“…However, recent meta-analysis re-examining the relationship between supplemental vitamin E and all-cause mortality concluded that supplementation with vitamin E appears to have no effect on all-cause mortality at doses lower than 400 IU/day, which are higher than the doses used in our study [33,34]. The mechanisms by which the supplementation with antioxidant vitamins induces lymphopenia are not clear, although an increase in the levels of corticosteroids in response to ascorbate could be involved [39,40]. Studies using amounts of vitamin C about 500 mg/day reported possible prooxidant effects, whereas at lower levels were only reported antioxidant effects [35,36].…”