Vitamer

Vitamers often have subtly different properties from their primary, or most common form. These differences include abundance in the typical diet, bioavailability, toxicity, physiological activities, and metabolism. Some vitamers are associated with different benefits for health compared to other forms of the same vitamin. Folic acid, a vitamer of vitamin B9 commonly added to fortified foods and dietary supplements, is 0.7–1.0 times more bioavailable than vitamers of vitamin B9 found in minimally processed foods. Differences in digestion and absorption account for the notable differences in bioavailability between vitamers of vitamin B9. Forms of vitamin B9 that occur in minimally processed foods, sometimes referred to as "food folates", require digestion by enzymatic hydrolysis prior to absorption whereas folic acid does not. Some vitamins have toxic effects when consumed in excess amounts and certain vitamers have a greater potential for toxicity compared to other forms of the same vitamin. For example, hypervitaminosis A is a toxicity syndrome caused by excess consumption of retinoid vitamers of vitamin A such as retinol, retinal, and retinoic acid. In contrast, provitamin A carotenoids such as beta-carotene are not associated with these toxic effects. Nicotinic acid and nicotinamide are two vitamers of vitamin B3 that exhibit differences in metabolism. Large, pharmaceutical doses of the nicotinic acid are used under medical supervision as a treatment for hypercholesterolemia. High doses of nicotinic acid are also associated with a potential for adverse effects, most commonly a niacin flush reaction that is characterized by redness or flushing of the skin, sensations of heat, itching, and tingling. The nicotinamide vitamer of vitamin B3 does not exhibit the same therapeutic effect for treatment of hypercholesterolemia, but also does not cause a niacin flush reaction and is not associated with the same adverse effects as nicotinic acid. == Foods and dietary supplements ==

As part of an overall diet, minimally processed foods provide a number of different naturally occurring vitamers. This is frequently in contrast to fortified foods and dietary supplements which generally provide vitamins as a single vitamer. Vitamin E, vitamin B6, and vitamin B9 are three examples. Vitamin E Naturally occurring vitamers of vitamin E include tocopherols (α-, β-, γ-, and δ-) and tocotrienols ( α-, β-, γ-, and δ-). Many plant-based foods provide all eight naturally occurring vitamers of vitamin E in varying amounts from different sources. Tocopherols are more abundant in commonly consumed foods relative to tocotrienols. Fortified foods and dietary supplements predominantly contain vitamin E as α-tocopherol salts, most frequently as tocopheryl acetate or vitamin E acetate. Normal serum concentrations of α-tocopherol in adults ranges from 5 to 20 μg/mL. The liver has a limited capacity to metabolize folic acid into tetrahydrofolate. Any folic acid that is not converted to tetrahydrofolate in the liver remains in the blood until it is either metabolized in the liver or excreted by the kidney. Folic acid that remains in the blood stream is considered unmetabolized folic acid. Since the introduction of mandatory folic acid fortification in the US, most people have a variable amount of unmetabolized folic acid circulating in their blood. == List of vitamins with some of their active forms ==