Fish oil comes from the tissue of fish and is rich in beneficial omega-3 fatty acids. These fatty acids have been shown to reduce inflammation and provide cardiovascular protection as well as having a number of other potential health benefits.
On this page, we discuss the general benefits and uses of fish oil, and list all of the fish oil products. However, we have far more information on the pages for the specific fatty acids that are most important in fish oil -- EPA and DHA -- and those pages list products specifically marketed to have high concentrations.
In general, it is extremely important for nearly everyone to supplement with fish oil. However, it's even more important to get a source that is high in DHA. The vague and generic "fish oil" products that do not list the amount of this fatty acid are not guaranteed to be as beneficial to your health.
Read more to find out why:
Benefits
The omega-3 fatty acids found in fish oil primarily function as a potent anti-inflammatory agent. Fish oil is used for supplementation because it is by far the greatest natural source of both EPA (eicosapentaenoic acid) and DHA (docosahexaenoic acid), the specific fatty acids that have been linked to a majority of the benefits listed below.
Omega-3 supplementation has potential benefit for any condition caused or exacerbated by chronic inflammation. Some specific applications of fish oil's natural anti-inflammatory power that have shown benefit in medical studies include:
Cardiovascular
Fish oil is taken to reduce blood pressure and treat hypertriglyceridaemia.[1] It may also slow the development of cardiovascular disease.[2]
Arthritis
Fish oil has been shown to ease joint pain and stiffness, particularly in helping to more quickly recover from morning stiffness.[3]
Mental health
Fish oil is taken to alleviate symptoms of depression, heightened aggression, and schizophrenia.[5, 6]
Pregnancy
Omega-3 fatty acids promote fetal health and neural development, but also are of great benefit to the mother as omega-3s are heavily depleted by fetal growth.[7]
Cancer
Omega-3 supplementation may have an anti-cancer effect, particularly on colon and breast cancers.[4]
Physical fitness
Fish oil also has some benefit as a workout supplement. You'll find omega-3s in most pre-workout supplement stacks, often in the form of fish oil. It has shown some small benefit in reduction of fat mass and promotion of lean mass. The benefits to a workout routine are relatively minor, but there's no harm in taking it unless you're consuming lots of fatty fish as part of your regular diet or have a fish allergy.
Recommended dosage
No RDA has been established for fish oil. The most important factor when choosing a fish oil is the amounts of EPA and DHA it contains. You'll find that fish oil supplements commonly contain 0.18g (180mg) of EPA and 0.12g (120mg) of DHA per dose.[8] If you're considering fish oil supplementation you'll also want to take stock of your diet and determine your intake of omega-6 fats. For maximum health benefit the ideal ratio of omega-3 to omega-6 is 4:1.
RDA for healthy adults
The American Heart Association (AHA) has made some recommendations regarding the general consumption of fish and fish oil supplements. Healthy adults with no history of heart disease are advised to have at least two servings of fish per week.
RDA with heart disease
Adults with coronary heart disease should take 1g daily of EPA and DHA through supplementation. Adults with high cholesterol should supplement with 2g to 4g daily of EPA and DHA. For adults with high blood pressure, the AHA advises 3g to 4g per day by supplementation, but only with the approval of a physician.[9]
Forms
Freezing your fish oil supplements helps keep them fresh and can prevent "fish burps."
Due to its strong flavor and odor (not to mention the dreaded "fish burps") fish oil is generally taken by gel capsule. It's available in pure oil form, however, such as cod liver oil. Fish oil is also available as a powder, but is generally formulated this way for animals.
Side effects
The side effects of low doses of fish oil are mostly cosmetic or minor irritants rather than anything detrimental to health. It's possible you may experience an upset stomach, temporary halitosis, heartburn, or loose stools.
When doses exceed 3g per day, more serious side effects can occur. These include internal bleeding, suppression of the immune system, and irregular heartbeat.[8]
Disadvantages
Fish oil is starting to become like chocolate, eggs, and beer in that studies that contradict previous studies continue to appear on a regular basis and put fish oil's beneficial qualities in a constant state of uncertainty.
There's a staggering range of potential uses for fish oil and medical studies related to those uses. If you intend to take fish oil as a supplement, it's important to clearly define the reason you are taking the supplement and then look over the body of evidence specific to that condition for yourself to determine benefit.
Conflicting study results
A recent negative study, published in The Journal of the National Cancer Institute in July 2013, and widely reported in the media, found a higher risk of prostate cancer among men who regularly consumed omega-3 fatty acids. This was very quickly contradicted by a November 2013 study conducted by the UCLA Department of Urology, which found that 5g of fish oil daily not only reduced the risk of developing prostate cancer but also reduced mortality from the disease by 63%.
