Long-Chain Omega-3 Fatty Acids Improve Brain Function, Structure in Older Adults (2014)
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1. Trigliceride 2. Ethyl ester 3. Re-esterified trigliceride
Almost all suplements sold are ethyl ester which means poor absorption and fast degradation (rancid).
Always buy triglycerides.
If you take ethyl ester, make sure it’s fresh and take it with fatty food
I had looked into it after seeing the modern fishing practices, and even took algae-based DHA supplements for a while. The ones I got did not contain enough EPA though, and that also has an interesting affect on mood. (Maybe I should have taken more ALA from plant sources with curcumin).
> The microplastic levels are too high for human consumption
got any links?There's evidence that mercury in fish accumulates from natural sources [1]
https://www.sciencedaily.com/releases/2003/12/031205053316.h...
Sounds like a massive waste and headache for basically no benefit.
I have no idea how real the risk is, and it all seems less risky than drinking unfiltered water in most areas.
But it's no headache for me to mix RO water with bottled spring water, since I prefer the flavor and it takes seconds.
It’s mostly down to infrastructure, the pipes, not the quality of water released.
It might be an aspergers thing with me about texture, but I don't like the bones. I also can't really eat solid fat on steaks for the same reason.
I think chia seeds have a good source of omega 3, along with good quality grass fed meat, but not close to optimal amounts. These days I supplement with whole foods, desiccated and/or freeze dried and put in pill form. The cronometer app is great for seeing a whole day breakdown and looking for deficiencies, which showed me nearly 0% daily omega 3 without supplementation.
I did hear somewhere that certain populations of people might not get the benefit of omega 3, and that the usually cited studies were done on populations with a long historical trend of eating mainly fish (I'm sorry, I don't have the study to hand, so I can't link it)
Have you tried salmon fillets, swordfish, butterfish, kingklip or tuna? These are rarely served on the bone and swordfish and tuna for example have a very different texture than most soft whitefish.
I usually don't order fish on the bone as it requires sensitive cooking to make it practical to eat (overcook it and its hard to separate meat and bones)
> I did hear somewhere that certain populations of people might not get the benefit of omega 3, and that the usually cited studies were done on populations with a long historical trend of eating mainly fish (I'm sorry, I don't have the study to hand, so I can't link it)
Some inland populations learned to synthesise it and so most people can. But it's a far inferior process for the body compared to eating fish
Smoked mackerel is another option. Sometimes has the odd small bone, but if you buy it flaked the chance is rare, and it has a much more meaty texture than unsmoked white fish, and a delicious bacony flavour. Great with a salad or in a sandwich with lettuce and mayo.
https://livinginnaturalharmony.com/blog/2018/01/12/omega-3-c...
IIRC it can only convert a few % of it. Hence the love for DHA or EPA supplements.
It was also mentioned that she is probably on the spectrum, but either she is very far down or she is very much a "girl" and hides it really well because she is diametrically different (play pretend is her favorite pastime, and also pretending to be others etc, also very social.) from how you are supposed to be on the spectrum, but in some ways she shows it in a classic way (change is very hard).
This is something that affected nearly every aspect of my life. I didn't go to college away from home because I was afraid of cafeteria food in the dorms. I didn't join the military because rations. I never took a semester or year abroad because foreign food. Many of my relationships ended because seriously, how many times can a normal person eat bread and cheese in a week for years on end?
I'm sorry to unload here, I'm just reeling from having a name for this. I'm painting a picture here that is pretty bleak, because from the outside it definitely looked that way. I hope you're able to help your daughter move through it. The world today is far more accommodating than the one I grew up in though, so I'm sure her experience is somewhat different.
I would have sworn blind that I have a physical reaction to these two ingredients. I recently got prescribed some melatonin (it's only available on prescription in the UK) and noticed it had lactose in. I fought for the NHS to perscribe me my usual brand, which has worked fine for me in the past. When I looked, it had the same amount of lactose in as this new prescription.
