Fish oil is a supplement made from oily fish that supplies the long-chain omega-3 fatty acids EPA (eicosapentaenoic acid) and DHA (docosahexaenoic acid). Most research on it has looked at heart health and triglycerides. The body makes only small amounts of EPA and DHA from the plant omega-3 ALA.
Also known as: omega-3, EPA, DHA.
ODS lists Adequate Intakes for total omega-3s of 1.6 g a day for men and 1.1 g for women (as ALA), with no separate intake value for EPA and DHA and no upper limit. ODS notes FDA has concluded that supplements providing no more than 5 g a day of EPA and DHA are safe when used as recommended, and that supplement labels should not recommend more than 2 g a day.
It is sold in the US as a dietary supplement. Under the 1994 dietary supplement law (DSHEA), FDA does not approve dietary supplements before they are marketed, and the maker, not FDA, is responsible for safety and labeling. High-dose prescription omega-3 drugs also exist, such as Vascepa (icosapent ethyl, an EPA-only form). ODS notes the American Heart Association concludes that 4 g a day of prescription omega-3s lowers triglycerides.
A 2020 Cochrane review cited by ODS found omega-3 supplements lowered triglycerides by about 15% and slightly reduced heart deaths and coronary events, but did not change overall deaths, strokes or arrhythmia. Two large trials found 4 g a day for several years slightly raised the risk of atrial fibrillation in people with or at high risk of heart disease. Fish oil may prolong clotting with warfarin, although most research found 3 to 6 g a day did not significantly change anticoagulation; the prescription labels say INR should be checked periodically. Common side effects are mild: unpleasant taste, bad breath, heartburn, nausea and diarrhea.
We could not find a single published half-life or time to peak for EPA and DHA that applies to a supplement dose, so we do not list one. They build up in cell membranes over weeks: ODS notes the omega-3 index, measured in red blood cells, reflects intake over about the previous 120 days.
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