Health problems
If you have blood clotting or bleeding issues, consult with a doctor before taking fish oil supplements.
Food Sources
The tissue of oily fish is by far the most concentrated source of EPA and DHA occurring in nature. It is also produced from algae, which may be more vegetarian-friendly.
Many other foods provide ALA, an omega-3 fatty acid that the body can convert into EPA and DHA. Kiwi, perilla, chia seed, flax, lingonberry, black raspberry, hemp, butternuts, walnuts, pecans, and hazelnuts all have relatively high concentrations of ALA.
Fish oil vs. flaxseed oil
It is important to note that the body only partially converts ALA to EPA and DHA, so it takes a far larger amount of ALA to receive an equivalent amount of EPA and DHA to that taken directly through fish oil. This is the main reason why fish oil is a superior supplement to other omega-3 sources such as flax seed oil.[12,13,14]
Considerations
At this point in time, fish oil has not been conclusively implicated in promoting any sort of disease. By the same token, it's important to recognize that many of the claims about fish oil's benefits are not fully substantiated yet as they've only been shown in mice or in isolated short-term tests. The best long-term evidence for fish oil's benefit comes from cultures that have regularly consumed large amounts of fish as part of their diet (such as the Japanese[10] and the Inuit.[11]) Not only do they not seem to be at any increased risk for any cancers, statistically, they also enjoy better heart health overall. Additionally, a strong body of medical evidence supports fish oil's beneficial role in treating cardiovascular issues and physicians will often prescribe it as part of a treatment regimen.
Purity
Purity is a primary consideration when you're looking for a fish oil. High levels of mercury can be present in predatory fish that are also a good source of omega-3s, such as albacore tuna and swordfish. Mercury is actually more of a concern if you're eating fish than if you're taking fish oil as a supplement, as mercury selectively binds with protein in the muscles of fish. Fish oil supplements are often purified to eliminate traces of mercury, however, and this will be advertised on the label.
Important information
Dietary changes may be necessary to see the full benefit of omega-3 supplementation in the presence of large amounts of omega-6 fatty acids.
The existing ratio of omega-6 to omega-3 in your diet is also an important consideration. Omega-3's health benefits are offset by the presence of large amounts of omega-6 fatty acids, so dietary change may be necessary to see the full benefit of omega-3 supplementation.
Warnings
- Though a seafood allergy is not guaranteed to equate to a fish oil allergy, it's possible. If you have any sort of fish allergy you may want to err on the side of caution and avoid fish oil altogether.
- Fish oil supplements should not be taken by children.
- Do not exceed 3g of fish oil intake per day unless under the advice of a physician as it may promote internal bleeding.[8]
Where to buy
You can compare different brands of fish oil, check ingredients and find the best price right here at PricePlow. Save 30 to 50% off of retail prices and cut out the sales tax on top — if applicable.
References
- Mattar, M, et. al.; Nutrition and Health; "Fish oil and the management of hypertriglyceridemia;" January 2009
- Djoussé, L, et. al.; Clinical Nutrition; "Fish consumption, omega-3 fatty acids and risk of heart failure: A meta-analysis;" June 2012
- Tempel, H, et. al.; Annual Rheumatism; "Effects of fish oil supplementation in rheumatoid arthritis;" February 1990
