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Antioxidants & Free Radicals — What the Science Actually Says

Free radicals, oxidative stress and the antioxidants that keep them in check — where to find them, which supplements are worth it, and the honest truth about why food beats high-dose pills.

Reviewed by Bodil Isaksson, Licensed Biomedical Scientist (Sweden) Last reviewed July 2026 Reference guide

Nutrition basicsAntioxidantsOxidative stressSupplements — honest

An antioxidant is any molecule that neutralises free radicals — unstable, reactive molecules that can damage cells. Your body makes its own antioxidant defences and tops them up from food. This page explains the concept honestly, lists the main dietary and supplemental antioxidants, and ends with the evidence on antioxidant supplements — which is not what the marketing suggests.

First, the big nuance. Free radicals (reactive oxygen species, ROS) are not simply "bad." Your body deliberately makes them for cell signalling, immune defence and adaptation to exercise. The goal is balance, not zero. This is exactly why flooding the body with high-dose antioxidant pills can backfire — covered at the end.

Read first. Doses here describe research and clinical use — they are information, not a prescription. Getting antioxidants from a varied, colourful diet is safe and recommended; high-dose isolated supplements are a different matter and can interact with medication or, in some cases, cause harm (see the supplement section). Always ask a doctor or pharmacist before therapeutic use, in pregnancy, or alongside medicines.

Free radicals & oxidative stress

What actually happens

Free radicals: molecules with an unpaired electron (mostly reactive oxygen species), produced normally when cells make energy, and raised by smoking, pollution, UV light, alcohol and inflammation. They "steal" electrons from DNA, proteins and fats, causing oxidative damage.

Oxidative stress: the state where free-radical production outpaces your antioxidant defences. Over time it is implicated in ageing and in heart disease, cancer and neurodegeneration — though it is usually one factor among many, not the sole cause.

The defence: a layered system — the body's own enzymes (superoxide dismutase, catalase, glutathione peroxidase) plus dietary antioxidants (vitamins C and E, carotenoids, polyphenols). They work as a team, recycling each other — which is why one isolated mega-dose rarely mimics the effect of whole food.

Antioxidant vitamins

Vitamin C (ascorbic acid)

Need ≈ 75–110 mg/dayWater-phase antioxidant

What it does: the main antioxidant in the watery parts of the body and blood; it also regenerates vitamin E back to its active form. Where: citrus, berries, kiwi, peppers, broccoli. Full detail on the Vitamins page.

Antioxidant useBest from food; supplements help mainly if intake is low. Very high doses are not proven to prevent disease.
Upper limit2,000 mg/day — beyond this, diarrhoea and, in susceptible people, kidney-stone risk.

Vitamin E (tocopherols)

Need ≈ 11–13 mg/dayFat-phase antioxidant

What it does: the main antioxidant protecting cell membranes and blood fats from oxidation. Where: vegetable oils, nuts, seeds, avocado. Full detail on the Vitamins page.

Antioxidant useFood sources are safe and useful; high-dose E supplements are not recommended — see SELECT below.
Upper limit300 mg/day (EFSA). Excess raises bleeding risk, especially with blood thinners.

Carotenoids

The red, orange and yellow pigments in plants — fat-soluble antioxidants best absorbed with a little fat and often better from cooked food.

Beta-carotene

No official UL · supplements: keep ≤ 7 mg/dayFood safe · high-dose pills risky

What it does: an orange pigment the body converts to vitamin A; antioxidant in plant foods. Where: carrots, sweet potato, pumpkin, dark leafy greens, apricots.

