝐞𝐧𝐭𝐬.
When Vit A is not absorbed, it will be excreted in stools.
The one that becomes inactivated in the bloodstream will be excreted in the urine.
The big problem is that our body absorbs Vit A better than it destroys it.
This can lead to excessive accumulation and 𝐕𝐢𝐭 𝐀 𝐭𝐨𝐱𝐢𝐜𝐢𝐭𝐲.
Dr Costa is a Consultant Paediatrician and fellow of the Royal College of Paediatrics and Child Health.