Vitamin E toxicity is rare. Doses up to 400 IU per day are considered safe, and doses up to 3200 IU have not consistently caused ill effects. However, doses over 1000 IU per day have been associated with side effects like headache, fatigue, and nausea in some cases. At very high levels, vitamin E may interfere with the functions of other fat-soluble vitamins like vitamins A, D, and K by inhibiting their metabolism.