Best sourceWhole vegetables — safe and beneficial at any normal dietary amount.
Safe doseThere is no official Tolerable Upper Intake Level — the data were too limited to set one. Instead, the UK Expert Group on Vitamins and Minerals set a supplemental guidance level of ~7 mg/day, and EFSA advised against supplements of 20 mg/day or more.12 The 100 mg capsules sold for tanning are many times higher than any authority supports.
Smoker warningHigh-dose beta-carotene (20–30 mg/day) increased lung cancer in smokers (ATBC, CARET). If you smoke or used to, avoid beta-carotene supplements entirely — get it from food.23

Does it make you tan? Only sort of — and not a real tan. Beta-carotene builds up in the skin and lends a faint golden-orange tint, but that is pigment deposited in the skin, not melanin, so it is not the protective tan you get from sun exposure. As sun protection it is weak: a meta-analysis found a small reduction in sunburn only after 10+ weeks of supplementing — no substitute for sunscreen.13 And the doses that would noticeably colour the skin are the same high doses tied to the smoker cancer risk. (Older "tanning pills" using canthaxanthin are worse — they can deposit crystals in the retina and are not approved for this use.)

Lycopene

Studied: ~10–30 mg/day from food

What it does: the red carotenoid, a strong singlet-oxygen quencher; observational links to prostate and cardiovascular health. Where: cooked tomato (paste, sauce, ketchup — heat and oil boost absorption), watermelon, pink grapefruit, guava.

Antioxidant useEvidence is strongest from lycopene-rich food; isolated supplement trials are mixed.
CautionVery well tolerated from food; extreme intakes can harmlessly tinge skin orange.

Lutein & zeaxanthin

AREDS2: 10 mg lutein + 2 mg zeaxanthinEye antioxidants

What they do: concentrate in the macula of the eye, filtering blue light and protecting the retina. Where: kale, spinach, other dark greens, egg yolk, sweetcorn.

Antioxidant useIn the large AREDS2 trial, adding lutein + zeaxanthin did not significantly slow progression to advanced age-related macular degeneration overall (HR 0.90, 98.7% CI 0.76–1.07, P=.12). Benefit showed up only in secondary analyses — in people with the lowest dietary lutein intake, and when lutein/zeaxanthin was compared directly against beta-carotene. That substitution is the real practical result: a safer formulation, especially for smokers, rather than a proven added benefit.4
Upper limitNo formal UL; well tolerated.

Astaxanthin

Studied: 4–12 mg/day

What it does: a red carotenoid from microalgae, a potent antioxidant; gives salmon and shrimp their pink colour. Where: wild salmon, trout, shrimp, and algae-based supplements.

Antioxidant usePopular for skin and exercise recovery; early evidence is promising but small — not yet firmly established.
Upper limitNo formal UL; generally well tolerated.

Polyphenols & flavonoids

The largest family of dietary antioxidants — the pigments and bitter compounds in plants. More on the Phytochemicals page. A key modern insight: their benefit may come less from direct radical-scavenging and more from switching on the body's own antioxidant and anti-inflammatory defences (hormesis).

The key dietary polyphenols

Best as food & drink

Green-tea catechins (EGCG): green tea and matcha — studied for heart and metabolic health.

Anthocyanins: the blue-purple-red of blueberries, blackberries, black rice and red cabbage — among the most studied for vascular and brain health.

Quercetin: onions, apples, capers, tea — a flavonol sold as a supplement (~500–1000 mg) for allergy and exercise, evidence modest.

Resveratrol: red grapes, peanuts, berries — famous but with weak human evidence; supplement doses far exceed anything you get from food.

Curcumin (turmeric): studied for inflammation and joints; poorly absorbed alone (usually paired with piperine/black pepper).

Cocoa flavanols & olive polyphenols: dark chocolate/cocoa (blood-vessel function) and extra-virgin olive oil (hydroxytyrosol/oleocanthal — see ).

Pycnogenol & grape-seed OPCs

Studied: 100–200 mg/dayEvidence limited

What it is: Pycnogenol is a branded extract of French maritime pine bark (Pinus pinaster), standardised to ~65–75% procyanidins (OPCs) — the same class of antioxidant found in grape-seed extract and to which it is closely related.

Where you find the parent compounds: OPCs occur naturally in grapes and grape seeds, cocoa, apples, berries and cinnamon; the extracts concentrate them.

Studied forCirculation and chronic venous insufficiency (leg swelling), blood pressure, skin and cognition, at ~100–200 mg/day.
Honest evidenceMost trials are small, short and often industry-funded. A Cochrane review found the evidence insufficient to support Pycnogenol for any chronic condition — so treat the claims as unproven.5 Generally well tolerated; caution with blood thinners and immune-modifying drugs.

