Background: Asymmetric a-carotene, a provitamin A carotenoid, is cleaved to produce retinol (vitamin A) and a-retinol (with negligible vitamin A activity). The vitamin A activity of a-carotenecontaining foods is likely overestimated because traditional analytic methods do not separate a-retinol derivatives from active retinol.Objective: This study aimed to accurately characterize intestinal a-carotene cleavage and its relative contribution to postprandial vitamin A in humans after consumption of raw carrots. Design: Healthy adults (n = 12) consumed a meal containing 300 g raw carrot (providing 27.3 mg b-carotene and 18.7 mg a-carotene). Triglyceride-rich lipoprotein fractions of plasma were isolated and extracted, and a-retinyl palmitate (aRP) and retinyl palmitate were measured over 12 h postprandially via highperformance liquid chromatography-tandem mass spectrometry. The complete profile of all a-retinyl esters and retinyl esters was measured at 6 h, and total absorption of a-and b-carotene was calculated. Results: aRP was identified and quantified in every subject. No difference in preference for absorption of b-over a-carotene was observed (adjusting for dose, 28% higher, P = 0.103). After absorption, b-carotene trended toward preferential cleavage compared with a-carotene (22% higher, P = 0.084). A large range of provitamin A carotenoid conversion efficiencies was observed, with a-carotene contributing 12-35% of newly converted vitamin A (predicted contribution = 25.5%). In all subjects, a majority of a-retinol was esterified to palmitic acid (as compared with other fatty acids). Conclusions: a-Retinol is esterified in the enterocyte and transported in the blood analogous to retinol. The percentage of absorption of a-carotene from raw carrots was not significantly different from b-carotene when adjusting for dose, although a trend toward higher cleavage of b-carotene was observed. The results demonstrate large interindividual variability in a-carotene conversion. The contribution of newly absorbed a-carotene to postprandial vitamin A should not be estimated but should be measured directly to accurately assess the vitamin A capacity of a-carotenecontaining foods. This trial was registered at clinicaltrials.gov as NCT01432210.Am J Clin Nutr 2017;106:59-66.