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Flax Seed Oil versus Fish Oil
May 27 2009, 10:14 AM

The press has made a lot out of the benefits of omega-3 essential fatty acids, which can be supplemented using fish oil capsules. Many people don't like the aftertaste of fish oil capsules and they often ask if they can substitute flax seed oil. The answer is no!

Get ready for some tongue twisters: Supplementing with flax seed delivers a high level of alpha-linolenic acid (ALA) which will boost eicosapentaenoic acid (EPA), but not docosahexaenoic acid (DHA). Fish oil delivers both EPA and DHA.

The body can convert ALA to EPA and small amounts of DHA. Fish oil delivers EPA and DHA without any conversions.

Most studies show the benefits of EPA and DHA protecting the cardiovascular system from developing heart disease. Also, there appears to be protection from EPA and DHA against many other disorders including age-related macular degeneration, Alzheimer’s, dementia, and silent brain infarcts, just to name a few.

So, to get the benefits of EPA and DHA you need to take fish oil and forget about the flax seed oil. I have been taking two concentrated capsules both in the morning and evening for years.

If you find you are burping from the fish oil, put the capsules in your freezer and take them frozen. This will keep the capsule from opening until it reaches the small intestine and the fish oil taste will stop.

 
 
 
Comments
ElIadn wrote re: Flax Seed Oil versus Fish Oil
on Thu, May 28 2009 2:02 PM

Hmmm, is there any benefit to flax seed oil at all? Several years ago, I replaced butter on my air-popped popcorn with flax seed oil. I've been telling myself that this was both a good-tasting, as well as healthy, move. Have I been deluding myself as to there being any health benefits?

Thanks.

Dr. Mark wrote re: Flax Seed Oil versus Fish Oil
on Tue, Jun 2 2009 12:19 PM

Absolutely there are benefits to having flax seed in the diet.  I encourage many of our vegetarian clients to use flax seed oil, because even though it is a less efficient source of omega 3s (there is an extra conversion step to get it to EPA), it still promotes heart health.  Taka a look at my fellow blogger and dietitian, Chelsey Bobcek's blog on Flax seed oil so you can see there are still some benefits and worth your time: communities.2020lifestyles.com/.../what-is-a-vegetarian-to-do.aspx

joebenn wrote re: Flax Seed Oil versus Fish Oil
on Sun, Aug 9 2009 7:43 AM

Hey Dr. D - I am a 20/20 alumni getting back on the staright and narrow.  Really enjoy your blog.

Hey my mother and law has Paroxysmal Atrial Tachycardia -  www.healthline.com/.../paroxysmal-atrial-tachycardia -  and her doctor has told her that fish oil can induce rapid heart rates and so she avoids it.

Any advice in that situation?

Thanks,

Joe Bennett

Dr. Mark wrote re: Flax Seed Oil versus Fish Oil
on Tue, Aug 18 2009 12:52 PM

Hello, Joe.

You bring up an interesting point.  As a huge propenent of fish oil, I am the first one to tell you that it is the fountain of youth.

However, in 2005 there were a series of studies done that examined patients with previous arrhythmias to evaluate the possible effectiveness of fish oil supplementation.  The researchers did find that fish oil actually reduced the incidence of arrhythmias and thought that it may be a great way to treat this condition long term.

One group however of individuals with ventricular tachycardia actually had more incidences of arrhythmias than the group taking the placebo.  The scientists were unclear of why this might be, none the less it demonstrated lack of replicability among the studies, weakening their evidence towards fish oil being 100% safe for individuals with arrhythmias.  

It is unclear whether fish oil might predispose one who might ultimately develip arrhythmias to get them sooner, but what is clear is there is evidence to support fish oil may aggravate symptoms of those who have a pre-existing arrhythmia condition.

In most cases a daily dose of fish oil can be heart healthy.  However, those with arrhythmias or a family history of arrhythmias should check with their primary physician prior to taking fish oil.

It looks like Joe that your mother's physician is being extremely precautious due to the conflicting data out there in regards to fish oil and their effects on arrhythmias.  Excellent patient care.

I hope this helps. Let me know if anything else comes up.  

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