Grape-seed extract (OPCs)

Studied: 100–300 mg/dayBest evidence: blood pressure

What it is: an extract of grape (Vitis vinifera) seeds, rich in the same proanthocyanidins (OPCs) as Pycnogenol — usually standardised to a high polyphenol content.

Where you find the parent compounds: grapes and grape seeds, and the wider OPC family (pine bark, cocoa, berries).

Studied forIts best evidence is a modest lowering of blood pressure and heart rate: a meta-analysis of randomised trials found small but real reductions, strongest in younger and metabolic-syndrome groups.11 Also studied for leg swelling/venous health and antioxidant markers.
Honest noteTrials are mostly small and short, so it is a possible add-on, not a replacement for blood-pressure medication. Well tolerated; caution with blood thinners.

The body's own & thiol antioxidants

Glutathione (and NAC)

Master antioxidant

What it does: the body's main internal antioxidant, made from cysteine, glycine and glutamate; it recycles vitamins C and E. Boosting it: oral glutathione is poorly absorbed, so the building block N-acetylcysteine (NAC) is the usual route — see Amino acids. Also supported by protein, sulphur vegetables and selenium.

NoteNAC is a genuine medicine (paracetamol-overdose antidote, mucolytic); everyday "glutathione for skin/detox" claims are largely unproven.

Alpha-lipoic acid (ALA)

Studied: 300–600 mg/day

What it does: an unusual antioxidant that works in both water and fat phases and helps regenerate other antioxidants; the body makes small amounts. Where: tiny amounts in red meat, organ meats and spinach; meaningful doses only from supplements.

Studied forBest evidence is for diabetic nerve pain (neuropathy), where 600 mg/day has been used in trials.
CautionCan lower blood sugar — care if you take diabetes medication.

Coenzyme Q10 (ubiquinol)

Studied: 100–300 mg/day

What it does: an antioxidant in every cell's mitochondria and part of energy production; levels fall with age and with statin use. Where: meat, oily fish, organ meats, some nuts and oils; the body also makes it.

Studied forBest evidence is in heart failure (the Q-SYMBIO trial) and for easing statin-related muscle aches (mixed results).6
CautionWell tolerated; may reduce the effect of warfarin.

Antioxidant minerals

Selenium, zinc, copper & manganese

Cofactors, not antioxidants themselves

These minerals don't neutralise radicals directly — they are built into the body's antioxidant enzymes. Selenium powers glutathione peroxidase; zinc, copper and manganese are needed for superoxide dismutase (SOD). Full detail on the Minerals page.

Where: selenium in Brazil nuts, fish, eggs; zinc in meat, shellfish, seeds; copper in nuts, cocoa, shellfish; manganese in whole grains, nuts, tea.

CautionSelenium has a narrow safe range — a couple of Brazil nuts a day is plenty; the UL is ~300 µg and excess is toxic. More is not better.

Also worth knowing

Melatonin

Antioxidant beyond sleep

What it does: best known as the sleep hormone, melatonin is also a direct antioxidant that reaches the mitochondria and helps recycle glutathione. Made by the body; found in tiny amounts in some foods (pistachios, tart cherries). See the Sleep guide for dosing and safety.

Do antioxidant supplements actually work?

This is the part the supplement aisle won't tell you. The short answer: eat the rainbow, skip most of the pills.

The big trials that changed the science:

  • ATBC (1994) & CARET (1996): high-dose beta-carotene (± vitamin A/E) increased lung cancer and death in smokers — the opposite of the intended effect.23
  • SELECT (2011): vitamin E supplements slightly raised prostate-cancer risk in healthy men; selenium added no benefit.7
  • Cochrane meta-analysis: across many trials, antioxidant supplements (beta-carotene, vitamin E, high-dose vitamin A) did not reduce mortality — and may slightly increase it.8

Why food wins. Whole foods deliver antioxidants in modest, balanced amounts alongside fibre and hundreds of co-factors that work as a team. Isolated high doses break that balance — and because your body uses some free radicals, blunting them all can be counter-productive. For example, high-dose vitamin C and E around training can blunt the muscle and endurance adaptations to exercise.9

