Low levels of serum vitamin E may be associated with an increased risk of certain medical conditions, such as cardiovascular disease, cancer, and Alzheimer’s disease. However, it is important to note that serum vitamin E testing is not recommended as a routine screening test and should only be ordered when medically necessary. High levels of vitamin E intake from supplements or diet may also be associated with certain health risks, such as bleeding disorders. It is important to follow up with a healthcare provider to discuss the results and receive appropriate treatment and monitoring.