Most studies show that antioxidants are only effective for preventing cataract formation when taken over a long period of time, double the time of this study.
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The form of vitamin E that is used is also important, as gamma tochopherol is proving to be a much more effective scavenger of free radicals than the more commonly used alpha tocopherol.
Indians are using much more vegetable oil in their cooking than in the past. Vanaspati ghee, a hydrogenated vegetable oil appears to be replacing Desi ghee, a butter derivative oil. As oxidized vegetable oil is considered to be one of the main reasons for cataract formation it looks like there could well be an increase in this disease in that part of the world.