And "ORAC" scores? The antioxidant-capacity ("ORAC") values once printed on superfood labels were withdrawn by the USDA in 2012 as misleading — a food's test-tube antioxidant score doesn't predict what happens in your body.10

The honest bottom line: a colourful diet — berries, leafy greens, tomatoes, tea, cocoa, extra-virgin olive oil, nuts, oily fish — gives you every antioxidant on this page in the form the evidence actually supports. Targeted supplements have a few specific, evidence-based uses (lutein/zeaxanthin as the safer substitute for beta-carotene in the AMD formulation, CoQ10 in heart failure, ALA in diabetic neuropathy, NAC as a medicine). Broad "antioxidant" pills for general health are not supported — and high-dose beta-carotene and vitamin E can do harm.

Bodil Isaksson, Licensed Biomedical Scientist (Sweden)

At Food Health Lab we explain what the science says in plain language, and we cite our sources so you can check for yourself.

References

Doses are general values from research and official bodies; individual needs and cautions vary. Therapeutic doses describe clinical/research use, not prescriptions.

  1. US NIH Office of Dietary Supplements. Vitamin C, Vitamin E and Selenium — Health Professional Fact Sheets (functions, sources, upper limits, antioxidant evidence). ods.od.nih.gov/factsheets
  2. The Alpha-Tocopherol, Beta-Carotene Cancer Prevention (ATBC) Study Group. The effect of vitamin E and beta carotene on the incidence of lung cancer in male smokers. N Engl J Med 1994;330:1029–35. nejm.org
  3. Omenn GS, et al. Effects of a combination of beta carotene and vitamin A on lung cancer (CARET). N Engl J Med 1996;334:1150–5. nejm.org
  4. The AREDS2 Research Group. Lutein + zeaxanthin and omega-3 fatty acids for age-related macular degeneration (AREDS2). JAMA 2013;309(19):2005–15. jamanetwork.com
  5. Schoonees A, et al. Pycnogenol (extract of French maritime pine bark) for the treatment of chronic disorders. Cochrane Database of Systematic Reviews 2012, CD008294 (evidence insufficient). cochranelibrary.com
  6. Mortensen SA, et al. The effect of coenzyme Q10 on morbidity and mortality in chronic heart failure (Q-SYMBIO). JACC Heart Fail 2014;2(6):641–9. jacc.org
  7. Klein EA, et al. Vitamin E and the risk of prostate cancer (SELECT). JAMA 2011;306(14):1549–56. jamanetwork.com
  8. Bjelakovic G, et al. Antioxidant supplements for prevention of mortality in healthy participants and patients with various diseases. Cochrane Database of Systematic Reviews 2012, CD007176. cochranelibrary.com
  9. Paulsen G, et al. Vitamin C and E supplementation blunts endurance training adaptations in humans. J Physiol 2014;592(8):1887–1901. physoc.onlinelibrary.wiley.com
  10. US Department of Agriculture, Agricultural Research Service. Oxygen Radical Absorbance Capacity (ORAC) of Selected Foods — withdrawn (2012). ars.usda.gov
  11. Feringa HHH, et al. The effect of grape seed extract on cardiovascular risk markers: a meta-analysis of randomized controlled trials. J Am Diet Assoc 2011;111(8):1173–81. jandonline.org
  12. UK Expert Group on Vitamins and Minerals (EVM). Safe Upper Levels for Vitamins and Minerals (2003) — supplemental guidance level for beta-carotene ~7 mg/day; and EU Scientific Committee on Food opinion advising against ≥20 mg/day. cot.food.gov.uk (PDF)
  13. Köpcke W, Krutmann J. Protection from sunburn with beta-carotene — a meta-analysis. Photochemistry and Photobiology 2008;84(2):284–288. onlinelibrary.wiley.com

This article summarizes nutrition science from official health authorities and peer-reviewed sources for education. It is not a substitute for individual medical advice, and the doses given are not prescriptions — always consult a professional before therapeutic supplement use, in pregnancy, or alongside medication.

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