This really shook me. I know the mind is powerful and can manifest physical symptoms, but to have been "tricking" my self for so long was very eye opening. I'm going to try to get someone to crush up and randomise the new and old meds to see if I can tell the difference blind.
I'm starting to think this has been a mental condition this whole time. I would have bet all I had that it was a real illness a week ago.
"According to the DSM-5, ARFID is diagnosed when:
An eating or feeding disturbance (e.g., apparent lack of interest in eating or food; avoidance based on the sensory characteristics of food; concern about aversive consequences of eating) as manifested by persistent failure to meet appropriate nutritional and/or energy needs associated with one (or more) of the following:
* Significant weight loss (or failure to achieve expected weight gain or faltering growth in children).
* Significant nutritional deficiency.
* Dependence on enteral feeding or oral nutritional supplements.
* Marked interference with psychosocial functioning."
If they're meeting their nutritional needs with other foods just fine, they don't have this disorder.
Like take my wife as an example. She refuses to eat several foods because she doesn't like the texture (fish, solid fat on meats, cottage cheese, a bunch of other foods I don't remember offhand). But there's plenty of other things she will eat, and she doesn't have a nutritional deficiency.
Source: https://www.nationaleatingdisorders.org/learn/by-eating-diso...
In fact, I had more trouble finding food I could eat at restaurants when I was on the keto diet (and many years earlier when I was on a vegetarian diet), then she does right now.
The parent poster also didn't mention anything about it significantly interfering with social functioning.
Completely agree about the bones, once I find a bone in the fish I have difficulty finishing the dish.
I would urge you to keep exploring, try everything everywhich way, you will surely find something you can get behind.
If you live near the coast, seek out the docks and look to buy straight from local fishermen. Learn to clean and store it. Its worth the extra effort.
Nowadays, I also enjoy English-style fish and chips as well as fish tacos, as long as they're really crunchy. Sushi will always be my favourite though.
I'm not saying this same sort of path will work for you but I think it's worth a try. I have been really happy with this expansion in my diet range. As a kid I really didn't like most foods. Now I find myself eating a lot of foods that my friends won't touch!
Having to carefully eat a fish with bones is not something I like dealing either, but I noticed with fish I catch myself it's often easy cleanly debone them: after you bread and fry them up the meat will usually separate cleanly from the bone, and often I can split the fish like the wafers of a nutty bar and lift the entire spine out with all the the pointy bones attached, leaving two easy to eat filets.
If it's sold to us, it wouldn't have any oil in it, now, would it?
Supplements have risk of bioaccumulation just like animals much higher up the food chain - small fish and bottom of the food chain animals is often a very safe and sustainable bet.
When the human organism lacks n-3 PUFA, it generates n-9 20:3 LCPUFA (Mead) from 18:1 oleic acid (which makes up over 80% of the lipid content of olive oil). Is this Mead acid of no benefit compared to the n-3 series?
Secondly, it seems strange that supplementing n-3 PUFA is so popular, considering the brain seems to mirror overall fatty acid composition of the diet. Throwing in a little n-3 isn't going to change much when you're getting a lot of n-6 AA, and AA in the brain is linked to Alzheimer's and cognitive impairment. Therefore, outside of changing your diet entirely (or trying your best to cut out omega-6), there isn't much of a call to action from these studies.
This is also my gripe. Information on fatty acids is extremely basic and sometimes downright condescending, as if all n-3, n-6, n-9 PUFA are the same. They don't seem to be.
EDIT: after just reading the comments here, I just order some vegan algae oil for omega 3 to add to the soaked chia seeds. I try hard to avoid all foods with omega 6.
It just happens to be everywhere you end up consuming a lot more than necessary.
Most of omega 3 benefits come from EPA and DHA. Not ALA. chia seeds have mainly ALA. Your body will only convert some of ALA into EPA, but not much. If you are trying to avoid fish oil, you could try krill oil
Curious - what about fish oil is to-be-avoided but lets krill be a suitable substitute?