- Deckere, D; European Journal of Cancer Prevention; "Possible beneficial effect of fish and fish n-3 polyunsaturated fatty acids in breast and colorectal cancer;" 1999
- Amminger, G.P., et. al.; Archives of General Psychiatry; "Long-Chain -3 Fatty Acids for Indicated Prevention of Psychotic Disorders: A Randomized, Placebo-Controlled Trial;" 2009
- Gesch, C.B., et. al.; The British Journal of Psychiatry; "Influence of supplementary vitamins, minerals and essential fatty acids on the antisocial behaviour of young adult prisoners: Randomised, placebo-controlled trial;" 2002
- Jensen, C, et. al.; The Journal of Pediatrics; "Effects of Early Maternal Docosahexaenoic Acid Intake on Neuropsychological Status and Visual Acuity at Five Years of Age of Breast-Fed Term Infants;" 2010
- Ehrlich, S; University of Maryland Medical Center; "Omega-3 fatty acids;" May 2011
- Kris-Etherton, P, et. al.; American Heart Association; "Fish Consumption, Fish Oil, Omega-3 Fatty Acids, and Cardiovascular Disease;" 2002
- Sekikawa, A, et. al.; Journal of the American College of Cardiology; "Marine-Derived n-3 Fatty Acids and Atherosclerosis in Japanese, Japanese-American, and White Men: A Cross-Sectional Study;" August 2008
- Bjerregaard, P, et. al.; Atherosclerosis; "Low incidence of cardiovascular disease among the Inuit--what is the evidence?;" February 2003
- https://pubmed.ncbi.nlm.nih.gov/16825676
- https://pubmed.ncbi.nlm.nih.gov/9637947
- https://pubmed.ncbi.nlm.nih.gov/11844977
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- Mar 11, 2021NOW Wild Alaskan Salmon Oil 200 Softgels dropped by 6.9% to $13.99 at VitaCost.com
- Mar 11, 2021Wiley's Finest Wild Alaskan Fish Oil Peak EPA 30 Softgels dropped by 15.0% to $16.99 at VitaCost.com
- Mar 10, 2021Enzymatic Therapy Eskimo-3 225 Softgels dropped by 13.6% to $20.99 at VitaCost.com
- Mar 10, 2021Wiley's Finest Wild Alaskan Fish Oil Beginners DHA for Kids 4.23 Oz. dropped by 15.8% to $21.99 at VitaCost.com
- Mar 04, 2021Source Naturals ArcticPure Omega-3 Fish Oil 60 Softgels (only 850mg) dropped by 23.1% to $8.05 at VitaCost.com
- Mar 02, 2021Wiley's Finest Wild Alaskan Fish Oil Peak Omega-3 Liquid 2.03 Oz. dropped by 6.8% to $19.30 at Walmart
- Mar 02, 2021Doctor's Best Best DHA 500 from Calamari 180 Softgels dropped by 12.8% to $28.89 at AllStarHealth
- Mar 02, 2021Source Naturals ArcticPure Omega-3 Fish Oil 120 Softgels (only 850mg - Enteric Coated) dropped by 29.7% to $25.99 at AllStarHealth
- Mar 01, 2021Country Life Omega-3 300 Softgels dropped by 9.4% to $24.79 at AllStarHealth
- Mar 01, 2021Barlean's Fresh Catch Fish Oil 100 Softgels dropped by 10.6% to $8.99 at AllStarHealth
- Mar 01, 2021SAN Premium Fish Fats Gold 120 Softgels dropped by 30.2% to $7.49 at AllStarHealth
- Mar 01, 2021Country Life Omega-3 200 Softgels dropped by 12.3% to $17.49 at AllStarHealth
- Mar 01, 2021NOW Omega-3 Fish Oil 16.9 Oz. dropped by 7.7% to $19.99 at AllStarHealth
- Mar 01, 2021Barlean's Ideal Omega3 30 Softgels dropped by 48.3% to $17.59 at AllStarHealth
- Mar 01, 2021Universal Fish Oil 100 Softgels dropped by 12.2% to $6.29 at AllStarHealth
- Mar 01, 2021Irwin Naturals Fish Oil Pure 60 Softgels dropped by 23.3% to $11.04 at AllStarHealth
- Mar 01, 2021NOW Krill & CoQ10 60 Softgels dropped by 13.6% to $19.49 at AllStarHealth
- Mar 01, 2021BODYSTRONG 100% Pure Fish Oil 180 1000mg Softgels dropped by 30.4% to $7.99 at AllStarHealth
- Mar 01, 2021Renew Life Norwegian Gold Daily Omega 60 Softgels dropped by 19.9% to $12.00 at AllStarHealth
- Mar 01, 2021Carlson MedOmega Fish Oil 2800 3.3 Oz. dropped by 32.0% to $18.99 at AllStarHealth
- Mar 01, 2021Barlean's Fresh Catch Fish Oil 250 Softgels dropped by 8.8% to $19.99 at AllStarHealth
- Mar 01, 2021Jarrow Formulas PhosphOmega Krill Oil 60 Softgels dropped by 6.5% to $15.89 at AllStarHealth
