Understanding Vitamin C (Ascorbic Acid): Normal vs Optimal Ranges
Also known as: ascorbic acid, serum vitamin c
?What is Vitamin C (Ascorbic Acid)?
Vitamin C (ascorbic acid) is an essential water-soluble antioxidant required for collagen synthesis, immune function, iron absorption, wound healing, and neurotransmitter production. Humans cannot synthesise vitamin C and depend entirely on dietary sources — primarily fruits and vegetables. It acts as a powerful electron donor, neutralising free radicals and regenerating vitamin E.
!Why It Matters
Severe vitamin C deficiency causes scurvy — characterised by bleeding gums, poor wound healing, joint pain, and fatigue. Subclinical deficiency is common in smokers, elderly patients, and those with poor fruit and vegetable intake. Vitamin C enhances non-haem iron absorption (important in vegetarians), supports immune cell function, and has high-dose IV applications in sepsis management and adjunct cancer care.
Reference Ranges
| Range Type | Min | Max | Unit | Note |
|---|---|---|---|---|
| Lab Normal | 6 | 20 | mg/L | Standard lab reference range |
| Optimal | 6 | 20 | mg/L | Evidence-based optimal range for health |
| Longevity Target | 6 | 20 | mg/L | Per longevity medicine research (Attia et al.) |
Lab normal ranges may vary between laboratories. Optimal and longevity targets are based on research literature and should be interpreted with your physician.
Symptoms of Imbalance
- Deficiency: easy bruising, bleeding gums, slow wound healing, fatigue, dry scaly skin
- Scurvy (severe): corkscrew hairs, perifollicular haemorrhages, haemarthrosis
How to Improve Your Levels
- 1Eat vitamin C-rich foods: amla (highest natural source), bell peppers, kiwi, citrus, strawberries
- 2Cooking destroys vitamin C — eat raw or lightly cooked
- 3Supplementation: 500-2000 mg/day for deficiency; dose-dependent benefits plateau around 200 mg/day
- 4Smokers need approximately 35 mg/day more than non-smokers
When to Test
Suspected scurvy or subclinical deficiency; pre-surgical nutritional assessment; monitoring high-dose IV vitamin C therapy.
Related Biomarkers
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