The omega is also bound by phospholipids, which presumely should make it more effective.
Personally I do believe fish oil is the best choice, because of higher levels of EPA/DHA.
Omega 3 also goes rancid fairly quickly so you need the source to be fairly fresh (and especially not processed)
Your body can make medium chain and long chain fatty acids from the short chain ones above but its also good to consume those as well since it (your body) can only do so in limited amounts. This is why people say seafood consumption is a good idea.
There are also other omega fatty acids which also can be good for you - Omega 9, Omega 7 etc etc. Many nuts and seeds can be good sources of these.
https://www.nature.com/articles/s41598-019-45508-1
It’s interesting to note the anti-inflammatory effect seems directly responsible for slowing healing (where you want it), and that this may be broadly applicable. We don’t always want less inflammation, everywhere.
There are some good meta studies on Omega-3s. Dr Bradley Stanfield[1] walks through Mayo Clinic meta analysis[2]. Rhonda Patrick[3] is the best resource for an interpretation of the data.
TLDR; consume enough omega-3s (DHA/EPA) to get omega-3 index above 8.0. Discrepancies in research outcomes are attributed to study design, methodology of measuring intake, methodology of measuring blood.
[1] https://www.youtube.com/watch?v=58RkZy6FEco&ab_channel=DrBra... [2] https://www.mayoclinicproceedings.org/article/S0025-6196(20)... [3] https://www.youtube.com/watch?v=XcvhERcZpWw&t=2108s
However, when you buy some kind of fish oil for which the vendor provides precise values for its content in DHA, EPA and vitamin D, and you buy this in a country where such false claims are punished, you can be reasonably certain about the quality of the oil.
I have not seen a vendor publishing the admissible content of mercury, but in most countries there are legal limits for it.
I have seen a few studies where random samples taken from various fish oil commercial products were analyzed for mercury, and in most cases the content was significantly lower than encountered in most fish meat that is sold. Also one would eat much less fish oil per day, e.g. at most a spoon, than one would eat fish meat, when choosing a fish dish.
I agree that unfortunately, due to the human stupidity in managing waste, now eating any fish-derived products implies some risks.
However, in the case of fish oil obtained from some reputable source, I believe that the benefits outweigh the risks. The only good alternative to fish oil is the oil obtained from cultures of some unicellular living beings, but that is about 8 times more expensive than fish oil, so few people can afford it in the quantities that are needed for the recommended daily intake.
Regarding the research downplaying the "omega3 supposed benefits", I have read many such studies and the conclusions were mostly opposite. While in many cases there could not be observed any effects from taking various vitamin supplements, there were nonetheless in most cases measurable good effects from the use of omega3 supplements.
The reason for this is easy to understand. Any kind of vitamin, mineral or omega3 supplements can have effects only when the food eaten is deficient in those substances, otherwise there is no effect.
Someone who eats large quantities of food obtained from animals will not need any kind of omega3 supplements. On the other hand someone who is either vegan or eats mostly vegetable food, will need omega3 supplements, like also vitamin D and vitamin B12 supplements.
I am not vegan, but I eat mostly vegetable food, so I add some cod liver oil to the olive oil that I put in my food, to ensure an adequate daily intake of DHA, EPA and vitamin D.
However, since the mad cow disease, this has become a much less frequent choice, even in Europe, where it previously was a popular dish in many places.
Moreover, eating small quantities of fish oil seems better ethically than eating pig brains.
On the other hand, fish oil seems to be a major reason for catching the fish it comes from:
> The major sources of fish oil are small pelagic fishes, caught off the coast of Peru and Chile. Each catch is transported on a fishing vessel to shore, where it is then processed by fractionation into fish meal and crude fish oil.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4681158/
Small fish may themselves not be as smart as pigs, but the ecosystem damage is worth considering too.