- Mar 01, 2021Doctor's Best Best DHA 500 from Calamari 60 Softgels dropped by 11.5% to $11.72 at AllStarHealth
- Mar 01, 2021NOW Omega-3 Fish Oil 7 Oz. dropped by 10.8% to $10.19 at AllStarHealth
- Mar 01, 2021Carlson The Very Finest Fish Oil 240 Softgels (only Lemon Flavor) dropped by 19.9% to $16.99 at AllStarHealth
- Mar 01, 2021Doctor's Best Real Krill 60 Softgels dropped by 16.9% to $10.62 at AllStarHealth
- Mar 01, 2021Doctor's Best Real Krill - Enhanced with DHA & EPA 60 Softgels dropped by 14.1% to $15.04 at AllStarHealth
- Mar 01, 2021Nordic Naturals Nordic Omega-3 Gummies 30 Gummies (only Tangerine Treats (Fishies)) dropped by 25.6% to $21.00 at AllStarHealth
- Mar 01, 2021Nordic Naturals Nordic Omega-3 Gummies 120 Gummies dropped by 7.0% to $29.99 at AllStarHealth
- Mar 01, 2021Life Extension Super Omega-3 EPA/DHA 240 Softgels dropped by 25.9% to $16.89 at AllStarHealth
- Mar 01, 2021Natural Factors RxOmega-3 & Flax Oil 120 Softgels dropped by 10.4% to $15.04 at AllStarHealth
- Mar 01, 2021Carlson EcoSmart Omega-3 120 Softgels dropped by 12.0% to $19.99 at AllStarHealth
- Mar 01, 2021Olympian Labs Omega-3 Fish Oils 240 Softgels dropped by 28.6% to $19.54 at AllStarHealth
- Mar 01, 2021Wiley's Finest Wild Alaskan Fish Oil Prenatal DHA 180 Softgels dropped by 15.0% to $37.39 at AllStarHealth
- Mar 01, 2021Country Life Ultra Omegas DHA/EPA 120 Softgels dropped by 11.9% to $17.19 at AllStarHealth
- Mar 01, 2021Wiley's Finest Wild Alaskan Fish Oil Peak EPA 60 Softgels dropped by 25.4% to $25.49 at AllStarHealth
- Mar 01, 2021Wiley's Finest Full Spectrum Omega-3 Softgel CatchFree Omega 60 Softgels dropped by 16.1% to $22.94 at AllStarHealth
- Mar 01, 2021Wiley's Finest Wild Alaskan Fish Oil Elementary EPA for Kids 4.23 Oz. dropped by 18.7% to $20.39 at AllStarHealth
- Mar 01, 2021Wiley's Finest Wild Alaskan Fish Oil Easy Swallow Minis 180 Softgels dropped by 20.1% to $25.49 at AllStarHealth
- Mar 01, 2021Schiff MegaRed 30 Softgels (only 353mg (Joint Care)) dropped by 7.9% to $27.99 at VitaCost.com
- Feb 26, 2021Transparent Labs Krill Oil 60 Softgels dropped by 10.5% to $24.65 at Transparent Labs
- Feb 10, 2021NutraBio Omega 3 Fish Oil 500 Softgels dropped by 7.4% to $24.99 at Suppz.com
- Feb 09, 2021Carlson Super Omega-3 Gems 300 Softgels dropped by 19.8% to $32.07 at eVitamins
- Jan 31, 2021Ascenta NutraSea Omega-3 6.8 Oz. (only Lemon -1250 EPA+DHA) dropped by 18.3% to $20.42 at iHerb.com
- Jan 25, 2021Source Naturals ArcticPure DHA 120 Softgels dropped by 23.4% to $22.98 at A1 Supplements
- Jan 06, 2021Revive MD Omega 3 60 Softgels dropped by 6.6% to $28.00 at ReviveSups.com
- Dec 27, 2020Carlson Elite Omega-3 Gems 180 Softgels dropped by 46.2% to $26.52 at iHerb.com
- Sep 30, 2020Carlson The Very Finest Fish Oil 150 Softgels (only Orange Flavor) dropped by 10.7% to $22.32 at VitaCost.com
- Sep 12, 2020Vital Choice Wild Sockeye Salmon Oil + Vitamin D3 3 Bottles (only 3000 IU D3 (180 SG)) dropped by 50.8% to $59.00 at Vital Choice
- Sep 09, 2020Nordic Naturals ProOmega-D 60 Softgels dropped by 68.8% to $23.38 at iHerb.com
- Aug 24, 2020Nordic Naturals Prenatal DHA 60 Softgels dropped by 19.3% to $28.22 at iHerb.com
- Aug 09, 2020RSP Fish Oil 120 Softgels dropped by 15.6% to $15.18 at iHerb.com
- Jun 15, 2020Source Naturals NKO 30 Softgels (only 500mg) dropped by 27.1% to $13.29 at eVitamins
- May 22, 2020Carlson The Very Finest Fish Oil 6.7 Oz. (only Orange Flavor) dropped by 12.4% to $20.14 at eVitamins
- Apr 27, 2020Source Naturals ArcticPure Omega-3 Fish Oil 30 Softgels (only 850mg) dropped by 16.7% to $6.64 at eVitamins
- Apr 08, 2020Schiff MegaRed 80 Softgels (only 500mg) dropped by 15.6% to $32.99 at VitaCost.com
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