From Anirva. This article is general information, not medical advice. These statements have not been evaluated by the Food and Drug Administration. This article is not intended to diagnose, treat, cure, or prevent any disease.
Vitamin A and its plant precursor, beta-carotene, have been studied in connection with skin health. Here's what that research shows about diet and dietary supplements — and why it's different from prescription retinoid treatment for acne.
In this article
Key Takeaways
- Vitamin A (including beta-carotene, which the body converts into vitamin A) has been studied for its role in skin cell turnover, oil production, and inflammation — all factors connected to acne.
- Prescription oral isotretinoin, a synthetic vitamin A derivative, is an FDA-approved medication for severe acne — but it is only available by prescription, requires medical supervision, and is not the same thing as a vitamin A or beta-carotene dietary supplement.
- Vitamin A is available through diet, and also through supplements — but vitamin A can be toxic in excess, and more is not better.
- Vitamin A supplements are not a substitute for prescribed acne treatment, and excess intake carries real risks, including during pregnancy.
Vitamin A and Beta-Carotene
Vitamin A exists in a few forms. Preformed vitamin A (such as retinyl acetate) is found in animal foods like dairy, meat, and fish, and is converted by the body into retinoic acid. Beta-carotene is a provitamin A carotenoid — a plant pigment, found in foods like carrots and sweet potatoes, that the body converts into vitamin A as needed.
Certain digestive conditions (including Crohn's disease, cystic fibrosis, and gallbladder disease) or alcohol and certain medications can affect how well the body converts beta-carotene into usable vitamin A. If you have a condition like this, talk to a doctor about whether your vitamin A intake needs attention.
How Vitamin A Has Been Studied
Research has looked at several mechanisms connecting vitamin A to skin and acne, including skin cell turnover, keratin regulation (which affects whether dead skin cells clog pores), sebum (oil) production, and inflammation. Retinoids have also been studied for activity against bacteria on the skin, including Propionibacterium acnes (1).
A Note on Prescription Retinoids
Oral isotretinoin — a synthetic, prescription-only form of vitamin A — has been FDA-approved for severe acne since 1982 and has a well-documented treatment track record (2). It is a serious medication: it requires a prescription, ongoing monitoring by a doctor (including bloodwork), and for anyone who can become pregnant, mandatory pregnancy testing and contraception under FDA-mandated safety programs, because it can cause severe birth defects.
Food Sources
Vitamin A and beta-carotene are found in a variety of foods, including fish, liver, carrots, broccoli, squash, cantaloupe, dairy products, and fortified cereals. For most people, a varied diet is the simplest way to meet vitamin A needs.
Things to Know Before Supplementing
Vitamin A is fat-soluble, meaning it's generally better absorbed when taken with a meal containing some fat. Unlike water-soluble vitamins, excess vitamin A is stored in the body rather than excreted, which is why it's possible to take too much.
Frequently Asked Questions
Is taking a vitamin A supplement the same as taking isotretinoin (Accutane)?
Can I take too much vitamin A?
Is vitamin A safe during pregnancy?
References
- Retinoids and antimicrobial activity against skin bacteria: a review. Science Signaling, 2019.
- Oral isotretinoin for moderate acne: a clinical study. PMCID: PMC4384860.