(Algae-based oil seems the clear winner though.)
Like a pig brain, a cod liver would have been otherwise discarded after making the cod fillet bought by other people.
In the future the algae-based oil will indeed be the winner (even if that is a misnomer, because the unicellular living beings that make the oil are not algae; however for the general public, "algae" is much more intelligible than "thraustochytrids").
Nevertheless, that future is not here yet. The cost of cultivation and oil extraction must be reduced at least 8 times, to make that oil competitive with the fish oil.
In the case of cod, cod is one of the most over-fished fishes on the planet. The extra money that the big fishing companies get from selling the liver separately certainly contributes some percentage to that over-fishing. (Some cod is sustainably farmed, but it's the minority.)
Nevertheless, eating a small quantity of animal food for covering the requirement for omega-3 fatty acids is still a great improvement over eating a large quantity of animal food containing other kinds of fat, which is better obtained from vegetable sources. Therefore, except for a little fish oil, I do not eat any other kind of animal fat.
I still hope to live enough to see improvements in the techniques of culturing unicellular organisms that can produce omega-3 acids, so that their oil will become cheap enough to replace the other sources, like oily fish, cod liver or pig brains.
In my opinion, in the distant future, the final solution to the food problem will be to have some genetically-engineered organisms, either derived from some parasitic plants, or derived from some fungi, able to produce edible parts mimicking all the foods that exist now, from apples or bananas to pork or beef meat, when fed only with minerals and with a simple organic substance, such as sugar or glucose, or maybe one as simple as ethanol, as the energy source.
Such genetically-engineered organisms would be grown indoors, possibly under ground, to save space.
The fixing of carbon dioxide into a simple substance like sugar and of dinitrogen into ammonia, would be made separately, in some devices using the energy provided by solar cells, which would cover much of what is now agricultural land.
Such artificial devices using solar energy to convert CO2, N2 and water into sugar, ammonia and free oxygen, could have much better efficiencies than the existing plants (though a lot of improvements over the existing technologies are needed to reach such a goal).
On the other hand, for the synthesis of the complex organic substances that are needed for our complete food, no methods better than those used in living beings are known yet.
Tastes good, cooks well, not outrageously expensive.
I generally keep red meats to a minimum, as well as cheeses, and whatnot (to keep a handle on cholesterol).
Otherwise, I don't really get too bent out of shape about trying to be healthy. I walk three miles a day, and don't do much between-meal snacking.
Do you have any sources for this?
Eating significant amounts of red meat and cheese will have an effect on blood cholesterol due to saturated fat intake.
Farmed fish have, historically at least, contained high levels of PCBs and other long-term chemicals: https://www.mayoclinic.org/healthy-lifestyle/nutrition-and-h...
I would think there's some way to farm fish properly to avoid this, but ¯\_(ツ)_/¯.
Pick your poison, I guess.
But I live on Long Island. The salmon I eat, isn't as scary as the water I drink, or the air I breathe.
Here's what an MIT professor had to say about it: https://www.youtube.com/watch?v=JPrAuF2f_oI
https://labdoor.com/rankings/fish-oil
The main problem with these sites is that many - if not all - brands and products are US-centric, which makes the reviews fairly useless in the rest of the world.
One can of sardines has >2x the omega 3s and is less likely to be counterfeit or adulterated as many suppliments have been found to be.
The vitamin D is another matter though, harder to get enough of in winter, but also easier to overdose on with suppliments.
Vitamin D dosage is a surprisingly controversial topic, with many voices claiming the recommended dose is much too low and you are very unlikely to overdose if you are not taking completely unreasonable amounts of it.
[1] https://www.fda.gov/food/metals-and-your-food/mercury-levels...
Mercury is actually not that big a deal if you are an adult male, or a woman who is done having kids. The main issue with it is developmental issues in children.
Unrelated: IMO, Sardines are the most delicious fish.
I was under the impression that vitamin D is one of the harder supplements to overdose on and people don't take enough generally, is that not the case? (I don't take any).
https://www.usnews.com/news/health-news/articles/2021-10-13/...
Randomly inflating certain micronutrients without actually monitoring their levels is probably way more dangerous than just eating “healthy”.
I can track just a couple of typical one-week samples a year and get a decent ballpark approximation because my normal diet isn't super varied. Vacations and a few special occasions aside, I typically eat mostly the same types things in about the same amounts because I like those things and it's convenient. I decided to spot check micronutrients because for the last five years I've been on a very low carb diet that's working great for me health wise and I've also had significant improvements in cognitive sharpness and emotional stability vs eating a 'normal' diet that made me obese for decades.
Because what I eat is fairly limited, I was concerned that over a long time period I might be missing out on some important nutrients. After getting a few data points, I was pleased to learn I was already covering everything my body needs. The only thing I was a little low on was DHA/EPA. While I can eat lots of fish on a VLC diet, I just don't particularly like fish, so I don't choose to eat much. For that reason I've added a high-quality supplement. Except for special cases like mine, I do agree it's entirely possible (and preferable) to cover all your body's nutritional needs with real foods. The challenge is that individual metabolisms can vary. General dietary advice is based on large-scale averages across many individuals. I'd also caution that the typical FDA "Food Pyramid" that is still widely promoted isn't ideal for every individual. My metabolism was certainly an outlier and the recommended 'balanced' diet wasn't working optimally over the long run for me.
The analysis suggests variation between afib occurrence/risk and the brand or omega-3 supplement or dose.
Additional points from the article:
* despite finding a link between afib and omega-3 supplementation, the meta-analysis didn’t find increased heart or stroke risk
* although the analysis linked a prescription-strength omega-3 supplement with higher afib risk, the analysis indicated that omega-3 appeared to reduce heart attack and stroke risk
Existing evidence and analysis find that omega-3 can impact various medical conditions and health factors.
I think that, as with any medication, one should consult their doctor and weigh the cost-benefit / risk-reward of taking omega-3 supplements/prescriptions.
Just to give some bacground info.
However you can also take algea or algea derived omega 3 supplements, i think the species is called nannochloropsis gaditana, and it has vegan omega 3, so probably causes no issues with fish allergies.
The only suggested risk with Carnitine is an increase in something called TMAO (Tri MethylAmine Oxidase) its what makes fish and vagina's (trimethylaminuria) smell this can be elevated with Choline or Carnitine if certain bacteria exist and although TMAO is thought to help contribute to atherosclerosis, Fish which is touted as healthy like here is also high in TMAO, so there are questions over whether TMAO is actually good or bad.
Some seeds also have omega 3's and 6's, they are precursors for CBD, but you'll find the Omega's in most diets so if you dont want it to be used for CBD production, maybe consume some CBD.
So I'm not totally convinced at this stage that TMAO is actually bad for us, it just seems to stimulate so parts of the immune system.
Besides there are ways to reduce TMAO, like consuming more Taurine (Red Bull), using nicotinic acid which incidentally also increases the release of triglycerides from adipose tissue, I got a six pack just from 500mg of nicotinic acid a day and walking, the only non patentable statin that is and arguably safer considering the man made statins can cause brain fog amongst other side effects.
Carnitine and nicotinic acid would certainly go well together for weight loss, but it definitely needs some K1 then to protect the tissues & K2-mk4 to protect the bones if doing nicotinic acid.
> Sunflower oil is naturally high in polyunsaturated fatty acids, which are great for frying and cooking with but can expire quickly. To remedy this, harvesters have bred a healthier form of this oil that is lower in polyunsaturated fats and higher in oleic acid.
https://soylent.com/blogs/news/healthy-plant-fats-your-body-...
Jokes aside, exclusions of certain groups, both demographic and people with medical conditions, in trials is a big issue that's still not fully being addressed. Medical trials often end up with candidates with better health than the average person and lean towards white males while psychology experiments are conducted on college students.
Besides flaxseeds, walnuts have also a large content of short-chain omega-3 fatty acids. Walnuts were my preferred source of omega-3 fatty acids when I was young.
The problem is that the short-chain fatty acids must be elongated in the liver to become useful.
For many people, the elongation capacity per day of the liver is not enough to provide a sufficient quantity of long-chain fatty acids.
Because the fatty-acid elongation capacity of the liver decreases with age, for older people it is much more important to eat food with long-chain omega-3 fatty acids, e.g. fish oil or oily fish, than it is for young people, for whom flaxseeds or walnuts may be enough.
That is why in the parent article the conclusion was that the long-chain omega-3 fatty acid supplements have been more effective for older people.
There are unicellular micro-organisms which produce long-chain omega-3 fatty acids. They can be cultivated and the oil extracted from them is available commercially, but at prices 8 times higher than the price of fish oil (for the same quantity of DHA or EPA).
Moreover, different cultures must be used for DHA and for EPA, so for a complete supplement 2 oils would have to be mixed. Because a single producer usually has only the technology for a single type of culture, in most cases one would have to buy both a DHA oil and an EPA oil and consume both supplements.
In contrast, fish oil from oily fish has both DHA and EPA, while cod liver oil has DHA, EPA and also vitamin D.
Just one example: https://www.nordic.com/products/algae-omega/?variant=3947218...
> "Mammals are unable to synthesize the essential omega−3 fatty acid ALA and can only obtain it through diet. However, they can use ALA, when available, to form EPA and DHA, by creating additional double bonds along its carbon chain (desaturation) and extending it (elongation)." (wiki2)
There's a claim that the latter biochemical process (ALA -> EPA, DHA) is negatively impacted as humans age. Is this really true? Who knows, this is the supplement industry we're talking about here. Known for peddling things like shark cartilage as a cure for cancer, etc. (I'm biased: I was a QA lab analyst for a supplement outfit for a while and ended up getting fired over refusing to doctor lead content tests so that bulk imported chinese herbs would pass tests. The company didn't want to hold up production of the hottest latest fad, at the time).
https://www.amazon.com/Season-Sardines-Water-Added-4-375-Oun...
The high Omega-3 content is advertised right on the box. Sardines are considered by many as a "super food". Sustainable, low on the food chain, great nutrient profile...
Re: in olive oil, I don't know about you but I'm not interested in drinking olive oil.
Packed in water is pleasant to drink, it's like drinking fish broth. Not to mention it's far less calories, oil is calorie dense. Nor do they generally use high-quality single source oils in canned fish, that oil is low-quality junk.
Most people I know who eat fish packed in oil are actually more interested in eating bread with a side of fish+dipping oil. That's nowhere near resembling my preferred diet, YMMV.
But even when packed in water, or just canned+cooked in own juices on the higher end, a substantial portion of the fats and oils escape the flesh and float to the surface during cooking. Draining the can discards fatty acids, it can be a surprisingly substantial portion.
[0]: https://www.kingoscar.com/product/brisling-sardines-in-extra...
You might also ask yourself: Why would the HDL/LDL ratio matter? Why would mineral ratios matter? This pattern is not unique to Omega 3. Search for "micronutrient ratios", also timing the consumption of certain vitamins and minerals, fiber, etc. Nutrition isn't just about putting enough molecules into your body.
What I read 20 years ago when Omega 3s were starting to be a thing, is that Omega 3s are processed into certain anti-inflammatory compounds, and Omega 6s into certain pro-inflammatory compounds. "Natural" diets had the two fats balanced, but modern Western diets have reduced Omega 3s and increased Omega 6s, leading to more inflammation.
IIRC, one big mechanism for the change is feeding our food crappy food to increase production (e.g. switching from typically grass-fed to typically grain-fed beef).